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Okaloosa County BOCC — August 19, 2014 — FAA Grant Application_Air Traffic Control Tower at DTS — reading text

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obtained from FAA prior to contract award under any of the following circumstances: a. Only one qualified person/firm submits a responsive bid, b. The contract is to be awarded to other than the lowest responsible bidder, c. Life cycle costing is a factor in selecting the lowest responsive bidder, or d. Proposed contract prices are more than 10 percent over the sponsor's cost estimate. 6. All contracts exceeding $100,000 requiré (will require) the following provisions: a. A bid guarantee of 5 percent, a performance bond of 100 percent, and a payment bond of 100 percent; b. Conditions specifying administrative, contractual, and legal f remedies, including contract termination, for those instances LJ LJ in which contractors violate or breach contact terms; and c. Compliance with applicable standards and requirements issued under Section 306 of the Clean Air Act (42 USC 1857(h)), Section 508 of the Clean Water Act (33 USC 1368), and Executive Order 11738. 7. All construction contracts contain (alll contain) provisions for: a. Compliance with the Copeland “Anti-Kick Back” Act, and b. Preference given in the employment of labor (except in executive, administrative, and supervisory positions) to honorably discharged Vietnam era veterans and disabled veterans. 8, All construction contracts exceeding $2,000 contain {will contain the following provisions: a. Compliance with the Davis-Bacon Act based on the current wm O Oo Federal wage rate determination; and b. Compliance with the Contract Work Hours and Safety Standards Act (40 USC 327-330), Sections 103 and 107. 9. All construction contracts exceeding $10,000 contain (sill contaipy appropriate clauses from 41 CFR Part 60 for compliance with Executive Orders 11246 and 11375 on Equal Employment Opportunity. 10. All contracts and subcontracts contair (will contain) clauses of required from Title VI of the Civil Rights Acta CFR 23 and 49 CFR 26 for Disadvantaged Business Enterprises. 4 me O O Page 2 of 3 June 28, 2005 11. Appropriate checks have-beerwill be)made to assure that contracts or subcontracts are not awarded to those individuals or firms suspended, debarred, or voluntarily excluded from doing business with any U.S. Department of Transportation (DOT) element and appearing on the DOT Unified List. NIA Ww oO O | certify, for the project identified herein, responses to the forgoing items are accurate as marked and have prepared documentation attached hereto for any item marked “no” that is correct and complete. OKALOOSA COUNTY, FLORIDA (Name of Spopis Sp mag porated Official Representative) mam, “A.A.E., IAP (Signatur oF SuniA H (Typed Name of Sponsor's Designated Official Representative) Airports Director (Typed Title of Sponsor's Designated Official Representative) July 31, 2014 (Date) Page 3 of 3 June 28, 2005 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION DRUG-FREE WORKPLACE OKALOOSA COUNTY DESTIN/FT WALTON BEACH DESTIN ADE (Sponsor) (Airport) (Project Number) Description of Work: Title 49, United States Code, section 47105(d), authorizes the Secretary to require certification from the sponsor that it will comply with the statutory and administrative requirements in carrying out a project under the Airport Improvement Program (AIP). General requirements on the drug-free workplace within Federal grant programs are described in Title 49, Code of Federal Regulations, Part 29. Sponsors are required to certify they will be, or will continue to provide, a drug-free workplace in accordance with the regulation. The AIP project grant agreement contains specific assurances on the Drug-Free Workplace Act of 1988. Except for the certified items below marked not applicable (N/A), the list includes major requirements for this aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully complying with all applicable statutory and administrative standards. Yes No N/A 1. Astatement has been @witte) published notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the me sponsor's workplace, and specifying the actions to be taken against employees for violation of such prohibition. CO L 2. An ongoing drug-free awareness program has been (wHtBe) established to inform employees about: a. The dangers of drug abuse in the workplace; b. The sponsor's policy of maintaining a drug-free workplace; ta Oo O c. Any available drug counseling, rehabilitation, and employee assistance programs; and d. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. 3. Each employee to be engaged in the performance of the work has been (wibé) given a copy of the statement required within my C] [| item 1 above. ‘ 4, Employees have been (wi ) notified in the statement required by item 1 above that, as a condition employment under the IY LJ LJ grant, the employee will: a. Abide by the terms of the statement; and Page 1 of 2 June 28, 2005 Yes No N/A b. Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction. 5. The FAA will be notified in writing within ten calendar days after receiving notice under item 4b above from an employee or otherwise receiving actual notice of such conviction. Employers “4 of convicted employees must provide notice, including position LJ title of the employee, to the FAA. Notices shall include the project number of each affected grant. 6. One of the following actions will be taken within 30 calendar days of receiving a notice under item 4b above with respect to any employee who is so convicted: a. Take appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as iy amended; or b. Require such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency. 7. Agood faith effort will be made to continue to maintain a drug- free workplace through implementation of items 1 through 6 ee above. O L | have prepared documentation attached hereto with site(s) for performance of work (street address, city, county, state, zip code). There are no such workplaces that are not identified in the attachment. | have prepared additional documentation for any above items marked “no” and attached it hereto. | certify that, for the project identified herein, responses to the forgoing items are accurate as marked and attachments are correct and complete. OKALOOSA COUNTY, FLORIDA (Name of Sponsor) (Signature of Sen epee Representative) Sunil rman, AY A.E., IAP (Typed Name of Sponsor's Designated Official Representative) Airports Director (Typed Title of Sponsor's Designated Official Representative) July 31, 2014 (Date) Page 2 of 2 June 28, 2005 U.S, DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION SELECTION OF CONSULTANTS OKALOOSA COUNTY DESTIN/FT WALTON BEACH DESTIN ATCT (Sponsor) (Airport) (Project Number) Description of Work: Title 49, United States Code, section 47105(d), authorizes the Secretary to require certification from the sponsor that it will comply with the statutory and administrative requirements in carrying out a project under the Airport Improvement Program (AIP). General standards for selection of consultant services within Federal grant programs are described in Title 49, Code of Federal Regulations (CFR), Part 18.36. Sponsors may use other qualifications-based procedures provided they are equivalent to specific standards in 49 CFR 18 and FAA Advisory Circular 150/5100-14, Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects. Except for the certified items below marked not applicable (N/A), the list includes major requirements for this aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully complying with all applicable statutory and administrative standard. Yes No N/A 1. Solicitations wore-af will beynade to ensure fair and open competition from a wide area of interest. ce L] L] 2. Consultants wer on will beselected using competitive procedures based on qualifications, experience, and disadvantaged enterprise requirements with the fees determined through negotiations. 3. Arecord of negotiations has-been dewill beiprepared reflecting considerations involved in the establishment of fees, which are not significantly above the sponsor's independent cost estimate. 4. If engineering or other services are to be performed by sponsor force account personnel, prior approval was of will ba obtained ca from the FAA. 5. The consultant services contracts clearly establish of will clearly establish the scope of work and delineate the division of responsibilities between all parties engaged in carrying out elements of the project. 6. Costs associated with work ineligible for AIP funding are-oWill) be clearly identified and separated from eligible items in solicitations, contracts, and related project documents. Page 1 of 2 June 28, 2005 Yes No N/A Ts been ac contact provisions for grant-assisted contracts have wo g Og been ox will b8 included in consultant services contracts. 8. The cost-plus-percentage-of-cost methods of contracting ul prohibited under Federal standards were-not or will nof be used. LJ L] 9. If the services being procured cover more than the single grant lbs referenced in this certification, the scope of work was-er crf g 0 will be specifically described in the advertisement, and future work will not be initiated beyond five years. | certify, for the project identified herein, responses to the forgoing items are accurate as marked and have prepared documentation attached hereto for any item marked “no” that is correct and complete. OKALOOSA COUNTY, FLORIDA (Ame of Sponsér, (Stonta fl Sponge's inated Official Representative) Sunid Harmanf/A.A.E., IAP (Typed Name of Sponsor's Designated Official Representative) Airports Director (Typed Title of Sponsor's Designated Official Representative) July 31, 2014 (Date) Page 2 of 2 June 28, 2005 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION PROJECT PLANS AND SPECIFICATIONS OKALOOSA COUNTY DESTIN/FT WALTON BEACH DESTIN ATCT (Sponsor) (Airport) Description of Work: (Project Number) Title 49, United States Code, section 47105(d), authorizes the Secretary to require certification from the sponsor that it will comply with the statutory and administrative requirements in carrying out a project under the Airport !mprovement Program (AIP). AIP standards are generally described in FAA Advisory Circular (AC) 150/5100-6, Labor Requirements for the Airport Improvement Program, AC 150/5100-15, Civil Rights Requirements for the Airport Improvement Program, and AC 150/5100-16, Airport Improvement Program Grant Assurance One--General Federal Requirements. A list of current advisory circulars with specific standards for design or construction of airports as well as procurement/installation of equipment and facilities is referenced in standard airport sponsor Grant Assurance 34 contained in the grant agreement. Except for the certified items below marked not applicable (N/A), the list includes major requirements for this aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully complying with all applicable statutory and administrative standards. 1. The plans and specifications were be)prepared in accordance with applicable

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