Attachment A - Grant Application Materials

Regular Meeting, September 17, 2026 · item 4D: Consideration of a motion to approve an application to Federal Aviation Administration (FAA) Airport Improvement Grant (AIG) FY24 in the amo… · 44 pages

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U.S. Department of Transportation Federal Aviation Administration

FAA Form 5100-100, Application for Federal Assistance (Development and Equipment Projects) Paperwork Reduction Act Burden Statement A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public reporting for this collection of information is estimated to be approximately 28 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2 CFR 200; no assurance of confidentiality is provided. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

INSTRUCTIONS FOR FORM 5100-100 PART I – Application for Federal Assistance Part I of the Application for Federal Assistance consists of a completed Standard Form (SF) 424. The remaining parts of Form 5100-100 (Parts II, III and IV) represent continuation pages that the Sponsor must attach to the associated SF-424 form. The signature of the Sponsor’s authorized representative on the SF-424 form represents acceptance of the representations and certifications made within the corresponding FAA 5100-100 form.

PART II – Project Approval Information This information is necessary for the Federal Aviation Administration to evaluate this request for Federal assistance. Responses do not require an explanation unless explicitly requested by the question. SECTION A. STATUTORY CONDITIONS Item 1 – Indicate whether the Sponsor maintains an active registration in the Federal System for Award Management (SAM). Pursuant to 2 CFR §25.200(b), a Sponsor must maintain an active registration in the Central Contractor Registration repository (housed within SAM) with current information at the time of the application and during the active period of the Federal award. Item 2 – Indicate whether the Sponsor can commence the project within the same fiscal year the grant is made or within 6 months of when the grant is made, whichever is later. Attach explanation for negative responses. This information is considered when allocating discretionary funds. (49 U.S.C. § 47115(d)(2))

Item 3 – Indicate whether the Sponsor can complete the project without unreasonable delays. If applicable, provide listing of foreseeable events (winter shutdown, land acquisition issues, nonaeronautical events, etc.) that have potential to delay completion of the project. (49 USC § 47106(a)) Item 4 – Indicate whether the environmental review (i.e. environmental assessment, mitigated FONSI, etc.) identified impacts or effects on the environment that require mitigating measures that lessen the impact or effect on the environment. If yes, provide a summary listing of mitigating measures. (49 U.S.C. § 47106(c)) Item 5 – Indicate whether the project covered by this request is also covered by an approved Passenger Facility Charge (PFC) application or other Federal assistance program by selecting all applicable check boxes (49 U.S.C. § 40117(d) and 2 CFR § 200.403). If the approved PFC application only addresses the Sponsor’s AIP matching share, select the appropriate check box. If the project, or portions thereof, is covered by another Federal assistance program, identify the Federal assistance program by name and the Catalog of Federal Domestic Assistance (CFDA) number. Item 6 – Indicate whether the Sponsor intends to seek reimbursement of Sponsor indirect costs as defined by 2 CFR §200.414 and 2 CFR Appendix VII to Part 200. This information request does not include the indirect costs claimed by a for-profit entity (e.g. consultant). •

•

The de minimis rate may only be used if the Sponsor has not previously received a negotiated Indirect Cost Rata (ICR) and does not exceed the limitations prescribed in Appendix VII to Part 200. A Sponsor with an existing approved negotiated ICR must identify the ICR value, the name of the cognizant agency that approved the ICR and the date of approval. SECTION B. CERTIFICATION REGARDING LOBBYING

This section addresses the Sponsor’s declaration regarding lobbying activities. The declaration made in the section are under signature of the authorized representative as identified in box 21 of form SF-424, to which this form is attached. Title 31 U.S.C. § 1352 establishes that no appropriated funds may be expended by a recipient of a Federal grant to pay any person for influencing or attempting to influence an officer or employee of any agency, Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this covered Federal assistance action. Pursuant to 40 CFR part 20, this certification attests that the Sponsor has not made, and will not make, any payment prohibited payment by 31 U.S.C. § 1352.

FAA Form 5100-100

SECTION C. REPRESENTATIONS AND CERTIFICATION 1. Compatible Land Use (49 U.S.C. § 47107(a)(10)) – Identify actions the Sponsor has taken to assure land uses in close proximity to the airport are compatible with normal airport operations. 2. Defaults – Confirm that Sponsor is not in default on any obligation to the United States or any agency of the United States government. 3. Possible Disabilities – Confirm that Sponsor has no facts or circumstances (i.e. legal, financial or otherwise) that might adversely affect the Sponsor in completing the project and carrying out the provisions of the associated Grant Assurances. 4. Consistency with Local Plans (49 U.S.C. § 47106(a)) – Confirm project is consistent with plans (existing at the time the project is approved) of public agencies authorized by the State in which the airport is located to plan. 5. Consideration of Local Interests (49 U.S.C. § 47106(b)) – Confirm the Sponsor has given fair consideration to the community in and near the project. 6. Consultation with Users (49 U.S.C. § 47105(a)) - Confirm the Sponsor has consulted with airport users that will be affected by the project. 7. Public Hearings (49 U.S.C. § 47106(c)) – For projects involving the location of an airport, runway or major runway extension, confirm the Sponsor: a. Provided an opportunity for a public hearing to consider economic, social and environmental effects of the project. b. Has voting representation from the communities in which the project is located; or has advised the communities that they have the right to petition the Secretary about the proposed project. 8. Air and Water Quality Standards - Confirm Sponsor will comply with applicable air and water quality standards. 9. Exclusive Rights (49 U.S.C. § 47107(a) – Identify all instances of exclusive rights to conduct aeronautical services at the airport. 10. Land (49 U.S.C. § 47106(b)) – a. Identify property interests specific to the development project and/or land acquisition. The declaration of property interest is to be based upon a title opinion submitted by an attorney. When identifying the property interest, use the same parcel numbers as used to identify the property on the associated Exhibit A property map. Example: “Sponsor maintains property interest as depicted within the property table on the Exhibit A property map dated / / originally filed with AIP Project ###.” b. Complete this subpart if the Sponsor proposes a project for which they have not yet obtained appropriate property interests. Note that the work may not commence until Sponsor obtains acceptable property interests. Identify such property by parcel number that corresponds to the associated Exhibit A property map. c.

FAA Form 5100-100

Complete this subpart when acquiring property interests under the grant. Identify such property by parcel number that corresponds to the associated Exhibit A property map.

iii

PART III – Budget Information SECTION A. GENERAL 1. Assistance Listing Number - Show the Assistance Listing Number from which the assistance is requested. 2. Functional or Other Breakout: Indicate “Airport Improvement Program”. Prepare a separate set of Part III forms for other Federal program categories. SECTION B. CALCULATION OF FEDERAL GRANT When applying for a new grant, use the Total Amount Column only. Use all columns when requesting revisions of previously awarded amounts. Line 1 - Enter amounts needed for administration expenses, which may include such items as: legal fees, mailing/shipping expenses, audit fees and documented Sponsor employee time that is necessary to administer the grant. Line 2 - Enter amounts pertaining to allowable preliminary expenses. These include such expenses as independent fee estimate preparation, advertising expenses and permits. Line 3 - Enter amounts directly associated with the acquisition of land, existing structures, and related right-of-way. Line 4 - Enter fees for architectural engineering basic services. Line 5 - Enter amounts for architectural engineering special services (e.g. surveys, tests and borings). Line 6 - Enter fees for inspection, testing and monitoring of construction and related programs. Line 7 - Enter amounts associated with the development of land where the primary purpose of the grant is land improvement. Site work normally associated with major construction should be excluded from this category and shown on line 11. Line 8 - Enter the dollar amounts needed to provide relocation advisory assistance, and the net amounts for replacement (last resort) housing. Do not include relocation administration expenses on this Line; include them on Line 1. Line 9 - Enter the estimated amount of relocation payments to be made to displaced persons, business concerns, and non-profit organizations for moving expenses and replacement housing. Line 10 - Enter the cost of demolition or removal of improvements on developed land. Reduce the costs on this line by the amount of expected proceeds from the sale of salvage, if so instructed by the Federal grantor agency. Otherwise, show the proceeds on Line 15. Line 11 - Enter amounts for the actual construction of, addition to or restoration of a facility. Include in this category the amounts of project improvements such as grading, drainage, paving, marking, lighting, buildings, seeding/sodding, etc. Line 12 - Enter amounts for equipment. Examples include ARFF vehicles, SRE equipment, AWOS equipment, interactive training, NAVAID equipment, etc.) Line 13 - Enter miscellaneous amounts for items not specifically covered by previous categories.

FAA Form 5100-100

Line 14 - Enter the sum of Lines 1-13. Line 15 - Enter the estimated amount of program income that will be earned during the grant period and applied to the program. Examples include vehicle trade-in value, sale of millings resulting from project, credits passed on from contractor, etc. This line may be used to indicate applied liquidated damages. Line 16 - Enter the difference between Line 14 and Line 15. Line 17 - Enter the aggregate amount for those items, which are a part of the project but not subject to Federal participation. Refer to Section C, exclusions. Line 18 – Enter the subtotal sum of Lines 16 and 17. (This is the amount to which the matching share ratio prescribed in program legislation is applied.) Line 19 - Indicate the total amount of the Federal assistance requested. This value is determined by multiplying the grant participation rate by the amount indicated in line 18. Line 20 – Indicate the amount of the Grantee’s share (from Section D). Line 21 – Indicate the amount of other shares (from Section D) Line 22 – Indicate sum of Lines 19, 20 and 21. SECTION C. EXCLUSIONS Line 23 a-g - Identify and list those costs which are part of the project cost but are not subject to Federal participation because of program legislation or Federal grantor agency instructions. The total amount on Line g should agree with the amount shown on Line 17 of Section B. SECTION D. PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE Line 24 a-g - Show the source of the grantee’s share. If cash is not immediately available, specify the actions completed to date and those actions remaining to make cash available under Section E Remarks. Indicate also the period of time that will be required after execution of the grant agreement to obtain the funds. If there is a non-cash contribution, explain what this contribution will consist of. Line 24h - Indicate total of Lines 24 a-g. This amount must equal the amount in Section B, Line 20. Line 25a - Show the amount that will be contributed by a State or state agency, only if the applicant is not a State or state agency. If there is a non-cash or other contribution, explain what the contribution will consist of under Section E - Remarks. Line 25b - Show the amount that will be contributed from other sources. If there is a non-cash contribution, explain what the contribution will consist of under Section E - Remarks. Line 25c - Show the total of Lines 28a and 28b. This amount must be the same as the amount shown in Section B, Line 21. Line 26 - Enter the totals of Lines 24h and 25c. SECTION E. OTHER REMARKS Make any remarks pertinent to the project and provide any other information required by these instructions or the grantor agency. Attach additional sheets, if necessary.

FAA Form 5100-100

PART IV – Program Narrative Prepare the program narrative statement in accordance with the following instructions for all new grant programs. Requests for supplemental assistance should be responsive to Item 5b only. Requests for continuation or refunding or other changes of an approved project should be responsive to Item 5c only. 1. OBJECTIVES AND NEED FOR THIS ASSISTANCE Provide a short and concise description of the proposed improvement. Include a narrative on why this improvement is needed. 2. RESULTS OR BENEFITS EXPECTED Identify results and benefits to be derived. For example, include a description of who will occupy the facility and show how the facility will be used. For land acquisition or development projects, explain how the project will benefit the public. 3. APPROACH a. Outline a plan of action pertaining to the scope and detail of how the Sponsor proposes to accomplish the work. b. Cite factors, which might accelerate or decelerate the work, and your reason for taking this approach as opposed to others. Describe any unusual features of the project such as construction approach, reductions in cost or time or extraordinary social and community involvements. c.

Provide projections of project milestone dates. As a minimum, identify target dates for defining project costs (i.e. bid opening or completion of negotiations), anticipated issuance of notice-toproceed and anticipated project completion date.

d. Identify monitoring and oversight mechanisms the Sponsor proposes to implement. e. List key individuals and entities such as consultant, Sponsor personnel and contractor who will work on the project. Provide a short description of the nature of their effort or contribution. 4. GEOGRAPHIC LOCATION Identify location of the project. This will typically be the name of the airport. 5. IF APPLICABLE, PROVIDE THE FOLLOWING INFORMATION: a. Describe the relationship between this project and other work planned, anticipated or underway under the Federal Assistance listed under Part II, Section A, Item 5. b. Explain the reason for all requests for supplemental assistance and justify the need for additional funding. c.

If there have been significant changes in the project objectives, location, approach or time delays, explain and justify. For other requests for changes or amendments, explain the reason for the change(s). If the scope, budget, or objectives have changed or an extension of time is necessary, explain the circumstances and justify.

6. SPONSOR’S REPRESENTATIVE Identify contact information of Sponsor’s representative.

FAA Form 5100-100

U.S. Department of Transportation Federal Aviation Administration

OMB CONTROL NUMBER: 2120-0569 EXPIRATION DATE: 12/31/2026

Application for Federal Assistance (Development and Equipment Projects) PART II – PROJECT APPROVAL INFORMATION Part II - SECTION A The term “Sponsor” refers to the applicant name provided in box 8 of the associated SF-424 form. Item 1. Does Sponsor maintain an active registration in the System for Award Management (www.SAM.gov)?

Yes

Item 2. Can Sponsor commence the work identified in the application in the fiscal year the grant is made or within six months after the grant is made, whichever is later?

Yes

N/A

Yes

N/A

Item 4. Will the project(s) covered by this request have impacts or effects on the environment that require mitigating measures? If yes, attach a summary listing of mitigating measures to this application and identify the name and date of the environmental document(s).

Yes

N/A

Item 5. Is the project covered by this request included in an approved Passenger Facility Charge (PFC) application or other Federal assistance program? If yes, please identify other funding sources by checking all applicable boxes.

Yes

N/A

Yes

N/A

Item 3. Are there any foreseeable events that would delay completion of the project? If yes, provide attachment to this form that lists the events.

The project is included in an approved PFC application. If included in an approved PFC application, does the application only address AIP matching share?

Yes

The project is included in another Federal Assistance program. Its CFDA number is below. Item 6. Will the requested Federal assistance include Sponsor indirect costs as described in 2 CFR Appendix VII to Part 200, States and Local Government and Indian Tribe Indirect Cost Proposals?

If the request for Federal assistance includes a claim for allowable indirect costs, select the applicable indirect cost rate the Sponsor proposes to apply: De Minimis rate of 10% as permitted by 2 CFR § 200.414. Negotiated Rate equal to on

% as approved by (Date) (2 CFR part 200, appendix VII).

(the Cognizant Agency)

Note: Refer to the instructions for limitations of application associated with claiming Sponsor indirect costs. FAA Form 5100-100 (1/24) SUPERSEDES PREVIOUS EDITION

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FAA Form 5100-100 (1/24) SUPERSEDES PREVIOUS EDITION

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OMB CONTROL NUMBER: 2120-0569 OMB EXPIRATION DATE: 12/31/2026

PART II - SECTION B Certification Regarding Lobbying The declarations made on this page are under the signature of the authorized representative as identified in box 21 of form SF-424, to which this form is attached. The term “Sponsor” refers to the applicant name provided in box 8 of the associated SF-424 form. The Authorized Representative certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Sponsor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the Authorized Representative shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions. (3) The Authorized Representative shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

FAA Form 5100-100 (1/24) SUPERSEDES PREVIOUS EDITION

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OMB CONTROL NUMBER: 2120-0569 OMB EXPIRATION DATE: 12/31/2026

PART II – SECTION C The Sponsor hereby represents and certifies as follows: 1. Compatible Land Use – The Sponsor has taken the following actions to assure compatible usage of land adjacent to or in the vicinity of the airport: Airport Influence Zone is in effect at the City and county level for KBDU.

2. Defaults – The Sponsor is not in default on any obligation to the United States or any agency of the United States Government relative to the development, operation, or maintenance of any airport, except as stated herewith:

3. Possible Disabilities – There are no facts or circumstances (including the existence of effective or proposed leases, use agreements or other legal instruments affecting use of the Airport or the existence of pending litigation or other legal proceedings) which in reasonable probability might make it impossible for the Sponsor to carry out and complete the Project or carry out the provisions of the Grant Assurances, either by limiting its legal or financial ability or otherwise, except as follows:

4. Consistency with Local Plans – The project is reasonably consistent with plans existing at the time of submission of this application) of public agencies that are authorized by the State in which the project is located to plan for the development of the area surrounding the airport. Yes 5. Consideration of Local Interest – It has given fair consideration to the interest of communities in or near where the project may be located. Yes 6. Consultation with Users – In making a decision to undertake an airport development project under Title 49, United States Code, it has consulted with airport users that will potentially be affected by the project (§ 47105(a)(2)). Yes 7. Public Hearings – In projects involving the location of an airport, an airport runway or a major runway extension, it has afforded the opportunity for public hearings for the purpose of considering the economic, social, and environmental effects of the airport or runway location and its consistency with goals and objectives of such planning as has been carried out by the community and it shall, when requested by the Secretary, submit a copy of the transcript of such hearings to the Secretary. Further, for such projects, it has on its management board either voting representation from the communities where the project is located or has advised the communities that they have the right to petition the Secretary concerning a proposed project. Yes 8. Air and Water Quality Standards – In projects involving airport location, a major runway extension, or runway location it will provide for the Governor of the state in which the project is located to certify in writing to the Secretary that the project will be located, designed, constructed, and operated so as to comply with applicable and air and water quality standards. In any case where such standards have not been approved and where applicable air and water quality standards have been promulgated by the Administrator of the Environmental Protection Agency, certification shall be obtained from such Administrator. Notice of certification or refusal to certify shall be provided within sixty days after the project application has been received by the Secretary.

FAA Form 5100-100 (1/24) SUPERSEDES PREVIOUS EDITION

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OMB CONTROL NUMBER: 2120-0569 OMB EXPIRATION DATE: 12/31/2026

PART II – SECTION C (Continued) 9. Exclusive Rights – There is no grant of an exclusive right for the conduct of any aeronautical activity at any airport owned or controlled by the Sponsor except as follows:

10. Land – (a) The sponsor holds the following property interest in the following areas of land, which are to be developed or used as part of or in connection with the Airport subject to the following exceptions, encumbrances, and adverse interests, all of which areas are identified on the aforementioned property map designated as Exhibit “A”. [1] Tracts: 1, 2, 6, 7A, 8, 13.

The Sponsor further certifies that the above is based on a title examination by a qualified attorney or title company and that such attorney or title company has determined that the Sponsor holds the above property interests. (b) The Sponsor will acquire within a reasonable time, but in any event prior to the start of any construction work under the Project, the following property interest in the following areas of land on which such construction work is to be performed, all of which areas are identified on the aforementioned property map designated as Exhibit “A”. [1] N/A

(c) The Sponsor will acquire within a reasonable time, and if feasible prior to the completion of all construction work under the Project, the following property interest in the following areas of land which are to be developed or used as part of or in connection with the Airport as it will be upon completion of the Project, all of which areas are identified on the aforementioned property map designated as Exhibit “A”. [1] N/A

State the character of property interest in each area and list and identify for each all exceptions, encumbrances, and adverse interests of every kind and nature, including liens, easements, leases, etc. The separate areas of land need only be identified here by the area numbers shown on the property map.

FAA Form 5100-100 (1/24) SUPERSEDES PREVIOUS EDITION

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OMB CONTROL NUMBER: 2120-0569 OMB EXPIRATION DATE: 12/31/2026

PART III – BUDGET INFORMATION – CONSTRUCTION SECTION A – GENERAL 1. Assistance Listing Number:

20.117

2. Functional or Other Breakout:

Airport Infrastructure Grant

SECTION B – CALCULATION OF FEDERAL GRANT Cost Classification 1.

Administration expense

Preliminary expense

Land, structures, right-of-way

Architectural engineering basic fees

Other Architectural engineering fees

Project inspection fees

Land development

Relocation Expenses

Relocation payments to Individuals and Businesses

Latest Approved Amount (Use only for revisions)

Adjustment + or (-) Amount (Use only for revisions)

Total Required

$ 69,355 $ 77,638

10. Demolition and removal 11. Construction and project improvement

$ 232,292

12. Equipment 13. Miscellaneous 14. Subtotal (Lines 1 through 13)

$ 379,285

15. Estimated Income (if applicable) 16. Net Project Amount (Line 14 minus 15)

$ 379,285

17. Less: Ineligible Exclusions (Section C, line 23 g.) 18. Subtotal (Lines 16 through 17)

$ 379,285

19. Federal Share requested of Line 18

$ 139,643

20. Grantee share (Federal + State Match Combined)

$ 30,579

21. Other shares

$ 209,063

22. TOTAL PROJECT (Lines 19, 20 & 21)

$ 379,285

FAA Form 5100-100 (1/24) SUPERSEDES PREVIOUS EDITION

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OMB CONTROL NUMBER: 2120-0569 OMB EXPIRATION DATE: 12/31/2026

SECTION C – EXCLUSIONS Amount Ineligible for Participation

23. Classification (Description of non-participating work) a. b. c. d. e. f. Total

SECTION D – PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE 24. Grantee Share – Fund Categories

Amount

a. Securities b. Mortgages

$ 30,579

c. Appropriations (by Applicant) d. Bonds e. Tax Levies f. Non-Cash g. Other (Explain):

$ 30,579

h. TOTAL - Grantee share

Amount

25. Other Shares

$ 209,063

a. State b. Other c. TOTAL - Other Shares 26. TOTAL NON-FEDERAL FINANCING

$ 239,642 SECTION E – REMARKS

(Attach sheets if additional space is required)

Requesting Design ($ 69,355) and Construction Administration ($ 77,638) Professional Engineering Fees participation using AIG24 funds in the amount of $139,643 with local match of $7,349 representing the 95/5 split for AIG funds for this portion of the larger project. A State Grant award for construction, which is not part of this Design and CA request, in the amount of $450K with local match. The Split is 90/10 and final construction numbers will vary but estimated to be a final split of $209,063 State and $ 30,579 local for this portion of construction. Making final contributions $139,643 AIG, $30,579 local, $209,063 state for total project cost of $379,285.

FAA Form 5100-100 (1/24) SUPERSEDES PREVIOUS EDITION

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OMB CONTROL NUMBER: 2120-0569 OMB EXPIRATION DATE: 12/31/2026

PART IV – PROGRAM NARRATIVE (Suggested Format)

PROJECT: Airfield Pavement Maintenance Project AIRPORT: KBDU 1. Objective: The objective of this project is to crack seal and seal coat 4,100 linear feet of existing Runway 8-26 pavement, including 200 linear feet of blast pads, and 4,975 linear feet of existing Taxiways Alpha, A1, A2, A3, A4, A5, A6 pavement at the Boulder Municipal Airport (BDU) to extend its useful life.

2. Benefits Anticipated: Extend life of primary runway and taxiway system until next seal coat is warranted, by replacing existing crack sealant / installing new crack sealant within pavement cracks, mitigating water infiltration, along with the installation a surface treatment to assist with protecting against environmental degradation & oxidation of the airfield pavement.

3. Approach: (See approved Scope of Work in Final Application) This project crack seals (P-101) and seal coats (P-608) 4,100 linear feet of existing Runway 8-26 pavement, including 200 linear feet of blast pads, and 4,975 linear feet of existing Taxiways Alpha, A1, A2, A3, A4, A5, A6 pavement at the Boulder Municipal Airport (BDU) to extend its useful life. This project will also re-install new airfield markings (P-620).

4. Geographic Location: Boulder, Colorado

5. If Applicable, Provide Additional Information:

6. Sponsor’s Representative: (include address & telephone number) 3327 Airport Road Boulder CO 80301 720-235-7860

FAA Form 5100-100 (1/24) SUPERSEDES PREVIOUS EDITION

Submit by Email

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1. SPONSOR (Signatory) INFORMATION

AIRPORT NAME (LOC)

Mayor (or Authorized Representative)

Boulder Municipal Airport (BDU) Overall Development Objective/Project This project crack seals and seal coats 4,100 linear feet of existing Runway 8-26 pavement, including 200 linear feet of blast pads, and 4,975 linear feet of existing Taxiways Alpha, A1, A2, A3, A4, A5, A6 pavement at the Boulder Municipal Airport (BDU) to extend its useful life.

Physical Street Address (no PO Box)

1777 Broadway City

Boulder

80302

Rivera-VandermydeN@bouldercolorado.gov

3. ATTORNEY INFORMATION Company/Firm Name

Airport Manager

City of Boulder

720-235-7860

303-441-4296

Title/Position Alternative Phone

Zip

E-mail

Name Phone Number

State

Phone

2. LOCAL CONTACT INFORMATION Eric Vences

Term Expiration

Nuria Rivera-Vandermyde

Point of Contact

Phone

Luis Toro

303-441-3093

E-mail

vencese@bouldercolorado.gov

ToroL@bouldercolorado.gov

Mailing Address

3327 Airport Road

1777 Broadway

City

State

Zip

City

State

Zip

Boulder

80301

Boulder

80302

Yes ☐

No ☐

NARRATIVE Is the project shown on the current ALP?

■ Yes ☐

No ☐

Is a project sketch included with this ODO? Yes ☐

No ☐

Will this objective require multiple grants? Yes ☐

No ☐

If “No” has the project been filed in OE/AAA?

If “Yes” is it accurately reflect on the CIP?

Yes ☐

No ☐

1. Objective (what is the problem we are trying to solve or the need you are trying to meet?):

The objective of this project is to extend the useful life of the Runway 8-26, Taxiway Alpha, and connector Taxiways A1, A2, A3, A4, A5, A6 by crack sealing and seal coating the existing pavement.

Note: Provide photo attachment of the problem (if applicable) 2. How will the proposed project solve the problem?:

This project will replace existing crack sealant / install new crack sealant within pavement cracks, mitigating water infiltration, along with the installation a surface treatment to assist with protecting against environmental degradation & oxidation of the airfield pavement.

3. Detailed Project Description (Scope of Work):

This project crack seals and seal coats 4,100 linear feet of existing Runway 8-26 pavement, including 200 linear feet of blast pads, and 4,975 linear feet of existing Taxiways Alpha, A1, A2, A3, A4, A5, A6 pavement at the Boulder Municipal Airport (BDU) to extend its useful life.

4. What are the anticipated project quantities with applicable units (Runway dimensions, taxiway dimension, apron area, LF, sq ft, cu yds, sq yds, etc)?

4,100 linear feet of existing Runway 8-26 pavement, including 200 linear feet of blast pads, and 4,975 linear feet of existing Taxiways Alpha, A1, A2, A3, A4, A5, A6 pavement. In total, approximately 58,600 SY of pavement. Note: When adding additional infrastructure such as runway extensions, additional apron, pavement strengthening, etc. the justification documentation can become quite extensive, and the above questions will not be enough to determine if we can fund those projects. Airport sponsors should work with their program managers to determine what will be needed.

U.S. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION

OMB NO. 80-R0184

PART III - BUDGET INFORMATION - CONSTRUCTION BDU AIRPORT AND ODO:___________________________

SECTION A - GENERAL 1. Federal Domestic Assistance Catalog No. ..............

20.106

2. Functional or Other Breakout .................................. SECTION B -CALCULATION OF FEDERAL GRANT Use only for revisions Cost Classification

Latest Approved Amount

Adjustment + or (-)

Total Amount Required

1. Administration expense 2. Preliminary expense 3. Land, structures, right-of-way 4. Architectural engineering basic fees (design and bidding)

$ 69,355

5. Other Architectural engineering fees (GA, CA)(CA / Close)

$ 77,638

$232,292.25

$ 379,285.25

$146,993

$ 139,643.35

23. Grantee share

$ 30,579

24. Other shares (State)

$ 209,063

25. Total Project (Lines 22, 23 & 24)

$ 379,285

6. Project inspection fees 7. Land development 8. Relocation Expenses 9. Relocation payments to Individuals and Businesses 10. Demolition and removal 11. Construction and project improvement 12. Equipment 13. Miscellaneous 14. Total (Lines 1 through 13) 15. Estimated Income (if applicable) 16. Net Project Amount (Line 14 minus 15) 17. Less: Ineligible Exclusions 18. Add: Contingencies 19. Total Project Amt. (Excluding Rehabilitation Grants) 20. Federal Share requested of Line 19

(95 / 5 AIG)

21. Add Rehabilitation Grants Requested (100 Percent) 22. Total Federal grant requested (lines 20 & 21)

FAA Form 5100-100 (6-73) SUPERSEDES FAA FORM 5100-1- PAGES 1 THRU 7

Page 2

U.S. Department of Transportation Federal Aviation Administration

FAA Form 5100-135, Certification and Disclosure Regarding Potential Conflicts of Interest – Airport Improvement Program Sponsor Certification Paperwork Reduction Act Statement A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public reporting for this collection of information is estimated to be approximately 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

FAA Form 5100-135

U.S. Department of Transportation Federal Aviation Administration

OMB CONTROL NUMBER: 2120-0569 EXPIRATION DATE: 12/31/2026

Certification and Disclosure Regarding Potential Conflicts of Interest Airport Improvement Program Sponsor Certification Sponsor: Airport: Project Number: Description of Work:

Application Title 2 CFR § 200.112 and § 1201.112 address Federal Aviation Administration (FAA) requirements for conflict of interest. As a condition of eligibility under the Airport Improvement Program (AIP), sponsors must comply with FAA policy on conflict of interest. Such a conflict would arise when any of the following have a financial or other interest in the firm selected for award: a) The employee, officer or agent, b) Any member of his immediate family, c) His or her partner, or d) An organization which employs, or is about to employ, any of the above. Selecting “Yes” represents sponsor or sub-recipient acknowledgement and confirmation of the certification statement. Selecting “No” represents sponsor or sub-recipient disclosure that it cannot fully comply with the certification statement. If “No” is selected, provide support information explaining the negative response as an attachment to this form. This includes whether the sponsor has established standards for financial interest that are not substantial or unsolicited gifts are of nominal value (2 CFR § 200.318(c)). The term “will” means Sponsor action taken at appropriate time based on the certification statement focus area, but no later than the end of the project period of performance. Certification Statements 1. The sponsor or sub-recipient maintains a written standards of conduct governing conflict of interest and the performance of their employees engaged in the award and administration of contracts (2 CFR § 200.318(c)). To the extent permitted by state or local law or regulations, such standards of conduct provide for penalties, sanctions, or other disciplinary actions for violations of such standards by the sponsor’s and sub-recipient’s officers, employees, or agents, or by contractors or their agents. Yes

FAA Form 5100-135 (2/24) SUPERSEDES PREVIOUS EDITION

Page 1 of 2

2. The sponsor’s or sub-recipient’s officers, employees or agents have not and will not solicit or accept gratuities, favors or anything of monetary value from contractors, potential contractors, or parties to sub-agreements (2 CFR § 200.318(c)). Yes

3. The sponsor or sub-recipient certifies that is has disclosed and will disclose to the FAA any known potential conflict of interest (2 CFR § 1200.112). Yes

Attach documentation clarifying any above item marked with “no” response.

Sponsor’s Certification I certify, for the project identified herein, responses to the forgoing items are accurate as marked and have the explanation for any item marked “no” is correct and complete. Executed on this

day of

Name of Sponsor: Name of Sponsor’s Authorized Official: Title of Sponsor’s Authorized Official:

Signature of Sponsor’s Authorized Official: I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and willfully providing false information to the federal government is a violation of 18 USC § 1001 (False Statements) and could subject me to fines, imprisonment, or both.

FAA Form 5100-135 (2/24) SUPERSEDES PREVIOUS EDITION

Page 2 of 2

U.S. Department of Transportation Federal Aviation Administration

FAA Form 5100-131, Equipment and Construction Contracts – Airport Improvement Sponsor Certification Paperwork Reduction Act Burden Statement A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public reporting for this collection of information is estimated to be approximately 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

FAA Form 5100-131

U.S. Department of Transportation Federal Aviation Administration

OMB CONTROL NUMBER: 2120-0569 EXPIRATION DATE: 12/31/2026

Equipment and Construction Contracts Airport Improvement Sponsor Certification Sponsor: Airport: Project Number: Description of Work:

Application 49 USC § 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 procurement standards for equipment and construction contracts within Federal grant programs are described in 2 CFR §§ 200.317-200.326. Labor and Civil Rights Standards applicable to the AIP are established by the Department of Labor (www.dol.gov) AIP Grant Assurance C.1—General Federal Requirements identifies all applicable Federal Laws, regulations, executive orders, policies, guidelines and requirements for assistance under the AIP. Sponsors may use state and local procedures provided the procurement conforms to these federal standards. This certification applies to all equipment and construction projects. Equipment projects may or may not employ laborers and mechanics that qualify the project as a “covered contract” under requirements established by the Department of Labor requirements. Sponsor shall provide appropriate responses to the certification statements that reflect the character of the project regardless of whether the contract is for a construction project or an equipment project. Certification Statements Except for certification statements below marked as not applicable (N/A), this list includes major requirements of the construction project. Selecting “Yes” represents sponsor acknowledgement and confirmation of the certification statement. The term “will” means Sponsor action taken at appropriate time based on the certification statement focus area, but no later than the end of the project period of performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all applicable statutory and administrative standards. The source of the requirement is referenced within parenthesis. 1. A written code or standard of conduct is or will be in effect prior to commencement of the project that governs the performance of the sponsor’s officers, employees, or agents in soliciting, awarding and administering procurement contracts (2 CFR § 200.318). Yes

N/A

FAA Form 5100-131 (2/24) SUPERSEDES PREVIOUS EDITION

Page 1 of 4

2. For all contracts, qualified and competent personnel are or will be engaged to perform contract administration, engineering supervision, construction inspection, and testing (Grant Assurance C.17). Yes

N/A

3. Sponsors that are required to have a Disadvantage Business Enterprise (DBE) program on file with the FAA have included or will include clauses required by Title VI of the Civil Rights Act and 49 CFR Part 26 for Disadvantaged Business Enterprises in all contracts and subcontracts. Yes

N/A

4. Sponsors required to have a DBE program on file with the FAA have implemented or will implement monitoring and enforcement measures that: a. Ensure work committed to Disadvantaged Business Enterprises at contract award is actually performed by the named DBEs (49 CFR § 26.37(b)); b. Include written certification that the sponsor has reviewed contract records and has monitored work sites for performance by DBE firms (49 CFR § 26.37(b)); and c. Yes

Provides for a running tally of payments made to DBE firms and a means for comparing actual attainments (i.e. payments) to original commitments (49 CFR § 26.37(c)). No

N/A

5. Sponsor procurement actions using the competitive sealed bid method (2 CFR § 200.320(c)). was or will be: a. Publicly advertised, allowing a sufficient response time to solicit an adequate number of interested contractors or vendors; b. Prepared to include a complete, adequate and realistic specification that defines the items or services in sufficient detail to allow prospective bidders to respond; c.

Publicly opened at a time and place prescribed in the invitation for bids; and

d. Prepared in a manner that result in a firm fixed price contract award to the lowest responsive and responsible bidder. Yes

N/A

6. For projects the Sponsor proposes to use the competitive proposal procurement method (2 CFR § 200.320(d)), Sponsor has requested or will request FAA approval prior to proceeding with a competitive proposal procurement by submitting to the FAA the following: a. Written justification that supports use of competitive proposal method in lieu of the preferred sealed bid procurement method; b. Plan for publicizing and soliciting an adequate number of qualified sources; and c. Yes

Listing of evaluation factors along with relative importance of the factors. No

N/A

7. For construction and equipment installation projects, the bid solicitation includes or will include the current federal wage rate schedule(s) for the appropriate type of work classifications (2 CFR Part 200, Appendix II). Yes

N/A

FAA Form 5100-131 (2/24) SUPERSEDES PREVIOUS EDITION

Page 2 of 4

8. Concurrence was or will be obtained from the Federal Aviation Administration (FAA) prior to contract award under any of the following circumstances (Order 5100.38D): a. Only one qualified person/firm submits a responsive bid; b. Award is to be made to other than the lowest responsible bidder; and c. Yes

Life cycle costing is a factor in selecting the lowest responsive bidder. No

N/A

9. All construction and equipment installation contracts contain or will contain provisions for: a. Access to Records (§ 200.336) b. Buy American Preferences (Title 49 U.S.C. § 50101) c.

Civil Rights - General Provisions and Title VI Assurances( 41 CFR part 60)

d. Federal Fair Labor Standards (29 U.S.C. § 201, et seq) e. Occupational Safety and Health Act requirements (20 CFR part 1920) f.

Seismic Safety – building construction (49 CFR part 41)

g. State Energy Conservation Requirements - as applicable(2 CFR part 200, Appendix II) h. U.S. Trade Restriction (49 CFR part 30) i. Yes

Veterans Preference (49 USC § 47112(c)) No

N/A

10. All construction and equipment installation contracts exceeding $2,000 contain or will contain the provisions established by: a. Davis-Bacon and Related Acts (29 CFR part 5) b. Copeland “Anti-Kickback” Act (29 CFR parts 3 and 5) Yes

N/A

11. All construction and equipment installation contracts exceeding $3,000 contain or will contain a contract provision that discourages distracted driving (E.O. 13513). Yes

N/A

12. All contracts exceeding $10,000 contain or will contain the following provisions as applicable: a. Construction and equipment installation projects - Applicable clauses from 41 CFR Part 60 for compliance with Executive Orders 11246 and 11375 on Equal Employment Opportunity; b. Construction and equipment installation - Contract Clause prohibiting segregated facilities in accordance with 41 CFR part 60-1.8; c.

Requirement to maximize use of products containing recovered materials in accordance with 2 CFR § 200.322 and 40 CFR part 247; and

d. Provisions that address termination for cause and termination for convenience (2 CFR Part 200, Appendix II). Yes

N/A

FAA Form 5100-131 (2/24) SUPERSEDES PREVIOUS EDITION

Page 3 of 4

13. All contracts and subcontracts exceeding $25,000: Measures are in place or will be in place (e.g. checking the System for Award Management) that ensure contracts and subcontracts are not awarded to individuals or firms suspended, debarred, or excluded from participating in federally assisted projects (2 CFR parts 180 and 1200). Yes

N/A

14. Contracts exceeding the simplified acquisition threshold (currently $250,000) include or will include provisions, as applicable, that address the following: a. Construction and equipment installation contracts - a bid guarantee of 5%, a performance bond of 100%, and a payment bond of 100% (2 CFR § 200.325); b. Construction and equipment installation contracts - requirements of the Contract Work Hours and Safety Standards Act (40 USC 3701-3708, Sections 103 and 107); c. Restrictions on Lobbying and Influencing (2 CFR part 200, Appendix II); d. Conditions specifying administrative, contractual and legal remedies for instances where contractor of vendor violate or breach the terms and conditions of the contract (2 CFR §200, Appendix II); and e. All Contracts - Applicable standards and requirements issued under Section 306 of the Clean Air Act (42 USC 7401-7671q), Section 508 of the Clean Water Act (33 USC 1251-1387, and Executive Order 11738. Yes

N/A

Attach documentation clarifying any above item marked with “No” response. Sponsor’s Certification I certify, for the project identified herein, responses to the forgoing items are accurate as marked and additional documentation for any item marked “no” is correct and complete. Executed on this

day of

Name of Sponsor: Name of Sponsor’s Authorized Official: Title of Sponsor’s Authorized Official:

FAA Form 5100-131 (2/24) SUPERSEDES PREVIOUS EDITION

Page 4 of 4

U.S. Department of Transportation Federal Aviation Administration

FAA Form 5100-130, Drug-Free Workplace – Airport Improvement Program Sponsor Certification Paperwork Reduction Act Burden Statement A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public reporting for this collection of information is estimated to be approximately 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

FAA Form 5100-130

U.S. Department of Transportation Federal Aviation Administration

OMB CONTROL NUMBER: 2120-0569 EXPIRATION DATE: 12/31/2026

Drug-Free Workplace Airport Improvement Program Sponsor Certification Sponsor: Airport: Project Number: Description of Work: Application 49 USC § 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 2 CFR part 182. 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. Certification Statements Except for certification statements below marked as not applicable (N/A), this list includes major requirements of the construction project. Selecting “Yes” represents sponsor acknowledgement and confirmation of the certification statement. The term “will” means Sponsor action taken at appropriate time based on the certification statement focus area, but no later than the end of the project period of performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all applicable statutory and administrative standards. The source of the requirement is referenced within parenthesis. 1. A statement has been or will be published prior to commencement of project notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the sponsor's workplace, and specifying the actions to be taken against employees for violation of such prohibition (2 CFR § 182.205). Yes

N/A

2. An ongoing drug-free awareness program (2 CFR § 182.215) has been or will be established prior to commencement of project to inform employees about: a. The dangers of drug abuse in the workplace; b. The sponsor's policy of maintaining a drug-free workplace; 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. Yes

N/A

FAA Form 5100-130 (2/24) SUPERSEDES PREVIOUS EDITION

Page 1 of 3

3. Each employee to be engaged in the performance of the work has been or will be given a copy of the statement required within item 1 above prior to commencement of project (2 CFR § 182.210). Yes

N/A

4. Employees have been or will be notified in the statement required by item 1 above that, as a condition employment under the grant (2 CFR § 182.205(c)), the employee will: a. Abide by the terms of the statement; and 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. Yes

N/A

5. The Federal Aviation Administration (FAA) will be notified in writing within 10 calendar days after receiving notice under item 4b above from an employee or otherwise receiving actual notice of such conviction (2 CFR § 182.225). Employers of convicted employees must provide notice, including position title of the employee, to the FAA (2 CFR § 182.300). Yes

N/A

6. One of the following actions (2 CFR § 182.225(b)) 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 amended; and b. Require such employee to participate satisfactorily in drug abuse assistance or rehabilitation programs approved for such purposes by a federal, state, or local health, law enforcement, or other appropriate agency. Yes

N/A

7. A good faith effort will be made, on a continuous basis, to maintain a drug-free workplace through implementation of items 1 through 6 above (2 CFR § 182.200). Yes

N/A

Site(s) of performance of work (2 CFR § 182.230): Location 1 Name of Location: Address: Location 2 (if applicable) Name of Location: Address: Location 3 (if applicable) Name of Location: Address:

FAA Form 5100-130 (2/24) SUPERSEDES PREVIOUS EDITION

Page 2 of 3

Attach documentation clarifying any above item marked with a “No” response. Sponsor’s Certification I certify, for the project identified herein, responses to the forgoing items are accurate as marked and additional documentation for any item marked “no” is correct and complete. Executed on this

day of

Name of Sponsor: Name of Sponsor’s Authorized Official: Title of Sponsor’s Authorized Official:

Signature of Sponsor’s Authorized Official:

I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and willfully providing false information to the federal government is a violation of 18 USC § 1001 (False Statements) and could subject me to fines, imprisonment, or both.

FAA Form 5100-130 (2/24) SUPERSEDES PREVIOUS EDITION

Page 3 of 3

U.S. Department of Transportation Federal Aviation Administration

FAA Form 5100-132, Project Plans and Specifications – Airport Improvement Program Sponsor Certification Paperwork Reduction Act Statement A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public reporting for this collection of information is estimated to be approximately 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

FAA Form 5100-132

U.S. Department of Transportation Federal Aviation Administration

OMB CONTROL NUMBER: 2120-0569 EXPIRATION DATE: 12/31/2026

Project Plans and Specifications Airport Improvement Program Sponsor Certification Sponsor: Airport: Project Number: Description of Work:

Application 49 USC § 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). Labor and civil rights standards applicable to AIP are established by the Department of Labor (www.dol.gov/). AIP Grant Assurance C.1—General Federal Requirements identifies applicable federal laws, regulations, executive orders, policies, guidelines and requirements for assistance under AIP. A list of current advisory circulars with specific standards for procurement, design or construction of airports, and installation of equipment and facilities is referenced in standard airport sponsor Grant Assurance 34 contained in the grant agreement. Certification Statements Except for certification statements below marked as not applicable (N/A), this list includes major requirements of the construction project. Selecting “Yes” represents sponsor acknowledgement and confirmation of the certification statement. The term “will” means Sponsor action taken at appropriate time based on the certification statement focus area, but no later than the end of the project period of performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all applicable statutory and administrative standards. The source of the requirement is referenced within parenthesis. 1. The plans and specifications were or will be prepared in accordance with applicable federal standards and requirements, so that no deviation or modification to standards set forth in the advisory circulars, or FAA-accepted state standard, is necessary other than those explicitly approved by the Federal Aviation Administration (FAA) (14 USC § 47105). Yes

N/A

2. Specifications incorporate or will incorporate a clear and accurate description of the technical requirement for the material or product that does not contain limiting or proprietary features that unduly restrict competition (2 CFR §200.319). Yes

N/A

FAA Form 5100-132 (2/24) SUPERSEDES PREVIOUS EDITION

Page 1 of 3

3. The development that is included or will be included in the plans is depicted on the current airport layout plan as approved by the FAA (14 USC § 47107). Yes

N/A

4. Development and features that are ineligible or unallowable for AIP funding have been or will be omitted from the plans and specifications (FAA Order 5100.38, par. 3-43). Yes

N/A

5. The specification does not use or will not use “brand name” or equal to convey requirements unless sponsor requests and receives approval from the FAA to use brand name (FAA Order 5100.38, Table U-5). Yes

N/A

6. The specification does not impose or will not impose geographical preference in their procurement requirements (2 CFR §200.319(b) and FAA Order 5100.38, Table U-5). Yes

N/A

7. The use of prequalified lists of individuals, firms or products include or will include sufficient qualified sources that ensure open and free competition and that does not preclude potential entities from qualifying during the solicitation period (2 CFR §319(d)). Yes

N/A

8. Solicitations with bid alternates include or will include explicit information that establish a basis for award of contract that is free of arbitrary decisions by the sponsor (2 CFR § 200.319(a)(7)). Yes

N/A

9. Concurrence was or will be obtained from the FAA if Sponsor incorporates a value engineering clause into the contract (FAA Order 5100.38, par. 3-57). Yes

N/A

10. The plans and specifications incorporate or will incorporate applicable requirements and recommendations set forth in the federally approved environmental finding (49 USC §47106(c)). Yes

N/A

11. The design of all buildings comply or will comply with the seismic design requirements of 49 CFR § 41.120. (FAA Order 5100.38d, par. 3-92) Yes

N/A

12. The project specification include or will include process control and acceptance tests required for the project by as per the applicable standard: a. Construction and installation as contained in Advisory Circular (AC) 150/5370-10. Yes

N/A

FAA Form 5100-132 (2/24) SUPERSEDES PREVIOUS EDITION

Page 2 of 3

b. Snow Removal Equipment as contained in AC 150/5220-20. Yes c.

N/A

Aircraft Rescue and Fire Fighting (ARFF) vehicles as contained in AC 150/5220-10. Yes

N/A

13. For construction activities within or near aircraft operational areas(AOA): a. The Sponsor has or will prepare a construction safety and phasing plan (CSPP) conforming to Advisory Circular 150/5370-2. b. Compliance with CSPP safety provisions has been or will be incorporated into the plans and specifications as a contractor requirement. c. Sponsor will not initiate work until receiving FAA’s concurrence with the CSPP (FAA Order 5100.38, Par. 5-29). Yes

N/A

14. The project was or will be physically completed without federal participation in costs due to errors and omissions in the plans and specifications that were foreseeable at the time of project design (49 USC §47110(b)(1) and FAA Order 5100.38d, par. 3-100). Yes

N/A

day of

Name of Sponsor: Name of Sponsor’s Authorized Official: Title of Sponsor’s Authorized Official:

Signature of Sponsor’s Authorized Official:

FAA Form 5100-132 (2/24) SUPERSEDES PREVIOUS EDITION

Page 3 of 3

U.S. Department of Transportation Federal Aviation Administration

FAA Form 5100-133, Real Property Acquisition – Airport Improvement Program Sponsor Certification Paperwork Reduction Act Burden Statement A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public reporting for this collection of information is estimated to be approximately 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

FAA Form 5100-133

U.S. Department of Transportation Federal Aviation Administration

OMB CONTROL NUMBER: 2120-0569 EXPIRATION DATE: 12/31/2026

Real Property Acquisition Airport Improvement Program Sponsor Certification Sponsor: Airport: Project Number: Description of Work:

N/A

2. If defects and/or encumbrances exist in the title that adversely impact the sponsor’s intended use of property in the project, they have been or will be extinguished, modified, or subordinated. Yes

N/A

3. If property for airport development is or will be leased, the following conditions have been met: a. The term is for 20 years or the useful life of the project; b. The lessor is a public agency; and c. Yes

The lease contains no provisions that prevent full compliance with the grant agreement. No

N/A

FAA Form 5100-133 (2/24) SUPERSEDES PREVIOUS EDITION

Page 1 of 3

4. Property in the project is or will be in conformance with the current Exhibit A property map, which is based on deeds, title opinions, land surveys, the approved airport layout plan, and project documentation. Yes

N/A

5. For any acquisition of property interest in noise sensitive approach zones and related areas, property interest was or will be obtained to ensure land is used for purposes compatible with noise levels associated with operation of the airport. Yes

N/A

6. For any acquisition of property interest in runway protection zones and areas related to 14 CFR 77 surfaces or to clear other airport surfaces, property interest was or will be obtained for the following: a. The right of flight; b. The right of ingress and egress to remove obstructions; and c. Yes

The right to restrict the establishment of future obstructions. No

N/A

7. Appraisals prepared by qualified real estate appraisers hired by the sponsor include or will include the following: a. Valuation data to estimate the current market value for the property interest acquired on each parcel; and b. Verification that an opportunity has been provided to the property owner or representative to accompany appraisers during inspections. Yes

N/A

8. Each appraisal has been or will be reviewed by a qualified review appraiser to recommend an amount for the offer of just compensation, and the written appraisals as well as review appraisal are available to Federal Aviation Administration (FAA) for review. Yes

N/A

9. A written offer to acquire each parcel was or will be presented to the property owner for not less than the approved amount of just compensation. Yes

N/A

10. Effort was or will be made to acquire each property through the following negotiation procedures: a. No coercive action to induce agreement; and b. Supporting documents for settlements included in the project files. Yes

N/A

FAA Form 5100-133 (2/24) SUPERSEDES PREVIOUS EDITION

Page 2 of 3

11. If a negotiated settlement is not reached, the following procedures were or will be used: a. Condemnation initiated and a court deposit not less than the just compensation made prior to possession of the property; and b. Supporting documents for awards included in the project files. Yes

N/A

12. If displacement of persons, businesses, farm operations, or non-profit organizations is involved, a relocation assistance program was or will be established, with displaced parties receiving general information on the program in writing, including relocation eligibility, and a 90-day notice to vacate. Yes

N/A

13. Relocation assistance services, comparable replacement housing, and payment of necessary relocation expenses were or will be provided within a reasonable time period for each displaced occupant in accordance with the Uniform Act. Yes

N/A

Attach documentation clarifying any above item marked with “No” response.

day of

Name of Sponsor: Name of Sponsor’s Authorized Official: Title of Sponsor’s Authorized Official:

Signature of Sponsor’s Designated Official Representative: I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and willfully providing false information to the federal government is a violation of 18 USC § 1001 (False Statements) and could subject me to fines, imprisonment, or both.

FAA Form 5100-133 (2/24) SUPERSEDES PREVIOUS EDITION

Page 3 of 3

OMB Number: 2120-0569 Expiration Date: 12/31/2026

Application for Federal Assistance SF-424 *2. Type of Application

*1. Type of Submission: Preapplication

New

Application

Continuation

Changed/Corrected Application

Revision

*3. Date Received:

* If Revision, select appropriate letter(s): * Other (Specify)

4. Applicant Identifier:

09/04/2026 5a. Federal Entity Identifier:

*5b. Federal Award Identifier:

3080004

4192026

State Use Only: 6. Date Received by State:

7. State Application Identifier:

8. APPLICANT INFORMATION: *a. Legal Name: City of Boulder *b. Employer/Taxpayer Identification Number (EIN/TIN):

846000566

*c. UEI:

P9Y8CAFT4GB5

d. Address:

3327 Airport Road

*Street 1: Street 2: *City:

Boulder

County/Parish:

Boulder

*State: Province:

*Country:

United States

*Zip / Postal Code

80301

e. Organizational Unit: Department Name:

Division Name:

Transportation and Mobility

Airport

f. Name and contact information of person to be contacted on matters involving this application: *First Name: Eric

Prefix: Middle Name: *Last Name:

Vences

Suffix: Title: Airport Manager Organizational Affiliation:

City of Boulder *Telephone Number: 720-235-7860 *Email: vencese@bouldercolorado.gov

Fax Number:

Application for Federal Assistance SF-424 *9. Type of Applicant 1: Select Applicant Type:

C: City or Township Government Type of Applicant 2: Select Applicant Type:

Pick an applicant type Type of Applicant 3: Select Applicant Type:

Pick an applicant type *Other (Specify) *10. Name of Federal Agency:

Federal Aviation Administration *11. Catalog of Federal Domestic Assistance Number: CFDA No: CFDA Title:

20.117

Airport Infrastructure Grants (AIG)

*12. Funding Opportunity Number:

*Title:

Infrastructure Investment and Jobs Act

13. Competition Identification Number:

Title:

14. Areas Affected by Project (Cities, Counties, States, etc.):

City of Boulder, Colorado

*15. Descriptive Title of Applicant’s Project:

Design and Construction Administration Professional Engineering Fees for Airfield Maintenance Project. Crack Seal and Seal Coat.

Attach supporting documents as specified in agency instructions.

Application for Federal Assistance SF-424 16. Congressional Districts Of: *a. Applicant: 2nd District

*b. Program/Project:

Attach an additional list of Program/Project Congressional Districts if needed.

17. Proposed Project: *a. Start Date: 09/12/2026

*b. End Date: 11/15/2026

18. Estimated Funding ($):

$ 139,643

*a. Federal (95/5) *b. Applicant (95/5)

$ 7,350

*c. State (90/10)

$ 209,063

*d. Local (90/10)

$ 23,229

*e. Other

*f. Program Income

*g. TOTAL

$ 379,285

*19. Is Application Subject to Review By State Under Executive Order 12372 Process? a. This application was made available to the State under the Executive Order 12372 Process for review on

b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372. *20. Is the Applicant Delinquent On Any Federal Debt? Yes No If “Yes”, explain:

21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U. S. Code, Title 218, Section 1001) ** I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix:

*First Name:

Eric

Middle Name: *Last Name:

Vences

Suffix: *Title: Airport Manager *Telephone Number: 720-235-7860

Fax Number:

* Email: vencese@bouldercolorado.gov *Signature of Authorized Representative:

*Date Signed: 9/4/2026

U.S. Department of Transportation Federal Aviation Administration

FAA Form 5100-134, Selection of Consultants – Airport Improvement Program Sponsor Certification Paperwork Reduction Act Statement A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public reporting for this collection of information is estimated to be approximately 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

FAA Form 5100-134

U.S. Department of Transportation Federal Aviation Administration

OMB CONTROL NUMBER: 2120-0569 EXPIRATION DATE: 12/31/2026

Selection of Consultants Airport Improvement Program Sponsor Certification Sponsor: Airport: Project Number: Description of Work:

N/A

2. Sponsor procurement actions ensure or will ensure full and open competition that does not unduly limit competition (2 CFR § 200.319). Yes

N/A

3. Sponsor has excluded or will exclude any entity that develops or drafts specifications, requirements, or statements of work associated with the development of a request-forqualifications (RFQ) from competing for the advertised services (2 CFR § 200.319). Yes

N/A

FAA Form 5100-134 (2/24) SUPERSEDES PREVIOUS EDITION

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4. The advertisement describes or will describe specific project statements-of-work that provide clear detail of required services without unduly restricting competition (2 CFR § 200.319). Yes

N/A

5. Sponsor has publicized or will publicize a RFQ that: a. Solicits an adequate number of qualified sources (2 CFR § 200.320(d)); and b. Identifies all evaluation criteria and relative importance (2 CFR § 200.320(d)). Yes

N/A

6. Sponsor has based or will base selection on qualifications, experience, and disadvantaged business enterprise participation with price not being a selection factor (2 CFR § 200.320(d)). Yes

N/A

7. Sponsor has verified or will verify that agreements exceeding $25,000 are not awarded to individuals or firms suspended, debarred or otherwise excluded from participating in federally assisted projects (2 CFR §180.300). Yes

N/A

8. A/E services covering multiple projects: Sponsor has agreed to or will agree to: a. Refrain from initiating work covered by this procurement beyond five years from the date of selection (AC 150/5100-14); and b. Retain the right to conduct new procurement actions for projects identified or not identified in the RFQ (AC 150/5100-14). Yes

N/A

9. Sponsor has negotiated or will negotiate a fair and reasonable fee with the firm they select as most qualified for the services identified in the RFQ (2 CFR § 200.323). Yes

N/A

10. The Sponsor’s contract identifies or will identify costs associated with ineligible work separately from costs associated with eligible work (2 CFR § 200.302). Yes

N/A

11. Sponsor has prepared or will prepare a record of negotiations detailing the history of the procurement action, rationale for contract type and basis for contract fees (2 CFR §200.318(i)). Yes

N/A

12. Sponsor has incorporated or will incorporate mandatory contact provisions in the consultant contract for AIP-assisted work (49 U.S.C. Chapter 471 and 2 CFR part 200 Appendix II) Yes

N/A

FAA Form 5100-134 (2/24) SUPERSEDES PREVIOUS EDITION

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13. For contracts that apply a time-and-material payment provision (also known as hourly rates, specific rates of compensation, and labor rates), the Sponsor has established or will establish: a. Justification that there is no other suitable contract method for the services (2 CFR §200.318(j)); b. A ceiling price that the consultant exceeds at their risk (2 CFR §200.318(j)); and c.

A high degree of oversight that assures consultant is performing work in an efficient manner with effective cost controls in place 2 CFR §200.318(j)).

Yes

N/A

14. Sponsor is not using or will not use the prohibited cost-plus-percentage-of-cost (CPPC) contract method. (2 CFR § 200.323(d)). Yes

N/A

Attach documentation clarifying any above item marked with “no” response.

Sponsor’s Certification I certify, for the project identified herein, responses to the forgoing items are accurate as marked and additional documentation for any item marked “no” is correct and complete. I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and willfully providing false information to the federal government is a violation of 18 USC § 1001 (False Statements) and could subject me to fines, imprisonment, or both. Executed on this

day of

Name of Sponsor: Name of Sponsor’s Authorized Official: Title of Sponsor’s Authorized Official: Signature of Sponsor’s Authorized Official: I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and willfully providing false information to the federal government is a violation of 18 USC § 1001 (False Statements) and could subject me to fines, imprisonment, or both.

FAA Form 5100-134 (2/24) SUPERSEDES PREVIOUS EDITION

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