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Fishers Island - Elizabeth Field Airfield Lighting
To: Mr. Phil Brito Manager Federal Aviation Administration New York Airports District Office 600 Old Country Road, Suite 446 Garden City, NY 11530 Attention: Enclosed please find the following: Remarks: cas Engineers, Inc. ,1099 Airport Boulevard, North Syracuse.. New York 13212 (315) 455-2000 Fax (315)455-9667 Re: Fisher's Island - Elizabeth Field Airfield Lighting (Const) FAA AIP No. 3-36-0029-05-92 NYS PIN 0913.05 File: 211.004 Date: April 24, 1995 RECEIVED APR 2 6 199 SMAhOW Town C104C Three copies of partial payment request No. FIVE & FINAL (Form 271) with attached backup documentation for your review and processing. One copy of the Project Closeout Report for your review and processing. If you have any questions or need additional information, please do not hesitate to contact us. C&S ENGINEERS, INC. Therega M. Hopkins Grants Administrator Enclosures cc: Ms. Judith Terry Engineers, Inc. 1099 Airport Boulevard, North Syracuse, New York 13212 (315) 455-2000 Fax: 1315)455-9667 To: Mr. James Kuzloski Re: Fishers Island -Elizabeth Field NYS Dept. of Transportation, Region 10 Airfield Lighting (Const) New York State Office Building FAA AIP No. 3-36-0029-05-92 Veterans Highway NYS PIN 0913.05 Hauppauge, NY 11787 DECEIVED File: 211.004 APR 2 6 1995 Attention: SouftW Town 0@6 Date: April 24, 1995 Enclosed please find the following: - Three copies of Partial Payment Request No. TWO & FINAL (Form FIN -190) with attached backup documentation for your review and processing. One copy of the Project Closeout Report for your review and processing. Remarks: If you have any questions or need additional information, please do not hesitate to contact us. C&S ENGINEERS, INC. Theresa M. Hopkins Grants Administrator Enclosures cc: Ms. Judith Terry r t i JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 19, 1995 Theresa M. Hopkins Grants Administrator C&S Engineers, Inc. 1099 Airport Boulevard North Syracuse, New York 13212 Re: Fishers Island - Elizabeth Field Airfield Lighting (Const) Dear Ms. Hopkins: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Enclosed please find four executed copies of Form 271, FIN -190, and Project Closeout Report with regard to Elizabeth Field Airfield Light Project. Very truly yours, G, 'e� Judith T. Terry Southold Town Clerk Enclosures cc: Accounting & Finance To: Ms. Judith Terry Town Clerk Town of Southold Town Hall 53095 Main Road, PO Box 1179 Southold, NY 11971 'F AFF Attention: Enclosed please find the following: Remarks: CSS Engineers, Inc. 1099 Airport Boulevard, North Syracuse, New York 13212 (315) 455-2000 Fax: (315) 455-9667 Re: Fishers Island -Elizabeth Field Airfield Lighting (Const) FAA AIP No. 3-36-0029-05-92 NYS PIN 0913.05 File: 211.004 Date: April 12, 1995 Five copies of Partial Payment Request No. FIVE & FINAL (Form 271) with attached backup documentation for your review and appropriate signature. Five copies of Partial Payment Request No. TWO & FINAL (Form FIN -190) with attached backup documentation for your review and appropriate signature. Five copies of the Project Closeout Report for your review and appropriate signature. Please have Mr. Wickham sign four copies of Form 271, four copies of Form FIN -190 (both pages), four copies of the project closeout report and return them to me for distribution. Keep one copy with attached backup documentation for your files. If you have any questions or need additional information, please do not hesitate to contact us. C&S ENGINEERS, INC. Thefesa M. Hopkins Grants Administrator Enclosures Airport Sponsor: AIP Project No: Brief Description: PROJECT CLOSEOUT REPORT TOWN OF SOUTHOLD 3-36-0029-05-92 AIRFIELD LIGHTING (Construction) Sponsor's Administrative Costs Amount of administrative costs associated with this project ENGINEERING/FORCE ACCOUNT (A) DESIGN Consultant Date Approved (FAA) Amount Approved (FAA) Actual Cost Incurred (B) INSPECTION Consultant Date Approved (FAA) Amount Approved (FAA) Actual Cost Incurred (C) MISCELLANEOUS Consultant Date Approved (FAA) Amount Approved (FAA) Actual Cost Incurred Design was funded from previous grant AIP No. 3-36-0029-04-91 $0.00 $0.00 CALOCERINOS & SPINA ENGINEERS, P.C. 04/28/92 $84,559 $84,559.00 $84,559.00 CONTRACT DRAWINGS AND SPECIFICATIONS Certification (Sponsor) date (s) 02/11/92 CONTRACTOR INFORMATION Contractor Falvey Construction Corporation P.O. Box 699 Killingworth, Connecticut 06419 Bid Opening date 03/12/92 Award of contract date 04/13/92 Date FAA concurred 04/07/92 Notice to Proceed date 07/02/92 Contract Completion date 10/15/92 Actual Completion date 10/15/92 Final Inspection date 12/22/92 Acceptance of work date 12/22/92 $0.00 I FINANCIAL INFORMATION (do not reflect federal participation) (1) Base bid Total contract amount $419,421.00 Less FAA ineligible amount $0.00 Total eligible FAA amount $419,421.00 (2) Change Order (sySupplemental Agreement(s) DATE APPROVED TOTAL COST (FAA) 1 01/11/93 ($13,065.99) & FINAL Total FAA Eligible (3) Miscellaneous Costs (i.e. Liquidated damages, Legal fees) Total miscellaneous cost (4) Total eligible construction cost I nomas n. YVICKnam Town Supervisor ELIGIBLE AMOUNT ($13,065.99) ($13,065.99) $0.00 $406,355.01 Date I 190,-2b (10/71) STATE OF NEW YORK !Comptroller's I I ` AC 5033 DEPARTMENT OF TRANSPORTATION (Number I K-550361 ! 1---------------I-----------------{ Approved State MUNICIPAL CuRPORATION APPLICATION FOR PAYMENT (Certificate I i Comptroller (Number I TWO & FINAL I --------------------------------------------------------------------------------------------------------------------------------------i (PAYEE (Name,Address and Zip Code) I FINANCIAL STATEMENT 1 ITOWN OF SOUTHOLD ]COST OF WORK PERFORMED TO DATE: 08/05/94 i (TOWN HALL, 53095 MAIN ROAD I I IP.O. BOX 1179 1 1. Total Expended $490,914.02 1 ISOUTHOLD, NY 11971 1 2. Less non -participating $12,193.48 1 1-------------------------------------------------------------------1 3. Eligible Cost $478,720.54 1 (Payee -Employer Identification No. I Org. Code 1 4. Less Federal Share $430,848.49 1 1 11-6003307 1 BOO 1 5. Project Cost $47,872.05 1 i-------------------------------------------------------------------1 6. 100% of Project Cost $47,872.05 1 I GRANT AGREEMENT ] 7. State Share at 75% $35,904.04 1 (State Number 0913.05 Max. State Amt. $38,310.00 1 8. Total prior requests $34,077.63 1 (Federal Number 3-36-0029-05-92 Max. Fed. Amt. $459,720.00 1 9. Amount requested $1,826.41 1 ----------------------------------------------------------------------------------------I I In accordance with the provisions of the Grant Agreement, the Municipal Corporation applies for payment as follows: I --------------------------------------------------------------------------I I I A I B I C I D I E I F I G I i I ELIGIBLE I FEDERAL I PROJECT I PRIOR I CURRENT 1 95% OF I STATE FUNDS I I DESCRIPTION I COST I SHARE I COST I PROJECT I PROJECT I CURRENT I REQUESTED I I I INCURRED I I (A -B) I COSTS I COSTS (C -D) I COSTS* 1 (75% OF F)* I I------------------- I --------------- I --------------- I --------------- I --------------- I --------------- I --------------- I ----------------- I I EQUIPMENT 1 $0.00 1 80.00 1 $0.00 ] $0.00 1 $0.00 ] $0.00 1 $0.00 ] 1-------------------I---------------I---------------I---------------I---------------I---------------I---------------I-----------------I I LAND 1 $0.00 1 $0.00 1 $0.00 1 80.00 1 80.00 1 $0.00 1 80.00 1 1-------------------I---------------I---------------I---------------I---------------I---------------I---------------I-----------------I I CONSTRUCTION 1 8406,355.02 1 8365,719.52 1 840,635.50 1 $38,603.73 1 $2,031.78 1 $0.00 1 81,523.83 1 1-------------------I---------------I---------------I---------------I---------------I---------------I---------------I-----------------I I ENGINEERING 1 872,365.52 1 $65,128.97 1 87,236.55 1 86,833.11 1 8403.44 1 80.00 1 8302.58 1 1-------------------I---------------I---------------I---------------I---------------I---------------I---------------I-----------------I I OTHER 1 80.00 1 80.00 1 80.00 1 80.00 1 80.00 1 80.00 1 80.00 1 I -------------------I--------------- I --------------- I --------------- I --------------- I --------------- I --------------- I ----------------- I I I 80.00 1 $0.00 1 80.00 1 $0.00 1 80.00 1 80.00 1 $0.00 1 I -------------------I--------------- I --------------- I --------------- I --------------- I --------------- I --------------- I ----------------- I I ADMINISTRATION 1 $0.00 1 80.00 1 $0.00 1 80.00 1 80.00 1 80.00 1 $0.00 1 ] ------------------- I --------------- I --------------- I --------------- I --------------- I --------------- I --------------- I ----------------- I I TOTALS 1 8478,720.54 1 8430,848.49 1 847,872.05 1 845,436.84 1 $2,435.21 1 80.00 1 81,826.41 1 I-------------------------------------------------------------------------------------------------------------------------------------I i *DO NOT USE COLUMN F WHEN REQUESTING FINAL PAYMENT FOR THE PROJECT i I-------------------------------------------------------------------------------------------------------------------------------------I I CERTIFICATION OF MUNICIPAL CORPORATION I II certify that according to my knowledge and belief all items and amounts shown on the face of this application for payment are I (correct, all work has been performed and or all materials supplied; that the contractors who have performed work on this project I shave complied with all of the provisions of Section of the New York State Labor Law and that affidavits to that effect covering I (the payroll period through 08/05/94 in file i ®y of ice; that the foregoing is a true and correct statement I lof the project account up to and including the las day of the erod ved by this application. I IDate:'' Signature: Title: TOWN SUPERVISOR I I------------------------------------------------------------------------------------------------------------------------------------1 INEW YORK STATE USE Deduct Ineligible Items per Schedule Attached -$ I I Approved Amount $ I -------------------------------------------------------------------------------------------------------------I (AVIATION DIVISION CERTIFICATION - DEPT. OF TRANSPORTATION (APPROVED AS TO FUNDS AVAILABLE 1 ITo the best of my knowledge and belief, this claim is correct and (AUDITS & ACCOUNTS BUREAU - DEPT. OF TRANSPORTATION I Ijust, and is approved for payment I l ]Date By IDate By I I-------------------------------------------------------------------------------------------------------------------------------------1 I PROJECT NUMBER I REQUEST I PAYMENT l (Dept. of Transp. IState (Number (Interim I (Voucher Number IFederal (Date (Semi-final Final I I I I D.O.T. I I I I ENCUMBRANCE LIQUIDATION I I PROJECT IDENT. NO. I I 1 ACCOUNT I EXPENDED ]CHAR I OBJ.1----------------- I ----------------- I I -------------------------- I S I I NUMBER I AMOUNT I I ] CONTRACT I AMOUNT I FUNCTION I MAJOR I SUB I U I I I I I I NUMBER I I I I I F I I------------------------I-----------------I-----I-----I-----------------I-----------------I----------I-----------------I--------I----1 113 21122 31132 33134 35136 41142 51155 58160 1 65166 68169701 1 ------------------------ I----------------- I-----I-----I----------------- I----------------- I ---------- I ----------- I-----I--------I----! I ' ' ' ' ' ' ' ' I I I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I I l i------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I-----------i-----I--------I ----1 I' ' ' ' i ''' I I I I I''''' I 1 1 1701 1''' I I I I I------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I-----------I-----I--------I ----I I ' ' ' ' ' ' ' ' I I I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I I I i------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I-----------I-----I--------I ----I I ' ' ' ' ' ' ' ' I I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I I I I------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I-----------I-----I--------I ----I I ' ' ' ' ' ' ' ' I I I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I I I --------------------------------------------------------------------------------------------------------------------------------------- Department Copy FISHERS ISLAND AIRPORT -ELIZABETH FIELD 04/12/95 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 F.A.A. AIP PROJECT NO. 3-36-0029-05-92 N.Y.S.D.O.T. PROJECT NO. 0913.05 SUMMARY OF STATE ELIGIBLE PROJECT COSTS PROGRAM NO. i --------------------------------------------- ESTIMATED TOTAL COST ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE -------------------------------------------------------------------------------------------------------------------------------------- FEDERAL ELIGIBLE STATE ELIGIBLE STATE ELIGIBLE PARTICIPATING -------------------------------------------------------------------------------------------------------------------------------------- a. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 b. LAND ........................................... $0.00 $0.00 $0.00 $0.00 c. CONSTRUCTION ................................... $419,421.00 $419,421.00 $406,355.02 $0.00 d. ENGINEERING .................................... $84,559.00 $71,956.00 $72,365.52 $0.00 e. OTHER .......................................... $3,000.00 $3,000.00 $0.00 $0.00 f. ADMINISTRATION ................................. $3,820.00 $3,820.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL STATE COSTS $510,800.00 $498,197.00 $478,720.54 $0.00 WORK PERFORMED TO: 08/05/94 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 04/12/95 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 CONSTRUCTION AND PROJECT IMPROVEMENT ANALYSIS PROGRAM NO. 1 ----------------------------------------------- Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $406,355.02 $406,355.02 $0.00 ------------------------------------------------------------------------ RETAINAGE RELEASED $20,317.75 WITH 5 & FINAL STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 08/10/92 $112,128.77 $112,128.77 $0.00 * 09/14/92 $66,266.05 $66,266.05 $0.00 * 10/07/92 $148,693.74 $148,693.74 $0.00 * 11/02/92 $53,796.91 $53,796.91 $0.00 * 01/13/93 $25,469.55 $25,469.55 $0.00 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 04/12/95 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 PROJECT INSPECTION FEES ANALYSIS PROGRAM NO. 1 ------------------------------------ Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $84,559.00 $72,365.52 $0.00 RETAINAGE BILLED 8/05/94 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 07/24/92 $13,411.07 811,316.65 * 08/18/92 $6,648.06 $5,565.54 $0.00 * 09/15/92 824,464.40 $20,762.36 $0.00 * 10/22/92 $20,370.03 $17,829.11 $0.00 * 11/10/92 $13,941.20 $12,042.22 $0.00 * 12/15/92 $3,119.42 $2,646.15 $0.00 * 01/15/93 $2,072.76 $1,765.52 $0.00 02/10/93 $523.71 $437.98 $0.00 08/05/94 $8.35 $0.00 $0.00 ' I Account Number ............. Invoice -302079 Date ................ 19 ........... T-1 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 189 ........... 13.. - .. 5.3.....40............... C&S Engineers? Inc. Payee Reference: Address: .................................... 1020 Seventh North St. Phone No. (....)....................... Liverpool , NY 13088 .. Vendor Contact Cash Discount ..................% .........Days.................................... Item Description of Material/ServiceI Quantity I Unit I Amount No. Price Total Discount Net 497.52 j The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof has been paid, except as therein stated, and that the balance therein stated is actually due and owing CIS EngineInc . Dated...............................19 .... X.. .. ... Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 12/31/92 THROUGH 01/31/93 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE (� a 0 - Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 INV. DATE: 02/10/93 INVOICE #: 302079 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 Nis THIS INVOICE CUMULATIVE , 174.25 243.95 18,963.40 26, 548.76 418.20 45,512.16 .00 883.75 -------------- -------------- 418.20 46,395.91 -� 37, X 37.20 27,733.39 -------------- ------------ 455.40 z- 74,129.30 68.31 10,421.35 c� -- 523.71 84, 550.65 26.19 -------------- 497.52 • ���U I 1 Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 SALARY & EXPENSE DETAIL SALARIES BASED ON MULTIPLIER INV. DATE: 02/10/93 INVOICE #: 302079 PROJECT #: 211.004.002 CLIENT REF: HOURS RATE DRAFTER MANCINI, PAULA M. 2.50 8.5000 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 5.00 25.5000 LEANA, JAMES W. 1.00 21.0000 SECRETARY EDWARDS, SUSAN L. .50 9.0000 OTHER EXPENSES REPRODUCTION & PRINTING COST C&S REPRO POSTAGE & SHIPPING UNITED PARCEL SERVICE 9.00 COST/QTY 34.80 2.40 PREM AMOUNT 21.25 127.50 21.00 4.50 ---------- ---------- 174.25 RATE AMOUNT 1.0000 34.80 1.0000 2.40 ------------ 37.20 13 Total Cost : S �y, Acct. Use Only CALOCERINOS & SPINA (Reproduction) Employee Name: Extr No.: Today's Dace: / //1�92 Dane & Tune Needed: ��r`�` A.M. P.M. CliendProject No. 2//- fi",OC Contract No. - a Phase 6 r% Prints: (each) (sets) 2, (Total square feet) `( L Mylar: (each) (sets) (each) (sets) (Total number of copies made) Xerox (2080): (each) _� 1 404 rr�� i J i (sets) O`>c't irX/ (Total square feet) rL s Ze- 04 (Total Linear feet) To be bound? (circle): yes r no TAPE - SPIRAL SINGLE SIDED Stamped? (circle): yes or(h�) DOUBLE SIDED Special Instructions: d UNITED PARCEL SERVICE Date: i' Shipper No. X11289 Employee Sender: o, To: From: Calocerinos Spina "- C Engineers, P.C. , . 1020 Seventh North Street '. Liverpool, NY 13088 Proj ect Number Reference .0.2�%, �U �� ©�� ' Type of Service _ Pickup Record No. C> 02� (� 9 �% No. Pkgs / Weight J� Tracking No. Charges Due�:f `7�• r.......................................... I... ..... ) N. Y.)............:... ........19_..... r -- TOWN OF SOUT OLD, COUNTY OF SUFFOLK, H. Y., Dr. To .... C...$..S..Enginee. .rs, Inc. .................................... .. ........CilS1ffiAS$ , Address. 1020 Seventh North Street, Liverpool, NY 13088 ..., .............................................. .6........... Fed. I. D. No. ..1.3 :5 31.89 4.Q...... or Soc. Security No. .................... Fishers Island Airport Elizabeth Field `—I I Airfield Lighting Inspection Services Overhead Adjustment and Retainage (14235.8 L _._I 1 ` 4235.8 TI, _ signed (Claimant) (Acting on behalf of above named Claimant) does hereby certify that the (Cross out one) fore_oing claim is true and correct and that no part thereof has been paid, except as therein stated, and that life balance therein stated is actually due and owing. Dated119................. ... ........ 19...9.4..... l , }� � ...!.................. Signature cas Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 TOWN OF SOUTHOLD INV. DATE: 08/05/94 FISHERS ISLAND FERRY DISTRICT INVOICE #: 408029 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW'LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD EST. COST: 70,843.00 AIRFIELD LIGHTING FIXED FEE: 10,626.00 INSPECTION SERVICES TOTAL : 84,559.00 FOR OVERHEAD ADJUSTMENT AND RETAINAGE OVERHEAD ADJUSTMENT 1992 DIRECT LABOR X BILLED OVERHEAD $18,916.65 X 140% _ (26,483.31) DIRECT LABOR X ADJUSTED OVERHEAD $18,916.65 X 153.1% = 28,861.39 2,478.08 1993 DIRECT LABOR X BILLED OVERHEAD $ 174.25 X 140% (243.95) DIRECT LABOR X ADJUSTED OVERHEAD $ 174.25 X 146.7% = 255.62 11.67 2,489.75 BALANCE BILLABLE UNDER CONTRACT - 8.35 RETAINAGE 100% RETAINAGE X $4,227.53 = 4,227.53 LESS: PREVIOUS BILLINGS - 0.00 4,227.53 4,227.53 TOTAL AMOUNT DUE THIS INVOICE $4,235.88 OUTLAY REPORT AND REQUEST FOR REIMBURSE - MI N -i FOR CONSTRUCTION PROGRAMS WHICH THIS REPORT IS SUBMITTED Federal Aviation Administration - N.Y.A.D.O. 6. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER IDENTIFYING NUMBER 11-6003307 N/A 9. RECIPIENT ORGANIZATION Name: TOWN OF SOUTHOLD TOWN HALL, 53095 MAIN ROAD No. and P.O. BOX 1179 Street. SOUTHOLD, NY 11971 Approved by Office of Management and( PAGE Budget No. 80-ROISI 1 OF 1 PACES 1. TYPE :w f40UEST 2. BASIS OF REQUEST 6 FR.%L ❑ PARTIAL ® CASH p ACCRUAL 4. FEDERAL GRANT OR OTHER S. PARTIAL PAYMENT REOUEST NO. IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY FIVE & FINAL 3-36-0029-05-92 PERIOD COVERED BY THIS REPORT FROM (Month, day, year) TO (Month, day, year) 1/15/93 1 8/5/94 10. PAYEE (When cheat should be sent Udillerent than Item 9) and City, City, State and State and ZIP Cods: ZIP Code•. 11. STATUS OF FUNDS STANDARD FORM 271 (7-76) Prescribed by Office of Management and Budget Or. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (� (b) (c) CLASSIFICATION AIRFIELD LIGHTING TOTAL (Construction) a. Administrative expense $0.00 $0.00 $0.00 $0.00 b. Preliminary expense $0.00 $0.00 $0.00 $0.00 c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00 d. Architectural engineering basic fees $0.00 $0.00 $0.00 $0.00- e. Other architectural engineering fees $0.00 $0.00 $0.00 $0.00- f. Project Inspection fees $84,559.00 $0.00 $0.00 $84,559.00 g. Land development $0.00 $0.00 $0.00 $0.00 h. Relocation expense $0.00 $0.00 $0.00 $0.00 I. Relocation payments to individuals and businesses $0.00 $0.00 $0.00 $0.00 J. Demolition and removal $0.00 $0.00 $0.00 $0.00 k. Construction and project improvement cost $406,355.02 $0.00 $0.00 $406,355.02 I. Equipment $0.00 $0.00 $0.00 $0.00 m. Miscellaneous cost $0.00 $0.00 $0.00 $0.00 n. Total cumulative to date (sum of lines a thru m) $490,914.02 $0.00 $0.00 $490,914.02 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $490,914.02 $0.00 $0.00 $490,914.02 q. Federal share to date $441,822.62 $0.00 $0.00 $441,822.62 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $441,822.62 $0.00 $0.00 $441,822.62 I. Federal payments previously re- quested $437,562.55 $0.00 $0.00 $437,562.55 u. Amount requested for reimbursement $4,260.07 $0.00 $0.00 $4,260.07 v. Percent of physical completion of project 100. 0.0 800,0 100.0.4: 12. CERTIFICATION SIGNATURE OF A ORIZED C 'FY G ! OFFICIAL DATE REPORT SUBMITTED I certify that to the best of my knowledge a. RECIPIENT ( and belief the billed Costs or disburse- TYPED OR PRINTED NAME AN TITLE TELEPHONE NO. ments are in accordance with the terms THOMAS H. WICKHAM of the project and that the reimbursement TOWN SUPERVISOR (516) 765-1800 represents the Federal share due which has not been previously requested and SIGNATUgE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED that an Inspection has been performed and all work is in accordance with the b. Representative OFFJWL j terms of the award. certifying to line 11 V. TYPED OR PRINTED NAME�TiL TELEPHONE NO. C&S ENGINEERS, INC. THERESA M. HOPIQNS (315) 455-2000 GRANTS ADMINISTRATOR STANDARD FORM 271 (7-76) Prescribed by Office of Management and Budget Or. No. A-110 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 04/12/95 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 F.A.A. AIP PROJECT NO. 3-36-0029-05-92 N.Y.S.D.O.T. PROJECT NO. 0913.05 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE -------------------------------------------------------------------------------------------------------------------------------------- AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING -------------------------------------------------------------------------------------------------------------------------------------- a. ADMINISTRATIVE EXPENSE ......................... $3,820.00 $3,820.00 $0.00 $0.00 b. PRELIMINARY EXPENSE ............................ $0.00 $0.00 $0.00 $0.00 c. LAND, STRUCTURES, RIGHT-OF-WAY ................. $0.00 $0.00 $0.00 $0.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... $0.00 $0.00 $0.00 $0.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... $0.00 $0.00 $0.00 $0.00 f. PROJECT INSPECTION FEES ........................ $84,559.00 $84,559.00 $84,559.00 $0.00 g. LAND DEVELOPMENT ............................... $0.00 $0.00 $0.00 $0.00 h. RELOCATION EXPENSE ............................. $0.00 $0.00 $0.00 $0.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... $0.00 $0.00 $0.00 $0.00 j. DEMOLITION AND REMOVAL ......................... $0.00 $0.00 $0.00 $0.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... $419,421.00 $419,421.00 $406,355.02 $0.00 1. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 m. MISCELLANEOUS COST ............................. $3,000.00 $3,000.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $510,800.00 $510,800.00 $490,914.02 $0.00 FISHERS ISLAND AIRPORT -ELIZABETH FIELD AIRFIELD LIGHTING (Construction) FISHERS ISLAND, NY PROJECT INSPECTION FEES ANALYSIS PROGRAM NO. 1 ------------------------------------ * Indicates previous submittal 04/12/95 211.004.002 FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $84,559.00 $72,365.52 $0.00 RETAINAGE BILLED 8/05/94 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 07/24/92 $13,411.07 $11,316.65 * 08/18/92 $6,648.06 $5,565.54 $0.00 * 09/15/92 $24,464.40 $20,762.36 $0.00 * 10/22/92 $20,370.03 $17,829.11 $0.00 * 11/10/92 $13,941.20 $12,042.22 $0.00 * 12/15/92 $3,119.42 $2,646.15 $0.00 * 01/15/93 $2,072.76 $1,765.52 $0.00 02/10/93 $523.71 $437.98 $0.00 08/05/94 $8.35 $0.00 $0.00 • 'Account Number ............. Invoice = 3.02079... , .. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 189 ........... 13.. - .. 5.3.....40............... C&S Engineersr Inc. Payee Reference: Address: .................................... 1.020. Seventh North . ....................... St............. Phone No. (....)....................... Liverp. o , NY 13088 , , Vendor Contact Cash Discount ..................% .........Days.................................... Item Description of Material/Service Quantity Unit Amount No. I I I Price Total Discount Net 497.52 The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof has been paid, except as therein stated, and that the balance therein stated is actually due and owing C' S EngineInc&tA _ . Dated............................. .19.... X.. Signature 'Co1 la Y aJ t TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 12/31/92 THROUGH 01/31/93 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 INV. DATE: 02/10/93 INVOICE #: 302079 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 Nis THIS INVOICE CUMULATIVE /7zl -?5 174.25 243.95 18,963.40 26, 548.76 %41,) 6- 418.20 45,512.16 .00 883.75 -------------- -------------- 418.20 46,395.91 37, X 37.20 27,733.39 -------------- ------------- 74,129.30 68.31 10,421.35 0� ---------------------------- 523.71 --------- 84,550.65����� 9 26.19 / -------------- 497.52 TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 S A L A R Y & E X P E N S E D E T A I L SALARIES BASED ON MULTIPLIER Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 INV. DATE: 02/10/93 INVOICE #: 302079 PROJECT #: 211.004.002 CLIENT REF: HOURS RATE DRAFTER MANCINI, PAULA M. 2.50 8.5000 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 5.00 25.5000 LEANA, JAMES W. 1.00 21.0000 SECRETARY EDWARDS, SUSAN L. .50 9.0000 OTHER EXPENSES REPRODUCTION & PRINTING COST C&S REPRO POSTAGE & SHIPPING UNITED PARCEL SERVICE 9.00 COST/QTY 34.80 2.40 PREM AMOUNT 21.25 127.50 21.00 4.50 174.25 RATE AMOUNT 1.0000 34.80 1.0000 2.40 ------------ 37.20 Total Cost: S 3Y, Acct. Use Only yY'' CALOCERINOS & SPINA (Reproduction) Employee Name: f 1/C (/ei',r�oT'/ Ext. No.: Today's Date: Date & Time Needed: "A.M. P.M. Client/Project No. 2//- 01/ - Contract No. - a Phase G c_% Prints: (each) Xerox: (each) (sets) `.�L (sets) (Total square feet) f ` j (Total number of copies made) Mylar: (each) Xerox (2080): (each) ��, (sets) i 40 4 91 (sets) n`�c t �r,rr7 (Total square feet) (Total Linear feet) v To be bound? (circle): yes r no TAPE - SPUZAL SINGLE SIDED Stamped? (circle): yes or(:h�' ' DOUBLE SIDED Special Instructions: 1 I f y, UNITED PARCEL SERVICE Date: Shipper No. X11289' Employee Sender: To: From: Calocerinos Spina Engineers, P.C. , 1020 Seventh North Street Liverpool, NY 13088 J AZZ Project Number l/ Reference �! / �� ��� ' Type of Service Pickup Record No. C�o�`�' (meq% 87 No. Pkgs / Weight J �I Tracking No. Charges Due�� �t..................................................... N. Y.,...........................:�, .../I TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N. Y., Dr. To .... C &..S..Engineers, Inc..........................................Claim ant Address 1020 Seventh North Street, Liverpool, NY 13088 ...................................................... t........... Fed. I. D, No. ..1.3 :5.31.89/l.Q...... or Soc. Security No. .................... P -,e u- -'.---,-signed (Claimant) (Acting on behalf of above named Claimant) does hereby certify that the (Cross out one) fore_�ir; claim is true and correct and that no part thereof has been paid, except as therein stated, and that the balance therein stated is actually due and owing. Dat;.d................. August ... a ......... 19 ... 94..... �%�✓4 .............................. Signature II Fishers Island Airport Elizabeth Field Airfield Lighting Inspection Services Overhead Adjustment and Retainage I14235.8E 4235.8 P -,e u- -'.---,-signed (Claimant) (Acting on behalf of above named Claimant) does hereby certify that the (Cross out one) fore_�ir; claim is true and correct and that no part thereof has been paid, except as therein stated, and that the balance therein stated is actually due and owing. Dat;.d................. August ... a ......... 19 ... 94..... �%�✓4 .............................. Signature NEW -t G �) k Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 TOWN OF SOUTHOLD INV. DATE: 08/05/94 FISHERS ISLAND FERRY DISTRICT INVOICE #: 408029 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD EST. COST: 70,843.00 AIRFIELD LIGHTING FIXED FEE: 10,626.00 INSPECTION SERVICES TOTAL : 84,559.00 FOR OVERHEAD ADJUSTMENT AND RETAINAGE OVERHEAD ADJUSTMENT 1992 DIRECT LABOR X BILLED OVERHEAD $18,916.65 X 140% _ (26,483.31) DIRECT LABOR X ADJUSTED OVERHEAD $18,916.65 X 153.1% = 28,861.39 2,478.08 1993 DIRECT LABOR X BILLED OVERHEAD $ 174.25 X 140% _ (243.95) DIRECT LABOR X ADJUSTED OVERHEAD $ 174.25 X 146.7% = 255.62 11.67 2,489.75 BALANCE BILLABLE UNDER CONTRACT - 8.35 RETAINAGE 100% RETAINAGE X $4,227.53 = 4,227.53 LESS: PREVIOUS BILLINGS - 0.00 4,227.53 4,227.53 TOTAL AMOUNT DUE THIS INVOICE $4,235.88 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 04/12/95 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 CONSTRUCTION AND PROJECT IMPROVEMENT ANALYSIS PROGRAM NO. 1 ----------------------------------------------- Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $406,355.02 $406,355.02 $0.00 RETAINAGE RELEASED $20,317.75 WITH 5 & FINAL STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 08/10/92 $112,128.77 $112,128.77 $0.00 * 09/14/92 $66,266.05 $66,266.05 $0.00 * 10/07/92 $148,693.74 $148,693.74 $0.00 * 11/02/92 $53,796.91 $53,796.91 $0.00 * 01/13/93 $25,469.55 $25,469.55 $0.00 .a STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788 JAMES A. KUZLOSKI REGIONAL DIRECTOR June 24, 1993 Honorable Scott L. Harris Supervisor Southold Town Hall P.O. Box 1179 Southold, NY 11977 Dear Mr. Harris: Aviation Grant Agreements Elizabeth Field Airport JOHN C. EGAN COMMISSIONER Attached for your information and files are copies of the fully executed State Grant Agreements for the following Elizabeth Field Airport project IN 0913.05 - Install electrical vault Install rotating beacon Install MIRL PIN 0913.06 - Engineering Design for RW 12-30 overlay PIN 0913.07 - Engineering Design for RW 7-25 overlay. Very truly yours, JOHN A. FALOTICO Planning & Program Management Director Attachment NEW YORK STATE DEPARTMENT OF TRANSPORTATION AVIATION TRANSPORTATION INFRASTRUCTURE RENEWAL PROJECT GRANT AGREEMENT (CAPITAL) Project No. 0913.05 Contract No. This Agreement made this 1st day of October , 19 91 by and between the people of the State of New York, (hereinafter referred to as the "State") acting by and through its Commissioner o ioner"), whose office Transportation (hereinafter Washington Avenue,ed to as the ` Governors Harriman State Campus, City and County of Albany, in the Administration Engineering Building, 1220 Wash g New York, and the Town of Southold with offices at Southold, New York ' (hereinafter referred to as the "Grantee"). WHEREAS, Section 14-h of the Transportation Law, and Article 17 of the Transportation Law known as the Implementation of the Rebuild New York Through Transportation Infrastructure Renewal Bond Act of 1983, authorizes the Commissioner to provide for the accomplishment of Municipal Transportation Infrastruc- ture Renewal Project pursuant to an agreement with a Grantee and WHEREAS, the Grantee has made application to the Commissioner for State aid for the accomplishment roject, (hereinafter referred to as the "Project"), which Project is described of a Transportation Infrastructure P in Article 3 below, and WHEREAS, the Grantee has applied for and secured available Federal Assistance for the Project, with the approval of the Commissioner, and WHEREAS, the Project has been approved by the Commissioner and found to be consistent with sound transportation development policy and planning concepts and eligible for State participation, and Now, therefore, in consideration of the mutual covenants hereinafter set forth, the parties hereto agree as follows: —Th e undertaking of Article 1. Purpose of Agreement e purpose of this Agreement to provide t ewal Project (herein called the "Project")),, h State financial an Airport Transportation Infrastructure Ren assistance to the Granteei rm of InfrastructureacaitalB ndgrantAct of 19831and ed lto state the t pursuant and conditions upon New York ThroughTransportation which such assistance will be provided and the mutual understandings and agreements of the parties as tot e manner in which the Project will be undertaken and completed and the Project facilities and equipment will be used. ent —The agreement shall consist of this document and the Article 2. Documents Forming the Agreem following attachments which are hereby made a part of this Agreement as if set forth fully herein: Addendum No. 1, Schedule I, and Appendix A. for Article 3. The Project —The Grantee agrees to undertake and complete the Project and to provide the use of Project facilities, substantially herebymadepan ofcribed in its thsliAgreement by reference, cation heretofore filed and th in accnd ordance by the Commissioner, a copy of which is hereby made part with the Request for Aid, made to the Federal Aviation Administration, atopy of this Agreement by reference, and in accordance with the terms and conditions of this Agreement. The Project is described as follows. INSTALL NEGl MEDIUM INTENSITY RU,JAY LIGHTING SYSTEM ON RUNTgAYS 12-30 AN .D 7-25; INSTALL ROTATING BEACON AND WIND CONE; INSTALL VASI AND REILS 01 RUNWAYS 7, 25, 12 AND 30; INSTALL ELECTRICAL VAULT AT THE ELIZABETH FIELD AIRPORT. This work is more particularly described and detailed in the plans, specifications and schedules approved or to be approved by the Commissioner. DV4-1C (1/89) f Article 4. The Grant — The Commissioner herebyBete ' Project is $ 510, 800 .Subject to the Grantee compliance with the t terms and conditions f his Agreemimated reasonable cos-, �' ent, the Commissioner agrees to pay the Grantee, as hereinafter provided, not more than $ of the non -Federal share of the project cost whichever is less. The Grantee agrees to apply for additionor al Federal assistance which may become available for the Project, subject to such conditions as the Commissioner ma u require in order to maximize the amounts of Federal assistance received or to be received for all projects in the State of New York. In the event that Federal assistance which was not included i:, y of the State payment becomes available to the Grantee, the amount of State a the foregoing calculation the inclusion of such additional Federal assistance and the Grantee shall either a payment shall be recalculated with by which the State payment actually made exceeds the State a ()pay to the State the amount if such additional Federal assistance has not been received by the Grantee, authorize the State to receiv-= --u ch from the Federal government and to retain an appropriate p payment determined by the recalculation or (b) for the payment of the remainder ^f the actual total costofthe Project. thereof. The Grantee shall ch pr:, •• ide Article S. Commencement of Work and Use and Sale of Project Facilities — undertake and proceed with the project within 6 months of the date of this agreement and to complete thePproved b project in accordance with the schedules and specifications as a The Grantee agrees to dance with the completion date prescribed b%, the Legislature. y the Commissioner, and in accor- On completion of the Project, the Gra:. ' ,e shall commence and continue operation and maintenance of the Project at its own cost and shall not discontinue operation, or dispose of the Project, withut the approval of the Commissioner, for the period of time corresponding to the period of useful life for the project as determined by reference to Section 61 of the State Finance Law. No part of any project or Project facility shall be sold, rendered unusable, or otherwise relinquished without obtaining prior written approval of the Commissioner and State Comptroller. If any Project parts or facilities are so sold, other than for their replacement in such service with like facilities or equipment, the State share of the proceeds of such a sale will be returned to the State Comptroller for deposit in the General Fund. The Grantee will operate the airport as such for the use and benefit of the public. In furtherance of this covenant (but without limiting its general applicability and effect), the Grantee specifically agrees that it will keep the airport open to all types, kinds, and classes of aeronautical use without discrimination between such types, kinds, a_,d classes: Provided, that the Grantee may establish such fair, equal and not unjustly discriminatory conditions to be met by all users of the airport as may be necessary for the safe and efficient operation of the airport; and provided further that the Grantee r- w prohibit or limit an use of the airport if such action is necessary for tie safe operation of the airport or necessary to serve the civil y given type, kind, or class aeronautical aviation needs of the public. The Grantee will not grant or permit any exclusive right for the use of the airport, and will otherwise comply with all applicable laws. In furtherance of `lis covenant (but without limiting its general applicability and effect), the Grantee specifically agrees that, unless authorized by the Commissioner, it will not, either directly or indirectly, grant or permit anirm, aeronautical activities on the airport, including but not limor tedt on charter flights, the exclusive p lot tight oraining, airrcraf rental any and sightseeing, aerial photography, crop dusting, aerial advertising and surveying, air carrier operations aircraft sales and services, sale of aviation petroleum products whether or not conducted in conjunction with other aeronautical activity, repair and maintenance of aircraft, sale of aircraft parts, and any other activities which because of their direct relationship to the operation of aircraft can be regarded as an aeronautical activity. The Grantee agrees that it will operate the airport for the use and benefit of the public, on fair and reasonable terms, and without unjust discrimination. In furtherance of this covenant (but without limiting its gene; applicability and effect, the C-antee specifically covenants anc; agrees: a. That in its operation and the operation of all facilities on the airport, neither it not any person organization occupying space or facilities thereon will discriminate against any person or class of persons by reason of race, creed, sex, color, or national origin in the use of any facilities provided for the public on the airport• b. That in any agreement, contract, lease, or other arrangement under which a right or privilege at the airport is granted to any person, firm, or corporation to render to the public any service (includingt furnishing or sale of any aeronautical parts, materials, or supplies) essential to the operation of aircraft at the airport, the Grantee will insert and enforce provisions requiring the contractor: he (1) to furnish said service on a fair, equal, and not unjustly discriminatory basis to all users thereof, and (2) To charge fair, reasonable, and not unjustly discriminator y prices eachthat the contractor may be allowed to make reasonable and nond scrriimin toryidiscounts, rebater service; s, or other similar types of price reductions to volume purchasers. c• That it will not exercise or grant any right or privilege which would operate to prevent an person, firm, or corporation operating aircraft on the airport from performing any services on its own aircraft with its own employees (including, but not limited to maintenance and repair) that it may choose to perform. DV4-2c (1/89) Article 4. The Grant — The Commissioner herebyBete ' Project is $ 510, 800 .Subject to the Grantee compliance with the t terms and conditions f his Agreemimated reasonable cos-, �' ent, the Commissioner agrees to pay the Grantee, as hereinafter provided, not more than $ of the non -Federal share of the project cost whichever is less. The Grantee agrees to apply for additionor al Federal assistance which may become available for the Project, subject to such conditions as the Commissioner ma u require in order to maximize the amounts of Federal assistance received or to be received for all projects in the State of New York. In the event that Federal assistance which was not included i:, y of the State payment becomes available to the Grantee, the amount of State a the foregoing calculation the inclusion of such additional Federal assistance and the Grantee shall either a payment shall be recalculated with by which the State payment actually made exceeds the State a ()pay to the State the amount if such additional Federal assistance has not been received by the Grantee, authorize the State to receiv-= --u ch from the Federal government and to retain an appropriate p payment determined by the recalculation or (b) for the payment of the remainder ^f the actual total costofthe Project. thereof. The Grantee shall ch pr:, •• ide Article S. Commencement of Work and Use and Sale of Project Facilities — undertake and proceed with the project within 6 months of the date of this agreement and to complete thePproved b project in accordance with the schedules and specifications as a The Grantee agrees to dance with the completion date prescribed b%, the Legislature. y the Commissioner, and in accor- On completion of the Project, the Gra:. ' ,e shall commence and continue operation and maintenance of the Project at its own cost and shall not discontinue operation, or dispose of the Project, withut the approval of the Commissioner, for the period of time corresponding to the period of useful life for the project as determined by reference to Section 61 of the State Finance Law. No part of any project or Project facility shall be sold, rendered unusable, or otherwise relinquished without obtaining prior written approval of the Commissioner and State Comptroller. If any Project parts or facilities are so sold, other than for their replacement in such service with like facilities or equipment, the State share of the proceeds of such a sale will be returned to the State Comptroller for deposit in the General Fund. The Grantee will operate the airport as such for the use and benefit of the public. In furtherance of this covenant (but without limiting its general applicability and effect), the Grantee specifically agrees that it will keep the airport open to all types, kinds, and classes of aeronautical use without discrimination between such types, kinds, a_,d classes: Provided, that the Grantee may establish such fair, equal and not unjustly discriminatory conditions to be met by all users of the airport as may be necessary for the safe and efficient operation of the airport; and provided further that the Grantee r- w prohibit or limit an use of the airport if such action is necessary for tie safe operation of the airport or necessary to serve the civil y given type, kind, or class aeronautical aviation needs of the public. The Grantee will not grant or permit any exclusive right for the use of the airport, and will otherwise comply with all applicable laws. In furtherance of `lis covenant (but without limiting its general applicability and effect), the Grantee specifically agrees that, unless authorized by the Commissioner, it will not, either directly or indirectly, grant or permit anirm, aeronautical activities on the airport, including but not limor tedt on charter flights, the exclusive p lot tight oraining, airrcraf rental any and sightseeing, aerial photography, crop dusting, aerial advertising and surveying, air carrier operations aircraft sales and services, sale of aviation petroleum products whether or not conducted in conjunction with other aeronautical activity, repair and maintenance of aircraft, sale of aircraft parts, and any other activities which because of their direct relationship to the operation of aircraft can be regarded as an aeronautical activity. The Grantee agrees that it will operate the airport for the use and benefit of the public, on fair and reasonable terms, and without unjust discrimination. In furtherance of this covenant (but without limiting its gene; applicability and effect, the C-antee specifically covenants anc; agrees: a. That in its operation and the operation of all facilities on the airport, neither it not any person organization occupying space or facilities thereon will discriminate against any person or class of persons by reason of race, creed, sex, color, or national origin in the use of any facilities provided for the public on the airport• b. That in any agreement, contract, lease, or other arrangement under which a right or privilege at the airport is granted to any person, firm, or corporation to render to the public any service (includingt furnishing or sale of any aeronautical parts, materials, or supplies) essential to the operation of aircraft at the airport, the Grantee will insert and enforce provisions requiring the contractor: he (1) to furnish said service on a fair, equal, and not unjustly discriminatory basis to all users thereof, and (2) To charge fair, reasonable, and not unjustly discriminator y prices eachthat the contractor may be allowed to make reasonable and nond scrriimin toryidiscounts, rebater service; s, or other similar types of price reductions to volume purchasers. c• That it will not exercise or grant any right or privilege which would operate to prevent an person, firm, or corporation operating aircraft on the airport from performing any services on its own aircraft with its own employees (including, but not limited to maintenance and repair) that it may choose to perform. DV4-2c (1/89) r V. In the event the Grantee itself exercises any of the rights and privileges referred to in subsection b, the services involved will be provided on the same conditions as would apply to the furnishing of such services by contractors or concessionaries of the Grantee under the provisions of such subsection b. Nothing contained herein shall be construed to prohibit the granting or exercise of any exclusive right for the furnishing of nonaviation products and supplies or any service of a nonaeronautical nature or to obligate the Grantee to furnish any particular nonaeronautical service at the Airport. The Grantee will operate and maintain in a safe and serviceable condition the airport and all facilities thereon and connected therewith which are necessary to service the aeronautical users of the airport other than facilities owned or controlled by the United States, and will not permit any activity thereon which would interfere with its use for airport purposes. Provided, that nothing contained herein shall be construed to require that the airport be operated for aeronautical uses during temporary periods when snow, flood, or other climatic conditions which would interfere with such operation and maintenance, and provided further, that nothing herein shall be construed as requiring the maintenance, repair, restoration or replacement of any structure or facility which is substantially damaged or destroyed due to an act of God or other condition or circumstance beyond the control of the Grantee. Insofar as it is within its power and reasonable possible, the Grantee will, either by the acquisition and retention of the easements or other interests in or rights for the use of land or airspace or by the adoption and enforcement of zoning regulations, prevent the construction, erection, alteration, or growth of any structure, tree, or other object in the approach areas of the runways of the Airport, which would constitute an obstruction to air navigation according to the criteria or standards applicable according to the currently approved airport layout plan. In addition, the Grantee will not erect or permit the erection of any permanent structure or facility which would interfere materially with the use, operation, or future development of the airport, in any portion of a runway approach area in which the Grantee has acquired, or may hereafter acquire, property interests permitting it to so control the use made of the surface of the land. All facilities of the airport developed with State aid and all those usable for the landing and taking off of aircraft, will be available to State Aircraft at all times, without charge. The Grantee shall submit to the Commissioner, at such time as he may require, such financial statements, operating information and other data as may be deemed necessary by the Commissioner to assure compliance with this Article and to prepare his annual report on the scope and results of the Project. The airport and all airport records and documents affecting the airport, including deeds, leases, operation and use agreements, and other instruments, will be made available for inspection by any duly authorized representative of the Commissioner upon reasonable request. The Grantee will furnish to the Commission upon request, a true copy of any such document. The Grantee will not enter into any transaction which would operate to deprive it of any of the rights and powers necessary to perform any or all of the covenants made herein, unless by such transaction the obligation to perform all such covenants is assumed by another public agency found by the Commissioner to be eligible to assume such obligations and having the power, authority, and financial resources to carry out all such obliga- tions. If an arrangement is made for management or operation of the airport by any agency or person other than the Grantee or an employee of the Grantee, the Grantee will reserve sufficient rights and authority to insure that the airport will be operated and maintained in accordance with these covenants. The Grantee will keep up-to-date at all times an airport layout plan of the airport showing (1) the boundaries of the airport and all proposed additions thereto, together with the boundaries of all offsite areas owned or controlled by the Grantee for airport purposes, and proposed additions thereto; (2) the location and nature of all existing and proposed airport facilities and structures (such as runways, taxiways, aprons, terminal buildings, hangars, and roads) including all proposed extensions and reductions of existing airport facilities; and (3) the location of all existing and proposed nonaviation areas and of all existing improvements thereon. Such airport layout plan, and each amendment, revision or modification thereof, shall be subject to the approval of the Commissioner which approval shall be evidenced by the signature of a duly authorized representative of the Commissioner on the face of the layout plan. The Grantee will not make or permit the making of any changes or alterations in the airport or any of its facilities other than in conformity with the airport layout plan as so approved by the Commissioner if such changes or alterations might affect the safety, utility, or efficiency of the airport. Insofar as is within its power and to the extent reasonable, the Grantee will take action to restrict the use of land adjacent to or in the immediate vicinity of the airport to activities and purposes compatible with normal airport operations including landing and takeoff of aircraft. Article 6. Accomplishments of the Project — a. Pursuant to Federal, State and Local Law. In the event that any election, referendum, approval, permit, notice, or other proceedings or authorization is requisite under applicable law to enable the Grantee to enter into this Agreement or to undertake the Project hereunder, or to observe, assume, or carry out any of the provisions of this Agreement, the Grantee will initiate and consummate, as provided by law, all actions necessary with respect to any such matters so requisite. DV4-3b (1/89) b. Funds o: the Grantee. The Grantee shaft initiate and prosecute to completion all proceedings necegsary to enable the Grantee to provide it share of actual total cost of the Project, as provided in Article 4 of this V Agreement, or on prior to the time that such funds are needed to meet Project cost. c. Submission of Proceedings, Contract and Other Documents. The Grantee shall submit to the Commissioner and the State Comptroller such data, reports, records, contract and other documents relating to the Project as the Commissioner and the State Comptroller may require. Article 7. The Project Budget. A Project budget shall be prepared and maintained by the Grantee. The Grantee shall carry out the Project and shall incur obligations only in conformity with the latest approved Project budget, and within the "Estimated Total Cost" of the Project. Article 8. Accounting Records — a. Establishment and Maintenance of Accounting Record. The Grantee shall establish and maintain for the Project, in accordance with requirements established by the Commissioner and approved by the State Comptroller, separate accounts within its existing accounting system or set up independently, to be known as the project account. The Grantee shall segregate and group project costs so that it can furnish on due notice, cost information in the following cost classifications: (1) Purchase price or value of land (2) Incidental costs of land acquisition (3) Costs of contract construction (4) Costs of force account construction (S) Engineering costs of plans and designs (6) Engineering costs of supervision and inspection (7) Other administrative costs b. Funds Received or Made Available for the Project. The Grantee shall record in the project account, as.they are received all grant payments received from the Federal Government on account of the Project. The Grantee shall record in the project account.such funds as it may allocate for payment of its share of the actual cost of the project. The Grantee shall advise the Commissioner monthly in writing of the amounts recorded in the project account or at such times as the Commissioner may prescribe. The- Commissioner or the State Comptroller may audit the project account at such time as the Commissioner or the State Comptroller may require. c. Costs Incurred for the Project. The Grantee shall charge to the project account all eligible costs of the project. Costs in excess of the latest approvdd budget or attributable to actions which have not received the required approval of the Commissioner and the Legislature shall not be considered eligible costs. In specific cases where it is impractical to determine precise costs of certain indirect or service functions, eligible costs will include such allowances for these costs as may be approved by the Commissioner and the Comptroller. Such approval will be based upon an audit determination that the amounts reimbursed will not exceed actual cost. Project costs consist of any costs involved in accomplishing a project including those of: (1) Making field surveys; (2) Preparing plans and specifications; (3) Accomplishing or procuring the accomplishing of the work; (4) Supervising and inspecting construction work; (S) Acquiring land or an interest therein, or any easement through or other interest in airspace; and (6) Administrative and other incidental costs incurred specifically in connection with accomplishing a project, and that would not have otherwise been incurred. The costs described in this section, includire the value of land, labor, materials and equipment donated or loaned to the Grantee and appropriated to the project by the Grantee, are eligible for consideration as to their allowability, except for: (1) That part of the cost of acquiring an existing private airport that represents the cost of acquiring passenger automobile parking facilities and buildings to be used as hangars; (2) The cost of materials and supplies owned by the Grantee or furnished from a source of supply owned by the Grantee if: (i) Those materials and supplies were used for airport development before the grant agreement was executed; or DV4-4b (1/89) (ii) Those cost is not supported by proper evidence of quantity and value: (3) The cost of nonexpendable machinery, tools, or equipment owned by the Grantee and used under a project by the Grantee's force account, except to the extent of the fair rental value of that machinery, tools, or equipment for the period it is used on the project; (4) The value of any land, including improvements, donated to the sponsor by another public agency; and (5) Any costs incurred in connection with raising funds by the Grantee, including interest and premium charges and administrative expenses involved in conducting bond elections and in the sale of bonds. To be an allowable project cost, for the purposes of computing the amount of a grant, an item that is paid or incurred must, in the opinion of the Commissioner - (1) Have been necessary to accomplish airport development in conformity with the approved plans and specifications for an approved project and with the terms of the grant agreement for the project; (2) Be reasonable in amount; (3) Have been incurred after the effective date of the Grant Agreement, except for those costs incurred to apply for Federal funds; prepare project engineering reports, plans and specifications; to identify, describe and determine value of land acquisition required for the project such as surveys, title searches and abstracts, appraisals and legal fees and to acquire real property. (4) Be supported by satisfactory evidence. . d. Documentation of Project Costs. All costs charged to the project account including any approved services contributed by the Grantee or others, shall be supported by properly executed payrolls, time records, invoices, contracts, or vouchers evidencing in proper detail the nature and propriety of the charges, in accor- dance with the rules and regulations of the Commissioner as approved by the State Comptroller. e. Checks, Orders and Vouchers. Any check or order drawn by the Grantee with respect to any items which is or will be c)iargeable against the project account will be drawn only in accordance with a properly signed vouchers then on file in the office of the Grantee stating in proper detail the purpose for which such check or order is drawn. All checks, payrolls, invoices, contracts, vouchers, orders, or other accounting documents pertaining in whole or in part to the Project shall be clearly identified, readily accessible, and, to the extent feasible, kept separate and apart from all other such documents. f. Reports. The Grantee shall prepare an interim report at the end of its fiscal year accounting for the expenditures of the funds of the State, the Grantee, any Federal agency, and any other source with respect to the project. g. Retention of Records. The Grantee shall retain all required records for at least 3 years following the receipt of final payment. In the event that any litigation claim, or audit is started before the expiration of the three year retention period, the records shall be retained until all litigation, claims or audit findings involving the records have been resolved but in no event less than three years. Article 9. Requisitions and Payments a. Interim progress payments shall be made upon request by the Grantee to the Commissioner under the following conditions: (1) Such requests for reimbursement of the State's share of authorized project costs shall be made on a regular periodic basis, but no more frequently than once each month. (2) Such request vouchers shall be in a summary form and the documents supporting such costs incurred by the Grantee shall be maintained in a secure manner by the Grantee at its headquarters or at such other place as shall be readily accessible to the Commissioner and the State Comptroller for purposes of auditing project costs and expenditures. All such accounting records shall be retained by the Grantee until six years after completion of the State Comptroller's final audit report which will be rendered after the satisfactory completion of all physical work, the acquisition of real property and/or the fur- nishing of goods or services as provided by this agreement. b. Subject to the other provisions hereof, requisitions for payments will be honored by the Commissioner except that the State may elect by notice in writing to withhold any payment if: DV4-5b (1/89) (1) Misrepresentation. The Grantee shall have made any misrepresentation of a material nature in its Application, or any supplement thereto or amendment thereof, or in or with respect to any document or data furnished therewith or pursuant hereto; (2) Litigation. There is then pending litigation with respect to the performance by the Grantee of any of its duties or obligations which may jeopardize or adversely affect the Project, this Agreement, or payments to the Project; (3) Concurrence by State. The Grantee shall have taken any action pertaining to the Project which under the established procedures requires the prior approval of the Commissioner or shall have made related expenditures or incurred related obligations without the approval of the Commissioner; (4) Conflict of Interests. There has been in connection with the Project any violation of the conflict of interest rule, regulation, ordinance or statute applicable to the Grantee, its officers, members, or employees, or (5) Default. The Grantee shall be in default under any of the provisions of this Agreement. c. Disallowed Costs. In determining the amount of a payment, the Commissioner shall exclude all project costs incurred by the Grantee prior to the effective date of this agreement, except for those allowable costs as defined in Article 8(c) of this agreement. d. No interim payment will be made in an amount that would bring the aggregate amount of all partial payments for the project to more than 95 percent of the estimated State's share of the total estimated cost or the maximum obligation of the State as stated in Article 4, whichever amount is the lower. In determining the amount of a partial grant payment, those project costs that the Commissioner considers to be of ques- tionable allowability are deducted both from the amount of project costs incurred and from the amount of the estimated total project cost. e. Whenever certain development on a project is delayed or suspended for an appreciable period of time for reasons beyond the Grantee's control and the allowability of the project costs of all development completed has been determined on the basis of an audit and review of all costs, a semi-final grant payment may be made in an amount large enough to bring the aggregate amount of all partial grant payments for the project to the State's share of all allowable project costs incurred, even if the amount is more than 95 percent limitation. However, it may not be more than the maximum obligation of the State as stated in Article 4. f. Whenever the project is completed in accordance with the grant agreement, the Grantee may apply for final payment. The final payment is made to the Grantee if: (1) A final inspection of all work has been made jointly by the representatives of the Grantee and the contractor and the Commissioner unless the Commissioner agrees to a different procedure for final inspection. (2) A final audit of the project account has been completed by the Commissioner or the State Comptroller. (3) The Grantee has furnished final "as constructed"plans, unless otherwise agreed to by the Commissioner. g. Based upon the final inspection, the final audit, the plans, and the documents and supporting informa- tion, the Commissioner determines the total amount of the allowable project costs and the State Comptroller pays the Grantee the State share, less the total amount of all prior payments. h. In no event shall the making by the State of any payment pursuant to this agreement constitute or be construed as a waiver by the State of any breach of covenant or any default which may then exist, on the part of the Grantee and the making of any such payment by the State while any such breach or default shall exist, it shall in nowise impair or prejudice any right or remedy available to the State in respect of such breach or default. Article 10. Termination or suspension of State's Obligations a. Termination or Suspension Generally. If the Grantee abandons or, before completion, finally discon- tinues the Project; or if, by reason of any of the events or conditions set forth in paragraphs (1) to (5), inclusive, of Article 9 (b) hereof, or for any other reason, the commencement prosecution, or timely comple- tion of the Project by the Grantee is rendered improbable, infeasible, impossible or. illegal, the Commissioner may, by written notice to the Grantee, suspend any or all of its obligations under this Agreement until such time as the event or condition resulting in such suspension has ceased or been corrected, or the Commissioner may terminate any or all or its obligations under this agreement. DV4-6b (1/89) . b. Action Subsequent to Notice of Termination or Suspension. Upon receipt of any final termination notice under this Section, the Grantee shall proceed promptly to carry out the actions required therein which may include any or all of the following: (1) necessary action to terminate or suspend, as the case may be, Project activities and contracts and such other action as may be required or desirable to keep to a minimum the costs upon the basis of which the grant is to be computed; (2) furnish a statement of the status of the Pro- ject activities and of the project account as well as a proposed schedule, plan and budget for terminating or suspending the closing out Project activities and contracts, and other undertakings the costs of which are other- wise includable as Project costs; and (3) provide to the Commissioner an estimate of the State's share of the costs arising from the termination, suspension, or closing out of such activities, contracts, and other undertakings. The closing out shall be carried out in conformity with the latest schedule, and budget approved by the Commissioner upon the basis of terms and conditions imposed by the Commissioner upon the failure of the Grantee to furnish the schedule, plan and budget within a reasonable time. The acceptance of a remittance by the State of any or all Project funds previously received by the Grantee or the closing out of State financial participation in the Project shall not constitute a waiver of any claim which the State may.otherwise have arising out of this Agreement. Article 11. Remission of Project Account Upon Completion of Project. Upon completion of the Project, and after payment, provision for payment or reimbursement of all Project costs payable from the project account is made, the Grantee shall remit to the State any unexpended balance of State funds previously paid to it. Article 12. Audit and Inspection. The Grantee shall permit and shall require its contractors to permit the Commissioner's and the State Comptroller's authorized representatives to inspect all work, materials, payrolls, records of personnel, invoices of materials and other relevant construction, equipment, data and records; and to audit the books, records and accounts of the Grantee pertaining to the Grant and the development of the Project. Article 13. Manner of Performing Work. The work constituting the Project may be performed by the employment of the forces and the use of the equipment of the Grantee as authorized by the Commissioner, or by contract let pursuant to bidding procedures, more particularly referred to in Addendum 1 hereof. Article 14. (a) State Approval Required. Any contracts, supplemental contracts, or amendments thereto executed by the Grantee for this project must receive the approval of the Commissioner and State Comptroller before State reimbursement under this Agreement will be made. Such approvals do not change the State's financial obligation as prescribed in Article 4. of this Agreement. (b) Equal Employment Opportunity. All contracts for design, construction, services and materials for the project of whatever nature and all documents soliciting bids or proposals therefore shall con- tain the following provisions: (1) The contractor will not discriminate against employees or applicants for employment because of race, creed, color, national origin, sex, age, disability, or marital status and will undertake or continue existing programs of affirmative action to ensure that minority group persons and women are afforded equal opportunity without discrimination. Such programs shall include, but not be limited to, recruit- ment, employment, job assignment, promotion, upgrading, demotion, transfer, layoff, termination, rates of pay or other forms of compensation and selections for training or retraining including apprenticeship and on-the-job training. (2) At the request of the Department, the contractor shall request each employment agency, labor union, or authorized representative of workers with which it has a collective bargaining or other agreement or understanding and which is involved in the performance of the contract with the agency to furnish a written statement that such employment agency, labor union or representative shall not discriminate because of race, creed, color, national origin, sex, age, disability or marital status and that such union or representative will cooperate in the implementation of the contractor's obligations hereunder. (3) The contractor will state, in all solicitations or advertisements for employees placed by or on behalf of the contractor in the performance of the contract with the agency, that all qualified applicants will be afforded equal employment opportunity without discrimination because of race, creed, color, national origin, sex, age, disability or marital status. (4) The contractor will include the provisions of paragraphs 1 through 3 of this subdivision in every subcontract or purchase order in such a manner that such provisions will be binding upon each subcon- tractor or vendor as to its work in connection with the contract. DV4-7b (1/89) Article 15. Executory Clause. The Grantee agrees that this Agreement shall be deemed executory only, to the extent of the monies available, and no liability shall be incurred by the State beyond the monies available for the purpose. Article 16. Participation by Minority and Women Owned Business Enterprises. It is the policy of the State of New York to encourage meaningful participation by minority and women -owned business enterprises in the performance of Transportation Infrastructure Renewal Projects. Because this is a Federal Assistance Project, in accordance with Section 428 of the Transportation Law all Federal requirements relative to the participation of disadvantaged, minority and/or women -owned business enterprises, including but not limited to 49 CFR Part 23 shall apply to the Grant. A violation of any such Federal requirement shall be a violation of this Agreement. Article 17. New York State Content Program. All contracts financed under this Grant are subject to the New York State Content Piogram authorized under Section 422(7) of the Transportation Law, when established. Article 18. Indemnification. The Department shall in no way be liable for any costs, liability or damages claimed by any person as the result of the Department's award of the Grant or any review or approval given in connection therewith. The Grantee agrees to indemnify and hold harmless the Department and its officers, agents and employees of and from any and all costs, liability, damage and expenses, including expenses for legal services, claimed or recovered by any person by reason of injury to, or death of, any person or persons, and damage to, destruction or loss of use of any and all property, arising from the award or administration of the Grant. Article 19. Maintaining the Project. The Grantee agrees to maintain the project at its own expense for the period of time corresponding to the period of useful life of such project as determined by reference to Section 61 of the State Finance Law in effect on the date of this Agreement. DV4-8c (1/89) IN WITNESS WHEREOF, this Agreement has been executed by the State acting by and through the Commissioner, who has caused the seal of his office to be affixed hereto, and the Grantee by and through a duly authorized officer has executed this Agreement effective the day and year first above written. THE PEOPLE ®n'@ 'LA' 9j(%nWBrRK By ROBERT J. Mt IRPHY For: COMMISSIONER OF TRANSPORTATION GRANTEE Supervisor, Town of Southold Title MAY 17 1 3 ;Appro t.. BY 1 For Me New York State ` Comptroller Pursuant To Section 112 State Finance Law STATE OF NEW YORK " COUNTY OF SUFFOLK ) On this 23rd day February in the year One Thousand Nine Hundredninety-three before me personally came Scott Louis Harrris , to me known, who being by me duly sworn did depose and say that heMe resides at 37800 Main Road, Orient, New York ; that he/AM is the Supervisor of the Grantee described in and which executed the above instrument; that hefthe was authorized to execute the document on behalf of said Grantee pursuant to a resolution which was duly adopted on February 23, 1993 and to which a certified copy is attached and made a part hereof. �rkifton Contract No. 'S (y "fn r 1 r lei 1r1} -l/ ! also � �: �:,:� � . ",` •'> ,'� ." � k =' JC• %Ill ...•::. .,.i";fc'�� Gi C�3 S t..�ii�rEt,'t." ' NAL SIGNED BY ROBERT J. MURPHY Wwwl Q 7 189 DV4-9c (1/89) fo 1� 4 x � - �- NOTARY PUBLIC ADDtNOUM' NO. 1 TERMS AND CONDITIONS 1. The Grantee agrees to incorporate or cause to be incorporated into any contract for construction work, or furnishing of nay materials, supplies, or equipment or professional consulting services of any kind in con- nection with the Project, clauses under which the contractor: (a) Agrees to procure and maintain insurance of the kinds and in the amounts hereinafter provided in Schedule I hereof. (b) Agrees that he will comply with the requirements of the State Labor Law and particularly Sections 220 and 220-4 thereof as amended, and as set forth in Appendix A hereof. (c) Agrees that during the performance of this contract the Contractor will not discriminate against any employee or applicant for employment because of race, creed, sex, color or national origin and will comply with the Non -Discrimination provisions set forth its Appendix A hereof. (d) Agrees that he will cause all persons employed upon the work including his subcontractors, agents, officers and employees, to comply with all applicable laws in the jurisdiction in which the work is performed. (e) Agrees not to assign, transfer, convey, sublet or otherwise dispose of this agreement or any part thereof, or of its right, title or interest therein or its power to execute such agreement to any person, company or cor- poration without the previous consent in writing of the Grantee and the Commissioner of Transportation. (f) Agrees that in accordance with its status as an independent contractor, it will conduct -itself with such status teat it will neither hold itself out as nor claim to be an officer or employee of the State by reason hereof, and thz.:: will not by reason hereof, make any claim demand of application to or for any right or privilege applicacte to an officer or employee of the State, including, but not limited to, Workmen's Compensation coverage, Unemployment Insurance Benefits, Social Security coverage or Retirement membership or Credit. (g) Agrees that this agreement may be cancelled or terminated by the Grantee if any work under this agreement is in conflict with the provisions of Section 74 of the Public Officers Law. (h) Agrees that any patentable result arising out of this Agreement, as well as all information, designs, specification, know-how, data, and findings, shall be made available without cost to the State or its licenses for public use. (i) Agrees that for construction work he will furnish a performance bond in an amount at least equal to 100 percent of his contract price as security for the faithful performance of his contract and also a labor and material bond in an amount equal to 100 percent of his contract price as security for the payment all persons performing labor on the Project under his contract and furnishing materials in connection with his contract. The performance bond and the labor and material bond may be in one or in separate instruments in accordance with law. 0) Agrees that the Commissioner and the State Comptroller reserve the right to audit and inspect the work of the contractor and any and all records thereof through representatives of the State, as well as through officers and employees of the State, as they shall determine. (k) Agrees that the State shall not be obligated or liable hereunder to any party other than the Grantee. 0) Agrees that if any provision of this Agreement is held invalid, the remainder of this Agreement shall not be affected thereby if such remainder would then continue to conform to the terms and requirements of the applicable law. (m) Agrees that by execution of the Agreement the contractor represents that it has not paid and, also, agrees not to pay, any bonus or commission for the purpose of obtaining an approval of this agreement. (n) Agrees that all project documents requiring formal approval by a Federal Agency will be submitted to the Commissioner for his prior approval and forwarding to the Federal Agency for its formal approval. DV4-10b (1/89) 2. The Grantee agrees to give full opportunity for free, open and competitive bidding for each contract to be let by it calling for construction or the furnishing of any materials, supplies, or equipment td be paid for with Project Funds in accordance with the requirements of Section 103 of the General Municipal Law, the State Finance Law and any other applicable State Laws, Regulations or any requirements or opinions of the State Comptroller. 3. The Grantee agrees that contracts for professional or consulting services may be negotiated, but they must be in writing and must state the maximum compensation or reimbursement to be paid. Negotiations must be adequately documented to show consultants considered, proposals received, reasons for selecting the proposed consultant, and the unit basis or other detailed explanation in support of the amount of compensation to be paid. DV4-1lb (1/89) SCHEDULE 1 INSURANCE CLAUSES TO BE INCLUDED IN GRANTEE CONTRACTS The Grantee agrees to incorporate or cause to be incorporated into any contract in connection with the Project, the following clauses: The Contractor agrees to procure and maintain insurance of the kinds and in the amounts hereafter provided in insurance companies authorized to do business in New York State, covering all operations under the contract whether performed by it or sub -contractors. Before commencing the work the Contractor shall furnish the Grantee a certificate or certificates in form satisfactory to the Grantee showing that it has complied with this Schedule, which certificate or certificates shall not be changed or cancelled until thirty days written notice has been given to the Grantee. The kinds and amounts of insurance required are as follows: A. Policy or policies covering the obligations of the Contractor in accordance with the provisions of any applicable Workmen's Compensation or Disability Benefits L"aw, including for the State of New York, Chapter 41, Laws of 1914, as amended, known as the Workmen's Compensation Law, and amendments thereto, and Chapter 600 of the Laws of 1949, as amended, known as the Disability Benefits Law, and this agreement shall be void and no effect unless the Contractor procures such policy or policies and maintains the same in force during the term of his contract. B. Protective Liability insurance issued to an covering the liability of the Grantee, the State, the Commissioner and all employees or other representatives of each of them, both officially and personally with respect to all operations under the contract including omissions and supervisory acts of the Grantee, the State, the Commissioner and their employees or other representatives with the following limits: Construction Bodily Injury Liability Property Damage Liability Each Person Each Occurrence Each Occurence Aggregate $1,000,000 $3,000,000 $1,000,000 $3,000,000 Consultant and Other Services Bodily Injury Liability Property Damage Liability Each'Person Each Occurence Each Occurence Aggregate $100,000 $300,000 $100,000 $300,000 C. Liability insurance issued to and covering the liability of the CONTRACTOR with respect to all work performed by him under this Agreement. D. Liability insurance issued to and covering the liability of each of the CONTRACTOR'S sub -contractors with respect to all work performed by said sub -contractor under this Agreement. E. Protective liability insurance issued to and covering the liability of the CONTRACTOR with respect to all work under this Agreement performed for the CONTRACTOR by sub -contractor. F. Protective liability insurance issued to and covering the liability of the Grantee and all employees of the Grantee, both officially and personally, with respect to all operations under this agreement by the CONTRACTOR or by his sub -contractor, including omissions and supervisory acts of the Grantee and its employees. NOTE. If work is to be performed by forces of the Grantee, the Grantee will provide or cause to be provided the insurance coverage provided in Paragraph B above. DV4-12b (1/89) CONR 335-1f (9/89) APPENDIX A STANDARD CLAUSES FOR -ALL NEW YORK STATE CONTRACTS The parties to the attached contract, license, lease, amendment or other agreement of any kind (hereinafter, "the contract" or "this contract") agree to be bound by the following clauses which are hereby made a part of the contract (the word "Contractor" herein refers to any party other than the State. whether a contractor, licensor, licensee, lessor, lessee or any other party): 1. EXECUTORY CLAUSE. In accordance with Section 41 of the State Finance Law, the State shall have no liability under this contract to the Contractor or to anyone else beyond funds appropriated and available for this contract. 2. NON -ASSIGNMENT CLAUSE. In accordance with Section 138 of the State Finance Law, this contract may not be assigned by the Contractor or its right, title or interest therein assigned, transferred, conveyed, sublet or otherwise disposed of without the previous consent, in writing, of the State and any attempts to assign the contract without the State's written consent are null and void. The Contractor may, however, assign its right to receive payment without the State's prior written consent unless this contract concerns Certificates of Participation pursuant to Article 5-A of the State Finance Law. 3. COMPTROLLER'S APPROVAL. In accordance with Section 112 of the State Finance Law (or, if this contract is with the State University or City University of New York, Section 355 or Section 6218 of the Education Law), if this contract exceeds $5,000 ($20,000 for certain S.U.NY. and C.U.NY. contracts), or if this is an amendment for any amount to a contract which, as so amended, exceeds said statutory amount, or if, by this contract, the State agrees to give something other than money, it shall not be valid, effective or binding upon the State until it has been approved by the State Comptroller and filed in his office. 4. WORKERS' COMPENSATION BENEFITS. In accordance with Section 142 of the State Finance Law, this contract shall be void and of no force and effect unless the Contractor shall provide and maintain coverage during the life of this contract for the benefit of such employees as are required to be covered by the provisions of the Workers' Compensation Law. 5. NON-DISCRIMINATION REQUIREMENTS. In accordance with Article 15 of the Executive Law (also known as the Human Rights Law) and all other State and Federal satutory and constitutional non- discrimination provisions, the Contractor will not discriminate against any employee or applicant for employ- ment because of race, creed, color, sex, national origin, age, disability or marital status. Furthermore, in accordance with Section 220-e of the Labor Law, if this is a contract for the construction, alteration or repair of any public building or public work or for the manufacture, sale or distribution of materials, equip- ment or supplies, and to the extent that this contract shall be performed within the State of New York, Contractor agrees that neither it nor its subcontractors shall, by reason of race, creed, color, disability, sex or national origin: (a) discriminate in hiring against any New York State citizen who is qualified and available to perform the work; or (b) discriminate against or intimidate any employee hired for the perfor- mance of work under this contract. If this is a building service contract as defined in Section 230 of the Labor Law, then, in accordance with Section 239 thereof, Contractor agrees that neither it nor its subcon- tractors shall, by reason of race, creed, color, national origin, age, sex or disability: (a) discriminate in hiring against any New York State citizen who is qualified and available to perform the work; or (b) discriminate against or intimidate any employee hired for the performance of work under this contract. Contractor is subject to fines of $50.00 per person per day for any violation of Section 220-e or Section 239 as well as possible termination of this contract and forfeiture of all moneys due hereunder for a second or subsequent violation. 6. WAGE AND HOURS PROVISIONS. If this is a public work contract covered by Article 8 of the Labor Law or a building service contract covered by Article 9 thereof, neither Contractor's employees nor the employees of its subcontractors may be required or permitted to work more than the number of hours or days stated in said statues, except as otherwise provided in the Labor Law and as set forth in prevailing wage and supplement schedules issued by the State Labor Department. Furthermore, Contractor and its subcontractors must pay at least the prevailing wage rate and pay or provide the prevailing supplements, including the premium rates for overtime pay, as determined by the State Labor Department in accordance with the Labor Law. 7. NON -COLLUSIVE BIDDING REQUIREMENT. In accordance with Section 139-d of the State Finance Law. If this contract was awarded based upon the submission of bids, Contractor warrants, under penalty of perjury, that its bid was arrived at independently and without collusion aimed at restricting competition. Contractor further warrants that at the time Contractor submitted its bid, an authorized and responsible person executed and delivered to the State a non -collusive bidding certification on Contractor's behalf. CONR 335-2f (9/89) 8. INTERNATIONAL BOYCOTT PROHIBITION. In accordance with Section 220-f of the Labor Law and Section 139-h of the State Finance Law, if this contract exceeds $5,000, the Contractor agrees, as a material conditon of the contract, that neither the Contractor nor any substantially owned or affiliated person, firm partnership or corporation has participated, is participating, or shall participate in an international boycott in violation of the federal Export Administration Act of 197q (50 USC App. Sections 2401 et seq.) or regula- tions thereunder. If such Contractor, or any of the afor• ;aid affiliates of Contractor, is convicted or is otherwise found to have violated said laws or regulations ..Don the final determination of the United States Commerce Department or any other appropriate agency or the United States subsequent to the contract's execution, such contract, amendment or modification thereto shall be rendered forfeit and void. The Contractor shall so notify the State Comptroller within five (5) business days of such conviction, deter- mination or disposition of appeal (2 NYCRR 105.4) 9. SETOFF RIGHTS. The State shall have all of its common law, equitable and statutory rights of set-off. These rights shall include, but not be limited to, the State's option to withhold for the purposes of set-off any moneys due to the Contractor under this contract up to any amounts due and owing to the State with regard to this contract, any other contract with any State department or agency, including any contract for a term commencing prior to the term of thi:: contract, plus any amounts due and owing to the State for any other reason including, without limitation, tax delinquencies, fee delinquencies or monetary penalties relative thereto. The State shall exercise its set-off rights in accordance with normal State prac- tices including, in cases of set-off pursuant to an audit, the finalization of such audit by the State agency, its representatives, or the State Comptroller. 10. RECORDS. The Contractor shall establish and maintain complete and accurate books, records, documents, accounts and other evidence directly pertinent to performance under this contract (hereinafter, collectively "the Records"). The Records must be kept for the balance of the calendar year in which they were made and for six (6) additional years thereafter. The State Comptroller, the Attorney General and any other person or entity authorized to conduct an examination, as well as the agency or agencies involved in this contract, shall have access to the Records during normal business hours at an office of the Con- tractor within the State of New York or, if no such office is available, at a mutually agreeable and reasonable venue within the State, for the term specified above for the purposes of inspection, auditing and copying. The State shall take reasonable steps to protect from public disclosure any of the Records which are exempt from disclosure under Section 87 of the Public Officers Law (the "Statute") provided that: (i) the Contractor shall timely inform an appropriate State official, in writing, that said records should not be disclosed; and (ii) said records shall be sufficiently identified; and (iii) designation of said records as exempt under the Statute is reasonable. Nothing contained herein shall diminish, or in any way adversely affect, the State's right to discovery in any pending or future litigation. 11. IDENTIFYING INFORMATION AND PRIVACY NOTIFICATION: (a) FEDERAL EMPLOYER IDENTIFICATION NUMBER andlor FEDERAL SOCIAL SECURITY NUMBER. All invoices or New York State standard vouchers submitted for payment for the sale of goods or services or the lease of real or personal property to a New York State agency must include the payee's identification number, i.e., the seller's or lessor's identification number. The number is either the payee's Federal employer identification number or Federal social security number, or both such numbers when the payee has both such numbers. Failure to include this number or numbers may delay payment. Where the payee does not have such number or numbers, the payee, on his invoice or New York State standard voucher, must give the reason or reasons why the payee does not have such number or numbers. (b) PRIVACY NOTIFICATION. (1) The authority to request the above personal information from a seller of goods or services or a lessor of real or personal property, and the authority to maintain such information, is found in Section 5 of the State Tax Law. Disclosure of this information by the seller or lessor to the State is mandatory. The principal purpose for which the information is collected is to enable the State to identify individuals, businesses and others who have been delinquent in filing tax returns or may have understated their tax liabilities and to generally identify persons affected by the taxes administered by the Commissioner of Taxation and Finance. The information will be used for tax administration purposes and for any other purpose authorized by law. (2) The personal information is requested by the purchasing unit of the agency contracting to purchase the goods or services or lease the real or personal property covered by this contract or lease. The information is maintained in New York State's Central Accounting System by the Direc- tor of State Accounts, Office of the State Comptroller, AESOB, Albany, New York 12236. CONR 335-3f (9189) 12. EQUAL EMPLOYMENT OPPORTUNITIES FOR MINORITIES AND WOMEN: In accordance with Section 312 of the Executive Law, if this contract is: (i) a written agreement or purchase order instrument. providing for a total expenditure in excess of $25,000.00, whereby a contracting agency is committed to expend or does expend funds in return for labor, services, supplies, equipment, materials or any combina- tion of the foregoing, to be performed for, or rendered or furnished to the contracting agency: or (ii) a written agreement in excess of $100,000.00 whereby a contracting agency is committed to expend or does expend funds for the acquisition, construction, demolition, replacement, major repair or renovation of real property and improvements thereon; or (iii) a written agreement in excess of $100,000.00 whereby the owner of a State assisted housing project is committed to expend or does expend funds for the acquisition, construction, demolition, replacement, major repair or renovation of real property and improvements thereon for such project, then: (a) The contractor will not discriminate against employees or applicants for employment because of race, creed, color, national origin, sex, age, disability or marital status, and will undertake or continue existing programs of affirmative action to ensure that minority group members and women are afforded equal employment opportunities without discrimination. Affirmative action shall mean recruitment, employment, job assignment, promotion, upgradings, demotion, transfer, layoff, or termination and rates of pay or other forms of compensation; (b) at the request of the contracting agency, the Contractor shall request each employment agency, labor union, or authorized representative of workers with which it has a collective barganing or other agreement or understanding, to furnish a written statement that such employment agency, labor union or representative will not discriminate on the basis or race, creed, color, national origin, sex, age, disability or marital status and that such union or representative will affirmatively cooperate in the implementation of the contractor's obligations herein; and (c) the Contractor shall state, in all solicitations or advertisements for employees, that, in the performance of the State contract, all qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, color, national origin, sex, age, disability or marital status. Contractor will include the provisions of "a", "b" and "c", above, in every subcontract over $25,000.00 for the construction, demolition, replacement, major repair, renovation, planning or design of real property and improvements thereon (the "Work") except where the Work is for the beneficial use of the Contractor. Section 312 does not apply to: (i) work, goods or services unrelated to this contract; or (ii) employment outside New York State; or (iii) banking services, insurance policies or the sale of securities. The State shall consider compliance by a contractor or subcontractor with the requirements of any federal law concerning equal employment opportunity which effectuates the purpose of his section. The contracting agency shall determine whether the imposition of the requirements of the provisions hereof duplicate or conflict with any such federal law and if such duplication or conflict exists, the contracting agency shall waive the applicability of Section 312 to the extent of such duplication or conflict. Contractor will comply with all duly promulgated and lawful rules and regulations of the Governor's Office of Minority and Women's Business Development pertaining hereto. 13. CONFLICTING TERMS. In the event of a conflict between the terms of the contract (including any and all attachments thereto and amendments thereof) and the terms of this Appendix A, the terms of this Appendix A shall control. 14. GOVERNING LAW. This contract shall be governed by the laws of the State of New York except where the Federal supremacy clause requires otherwise. 15. LATE PAYMENT. Timeliness of payment and any interest to be paid to Contractor for late payment shall be governed by Article XI•A of the State Finance Law to the extent required by law. 16. NO ARBITRATION. Disputes involving this contract, including the breach or alleged breach thereof, may not be submitted to binding arbitration (except where statutorily authorized) but must, instead, be heard in a court of competent jurisdiction of the State of New York. 17. SERVICE OF PROCESS. In addition to the methods of service allowed by the State Civil Practice Law & Rules ("CPLR"), Contractor hereby consents to service of process upon it be registered or certified mail, return receipt requested. Service hereunder shall be complete upon Contractor's actual receipt of process or upon the State's receipt of the return thereof by the United States Postal Service as refused or undeliverable. Contractor must promptly notify the State, in writing, of each and every change of address to which service of process can be made. Service by the State to the last known address shall be sufficient. Contractor will have thirty (30) calendar days after service hereunder is complete in which to respond. August 1989 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON APRIL 6, 1993, AT 7:30 P.M., AT THE SOUTHOLD TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK: The meeting was called to order by Supervisor Scott L. Harris, and upon roll being called, the following were present: Present: Supervisor Scott L. Harris Justice Raymond W. Edwards Councilman George L. Penny IV Councilman Thomas H. Wickham Councilman Joseph J. Lizewski Councilwoman Alice J. Hussie The following resolution was offered by Justice Edwards who moved its adoption, seconded by Councilman Wickham, WHEREAS, application for available Federal Funding to install new medium intensity runway lighting system on Runways 12-30 and 7-25; install rotating beacon and wind cone; install VASI and REILS on Runways 7, 25, 12 and 30; install electrical vault, at Elizabeth Field Airport, Fishers Island, New York, has been approved; and WHEREAS, the project has been deemed consistent with sound transportation development policy and planning concepts for New York State participation; and WHEREAS, the Federal share of the grant amounts to $459,720.00, the State share amounts to $38,310.00, the Local share amounts to $12,770.00, for a Total Project amount of $510,800.00; now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Harris to execute the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant Agreement, for financial assistance not to exceed $38,310.00 (State PIN No. 0913.05), and the SEQR Agency Compliance Statement for said project which is described as follows: Install new medium intensity runway lighting system on Runways 12-30 and 7-25; install rotating beacon and wind cone; install VAST and REI LS on Runways 7, 25, 12 and 30; install electrical vault, at the Elizabeth Field Airport, Fishers Island, New York. Question of adoption of the foregoing resolution was duly put to a vote on roll call, which resulted as follows: Ayes: Supervisor Harris, Justice Edwards, Councilman Penny, Councilman Wickham, Councilman Lizewski, Councilwoman Hussie. The foregoing resolution amended Resolution No. 4, adopted on February 23, 1993, by including the Total Project Cost, Federal Share, State Share, Local Share. X.' --Ju ith �erSouthold TowCle" -r April 7, 1993 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 9, 1993 John A. Falotico Planning 6 Program Management Director New York State Department of Transportation Veterans Memorial Highway Hauppauge, New York 11788 Re: Elizabeth Field Airport Town Resolutions PINS 0913.05/0913.06/0913.07 Dear Mr. Falotico: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Transmitted herewith are six (6) certified resolutions for the above - referenced aviation projects, which have been revised in accordance with your instructions. Thank you for your assistance in this matter. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON APRIL 6, 1993; AT 7:30 P.M., AT THE SOUTHOLD TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK: The meeting was called to order by Supervisor Scott L. Harris, and upon roll being called, the following were present: Present: Supervisor Scott L. Harris Justice Raymond W. Edwards Councilman George L. Penny IV Councilman Thomas H. Wickham Councilman Joseph J. Lizewski Councilwoman Alice J. Hussie The following resolution was offered by Justice Edwards who moved its adoption, seconded by Councilman Wickham, WHEREAS, application for available Federal Funding to install new medium intensity runway lighting system on Runways 12-30 and 7-25; install rotating beacon and wind cone; install VASI and REILS on Runways 7, 25, 12 and 30; install electrical vault, at Elizabeth Field Airport, Fishers Island, New York, has been approved; and WHEREAS, the project has been deemed consistent with sound transportation development policy and planning concepts for New York State participation; and WHEREAS, the Federal share of the grant amounts to $459,720.00, the State share amounts to $38,310.00, the Local share amounts to $12,770.00, for a Total Project amount of $510,800.00; now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Harris to execute the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant Agreement, for financial assistance not to exceed $38,310.00 (State PIN No. 0913.05), and the SEQR Agency Compliance Statement for said project which is described as follows: Install new medium intensity runway lighting system on Runways 12-30 and 7-25; install rotating beacon and wind cone; install VASI and REI LS on Runways 7, 25, 12 and 30; install electrical vault, at the Elizabeth Field Airport, Fishers Island, New York. Question of adoption of the foregoing resolution was duly put to a vote on roll call, which resulted as follows: Ayes: Supervisor Harris, Justice Edwards, Councilman Penny, Councilman Wickham, Councilman Lizewski, Councilwoman Hussie. The foregoing resolution amended Resolution No. 4, adopted on February 23, 1993, by including the Total Project Cost, Federal Share, State Share, Local Share. Judith T. Terry Southold Town Clerk April 7, 1993 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON APRIL 6, 1993; AT 7:30 P.M., AT THE SOUTHOLD.TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK: The meeting was called to order by Supervisor Scott L. Harris, and upon roll being called, the following were present: Present: Supervisor Scott L. Harris Justice Raymond W. Edwards Councilman George L. Penny IV Councilman Thomas H. Wickham Councilman Joseph J. Lizewski Councilwoman Alice J. Hussie The following resolution was offered by Justice Edwards who moved its adoption, seconded by Councilman Wickham, WHEREAS, application for available Federal Funding for Engineering Design for Runway 12-30 Overlay, has been approved; and WHEREAS, the project has been deemed consistent with sound transportation development policy and planning concepts for New York State participation; and WHEREAS, the Federal share of the grant amounts to $54,000.00, the State share amounts to $4,500.00, the Local share amounts to $1,500.00, for a Total Project amount of $60,000.00; now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Harris to execute the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant agreement, for financial assistance not to exceed $4,500.00 (State PIN No. 0913.06), and the SEQR Agency Compliance Statement for said project which is described as follows: Engineering Design for Runway 12-30 Overlay, at Elizabeth Field Airport, Fishers Island, New York. Question of adoption of the foregoing resolution was duly put to a vote on roll call, which resulted as follows: Ayes: Supervisor Harris, Justice Edwards, Councilman Penny, Councilman Wickham, Councilman Lizewski, Councilwoman Hussie. The foregoing resolution amended Resolution No. 5, adopted on February 23, 1993, by including the Total Project Cost, Federal Share, State Share, Local Share. Judith T. Terry Southold Town Clerk April 7, 1993 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON APRIL 6, 19930 AT 7:30 P.M., AT THE SOUTHOLD TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK: The meeting was called to order by Supervisor Scott L. Harris, and upon roll being called, the following were present: Present: Supervisor Scott L. Harris Justice Raymond W. Edwards Councilman George L. Penny IV Councilman Thomas H. Wickham Councilman Joseph J. Lizewski Councilwoman Alice J. Hussie The following resolution was offered by Justice Edwards who moved its adoption, seconded by Councilman Wickham: WHEREAS, application for available Federal Funding for Engineering Design for Runway 7-25 Overlay, has been approved; and WHEREAS, the project has been deemed consistent with sound transportation development policy and planning concepts for New York State participation; and WHEREAS, the Federal share for the grant amounts to $45,900.00, the State share amounts to $2,550.00, the Local share amounts to $2,550.00, for a Total Project amount of $51,000.00; now, therefore, be it RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Harris to execute the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant agreement, for financial assistance not to exceed $2,550.00 (State PIN No. 0913.07), and the SEQR Agency Compliance Statement for said project which is described as follows: Engineering Design for Runway 7-25 Overlay, at Elizabeth Field Airport, Fishers Island, New York. The foregoing resolution amended Resolution No. 6, adopted on February 23, 1993, by including the Total Project Cost, Federal Share, State Share, Local Share. Judith T. Terry Southold Town Clerk April 7, 1993 *C � Eiginees, Inc. Q rINOV3 rlAlE.- #OF PAGES.- - r (Add Cover Sheet) TO FIRM. _,5~o el 7 Vel Z FAX#: 6 RR0Alr:< 2,� //, �, L"RP00-f., NEW YORK 13088 TELEPHONE: PIS) 415.7981 BUFFALO, NEW YORK 14203 TELEPHONE. (31.5) 457-6711 PAX: (31S) 434-84113 'TEL PHONM (716) 8471630 FAX: (315) 457.9808 FAX: (716) 847-1454 December 9, 1992 Mr. R. Philip knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, New York 06390 Re: Fishers Island -Elizabeth Fleld File: 211 Dear Mr. Knauff: We are wr4 n,g wday to alert you r-h&t 4 ew York S:3te mat,.hirlg grant of ers for FY 92 pro;;,cts are expected to be mall to your muni2ipality before January 1, 1993. Tile grant will n. --ed to be accepted and returned to tht.,; State Department ;rf Trarspol:ation with copies of a resolution -Iuthorizir b acceptance, The szrte has —Gently notified i s t-, historically many of the resohtions v/hich are being returned with -sg nevi. ,:ants are not x%:.:t3! ;e to, th6 NVSDLT Comptroller`s 0iti;.e. F0Y ;;our convttinie; _e e l -:=ave erciosed a -oj,y of the letter written by the stat.- outlining the r they r A -e- a -e ^l,u? we l,avp, also provided a sample re olation for each ct;.tai3s w�.lch �isl: o e-.¢ lr: e ct .�.s� ion. � .� o1' the stare grans you should be recei�,"ing. You gill nc,ticv that some i tf0 oration is stil; missing, and Evill nead to be cornpleted by the mu nisi ,ality. Also, I recotwnend that you compare the state grant amount st ted in the O_np3e, to the ai= ;uO gralrt Ne Have not tilled In #lie projt!ct description for you be<cau e the slate has requtested dh,at the descriptio: be copied exactly as written in the grant documents. We are hoping ."at the et.close- ir.fcrinatioil will help eliminate sorl�e of the problems which delay state grant funds. If you have a::y questions or -Peed aditional lnfortnation, please feel free to Contact tis at (315) 455-7981. Very tndy yours, CALOCERINOS 8-4 SPINA ENGINEERS, P.C. Sheila M. Farley Grants Administrator SMF: eb Enclosures cc: Mr. Soctt L. Harris At a regularneati-ag of the Fishery 70w;d Ferry District of the T'o%�ln of Southold, Suffolk County, New York, held at t a ---_(building), in Southold, New York, on the day of (rnonth), ._ (year), o'clock P.M. The meeting was called to ordt by ____-- —`-- ' Title & Name), and upon roll being called, the following were PRESENT: The following resolution was offered by _ _ who (Title & Name) moved, AS adoption seconded by (Title & Name) WHEREAS application for available Federal funding for Ghe (Project Description) at the -has been approlled, and ArIHERFAS the project has been deemed consistent with sound transportation development policy and planning con :epts for New York State participation. WHEREAS. the federal share of the grant amounts to $459,7120, the Stat: sl;are amounts to $38,310, the loyal share amounts to $12,770 for a total amount of $510,804. THEREFORE BE 1T RESOLVED that the Town of Southold entor into an Agreernent with New York State Departmnent of Transportation for financial assista_rice, not to exceed 1:38,310, State PIN No. 0913.05, for the _ _ -- (Project Description) at the Elizabeth Field Airport, and BE IT FURTHER RESOI VE'D that thie Town Supervisor be autl.orized to execute documents on behalf of rhe Town of Southold. Question- of `tie adoption of the foregoing resolution was duly put to a vote on roll call, which resulted as follows: Voting (Aye or Nay) Affix Stamp or Seal At a feg lar rri®e-ving of tie Fishers Uland Ferry District of the Tows. of So ithoid, Suffolk County, New York, held at the -- (�ui1L�i Y:g), in Southold, New York, cry the _ day of (month),{eaI), o'clock P.M. The meeting was called to order by ;`Title & Name), and upon roll being called, the followhig were PRESENT: The following resolution was offered by _ who moved, its adoption seconded by (Title & Name) (Title & Name) WHEREAS application for available Federal funding for the (Project Description) at the has been appro,red, and WHEREAS 1 -he project has been deemad consistent with sound transportation development policy and planning concepts for New York State participation. WHEREAS the federal share of the grant amounts to $54,000, the State shame amounts to $4,500, the loc;d shire amounts to $1,500 for a total amount of $60,000. TI'4E SEF'ORE EE :T RESOLVED that the Town of Southold enter into an Agreement with New York State Department of Transportation for financial assistance, not to exceed $4,500, Stat; PIN No. 0913.06, for the _ -- (Project Description) at the Elizabeth Field Airport, and BE IT FUR HMER SOLVED ghat the Town Supervisor be authorized to execute documents on behalf of the Town of Sou&.old. Questions of the adoption of the f-regoing resolution was duly put to a vote on roll call, which resulted as follows: Voting (Aye or Nay) Affix Stamp or Seal At a regular meeting of tLe'Fishers Island Ferry Disi ice of the Town of Southold, Suf o'k County, Now Fork, held at the _---___(bui:ding), in Southold; New York:, on the _day of `� {rtort4), (yea,.,.), -- - o'clock P,11. The meeting was called to or&r by _ __-- _-_ � (Title & Name), and upon roll being called, the following were PRESENT: The following resolution. wh Rs offered by J who (Tide & Name) moved, its adoption seconded by (Title & Name) WHEREAS application for availableedieral funding for the ,!Project Description) at the -has beep, approved, and WHFREAS, tate pri jvut has been deatned Consistent with sound transportation development policy and planning concepts for New Yor ; State participation. WHEREAS tie federal shave of to grant amounts to $45,900, tha-State share amounts to $2,1450, the local share amounts to $2,550 for a total a*nourt of $51,000. THEREFORE BE i T RESO I VED that. the Town of Southold enter into an Agreetnent with New York: State Department of Transpoz-tation for nrancia-1 assistance, not to exceed $2,550, State PIN No. 0913.07, for the _ (Proecf Description] at the Elizabeth Field Airport, arid BE IT FURTHER RESOLVED Q�at tl y Town Supsn isor be authori,7ed to execute documents on behalf of the To` m of Southold. Questions of dYp adoption of thin "'o'-egoing resolution was duly put to- a vote or, roil call, which resulted as follows: Voting (Aye or Nay) Affix Stamp or Seal lb JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON APRIL 6, 1993: RESOLVED that the Town Board of the Town of Southold hereby amends their resolutions no. 4, 5, and 6, adopted on February 23, 1993, authorizing the Supervisor to execute SEQR Agency Compliance Statements and Infrastructure Renewal Grant Agreements (Studies) to the New York State Department of Transportation, Aviation Transportation, for the following projects with respect to Elizabeth Field Airport, Fishers Island, New York: Project no. 0913.5, Install new medium intensity runway lighting system on Runways 12-30 and 7-25; install rotating beacon and wind cone; install VAST and REILS on Runways 7, 25, 12 and 30; install electrical vault; Project No. 0913.06, Engineering Design for Runway 12- 30 Overlay; Project No. 0913.07, Engineering Design for Runway 7-25 Overlay; said amendments in accordance with the request of the New York State Department of Transportation to reflect the following four financial figures pertaining to the grant: Total Project Cost, Federal Share, State Share, Local Share. Judith T. `1`erry Southold Town Clerk April 7, 1993 £kCEL510R_, STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788 JAMES A. KLIZLOSKI REGIONAL DIRECTOR April 1, 1993 Honorable Scott L. Harris Supervisor, Town of Southold P. O. Box 1179 Southold, NY 11971 Dear Mr. Harris: 5 FRANKLIN E. WHITE COMMISSIONER Elizabeth Field Airport Town Resolutions PINS 091305/091306/091307 The required Town Resolutions for the above -referenced aviation projects are being returned for revisions. All Town Resolutions for State Grants must reflect the following four financial figures pertaining to the grant: Total Project Cost, Federal Share, State Share, Local Share. The Total Project Cost and the State Share must correspond to the State Grant. Please make the necessary additions to the enclosed resolutions and return them to our office for further processing. Very truly yours, C� � " JOHN A. FALOTICO Planning & Program Management Director Enc. AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 26, 1993 John A. Falotico Planning S Program Management Director Department of Transportation State of New York Veterans Memorial Highway Hauppauge, New York 11788 Re: Aviation Supplemental Grant Agreements Elizabeth Field Airport, Fishers Island Dear Mr. Falotico: Enclosed are six (6) signed Grants and six (6) REsolutions from the Southold Town Board authorizing its execution, along with one copy of a completed SEQA Agency Compliance Form, DV21, for each of the following projects: PIN 0913.05 - Install MIRL System on RW's 12-30 and 7-25 Install roating beacon Install VAST and REILS PIN 0913.06 - Engineering Design RW 12-30 overlay PIN 0913.07 - Engineering Design RW 7-25 overlay Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting & Finance el JUDITH T. TERRYr TOWN CLERK .. r�-� CS Town Hall, 53095 Main Road P.O. Box 1 179 REGISTRAR Southold, OF VITAL STATISTICS MARRIAGE OFFICER New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 26, 1993 John A. Falotico Planning S Program Management Director Department of Transportation State of New York Veterans Memorial Highway Hauppauge, New York 11788 Re: Aviation Supplemental Grant Agreements Elizabeth Field Airport, Fishers Island Dear Mr. Falotico: Enclosed are six (6) signed Grants and six (6) REsolutions from the Southold Town Board authorizing its execution, along with one copy of a completed SEQA Agency Compliance Form, DV21, for each of the following projects: PIN 0913.05 - Install MIRL System on RW's 12-30 and 7-25 Install roating beacon Install VAST and REILS PIN 0913.06 - Engineering Design RW 12-30 overlay PIN 0913.07 - Engineering Design RW 7-25 overlay Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting & Finance i C—loR STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788 JAMES A. KLIZLOSKI FRANKLIN E. WHITE REGIONAL DIRECTOR COMMISSIONER January 28, 1993 RECEIVED Honorable Scott L. Harris Supervisor FEB 31993 Southold Town Hall P.O. sox 1179 Southold Town Clerk Southold, NY 11977 Dear Mr. Harris: Aviation Supplemental Grant Agreements Elizabeth Field Airport Enclosed are seven (7) copies of the State Supplemental Grant Agreement for each of the following projects: PIN 0913.05 - Install MIRL System on RW's 12-30 and 7-25 Install rotating beacon Install VASI and REILS PIN 0913.06 - Engineering Design RW 12-30 overlay PIN 0913.07 - Engineering Design RW 7-25 overlay Please have them signed and notarized by the Town and return six (6) signed Grants and six (6) Resolutions from your legislative body authorizing its execution to this office for processing for each of the above projects. One copy of a completed SEQA Agency Compliance Form, DV21, is also needed for each project. Please complete these forms and return them along with the executed grants. Very truly yours, JOHN A. FALOTICO Planning & Program Management Director Enclosures AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER FOIK�OGy :c =2 z OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON FEBRUARY 23, 1993: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute the SEQR Agency Compliance Statement for the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant Agreement (Capital), Project No. 0913.05, as follows: Install new medium intensity runway lighting system on Runways 12-30 and 7-25; install rotating beacon and wind cone; install VASI and REILS on Runways 7, 25, 12 and 30; install electrical vault, at Elizabeth Field Airport, Fishers Island, New York; and be it FURTHER RESOLVED that Supervisor Harris be authorized and directed to execute the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant Agreements (Project No. 0913.05), for the following: Install new medium intensity runway lighting system on runways 12-30 and 7-25; install rotating beacon and wind cone; install VAST and REILS on Runways 7, 25, 12 and 30; install electrical vault, at Elizabeth Field Airport, Fishers Island, New York, all in accordance with the approval of the Town Attorney. Judith T. Terry Southold town Clerk February 24, 1993 I � I � DV -21-R1 (11/85) Agency Compliance Statement State Environmental Ouality Review In accordance with the rules, regulations and procedures adopted by TOWN OF SOUTHOLD (Name of Municipal Corporation) (or 6NYCRR Part 617 where the Municipal Corporation has not adopted such rules, regulations and procedures) pursuant to the intent of the State Environmental Quality Review Act, the project described below is classified as a: Ll 'Ripe I Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). [� Type I Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). [� Unlisted Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEAR Record of Decision have been prepared). L] Unlisted Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed) . L] Type II Action L] Ministerial Act L] Exempt Act INSTALL NEW MEDIUM INTENSITY RUNWAY LIGHTING SYSTEM ON RUNWAYS 12-30 AND 7-25 AT THE ELIZABETH FIELD AIRPORT. Applicant Signature Scott Louis Harris Supervisor, Town of Southold Title February 23, 1993 Date 11 DV -21-R1 (11/85) Agency Compliance Statement State Environmental Ouality Review In accordance with the rules, regulations and procedures adopted by TOWN OF SOUTHOLD (Name of Municipal Corporation) (or 6NYCRR Part 617 where the Municipal Corporation has not adopted such rules, regulations and procedures) pursuant to the intent of the State Environmental Quality Review Act, the project described below is classified as a: weO •, 0 LJ Type I Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). [ I Type I Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). L] Unlisted Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). U Unlisted Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). L] Type II Action U Ministerial Act Ll Exempt Act Project Description INSTALL ROTATING BEACON AND WIND CONE AT THE ELIZABETH FIELD AIRPORT. /44 Applicant Signature Scott Louis Harris Supervisor. Town of Southold Title February 23, 1993 Date DV -21-R1 (11/85) Agency Compliance Statement State Environmental Duality Review In accordance with the rules, regulations and procedures adopted by TOWN OF SOUTHOLD (Name of Municipal Corporation) (or 6NYCRR Part 617 where the Municipal Corporation has not adopted such rules, regulations and procedures) pursuant to the intent of the State Environmental Quality Review Act, the project described below is classified as a: Ll Type I Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). [_] Type I Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). [_] Unlisted Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEAR Record of Decision have been prepared). LI Unlisted Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed) . LJ Type II Action U Ministerial Act LJ' Exempt Act Project Descriesion INSTALL VASI AND REILS ON RUNWAYS 7, 25, 12 AND 30 AT THE ELIZABETH FIELD AIRPORT. S m� � Applicant cant Signature Scott Louis Harris Supervisor, Town of Southold Title February 23, 1993 Date DV -21-R1 (11/85) Ir f Agency Compliance Statement State Environmental Ouality Review In accordance with the rules, regulations and procedures adopted by TOWN OF SOUTHOLD (Name of Municipal Corporation) (or 6NYCRR Part 617 where the Municipal Corporation has not adopted such rules, regulations and procedures) pursuant to the intent of the State Environmental Quality Review Act, the project described below is classified as a: CBECK O L] Type I Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). [ 1 Type I Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). L] Unlisted Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). L Unlisted Action - with no significant effect (Environmental Assessment Form or Environmental Assessnent and Negative Declaration have been prepared and filed). U Type II Action L] Ministerial Act L] Exempt Act Project Descriytion INSTALL ELECTRICAL VAULT AT THE ELIZABETH FIELD AIRPORT. Applicant Signature Scott Louis Harris Supervisor, Town of Southold Title February 23, 1993 Date JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax(516)765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON FEBRUARY 23, 1993: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute the SEQR Agency Compliance Statement for the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant Agreement (Study), Project No. 0913.06, as follows: Engineering Design for Runway 12-30 Overlay, at Elizabeth Field Airport, Fishers Island, New York; and be it FURTHER RESOLVED that Supervisor Harris be authorized and directed to execute the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Grant Agreement (Study) (Project No. 0913.6), for Engineering Design for Runway 12-30 Overlay, at Elizabeth Field Airport, Fishers Island, New York, all in accordance with the approval of the Town Attorney. Judith T. Terry Southold town Clerk February 24, 1993 I I DV -21-R1 (11/85) Agency Compliance Statement State Environmental Quality Review In accordance with the rules, regulations and procedures adopted by TOWN OF SOUTHOLD (Name of Municipal Corporation) (or 6NYCRR Part 617 where the Municipal Corporation has not adopted such rules, regulations and procedures) pursuant to the intent of the State Environmental Quality Review Act, the project described below is classified as a: , r, • ] Type I Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEAR Record of Decision have been prepared). [ 1 'type I Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). L] Unlisted Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). L] Unlisted Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). KC] Type II Action L] Ministerial Act L] Exempt Act Project Description ENGINEERING DESIGN FOR RUNWAY 12-30 OVERLAY Applicant Signature' Scott Louis Harris Supervisor, Town of Southold Title February 23, 1993 Date 0 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON FEBRUARY 23, 1993: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute the SEQR Agency Compliance Statement for the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant Agreement (Study), Project No. 0913.07, as follows: Engineering Design for Runway 7-25 Overlay, at Elizabeth Field Airport, Fishers Island, New York; and be it FURTHER RESOLVED that Supervisor Harris be authorized and directed to execute the New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant Agreement (Study) (Project No. 0913.07), for Engineering Design for Runway 7-25 Overlay, at Elizabeth Field Airport, Fishers Island, New York, all in accordance with the approval of the Town Attorney. Judith Southold town Clerk February 24, 1993 I DV -21-R1 (11/85) Agency Compliance Statement State Environmental Quality Review In accordance with the rules, regulations and procedures adopted by TOWN OF SOUTHOLD (Name of Municipal Corporation) (or 6NYCRR Part 617 where the Municipal Corporation has not adopted such rules, regulations and procedures) pursuant to the intent of the State Environmental Quality Review Act, the project described below is classified as a: L1 Type I Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). LJ Type I Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). L1 Unlisted Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEQR Record of Decision have been prepared). L1 Unlisted Action - with no significant effect (Environmental Assessment Form or Environmental Assessment and Negative Declaration have been prepared and filed). L1 Type II Action U Ministerial Act L1 Exempt Act ENGINEERING DESIGN FOR RUNWAY 7-25 OVERLAY AT THE ELIZABETH FIELD AIRPORT. �;/� Alz��-tApplicant Signature Scott Louis Harris Supervisor, Town of Southold Title February 23, 1993 Date Enclosed please find the following: - Resubmitting three copies of Partial Payment Request No. TWO (Form 271) with attached backup documentation for appropriate signature. (Runway 7-25- Overlay) - Resubmitting three copies of Partial Payment Request No. TWO (Form 271) with attached backup documentation for appropriate signature. (Runway 12-30 Overlay) Remarks: Please have Mr. Harris sign three copies of Form 271 for each.project enclosed and forward these forms with the attached backup documentation directly to the FAA. I have enclosed an address label for your convenience. If you have any questions or need additional information, please do not hesitate to contact us. C&S ENGINEERS, INC. Enclosures cc: Mr. R. Philip Knauff;x— Sheila M. Farley Grants Administrator CBS Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax �(315)j445557-9988J03 To: Ms. Judith Terry Southold Town Clerk Re: Fisher's Island- 1 izabeth Field Town Clerk FAA AIP No. 3-36-0029-06-92 Town of Southold FAA AIP No. 3-36-0029-07-92 Town Hall 53095 Main Road, PO Box 1179 Southold, NY 11971 File: 211.006.001 & .002 Attention: Date: 22 -Mar -93 Enclosed please find the following: - Resubmitting three copies of Partial Payment Request No. TWO (Form 271) with attached backup documentation for appropriate signature. (Runway 7-25- Overlay) - Resubmitting three copies of Partial Payment Request No. TWO (Form 271) with attached backup documentation for appropriate signature. (Runway 12-30 Overlay) Remarks: Please have Mr. Harris sign three copies of Form 271 for each.project enclosed and forward these forms with the attached backup documentation directly to the FAA. I have enclosed an address label for your convenience. If you have any questions or need additional information, please do not hesitate to contact us. C&S ENGINEERS, INC. Enclosures cc: Mr. R. Philip Knauff;x— Sheila M. Farley Grants Administrator JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 12, 1993 Sheila M. Farley Grants Administrator C8S Engineers, Inc. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island - Elizabeth Field FAA AIP No. 3-36-0029-06-92 FAA AIP No. 3-36-0029-07-92 NYS PIN No. 0913.06 NYS PIN No. 0913.07 Dear Ms. Farley: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Enclosed are four (4) copies each of the following Partial Payment Requests which have been executed by Supervisor Harris: Partial Payment Request No. THREE (Form 271) (Runway 12-30 Overlay) Partial Payment Request No. THREE (Form 271) (Runway 7-25 Overlay) Partial Payment Request No. ONE (Form FIN -190) (Runway 12-30 Overlay) Partial Payment Request No. ONE (Form FIN -190) (Runway 7-25 Overlay) Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting S Finance t JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER 11 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MARCH 9, 1993: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute Partial Payment Request No. Three to the Federal Aviation Administration for a $7,446.71 reimbursement on the Fishers Island Elizabeth Field Airport Runway 12- 30 Overlay (Design) project; Partial Payment Request NO. Three to the Federal Aviation Administration for a $6,281.95 reimbursement on Runway 7-25 Overlay (Design) project; Partial Payment Request No. One to the New York State Department of Transportation for $3,083.59 reimbursement on the Runway 12-30 Overlay (Design) project; Partial Payment Request No. One to the New York State Department of Transportation for a $1,716.16 reimbursement on Runway 7-25 Overlay (Design) project, all in accordance with the recommendation of C8S Engineers, Inc., the Town's consultants for the project. JuditZh—IT Terry Southold Town Clerk March 10, 1993 is �., � °x E �eta �. , Southold Town C1.4 To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, NY 06390 Attend e.., cas Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 Re: Fisher's Island -Elizabeth Field FAA AIP No. 3-36-0029-06-92 FAA AIP No. 3-36-0029-07-92 NYS PIN No. 0913.06 NYS PIN No. 0913.07 File: 211.006.001 & .002 Date: 22 -Feb -93 Enclosed please find the following: - Five copies of Partial Payment Request No. THREE (Form 271) for your review and appropriate signature. (Runway 12-30 Overlay) - Five copies of Partial Payment Request No. THREE (Form 271) for your review and appropriate signature. (Runway 7-25 Overlay) - Five copies of Partial Payment Request No. ONE (Form FIN -190) for your review and appropriate signature. (Runway 12-30 Overlay) - Five copies of Partial Payment Request No. ONE (Form FIN -190) for your review and appropriate signature. (Runway 7-25 Overlay) Remarks: Please have Mr. Harris sign four copies of Forms 271, four copies of Forms FIN -190 (both pages), and return them to me for further processing. Keep one copy of each form with the attached backup documentation for your files. If you have any questions or need additional information, please do not hesitate to contact us. C&S ENGINEERS, INC. Enclosures �, f cc: Ms. Judith Terry Sheila M. Farley z Grants Administrator ' ' Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. 80-ROIS1 I 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST 11 FINAL ® PARTIAL ® CASH 11 ACCRUAL 3. FEDERAL SPONSORING AGENCY AND ORGANl2ATfi51VUEE0WRrW 4. FEDERAL GRANT OR OTHER 5. PARTIAL PAYMENT REQUEST NO. WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY THREE Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-06-92 S. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT IDENTIFYING NUMBER FROM (Month, day, year) TO (Month, day, year) 11-6003307 1 N/A 1/1! 1 2/16/93 g. RECIPIENT ORGANIZATION PROGRAMS - FUNCTIONS - ACTIVITIES 10. PAYEE (When check should be sent N dNtennt than hem D) Name: TOWN OF SOUTHOLD rc� Name: TOWN HALL, 53095 MAIN ROAD RUNWAY 12-30 No. and P.O. BOX 1179 No. and Street SOUTHOLD, NY 11971 Street c4ty. $0.00 $0.00 city, State and $0.00 $0.00 State and ZIP Code: c. Land, structures, right-of-way $0.00 IIP Code: 11. $0.00 STATUS OF FUNDS 0rrveumrvr'�cntr-rol Prescribed by Office of Management and Budget Cit. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES ra (b) rc� CLASSIFICATION RUNWAY 12-30 TOTAL OVERLAY (Design) a. Administrative expense $0.00 $0.00 $0.00 $0.00 b. Preliminary expense $0.00 $0.00 $0.00 $0.00 c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00 d. Architectural engineering basic fees $44,128.64 $0.00 $0.00 $44,128.64 e. Other architectural engineering fees $0.00 $0.00 $0.00 $0.00 f. Project inspection fees $0.00 $0.00 $0.00 $0.00 g. Land development $0.00 $0.00 $0.00 $0.00 h. Relocation expense $0.00 $0.00 $0.00 $0.00 1. Relocation payments to Individuals and businesses $0.00 $0.00 $0.00 $0.00 J. Demolition and removal $0.00 $0.00 $0.00 $0.00 k. Construction and project improvement cost $0.00 $0.00 $0.00 $0.00 1. Equipment $0.00 $0.00 $0.00 $0.00 m. Miscellaneous cost $0.00 $0.00 $0.00 $0.00 n. Total cumulative to date (sum of lines a thru m) $44,128.64 $0.00 $0.00 $44,128.64 o. Deductions for program Income $0.00 p. Net cumulative to date (Line n minus line o) $44,128.64 $0.00 $0.00 $44,128.64 q. Federal share to date $39,715.78 $0.00 $0.00 $39,715.78 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $39,715.78 $0.00 $0.00 $39,715.78 t. Federal payments previously re- quested $32,269.07 $0.00 $0.00 $32,269.07 u. Amount requested for reimbursement $7,446.71 $0.00 $0.00 $7,446.71 v. Percent of physical completion of �lrnieGt A-- 77 9o4 f1.�010 Q.10 73.5a/e 12. CERTIFICATION SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL DATE REPORT SUBMITTED 1 certify that to the best of my knowledge a. RECIPIENT /=n� /&,- and belief the billed costs or disburse- ED OR PRI TE AME AND TITLE TELEPHONE NO. ments are in accordance with the terms SCOTT L. HARRIS of the project and that the reimbursement TOWN SUPERVISOR (516) 765-1800 represents the Federal share due which has not been previously requested and that an inspection has been performed SIGNATURE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED and all work is in accordance with the b. Representative OFFICIAL terms of the award. certifying to line 11v. TYPED OR PRINTED NAME AND TITLE TELEPHONE NO. C&S ENGINEERS, INC. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR 0rrveumrvr'�cntr-rol Prescribed by Office of Management and Budget Cit. No. A-110 FISHERS ISLAND - ELIZABETH FIELD 02/22/93 RUNWAY 12-30 OVERLAY (Design) -------- FISHERS ISLAND, NY 211.006.001 F.A.A. AIP PROJECT NO. 3-36-0029-06-92 N.Y.S.D.O.T. PROJECT NO. 0913.06 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING a. ADMINISTRATIVE EXPENSE ......................... 91,936.00 81,936.00 80.00 $0.00 b. PRELIMINARY EXPENSE ............................ 80.00 80.00 80.00 80.00 c. LAND, STRUCTURES, RIGHT-OF-WAY ................. 80.00 80.00 80.00 80.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... 858,064.00 858,064.00 844,128.64 80.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... 80.00 $0.00 80.00 80.00 f. PROJECT INSPECTION FEES ........................ $0.00 $0.00 $0.00 80.00 g. LAND DEVELOPMENT ............................... $0.00 $0.00 80.00 $0.00 h. RELOCATION EXPENSE ............................. 80.00 80.00 80.00 80.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... 80.00 $0.00 $0.00 80.00 j. DEMOLITION AND REMOVAL ......................... 80.00 80.00 80.00 80.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... $0.00 $0.00 $0.00 $0.00 1. EQUIPMENT ...................................... $0.00 80.00 80.00 80.00 e. MISCELLANEOUS COST ............................. 80.00 80.00 80.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS 860,000.00 $60,000.00 $44,128.64 80.00 FISHERS ISLAND - ELIZABETH FIELD 02/22/93 RUNWAY 12-30 OVERLAY (Design) -------- FISHERS ISLAND, NY 211.006.001 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS ----------------------------------------------- PROGRAM NO. 1 Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $44,128.64 $43,278.40 $0.00 ------------------------------------------------------------------------ LESS RETAINAGE: $2,322.56 SUBTOTAL: $46,451.20 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 11/17/92 $14,516.00 $13,524.50 * 12/28/92 $11,612.80 $10,819.60 $0.00 * 01/15/93 $11,612.80 $10,819.60 $0.00 02/16/93 $8,709.60 $8,114.70 $0.00 Account Number... I......... Invoice #.............. Date ................19.......... . TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 13-5318940 .................................... CFSEngineers, Inc.............. Payee Reference: Address: .................................... 1.020. Seventh....North...St.... Phone No. (....)....................... ............ Liverpool , NY 13088 .... Vendor Contact CashDiscount ..................% .........Days.................................... The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof has been paid, except as therein stated, and that the balance therein stated is actually due and owing r.-" CFS Engin r Inc. Dated...............................19 .... X........... ... ... ..... Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD RUNWAY 12-30 OVERLAY DESIGN SERVICES Q Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315)457-6711 Fax (315) 457-9803 INV. DATE : 02/16/93 INVOICE # : 302117 PROJECT # : 211.006.001 FOR PROFESSIONAL SERVICES RENDERED THROUGH 01/31/93 TOTAL FEE AUTHORIZED 58,064.00 PERCENT COMPLETE AS OF 01/31/93 80.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** J 46,451.20 37,741.60 70 8,709.60 435.48 8,274.12 BC 302117 0 elb C&S AIRPORT DIVISION STATUS REPQR'T. JANUARY 1993r AIRPORT: Elizabeth Field PROJECT: Runway 7-25 & 12-30 Overlay PROJECT NO: 211.006 cU s IN PROGRESS SCHEDULED DATE COMPLETED (% COMPLETE) OF COMPLETION TASK X 1. Consultant Agreement Executed X 2. Topographic Survey X 3. Subsurface Investigations & Laboratory Testing X 4. Soils Analysis & Report X 5. Pavement Section Design N/A 6. Horizontal Geometrics 100 1/93 7. Vertical Alignment 100 1/93 8. Grading Design 100 12/92 9. Drainage Design N/A 10. Lighting System Layout N/A 11. Electrical Power & Control Design 50 2/93 12. SEQR Review Process 90 3/93 13. Contract Drawing Preparation 60 3/93 14. Contract Specifications Preparation 90 3/93 15. Design Report Preparation 90 3/93 16. F'mal Quantity Calculations X 17. Preliminary Submittal 4/93 18. Final Submittal 4/93 19. Advertisement 4/93 20. Bid Opening Comments: cU s ' f Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. 80-RO181 1 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST CLASSIFICATION 11 FINAL ® PARTIAL ® CASH ❑ ACCRUAL 3. 4. . WHICH THIS REPORT IS SUBM9ED IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY THREE Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-07-92 $0.00 G. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT $0.00 IDENTIFYING NUMBER FROM (Month, day, year) TO (Month, day, year) 11-6003307 N/A 1/15/93 2/16/93 9. RECIPIENT ORGANIZATION 10. PAYEE (Mere check shouts be Bent I/ different than Item 8) Name: TOWN OF SOUTHOLD Name: TOWN HALL, 53095 MAIN ROAD e. Other architectural engineering fees No. and P:O. BOX 1179 No. and Street: SOUTHOLD, NY 11971 Street Chy, City, State and State and ZIP Code: ZIP Code. 11 • STATUS OF FUNDS b I MIUAM FUM 271 (7-76) Prescribed by Office of Management and Budget CM. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (aI (b) (�) CLASSIFICATION RUNWAY 7-25 TOTAL OVERLAY (Design) a. Administrative expense $0.00 $0.00 $0.00 $0.00 b. Preliminary expense $0.00 $0.00 $0.00 $0.00 c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00 d. Architectural engineering basic fees $37,226.32 $0.00 $0.00 $37,226.32 e. Other architectural engineering fees $0.00 $0.00 $0.00 $0.00 I. Project inspection fees $0.00 $0.00 $0.00 $0.00 g. Land development $0.00 $0.00 $0.00 $0.00 h. Relocation expense $0.00 $0.00 $0.00 $0.00 I. Relocation payments to Individuals and businesses $0.00 $0.00 $0.00 $0.00 j. Demolition and removal $0.00 $0.00 $0.00 $0.00 k. Construction and project improvement cost $0.00 $0.00 $0.00 $0.00 I. Equipment $0.00 $0.00 $0.00 $0.00 m. Miscellaneous cost $0.00 $0.00 $0.00 $0.00 n. Total cumulative to date (sum of lines a thru m) $37,226.32 $0.00 $0.00 $37,226.32 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $37,226.32 $0.00 $0.00 $37,226.32 q. Federal share to date $33,503.69 $0.00 $0.00 $33,503.69 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $33,503.69 $0.00 $0.00 $33,503.69 t. Federal payments previously re- quested $27,221.74 $0.00 $0.00 $27,221.74 u. Amount requested for reimbursement $6,281.95 $0.00 $0.00 $6,281.95 v. Percent of physical completion of project 73.0%1 0.0% 0.0% 73.0% 12. CERTIFICATION SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL DATE REPORT SUBMITTED I certify that to the best of my knowledge a. RECIPIENT and belief the billed costs or disburse- TYPED OR PRINTF AME AND T TELEPHONE NO. ments are in accordance with the terms SCOTT L. HARRIS of the project and that the reimbursement TOWN SUPERVISOR (516) 765-1800 represents the Federal share due which has not been previously requested and that an inspection has been performed SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL DATE REPORT SUBMITTED and all work is in accordance with the b. Representative terms of the award. certifying to line 11v. TYPED OR PRINTED NAME AND TITLE TELEPHONE NO. C&S ENGINEERS, INC. SHEILA M. FARLEY (315) 455-7981 771-1n0 GRANTS ADMINISTRATOR b I MIUAM FUM 271 (7-76) Prescribed by Office of Management and Budget CM. No. A-110 FISHER ISLAND AIRPORT -ELIZABETH FIELD 02/22/93 RUNWAY 7-25 OVERLAY (Design) -------- TOWN OF SOUTHOLD, NY 211.006 F.A.A. AIP PROJECT NO. 3-36-0029-07-92 N.Y.S.D.O.T. PROJECT NO. 0913.07 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE -------------------------------------------------------------------------------------------------------------------------------------- AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING -------------------------------------------------------------------------------------------------------------------------------------- a. ADMINISTRATIVE EXPENSE ......................... $2,018.00 $2,018.00 $0.00 $0.00 b. PRELIMINARY EXPENSE ............................ $0.00 $0.00 $0.00 $0.00 c. LAND, STRUCTURES, RIGHT-OF-WAY ................. $0.00 $0.00 $0.00 $0.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... $48,982.00 $48,982.00 $37,226.32 $0.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... $0.00 $0.00 $0.00 $0.00 f. PROJECT INSPECTION FEES ........................ $0.00 $0.00 $0.00 $0.00 g. LAND DEVELOPMENT ............................... $0.00 $0.00 $0.00 $0.00 h. RELOCATION EXPENSE ............................. $0.00 $0.00 $0.00 $0.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... $0.00 $0.00 $0.00 $0.00 j. DEMOLITION AND REMOVAL ......................... $0.00 $0.00 $0.00 $0.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... $0.00 $0.00 $0.00 $0.00 1. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 s. MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $51,000.00 $51,000.00 $37,226.32 $0.00 FISHER ISLAND AIRPORT -ELIZABETH FIELD 02/22/93 RUNWAY 7-25 OVERLAY (Design) -------- TOWN OF SOUTHOLD, NY 211.006 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $37,226.32 $36,129.60 $0.00 ------------------------------------------------------------------------ ------------------------------------------------------------------------ LESS RETAINAGE: $1,959.28 SUBTOTAL: 839,185.60 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 12/28/92 $22,041.90 $20,322.90 * 01/15/93 $9,796.40 $9,032.40 80.00 02/16/93 $7,347.30 86,774.30 80.00 Account Number..:'.......... Invoice #............. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 13-51894 ................3......0 .............. C S Engineers, Inc. Payee Reference: Address: .................................... 1020 Seventh North St. Phone No. (....)....................... L i ve rpo 01 , NY 1.3088 ., , , . , Vendor Contact Cash Discount ..................% .........Days.................................... IItemI Description of Material/Service I Quantity I I Unit Amount No. Price f Total Discount Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof h been paid, except herein stated, and that the balance therein stated is actually due and owing C$S Engine r Inc. Dated ............................... 19 .... X.......... Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD RUNWAY 7-25 OVERLAY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED OCTOBER 6, 1992. (i�89 Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315)457-6711 Fax (315) 457-9803 INV. DATE : 02/16/93 INVOICE # : 302118 PROJECT # : 211.006.002 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED THROUGH 01/31/93 TOTAL FEE AUTHORIZED 48,982.00 PERCENT COMPLETE AS OF 01/31/93 80.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE 39,185.60 31,838.30 7,347.30 367.37 AMOUNT DUE THIS INVOICE ** 6,979.93 BC 302118 C&S AIRPORT DIVISION TrTUS PART .. iihT[TAR 199. AIRPORT: Elizabeth Field PROJECT: Runway 7-25 & 12-30 Overlay PROJECT NO: 211.006 IN PROGRESS SCHEDULED DATE COMPLETED (% COMPLETE) OF COMPLETION X X X X X N/A NA NA X Comments: 100 100 100 50 90 60 90 90 1. 2. 3. 4. 5. 6. 1/93 7. 193 8. 12/92 9. 10. 11. 2/93 12. 3/93 13. 3/93 14. 3/93 15. 3/93 16. 17. 4/93 18. 4/93 19. 4/93 20. TASK Consultant Agreement Executed Topographic Survey Subsurface Investigations & Laboratory Testing Soils Analysis & Report Pavement Section Design Horizontal Geometries Vertical Alignment Grading Design Drainage Design Lighting System Layout Electrical Power & Control Design SEAR Review Process Contract Drawing Preparation Contract Specifications Preparation Design Report Preparation Final Quantity Calculations Preliminary Submittal Final Submittal Advertisement Bid Opening C21S FIN 190-2b (1D/71) STATE OF NEW YORK (Comptroller's I AC 5033 DEPARTMENT OF TRANSPORTATION (Number I K- I--------------- I ----------------- Approved State MUNICIPAL CORPORATION APPLICATION FOR PAYMENT (Certificate I Comptroller (Number I ONE -------------------------------------------------------------------------------------------------------------------------------------- 1PAYEE (Name,Address and Zip Code) I FINANCIAL STATEMENT (TOWN OF SOUTHOLD ICOST OF WORK PERFORMED TO DATE: 02/16/93 (TOWN HALL, 53095 MAIN ROAD 1 IP.O. BOX 1179 1 1. Total Expended 843,278.40 ISOUTHOLD, NY 11971 1 2. Less non -participating 80.00 1-------------------------------------------------------------------1 3. Eligible Cost 843,278.40 IPayee-Employer Identification No. I Org. Code 1 4. Less Federal Share 838,950.56 1 11-6003307 1 BOO 1 5. Project Cost 84,327.84 I-------------------------------------------------------------------1 6. 951 of Project Cost 84,111.45 1 GRANT AGREEMENT 1 7. State Share at 751 83,083.59 (State Number 0913.06 Max. State Amt. 84,500.00 1 8. Total prior requests 80.00 (Federal Number 3-36-0029-06-92 Max. Fed. Amt. 854,000.00 1 9. Amount requested 83,083.59 I------------------------------------------------------------------------------------------- ------------------------------------------ I In accordance with the provisions of the Grant Agreement, the Municipal Corporation applies for payment as follows: I-------------------------------------------------------------------------------------------------------- ----------------------------- 1 i A I B I C I D I E I F I G I ELIGIBLE I FEDERAL I PROJECT I PRIOR I CURRENT 1 95% OF I STATE FUNDS I DESCRIPTION I COST I SHARE I COST I PROJECT I PROJECT I CURRENT I REQUESTED I I INCURRED I I (A -B) I COSTS I COSTS (C -D) I COSTS* 1 (751 OF F)* I-------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I EQUIPMENT I 90.00 1 80.00 1 80.00 1 I 80.00 1 80.00 1 80.00 1 -------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I LAND I 80.00 1 80.00 1 80.00 1 I 80.00 1 80.00 1 80.00 1 I -------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I -----------;----- I I CONSTRUCTION 1 80.00 1 80.00 1 80.00 1 I 80.00 1 80.00 1 90.00 1 ------------------- I --------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I ENGINEERING 1 843,278.40 1 838,950.56 1 84,327.84 1 1 84,327.84 1 84,111.45 1 83,083.59 1 -------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I OTHER I 80.00 1 80.00 1 80.00 1 I 80.00 1 80.00 1 80.00 1 I -------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I 80.00 1 80.00 1 80.00 1 1 80.00 1 80.00 1 80.00 1 -------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I ADMINISTRATION 1 80.00 1 80.00 1 80.00 1 I 80.00 1 80.00 1 80.00 1 1-------------------I---------------I---------------I---------------I---------------I---------------I---------------I-----------------I I TOTALS 1 843,278.40 1 838,950.56 1 84,327.84 1 80.00 1 84,327.84 1 84,111.45 1 83,083.59 1 I----------------- - - - - - - - - -------------------------------------------------------------------I *DO NOT USE COLUMN F WHEN REQUESTING FINAL PAYMENT FOR THE PROJECT 1 I-------------------------------------------------------------------------------------------------------------------------------------I CERTIFICATION OF MUNICIPAL CORPORATION 1 II certify that according to my knowledge and belief all items and amounts shown on the face of this application for payment are I Icorrect, all work has been performed and or all materials supplied; that the contractors who have performed work on this project I (have complied with all of the provisions of Section 220 of the New York State Labor Law and that affidavits to that effect covering I Ithe payroll period through 02/16/93 are in file in my office; that the foregoing is a true and correct statement I lof the project account up to and including the last day of the period covered by this application. I l e,.; 193 �JT (Date: Signature: Title: TOWN SUPERVISOR I I-------------------------------------------------------------------------------------------------------------------------------------I INEW YORK STATE USE Deduct Ineligible Items per Schedule Attached -$ I Approved Amount 8 1-------------------------------------------------------------------------------------------------------------------------------------I (AVIATION DIVISION CERTIFICATION - DEPT. OF TRANSPORTATION (APPROVED AS TO FUNDS AVAILABLE 1 ITo the best of my knowledge and belief, this claim is correct and (AUDITS & ACCOUNTS BUREAU - DEPT. OF TRANSPORTATION I Ijust, and is approved for payment I i (Date By (Date By 1 I------------------------------------------------------------------------------------------------------------------------------------- I I PROJECT NUMBER I REQUEST I PAYMENT I (Dept. of Transp. (State (Number (Interim (Voucher Number IFederal (Date ISemi-final Final I I I I D.O.T. i I I I ENCUMBRANCE LIQUIDATION I I PROJECT IDENT. NO. I I 1 ACCOUNT i EXPENDED ICHAR I OBJ.1----------------- I ----------------- I I -------------------------- I S I I NUMBER I AMOUNT I I I CONTRACT I AMOUNT I £UNCTION I MAJOR I SUB I U I I I I I NUMBER I I I I I F I I------------------------I-----------------I-----I-----I-----------------I-----------------I----------I-----------------1--------I----1 113 21122 31132 33134 35136 41142 51155 58160 1 65166 68169701 1------------------------I-----------------I-----I-----I-----------------I-----------------I----------I-----------I-----i--------I----I I I I I I I'''' ' I 1 1 1701 1''' I I', I I I------------------------1-----------------I-----I-----I-----------------I-----------------I----------I-----------i-----I--------I----I 1 I I I I I'''' ' I 1 1 1701 1''' 1 1', 1 1 I------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I-----------I-----i--------I ----I 11 I ( I I''''' I 1 1 1701 1''' t I,, I I I------------------------ I----------------- I-----I-----I----------------- I----------------- I ---------- I ----------- I-----1--------I----I I I 1 I I I'' ' ' ' I 1 1 1701 1''' 1 1,, 1 1 I------------------------I-----------------I-----t-----I-----------------I----------------- I ---------- I-----------I-----I-------- I ----I -------------------------I-------------I---�- I 1 , '' 1 1 1701 1 ' '' I 1 1 1 1 Department Copy FISHERS ISLAND - ELIZABETH FIELD 02/22/93 RUNWAY 12-30 OVERLAY (Design) -------- FISHERS ISLAND, NY 211.006.001 F.A.A. AIP PROJECT NO. 3-36-0029-06-92 N.Y.S.D.O.T. PROJECT NO. 0913.06 SUMMARY OF STATE ELIGIBLE PROJECT COSTS PROGRAM NO. 1 --------------------------------------------- ESTIMATED TOTAL COST ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE FEDERAL ELIGIBLE STATE ELIGIBLE STATE ELIGIBLE PARTICIPATING -------------------------------------------------------------------------------------------------------------------------------------- a. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 b. LAND ........................................... $0.00 $0.00 80.00 $0.00 c. CONSTRUCTION ................................... $0.00 $0.00 $0.00 $0.00 d. ENGINEERING .................................... 858,064.00 $54,098.00 $43,278.40 $0.00 e. OTHER .......................................... 80.00 $0.00 $0.00 50.00 f. ADMINISTRATION ................................. -------------------------------------------------------------------------------------------------------------------------------------- $1,936.00 81,936.00 80.00 $0.00 TOTAL STATE COSTS $60,000.00 $56,034.00 $43,278.40 80.00 WORK PERFORMED TO: 02/16/93 FISHERS ISLAND - ELIZABETH FIELD 02/22/93 RUNWAY 12-30 OVERLAY (Design) -------- FISHERS ISLAND, NY 211.006.001 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $44,128.64 $43,278.40 $0.00 ------------------------------------------------------------------------ LESS RETAINAGE: $2,322.56 SUBTOTAL: $46,451.20 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 11/17/92 $14,516.00 $13,524.50 12/28/92 $11,612.80 $10,819.60 $0.00 01/15/93 $11,612.80 $10,819.60 $0.00 02/16/93 $8,709.60 $8,114.70 $0.00 Account Number ............. I nvo ice #. 2 11.1.3 7 ..... Date. l 1 17 / 2.....19 ....... , .. . TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: Calocerinos $ Spina Engineers, P.C. """""""""""""""""" ...................................... Payee Reference: Address: , , , 1.6.-.13 21.7 S 7 ..................... 1020Seventh North St. Phone No. (....►....................... .. .. ..... ... .. .. L.i.ve rpo,o 1 , , NY , , , , .1308.8 . . . . ... . . . . . . Vendor Contact Cash Discount .................. %a ......... Days .................................... The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof f#s been paid, except as t re1n stated, and that the balance therein stated is actually due and owing. Dated.... November 17............ 19 92.. .. .....`......�. a� Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 TOWN OF SOUTHOLD-R/W 12-30 OVERLAY INV. DATE : 11/17/92 INVOICE # : 211137 PROJECT # : 211.006.001 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED THROUGH 10/30/92 TOTAL FEE AUTHORIZED 58,064.00 PERCENT COMPLETE AS OF 10/30/92 25.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS * 14,516.00 * .00 TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 14,516.00 725.80 13,790.20 BC 211137 L] Ir j C(1-11S)S-t C&S AIRPORT DIVISION STATUS REPORT OCTOBER 1992 AIRPORT: Elizabeth Field PROJECT: Runway 7-25 & 12-30 Overlay PROJECT NO: 211.006 Comments: The centerline profiles, grading plans, and quantities will be worked on during the month of November. IN PROGRESS SCHEDULED DATE COMPLETED (% COMPLETE) OF COMPLETION TASK X 1. Consultant Agreement Executed X 2. Topographic Survey X 3. Subsurface Investigations & Laboratory Testing X 4. Soils Analysis & Report X 5. Pavement Section Design N/A 6. Horizontal Geometrics 50 11/92 7. Vertical Alignment 20 11(92 8. Grading Design 20 11/92 9. Drainage Design N/A 10. Lighting System Layout N/A 11. Electrical Power & Control Design 10 2/93 12. SEOR Review Process 30 12/93 13. Contract Drawing Preparation 30 12/92 14. Contract Specifications Preparation 0 12/92 15. Design Report Preparation 0 12/92 16. Final Ouantity Calculations 40 11/92 17. Preliminary Submittal 40 12/92 18. Final Submittal 0 1/93 19. Advertisement 0 2/93 20. Bid Opening Comments: The centerline profiles, grading plans, and quantities will be worked on during the month of November. Account Number ............. Invoice #............. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. j PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321.75. . 7 .......................... Calocerinos F, Spina Engineers, P.C. Payee Reference: Address: .................................... 1020 Seventh North. Street ...... . . . .... Phone No. ....................... L i ve rpoo 1.,, NY .... 13 0.8.8 ..... . ...... . ..... Vendor Contact CashDiscount ..................% .........Days.................................... I Item Description of Material/Service,( L Quantity I Unit Amount No. Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof h een paid, except as therein stated, and that the balance therein stated is actually due and owing. C1, e r i n o s & S p n � Engineers, P . C . Dated ............................. .19 .... X.. Signature Calocerinos&spinel [ iicjillf'ols. P.(', TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT t ELIZABETH FIELD RUNWAY 12-30 OVERLAY DESIGN SERVICES INV. DATE : 12/28/92 INVOICE # : 212142 PROJECT # : 211.006.001 FOR PROFESSIONAL SERVICES RENDERED THROUGH 11/27/92 TOTAL FEE AUTHORIZED 58,064.00 PERCENT COMPLETE AS OF 11/27/92 45.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE 'AMOUNT DUE THIS INVOICE ** 26,128.80 14,516.00 11,612.80 580.64 11,032.16 BC 212142 IWO SeveWh North 1wot, Liwrpj)O1. 1'qY t;fi)Z#3 (;I,?,) (31f)) 4 1071 1 f7" (315) 11 7 98,113 + a C&S AIRPORT DIVISION STATUS REPORT NOVEMBER 1992 AIRPORT: Elizabeth Field PROJECT: Runway 7-25 & 12-30 Overlay PROJECT NO: 211.006 IN PROGRESS SCHEDULED DATE COMPLETED (% COMPLETE) OF COMPLETION X X X X N/A N/A N/A X 90 90 100 30 75 50 50 0 75 1. 2. 3. 4. TASK Consultant Agreement Executed Topographic Survey Subsurface Investigations & Laboratory Testing Soils Analysis & Report Pavement Section Design Horizontal Geometries Vertical Alignment Grading Design Drainage Design Lighting System Layout Electrical Power & Control Design SEAR Review Process Contract Drawing Preparation Contract Specifications Preparation Design Report Preparation Final Quantity Calculations Preliminary Submittal Final Submittal Advertisement Bid Opening Comments: The centerline profilesgrading_plans and quantities should he finalized during the month of December. 5. 6. 12/92 7. 12/92 8. 12/92 9. 10. 11. 2/93 12. 12/92 13. 12/92 14. 12/92 15. 12/92 16. 17. 12/92 18. 1/93 19. 2/93 20. TASK Consultant Agreement Executed Topographic Survey Subsurface Investigations & Laboratory Testing Soils Analysis & Report Pavement Section Design Horizontal Geometries Vertical Alignment Grading Design Drainage Design Lighting System Layout Electrical Power & Control Design SEAR Review Process Contract Drawing Preparation Contract Specifications Preparation Design Report Preparation Final Quantity Calculations Preliminary Submittal Final Submittal Advertisement Bid Opening Comments: The centerline profilesgrading_plans and quantities should he finalized during the month of December. I Account Number ............. Invoice #............. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 13-5318940 .................................... CSS. Engineers, Inc. Payee Reference: Address: .................................... .1020..Seventh. No,r.th. S.t........... Phone No. (....)....................... Liverpool , Ny 13088 Vendor Contact Cash Discount ..................% .........Days.................................... Item Description of Material/Service Quantity Unit Amount No. I I I Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof hs een paid, except as therein stated, and that the balance therein stated is actually due and owing C&S Engi eers , nc . Dated...............................19 .... x.............. Signature COPY TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD RUNWAY 12-30 OVERLAY DESIGN SERVICES FOR PROFESSIONAL SERVICES RENDERED THROUGH 12/31/92 is Q Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 INV. DATE : 01/15/93 INVOICE # : 301084 PROJECT # : 211.006.001 TOTAL FEE AUTHORIZED 58,064.00 PERCENT COMPLETE AS OF 12/31/92 65.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** y 37,741.60 26,128.80 11,612.80 580.64 ) 11,032.16 BC 301084 C&S AIRPORTS DMSION »STATUS REPORT DECEMBER 1992 AIRPORT: Elizabeth Field PROJECT: Runway 7-25 & 12-30 Overlay PROJECT NO: 211.006 IN PROGRESS SCHEDULED DATE COMPLETED , (% COMPLETE) OF COMPLETION TASK X 1. Consultant Agreement Executed X 2. Topographic Survey X 3. Subsurface Investigations & Laboratory Testing X 4. Soils Analysis & Report X 5. Pavement Section Design N/A 6. Horizontal Geometries 100 1/93 7. Vertical Alignment 100 1/93 8. Grading Design 100 12/92 9. Drainage Design N/A 10. Lighting System Layout N/A 11. Electrical Power & Control Design 30 2/93 12. SEQR Review Process 90 1/93 13. Contract Drawing Preparation 50 1/93 14. Contract Specifications Preparation 90 1/93 15. Design Report Preparation 50 1/93 16. Final Quantity Calculations X 17. Preliminary Submittal 2/93 18. Final Submittal 2/93 19. Advertisement 2/93 20. Bid Opening Comments: It would be beneficial to determine the asphalt plant location and exactly how to transport materials to the island as we discussed. CEJ S i + Account Number...'.......... Invoice #..:.......... Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 189 ........... 13.. - .. 5.3.....40............... CFS Engineerst Inc. Payee Reference: Address: .................................... 1020 .Seventh....North...St... . , . Phone No. (....)....................... ............ Liverpool , NY 13088 , . . , Vendor Contact CashDiscount ..................% .........Days.................................... Item Description of Material/Service Quantity Unit Amount No. I I I Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof has been paid, except as therein stated, and that the balance therein stated is actually due and owing r-1, CFS Engin r Inc . Dated............................. .19 .... X.. ........ ... ... ..... Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD RUNWAY 12-30 OVERLAY DESIGN SERVICES Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 fax (315) 457-9803 INV. DATE : 02/16/93 INVOICE # : 302117 PROJECT # : 211.006.001 FOR PROFESSIONAL SERVICES RENDERED THROUGH 01/31/93 TOTAL FEE AUTHORIZED 58,064.00 PERCENT COMPLETE AS OF 01/31/93 80.009 FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** �1 u 46,451.20 37,741.60 7a 8,709.60 435.48 8,274.12 BC 302117 C&.S AIRPORT DIVISION STATUS REPORT' ,IANUAR� 199T AIRPORT: Elizabeth Field PROJECT: Runway 7-25 & 12-30 Overlay PROJECT NO: 211.006 Cas IN PROGRESS SCHEDULED DATE COMPLETED (% COMPLETE) OF COMPLETION TASK 1. Consultant Agreement Executed X 2. Topographic Survey X 3. Subsurface Investigations & X Laboratory Testing 4. Soils Analysis & Report X 5. Pavement Section Design X N/A 6. Horizontal Geometrics 100 1/93 7. Vertical Alignment 100 1/93 8. Grading Design 100 12/92 9. Drainage Design N/A 10. Lighting System Layout 11. Electrical Power & Control Design N/A 50 2/93 12. SEQR Review Process 90 3/93 13. Contract Drawing Preparation 60 3/93 14. Contract Specifications Preparation 90 3/93 15. Design Report Preparation 90 3/93 16. Final Quantity Calculations X 17. Preliminary Submittal 4/93 18. Final Submittal 4/93 19. Advertisement 4/93 20. Bid Opening Comments: Cas FIN 19U -Lb 11U/111 STATE OF NEW YORK (Comptroller's I I AC 5033t DEPARTMENT OF TRANSPORTATION (Number I K- I I--------------- I -----------------I pproved State MUNICIPAL CORPORATION APPLICATION FOR PAYMENT (Certificate I I Comptroller (Number I ONE I ------------------------------------------------------------------------------------------------------ 1 -------------------------------- IPAYEE (Name,Address and Zip Code) I FINANCIAL STATEMENT I ITOWN OF SOUTHOLD ICOST OF WORK PERFORMED TO DATE: 02/16/93 I ITOWN HALL, 53095 MAIN ROAD I 1 IP.O. BOX 1179 1 1. Total Expended $36,129.60 1 ISOUTHOLD, NY 11971 1 2. Less nonparticipating $0.00 1 I-------------------------------------------------------------------1 3. Eligible Cost $36,129.60 1 (Payee -Employer Identification No. I Org. Code 1 4. Less Federal Share $32,516.64 1 1 11-6003307 1 800 1 5. Project Cost $3,612.96 1 I-------------------------------------------------------------------1 6. 95% of Project Cost $3,432.31 1 GRANT AGREEMENT 1 7. State Share at 50% $1,716.16 1 (State Number 0913.07 Max. State Amt. $2,550.00 1 8. Total prior requests $0.00 1 (Federal Number 3-36-0029-07-92 Max. Fed. Amt. $45,900.00 1 9. Amount requested $1,716.16 1 I------------------------------------------------------------------------------------------------------------- I In accordance with the provisions of the Grant Agreement, the Municipal Corporation applies for payment as follows: I I-------------------------------------------------------------------------------------------------------------------------------------I I I A I B i C I D I E i F I G I I I ELIGIBLE I FEDERAL I PROJECT I PRIOR I CURRENT 1 95% OF I STATE FUNDS I I DESCRIPTION I COST I SHARE I COST I PROJECT I PROJECT I CURRENT I REQUESTED I I I INCURRED I I (A -B) I COSTS I COSTS (C -D) I COSTS* 1 (50% OF F)* I I------------------- I --------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I EQUIPMENT 1 $0.00 1 $0.00 1 $0.00 1 I $0.00 1 $0.00 1 $0.00 1 I -------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I 1 LAND I $0.00 1 $0.00 1 $0.00 1 I $0.00 1 $0.00 1 $0.00 1 I -------------------i--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I CONSTRUCTION 1 $0.00 1 $0.00 1 $0.00 1 I $0.00 1 $0.00 1 $0.00 1 1-------------------I---------------I---------------I---------------I---------------I---------------I---------------I-----------------I I ENGINEERING 1 $36,129.60 1 $32,516.64 1 $3,612.96 1 1 $3,612.96 1 $3,432.31 1 $1,716.16 1 I -------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I OTHER I $0.00 1 $0.00 1 $0.00 1 I $0.00 1 $0.00 1 $0.00 1 I -------------------I--------------- I --------------- I --------------- I --------- ------I--------------- I --------------- I ----------------- I 1 I $0.00 1 $0.00 1 $0.00 1 I $0.00 1 $0.00 1 $0.00 1 I -------------------I--------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I ADMINISTRATION 1 $0.00 1 $0.00 1 $0.00 1 I $0.00 1 $0.00 1 $0.00 1 1-------------------I---------------I---------------I---------------I---------------i---------------I---------------I-----------------I I TOTALS 1 $36,129.60 1 $32,516.64 1 $3,612.96 1 $0.00 1 $3,612.96 1 $3,432.31 1 $1,716.16 1 I-------------------------------------------------------------------- 1 *DO NOT USE COLUMN F WHEN REQUESTING FINAL PAYMENT FOR THE PROJECT 1 I------------------------------------------------------------------------------------------------------------- CERTIFICATION OF MUNICIPAL CORPORATION II certify that according to my knowledge and belief all items and amounts shown on the face of this application for payment are I (correct, all work has been performed and or all materials supplied; that the contractors who have performed work on this project I (have complied with all of the provisions of Section 220 of the New York State Labor Law and that affidavits to that effect covering I Ithe payroll period through 02/16/93 are in file in my office; that the foregoing is a true and correct statement I [of the project account up to and including the last day of the period covered by this application. I IDatec' Signature: Title: TOWN SUPERVISOR I I------------------------------------------------------------------------------------------------------------------------------------I INEW YORK STATE USE Deduct Ineligible Items per Schedule Attached -$ I Approved Amount $ I 1-------------------------------------------------------------------------------------------------------------------------------------I (AVIATION DIVISION CERTIFICATION - DEPT. OF TRANSPORTATION (APPROVED AS TO FUNDS AVAILABLE 1 ITo the best of my knowledge and belief, this claim is correct and (AUDITS & ACCOUNTS BUREAU - DEPT. OF TRANSPORTATION I ljust, and is approved for payment I I IDate By (Date By I------------------------------------------------------------------------------------------------------------------------------------- I I PROJECT NUMBER I REQUEST I PAYMENT I (Dept. of Transp. IState (Number (Interim (Voucher Number IFederal (Date (Semi-final Final I I D.O.T. I I I I ENCUMBRANCE LIQUIDATION I I PROJECT IDENT. NO. I I I ACCOUNT I EXPENDED (CHAR I OBJ.1----------------- I ----------------- I I -------------------------- I S I I NUMBER I AMOUNT I I I CONTRACT I AMOUNT I FUNCTION I MAJOR I SUB I U I I I I I NUMBER I I I I I F I I------------------------I-----------------I-----I-----I-----------------I-----------------I----------I-----------------I--------I----1 113 21122 31132 33134 35136 41142 51155 58160 1 65166 68169701 1------------------------I-----------------I-----I-----f-----------------I-----------------I----------I-----------I-----I--------I----I I i I I I ' I''' ' ' I 1 1 1701 1' ' ' 1 1,, 1 1 I------------------------I-----------------I-----I----I-----------------I----------------- I ---------- I-----------I-----I--------I ----I I 1 ( I I''''' I 1 1 1701 1''' 1 1,, 1 1 I------------------------I-----------------I-----i-----I-----------------I----------------- I ---------- I-----------i-----I--------I ----I 1 I I I I I''' ' ' I 1 1 1701 1'' ' I I,, I I I------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I-----------I-----I--------I----I 1 I 1 I I I ' ' ' ' ' i 1 1 1701 1'' ' ( I I I I------------------------I-----------------I-----I-----I-----------------i----------------- I ---------- I-----------I-----I--------I ----I 1 f I I I I ' '''' I 1 1 1701 1' ' ' I I,, I I ----------------------------------------------------------------------------------------------- Department Copy FISHER ISLAND AIRPORT -ELIZABETH FIELD RUNWAY 7-25 OVERLAY (Design) TOWN OF SOUTHOLD, NY F.A.A. AIP PROJECT NO. 3-36-0029-07-92 N.Y.S.D.O.T. PROJECT NO. 0913.07 SUMMARY OF STATE ELIGIBLE PROJECT COSTS PROGRAM NO. 1 --------------------------------------------- 211.006 02/22/93 ESTIMATED TOTAL COST ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE FEDERAL ELIGIBLE STATE ELIGIBLE STATE ELIGIBLE PARTICIPATING a. EQUIPMENT ...................................... $0.00 $0.00 $0.00 ------------------ $0.00 b. LAND ........................................... $0.00 $0.00 $0.00 $0.00 c. CONSTRUCTION ................................... $0.00 $0.00 $0.00 $0.00 d. ENGINEERING .................................... $48,982.00 $45,162.00 $36,129.60 $0.00 e. OTHER .......................................... $0.00 $0.00 $0.00 $0.00 f. ADMINISTRATION ................................. -------------------------------------------------------------------------------------------------------------------------------------- $2,018.00 $2,018.00 $0.00 $0.00 TOTAL STATE COSTS $51,000.00 $47,180.00 $36,129.60 $0.00 WORK PERFORMED TO: 02/16/93 I FISHER ISLAND AIRPORT -ELIZABETH FIELD 02/22/93 RUNWAY 7-25 OVERLAY (Design) -------- TOWN OF SOUTHOLD, NY 211.006 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $37,226.32 $36,129.60 $0.00 LESS RETAINAGE: $1,959.28 SUBTOTAL: $39,185.60 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 12/28/92 $22,041.90 $20,322.90 01/15/93 $9,796.40 $9,032.40 $0.00 02/16/93 $7,347.30 $6,774.30 $0.00 Account Number ............. Invoice #............. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 .................................... Calocerinos & Spina Engineers, P.C. payee Reference: Address: .................................... 1020. Seventh. North, S.t.. , , , , .. , , , , , Phone No. (....)....................... Liverpgp�.,, ,NY .... 13o8.8 ............. Vendor Contact Cash Discount ..................% .........Days.................................... IItem Description of Material/ServiceI Quantity I Unit I Amount No. Price Total Discount —71 Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof h s been paid, exce t as therein stated, and that the balance therein stated is actually due and owing. C ?IS) and & Spina Engineers, P . C Dated............................. .19 .... ..... Signature L a ' Item ti " Caiocerinos&Spina TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD RUNWAY 7-25 OVERLAY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED OCTOBER 6, 1992. INV. DATE : 12/28/92 INVOICE # : 212143 PROJECT # : 211.006.002 FOR PROFESSIONAL SERVICES RENDERED THROUGH 11/27/92 TOTAL FEE.'AUTHORIZED 48,982.00 PERCENT COMPLETE AS OF 11/27/92 45.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 22,041.90 .00 a► 22,041.90 1,102.10 20,939.80 BC 212143 10,10 c)ovorith 1' olttl `>ir;!o, I.ivr�r(vuil NY 1 rig ,((iy ��;i�:� .?',% �„ 1 FA'X pir', i�_ C&S AIRPORT DIVISION STATUS REPORT NOVEMBER 1,992 AIRPORT: Elizabeth Field PROJECT: Runway 7-25 & 12-30 Overlay PROJECT NO: 211.006 IN PROGRESS SCHEDULED DATE COMPLETED (% COMPLETE) OF COMPLETION X X X X X N/A N/A N/A X 90 90 100 30 75 50 50 0 75 1. 2. 3. 4. cs TASK Consultant Agreement Executed Topographic Survey Subsurface Investigations & Laboratory Testing Solis Analysis & Report Pavement Section Design Horizontal Geometries Vertical Alignment Grading Design Drainage Design Lighting System Layout Electrical Power & Control Design SEAR Review Process Contract Drawing Preparation Contract Specifications Preparation Design Report Preparation Final Quantity Calculations Preliminary Submittal Final Submittal Advertisement Bid Opening Comments: The centerline profiles,rg ading_plans, and quantities should be finalized during the month of December. 5. 6. 12/92 7. 12/92 8. 12/92 9. 10. 11. 2/93 12. 12/92 13. 12/92 14. 12/92 15. 12/92 16. 17. 12/92 18. 1/93 19. 2/93 20. cs TASK Consultant Agreement Executed Topographic Survey Subsurface Investigations & Laboratory Testing Solis Analysis & Report Pavement Section Design Horizontal Geometries Vertical Alignment Grading Design Drainage Design Lighting System Layout Electrical Power & Control Design SEAR Review Process Contract Drawing Preparation Contract Specifications Preparation Design Report Preparation Final Quantity Calculations Preliminary Submittal Final Submittal Advertisement Bid Opening Comments: The centerline profiles,rg ading_plans, and quantities should be finalized during the month of December. Account Number ............. Invoice #............. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: ..13.-.5.3189.4.0 .. ....................... C_qS. Engineers, Inc, .... . ........ . Payee Reference: Address: .................................... • 10 20. Seven.th . No.r.th . S.t........... Phone No. (.... )....................... Liverpool, NY, 1.3088 .... . . . .. . ... Vendor Contact Cash Discount ..................% .........Days.................................... Item Description of Material/Service Quantity Unit Amount No. I I I Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof ha ben paid, except as erein stated, and that the balance therein stated is actually due and owing.0 & LEnginee In Dated............................. .19 .... X. ..... .... Signature s Account Number ............. Invoice #............. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: ..13.-.5.3189.4.0 .. ....................... C_qS. Engineers, Inc, .... . ........ . Payee Reference: Address: .................................... • 10 20. Seven.th . No.r.th . S.t........... Phone No. (.... )....................... Liverpool, NY, 1.3088 .... . . . .. . ... Vendor Contact Cash Discount ..................% .........Days.................................... Item Description of Material/Service Quantity Unit Amount No. I I I Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof ha ben paid, except as erein stated, and that the balance therein stated is actually due and owing.0 & LEnginee In Dated............................. .19 .... X. ..... .... Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD RUNWAY 7-25 OVERLAY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED OCTOBER 6, 1992. (Cas Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 INV. DATE : 01/15/93 INVOICE # : 301085 PROJECT # : 211.006.002 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED THROUGH 12/31/92 TOTAL FEE AUTHORIZED 48,982.00 PERCENT COMPLETE AS OF 12/31/92 65.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS y'5 , lwle * 31,838.30 * 22,041.90 TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 9,796.40 /1 489.82 9,306.58 BC 301085 C&S AIRPORT DIVISION STATUS REPORT DECEMBER>1992 AIRPORT: Elizabeth Field PROJECT: Runway 7-25 & 12-30 Overlay PROJECT NO: 211.006 Comments: It would be beneficial to determine the asphalt plant location and exactly how to transport materials to the island as we discussed. CU S IN PROGRESS SCHEDULED DATE COMPLETED (% COMPLETE) OF COMPLETION TASK X 1. Consultant Agreement Executed X 2. Topographic Survey X 3. Subsurface Investigations & Laboratory Testing X 4. Soils Analysis & Report X S. Pavement Section Design N/A 6. Horizontal Geometrics 100 1/93 7. Vertical Alignment 100 1/93 8. Grading Design 100 12/92 9. Drainage Design N/A 10. Lighting System Layout N/A 11. Electrical Power & Control Design 30 2/93 12. SEQR Review Process 90 1/93 13. Contract Drawing Preparation 50 1/93 14. Contract Specifications Preparation 90 1/93 15. Design Report Preparation 50 1/93 16. Final Quantity Calculations X 17. Preliminary Submittal 2/93 18. Final Submittal 2/93 19. Advertisement 2/93 20. Bid Opening Comments: It would be beneficial to determine the asphalt plant location and exactly how to transport materials to the island as we discussed. CU S ,V Suurholci luwrt Cleric To: Mr. James Kuzloski NYSDOT - Region No. 10 New York State Office Bldg. Veterans Highway Hauppauge, NY 11787 Atte;ition: Enclosed please find the following: CBS Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 Re: Fisher's Island -Elizabeth Field FAA AIP No. 3-36-0029-06-92 FAA AIP No. 3-36-0029-07-92 NYS PIN No. 0913.06 NYS PIN No. 0913.07 File: 211.006.001 & .002 Date: 16-Nar-93 - Three copies of Partial Payment Request No. ONE (Form FIN -190) with attached backup documentation for your review and processing. (Runway 7-25 Overlay -Design) - Three copies of Partial Payment Request No. ONE (Form FIN -190) with attached backup documentation for your review and processing. (Runway 12-30 Overlay -Design) Remarks: If you have any questions or need additional information, please do not hesitate to contact us. Enclosures cc: Mr. R. Philip Knauff Ms. Judith Terry C&S ENGINEERS, INC. Sheila M. Farley Grants Administrator To: Mr. Philip Brito Manager Federal Aviation Administration N.Y. Airports District Office 181 South Franklin Avenue Valley Stream, NY 11581 Attention: Enclosed please find the following: cas Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 Re: Fisher's Island -Elizabeth Field FAA AIP No. 3-36-0029-06-92 FAA AIP No. 3-36-0029-07-92 NYS PIN No. 0913.06 NYS PIN No. 0913.07 File: 211.006.001 & .002 Date: 16 -Mar -93 - Three copies of Partial Payment Request No. THREE (Form 271) with attached backup documentation for your review and processing. (Runway 7-25 Overlay -Design) - Three copies of Partial Payment Request No. THREE (Form 271) with attached backup documentation for your review and processing. (Runway 12-30 Overlay -Design) Remarks: If you have any questions or need additional information, please do not hesitate to contact us. Enclosures cc: Mr. R. Philip Knauff Ms. Judith Terry C&S ENGINEERS, INC. Sheila M. Farley Grants Administrator RECEIVED MAR 51v��'D To: Mr. Philip Brito Manager Federal Aviation Administration N.Y. Airports District Office 181 South Franklin Avenue Valley Stream, NY 11581 Attention: Enclosed please find the following: CBS Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 Re: Fisher's Island -Elizabeth Field Airfield Lighting (Construction) FAA AIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 File: 211.004.002 Date: 03--Har-913 - Three copies of Partial Payment Request No. FOUR (Form 271) with attached backup documentation for your review and processing. Remarks: If you have any questions or need additional information, please do not hesitate to contact us. C&S ENGINEERS, INC. Enclosures ' cc: Mr. R. Philip Knauff 'r l - Ms. Judith Terry 5h6ila M. Farley Grants Administrator R C !`4ED NIA; �ra�lth(Zf,r f.a<<rt. To: Mr. James Kuzloski NYSDOT - Region No. 10 New York State Office Bldg. Veterans Highway Hauppauge, NY 11787 Attention: Enclosed please find the following: cas Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 Re: Fisher's Island -Elizabeth Field Airfield Lighting (Construction) FAA AIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 File: 211.004.002 Date: 03 -Mar -93 - Three copies of Partial Payment Request No. ONE (Form FIN -190) with attached backup documentation for your review and processing. Remarks: If you have any questions or need additional information, please do not hesitate to contact us. C&S ENGINEERS, INC. Enclosures cc: Mr. R. Philip Knauff 4_ ,, W1' r r� Ms. Judith Terry Sheila M. Farley Grants Administrator JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 26, 1993 Sheila M. Farley Grants Administrator C&S Engineers, Inc. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island -Elizabeth Field Airfield Lighting (Construction) FAA SIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 Dear Ms. Farley: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Enclosed are four executed copies of partial payment request No. FOUR (Form 271) and partial payment request No. ONE (Form FIN -190) with regard to the above referenced project. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting & Finance JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER r4.r- OLkcOGy � ac OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON FEBRUARY 23, 1993: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute partial payment request No. Four to the Federal Aviation Administration, for a $44,501.75 reimbursement with regard to the Fishers Island Elizabeth Field Airfield Lighting (Construction) project, all in accordance with the recommendation of the Town's engineers for the project, C&S Engineers, Inc.; and be it FURTHER RESOLVED that the Town Board authorizes and directs Supervisor Harris to execute partial payment request No. One to the New York State Department of Transportation, for a $34,077.63 reimbursement with regard to the same Elizabeth Field project, all in accordance with the recommendation of C&S Engineers, Inc. Judith T. Terry Southold Town Clerk February 24, 1993 I RECEIVED FEB 16 1993 Southold Town Clerk To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, NY 06390 Attention: Enclosed please find the following: cas Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 Re: Fishers Island -Elizabeth Field Airfield Lighting (Constructic,n) FAA AIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 File: 211.004.002 Date: 09 -Feb -93 - Five copies of partial payment request No. FOUR (Form 271) for your review and appropriate signature. - Five copies of partial payment request No. ONE (Form FIN -190) for your review and appropriate signature. Remarks: Please sign four copies of Form 271, four copies of Form FIN -190 (both pages), and return them to me for distribution to appropriate agencies. Keep one copy of each form with the attached backup documentation for your files. If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Enclosures cc: Ms. Judith Terry Sheila M. Farley Grants Administrator FIN 190-2b (10/71) STATE OF NEW YORK (Comptroller's I I `AC 5033 DEPARTMENT OF TRANSPORTATION (Number I K- I--------------- I ----------------- Approved State MUNICIPAL CORPORATION APPLICATION FOR PAYMENT (Certificate I I Comptroller (Number I ONE I --------------------------------------------------------------------------------------------------------------------------------------I (PAYEE (Name,Address and Zip Code) I FINANCIAL STATEMENT I ITOWN OF SOUTHOLD (COST OF WORK PERFORMED TO DATE: 01/15/93 I ITOWN HALL, 53095 MAIN ROAD I I IP.O. BOX 1179 1 1. Total Expended $486,180.61 1 ISOUTHOLD, NY 11971 1 2. Less non -participating $7,898.04 1 1-------------------------------------------------------------------1 3. Eligible Cost $478,282.57 1 (Payee -Employer Identification No. I Org. Code 1 4. Less Federal Share $430,454.31 I i 11-6003307 1 BOO 1 5. Project Cost $47,828.26 1 I-------------------------------------------------------------------1 6. 95% of Project Cost $45,436.84 1 I GRANT AGREEMENT 1 7. State Share at 75% $34,077.63 1 [State Number 0913.05 Max. State Amt. $38,310.00 1 8. Total prior requests $0.00 1 (Federal Number 3-36-0029-05-92 Max. Fed. Amt. $459,720.00 1 9. Amount requested $34,077.63 1 1------------------------------------------------------------------------------------------------------------------------------------- I I In accordance with the provisions of the Grant Agreement, the Municipal Corporation applies for payment as follows: I I------------------------------------------------------------------------------------------------------------------------------- -----I I I A I B I C I D I E I F I G I I I ELIGIBLE I FEDERAL I PROJECT I PRIOR I CURRENT 1 95% OF I STATE FUNDS I I DESCRIPTION I COST I SHARE I COST I PROJECT 1 PROJECT I CURRENT I REQUESTED I I I INCURRED I I (A -B) I COSTS I COSTS (C -D) I COSTS* 1 (75% OF F)* I I------------------- I --------------- I --------------- I --------------- I --------------- I --------------- I --------------- I ----------------- I I EQUIPMENT 1 $0.00 f $0.00 1 $0.00 1 1 $0.00 1 $0.00 1 $0.00 1 1-------------------I---------------I---------------I---------------I---------------I---------------I---------------I-----------------I I LAND 1 $0.00 1 $0.00 1 $0.00 1 I $0.00 1 $0.00 1 $0.00 1 I------------------- I --------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I CONSTRUCTION 1 $406,355.02 1 $365,719.52 1 $40,635.50 1 1 $40,635.50 1 $38,603.73 1 $28,952.80 1 1-------------------I---------------I---------------I---------------I---------------I---------------I---------------I-----------------I I ENGINEERING 1 $71,927.55 1 $64,734.79 1 $7,192.75 1 1 $7,192.75 1 $6,833.12 1 $5,124.84 1 I-------------------I---------------1---------------I---------------I---------------I---------------I---------------I-----------------I I OTHER 1 $0.00 1 $0.00 1 $0.00 1 1 $0.00 1 $0.00 1 $0.00 1 I------------------- I --------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I 1 $0.00 1 $0.00 1 $0.00 1 I $0.00 1 $0.00 1 $0.00 1 I------------------- I --------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I ADMINISTRATION I $0.00 1 $0.00 1 $0.00 1 1 $0.00 1 $0.00 1 $0.00 1 I------------------- I --------------- I --------------- I --------------- I --------------- I --------------- I --------------- I ----------------- I I TOTALS 1 $478,282.57 1 $430,454.31 1 $47,828.26 1 $0.00 1 $47,828.26 1 $45,436.84 1 $34,077.63 1 I-------------------------------------------------------------------------------------------------------------------------------------I I *DO NOT USE COLUMN F WHEN REQUESTING FINAL PAYMENT FOR THE PROJECT I I----------------------------------------------------------------------------------------- I CERTIFICATION OF MUNICIPAL CORPORATION I II certify that according to my knowledge and belief all items and amounts shown on the face of this application for payment are I Icorrect, all work has been performed and or all materials supplied; that the contractors who have performed work on this project I (have complied with all of the provisions of Section 220 of the New York State Labor Law and that affidavits to that effect covering I Ithe payroll period through 01/15/93 are in file in ■y office; that the foregoing is a true and correct statement I lof the project account up to and including the last ay of the period covered by this application. I I I IDate:' Signature: R Title: TOWN SUPERVISOR I I-------------------------------------------------------------------------------------------------------------------------------------I INEW YORK STATE USE Deduct Ineligible Items per Schedule Attached -$ I I Approved Amount $ 1----------------------------------------------------------------------------------------------------------------------- (AVIATION DIVISION CERTIFICATION - DEPT. OF TRANSPORTATION (APPROVED AS TO FUNDS AVAILABLE I ITo the best of my knowledge and belief, this claim is correct and (AUDITS & ACCOUNTS BUREAU - DEPT. OF TRANSPORTATION I Ijust, and is approved for payment I I (Date By IDate By 1 I-------------------------------------------------------------------------------------------------------------------------------------I I PROJECT NUMBER I REQUEST I PAYMENT I (Dept. of Transp. (State (Number (Interim I (Voucher Number (Federal IDate (Semi-final Final I I I D.O.T. I i I I ENCUMBRANCE LIQUIDATION I I PROJECT IDENT. NO. I I I ACCOUNT I EXPENDED ICHAR I OBJ.1----------------- I ----------------- I I -------------------------- I S I NUMBER I AMOUNT I I I CONTRACT I AMOUNT I FUNCTION I MAJOR I SUB I U I I I I 1 I NUMBER I I I I I F I I------------------------I-----------------I-----I-----I-----------------I-----------------I----------I-----------------I--------I----1 113 21122 31132 33134 35136 41142 51155 58160 1 65166 68169701 1------------------------I-----------------I-----I-----I-----------------I-----------------I----------I-----------I-----I--------I----I 1 ' ' ' ' ' ' ' ' I I I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I ' ' I I I------------------------I-----------------I-----I-----i-----------------I----------------- I ---------- I-----------I-----I--------I ----I I ' ' ' ' ' ' ' ' I I I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' i I ' ' I I I------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I-----------I-----I--------I ----I i ' ' ' ' ' ' ' ' I 1 I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I ' ' I I I------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I-----------I-----I--------i ----I I ' ' ' ' ' ' ' ' I 1 I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I ' ' I I I------------------------i-----------------I-----i-----I-----------------I----------------- I ---------- I-----------I-----I--------I ----I I ' ' ' ' ' ' ' ' I I I I I ' ' ' ' ' i 1 1 1701 1 ' ' ' 1 ' 1 ' ' I I --------------------------------------------------------------------------------------------------------------------------------------- OUTLAY REPORT AND REQUEST FOR REIMBURSE- MENT FOR CONSTRUCTION PROGRAMS WHICH THIS REPORT IS SUBMITTED Approved by Office of Management and PAGE Budget No. 80-RO181 1 OF 1 PAGES 1. TYPE OF REQUEST 2. BASIS OF REQUEST 11 FINAL ® PARTIAL ® CASH ❑ ACCRUAL C 5. - IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY FOUR Federal Aviation Administration - N.Y.A.D.O. PROGRAMS - FUNCTIONS - ACTIVITIES 3-36-0029-05-92 (a) 6. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT CLASSIFICATION IDENTIFYING NUMBER FROM (Month, day, year) TO (Month, day, year) 11-6003307 N/A 11/10/92 1/15/93 9. RECIPIENT ORGANIZATION $0.00 10. PAYEE b. Preliminary expense (Where check should be sent if different than item 9) Name: TOWN OF SOUTHOLD $0.00 Name: c. Land, structures, right-of-way $0.00 TOWN HALL, 53095 MAIN ROAD $0.00 $0.00 d. Architectural engineering basic fees $0.00 No. and P.O. BOX 1179 $0.00 No. and e. Other architectural engineering fees $0.00 Street. SOUTHOLD, NY 11971 $0.00 Street: f. Project inspection fees $79,825.59 City, $0.00 City, g. Land development $0.00 State and $0.00 State and h. Relocation expense $0.00 ZIP Code: $0.00 ZIP Code: i. Relocation payments to individuals and 11. STATUS OF FtINnB businesses J I mmul%nu tVrlM C/1 (/-r0) Prescribed by Office of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (a) (b) (c) CLASSIFICATION AIRFIELD LIGHTING TOTAL (Construction) a. Administrative expense $0.00 $0.00 $0.00 $0.00 b. Preliminary expense $0.00 $0.00 $0.00 $0.00 c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00 d. Architectural engineering basic fees $0.00 $0.00 $0.00 $0.00 e. Other architectural engineering fees $0.00 $0.00 $0.00 $0.00 f. Project inspection fees $79,825.59 $0.00 $0.00 $79,825.59 g. Land development $0.00 $0.00 $0.00 $0.00 h. Relocation expense $0.00 $0.00 $0.00 $0.00 i. Relocation payments to individuals and businesses $0.00 $0.00 $0.00 $0.00 j. Demolition and removal $0.00 $0.00 $0.00 $0.00- k. Construction and project improvement cost $406,355.02 $0.00 $0.00 $406,355.02 I. Equipment $0.00 $0.00 $0.00 $0.00 m. Miscellaneous cost $0.00 $0.00 $0.00 $0.00 n. Total cumulative to date (sum of lines - a thru m) $486,180.61 $0.00 $0.00 $486,180.61 o. Deductions for program income $0.00 p. Net cumulative to date (Line in minus line o) $486,180.61 $0.00 $0.00 $486,180.61 q. Federal share to date $437,562.55 $0.00 $0.00 $437,562.55 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $437,562.55 $0.00 $0.00 $437,562.55 t. Federal payments previously re- quested $393,060.80 $0.00 $0.00 $393,060.80 u. Amount requested for reimbursement $44,501.75 $0.00 $0.00 $44,501.75 v. Percent of physical completion of project 95.2% 0. O%j 0.0%1 95.2% 12. CERTIFICATION SIGNATURE OF AUTHORIZED CERTIFYING I DATE REPORT SUBMITTED OFFICIAL C L I certify that to the best of my knowledge a. RECIPIENT and belief the billed costs Or disburse- TYPED OR PRINTED NAME AND TITLE TELEPHONE NO. ments are in accordance with the terms SCOTT L. HARRIS of the project and that the reimbursement TOWN SUPE VISO (516) 765-1800 represents the Federal share due which has not been previously requested and that an inspection has been performed SIGNATURE OF AUTH6_R_1ZEDCERTIFTJNd DATE REPORT SUBMITTED and all work is in accordance with the b. Representative;HZON�E OFFICIAL terms of the award. certif in to tine11V. TYPED OR PRINTED NAME AND TITLE ' TELNO. CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR 771 -i 117 J I mmul%nu tVrlM C/1 (/-r0) Prescribed by Office of Management and Budget Cir. No. A-110 Account Number ............. Invoice *............. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: .................................... Calocerinos & Spina.Eng.ineers, P.C. payee Reference: ........... Address: 16 -13.2.17 5 7 1.020. Seventh North .. .... Phone No. (....)....................... L i ve rp o o = NY ... 13.0 8 8 ... . .... . . . . . Vendor Contact Cash Discount ..................% .........Days........................ .......... The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof h"enpaid,xceptSaerein stated, and that the balance therein stated is actually due and owing. Dated...ecemer15,.._,........ 19 92.. . Signature Calecerinos & Spin!(--l- TOWN pin!( TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 10/30/92 THROUGH 11/27/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE INV. DATE: 12/15/92 INVOICE #: 212055 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 10?0 Swv n ! I I Pv'or, h 'Suo"'I _A 4 ''' ,; 1V);'4 ,;i'i'i V-7 -411 FAX M',', 1r7 �38W Vy5 THIS INVOICE CUMULATIVE�1��'y'= 663.90 18, 373.10 25, 722.34 ca� -------92946- --------------- 1,593.36 44,095.44 .00 852.25 -------------- -------------- 1,593.36 1,119.18 44,947.69 26, 923.81 -------------- -------------- 2,712.54 71,871.50• .- 406.88 10,082.68 -------------- -------------- -------------3,119.42 3,119.42 81, 954.18 155.97 -------------- 2,963.45 10?0 Swv n ! I I Pv'or, h 'Suo"'I _A 4 ''' ,; 1V);'4 ,;i'i'i V-7 -411 FAX M',', 1r7 �38W ION 'i Cc-lllocerinS& St`s;! P TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 SALARY & EXPENSE DETAIL SALARIES BASED ON MULTIPLIER INV. DATE: 12/15/92 INVOICE #: 212055 PROJECT #: 211.004.002 PREM RATE 1.0000 AMOUNT 152.00 32.20 8.50 229.50 131.20 75.00 8.50 27.00 663.90 AMOUNT 886.00 1.0000 233.18 ------------ 1,119.18 l0' 0 Sov(,.w i Korth Sirucx _ .30, .:_ pi "t ,i '6 {3 15) 4 7-, 1 FAX (:,1 `,' 457 9803 HOURS RATE PROJECT ENGINEER COST/QTY LEANA, JAMES W. 8.00 19.0000 ENGINEER AUTO RENTAL MCDERMOTT, CHARLES R 2.00 16.1000 DRAFTER MANCINI, PAULA M. 1.00 8.5000 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 9.00 25.5000 GRANTS ADMINISTRATOR FARLEY, SHEILA M. 8.00 16.4000 SECRETARY WILDS, KAREN D. 6.00 12.5000 BAXTER, CYNTHIA A. 1.00 8.5000 EDWARDS, SUSAN L. 3.00 9.0000 PREM RATE 1.0000 AMOUNT 152.00 32.20 8.50 229.50 131.20 75.00 8.50 27.00 663.90 AMOUNT 886.00 1.0000 233.18 ------------ 1,119.18 l0' 0 Sov(,.w i Korth Sirucx _ .30, .:_ pi "t ,i '6 {3 15) 4 7-, 1 FAX (:,1 `,' 457 9803 38.00 OTHER EXPENSES COST/QTY TRAVEL & SUBSISTENCE CLARK, BRUCE 886.00 AUTO RENTAL HERTZ SYSTEM, INC. 233.18 PREM RATE 1.0000 AMOUNT 152.00 32.20 8.50 229.50 131.20 75.00 8.50 27.00 663.90 AMOUNT 886.00 1.0000 233.18 ------------ 1,119.18 l0' 0 Sov(,.w i Korth Sirucx _ .30, .:_ pi "t ,i '6 {3 15) 4 7-, 1 FAX (:,1 `,' 457 9803 CalocerinoS&Spina EXPENSE REPORT SUMMARY C-MwW Engineers, P C./�_/� DATE --MPLOYEE NAMEt PRINT) DEPARTMENT NAME: PERIOD SHEET IOF 3 FROM : ( TO i // Z SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS PROJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EM Ct31EE �aE `h1 , �'vt SUPERVISOR DATE PARTNER DATE ACCOUNTING DATE / (,go. 00 �_ TOTAL PPD. OR CREDIT CARO EXPENSE lQ 0^/_/►Fp��/ VlJ lOV O /�TOTAL CJ XP NS POCKET EXPENSE 3 21 1-004 00 Q 0 0 � L TOTAL EXPENSE 1831 ADVANCE ADVANCE GATE ADVANCE DATE TOTAL ADVANCE LESS OUT OF POCKET EXPENSE BALANCE DUE COMPANY DUE EMPLOYEE 18 3 REMARKS i GRAND TOTAL ;VIONII FLIGHT NS • MAIN TCER NCEHT3 EXErA IR AIRCFUELRAFT SREN ALIOf SALES CHAUNICOM 123.3 Syracuse Executive Air Service, Inc. 800.838.3932 :w+ Maiden Rd., Hancock International Airport, Syracuse, NY 13211 315-455-"17 CAL100 CALOCERINOS i SPINA I AIRPORT DIVISION INVOICE, 7550 iHANCOCK INTERNATIONAL Al REFERENCEt1157 i SYRACUSE, NEW YOR13212 DATEt 10-31-92 A ;fATTNtBRUCE•-';XA TAX EXEMPT NUMBER y DESCRIPTION OTY PRICE EXTENSION s� C-999SE-6 N999SE-6 PASSENGERS 1.00 1,610.0 1,610.00 I. CATERING 60.00 TRIP DATE t 10/30/92 ROUTE t SYRACUSE — FISHERS ISLAND — SYRACUSE PASSENGERSt MR. BRUCE CLARK AND PARTY AIRCRAFT t KING AIR 90 I CREW It TERRY GLEESON AND WALLY DEGROOT 10% FET— `j a ce5) 161.00 TOTAL INVOICE i, B'3 [THANK YOU FOR BEING A VALUED CUSTOMER! Terms net ten days. Interest at 11/2% per month A (18% per year) charged on past due accounts. rrw.m. Please pa from Invoice. k 1 `v /m Calocennos & Spina EXPENSE REPORT Engineers, P.C. DATE: — Z 1--L2— EMPLOYEE NAMES (PRINT) GI. DEPARTMENT NAME: PERIOD SHEET= Z OF 3 FROM: T0: / Z- DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINES PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDINO OTHER PERSONS INVOLVED . BY NAME . COMPANY i TITLE) ALLOC T N OF EXPENSE CLAIMED b�(SJ�(SE P.D. MISC. COAT. A ' A CO NTINO DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION ACCOUNT NO. CARD TYPE FPO. OR CC. OUT OF POC L Q vj OveRLAY—E W-,tJ Z/1 cx2 Coq �O �S5 S _ AiRFiK.LP k(60TING — Pt 5P CCflon% 2�( 004 oo2 (,o9 8� STANDARD FORM til-A TOTAL TO BE ACCOUNTED FOR / / n RL'll h"L: I ? Ul PN- 01LJ11t4l'C AIRPON 5 29B 46 , 9- H iliDERB I RD CTI 261GPf 9 0.7,2 9 E'X' DAWEEYS IURS EX KS o/ MILUM DE PLAN OUT: MIC I 49.1 / RALE CLU V - L O 20121 INTER CITY Lf ALL 19-1382 (1X) W (I 239 is MIT)X) ALLOUED: PA�.,PEC (Nf) I F(El FUPtH OP ClrR6L[): XAEL� SUHrofflL ILI AX cuillIlLs TOTAL Ru 22).1u -t T L", OPP: VOUCHER Ur N-1'41411 HE 9 L�l 4 (1(, G41 I! U B(: M� LOI-PLE cl 00 OFFAI'l i ' �tlll OF CHARLES - NOT t;E I DUE s `;J. N MiTot REffpo 2 ti C= 0 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 02/09/93 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 CONSTRUCTION AND PROJECT IMPROVEMENT ANALYSIS PROGRAM NO. 1 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ 8406,355.02 $406,355.02 $0.00 ------------------------------------------------------------------------ RETAINAGE RELEASED 820,317.75 WITH 5 & FINAL STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 08/10/92 8112,128.77 $112,128.77 80.00 * 09/14/92 $66,266.05 $66,266.05 80.00 * 10/07/92 8148,693.74 $148,693.74 80.00 * 11/02/92 $53,796.91 $53,796.91 $0.00 01/13/93 $25,469.55 $25,469.55 $0.00 ..... ............................................................................. ..V'c:5!.:.. �T ....... , ....... PROJECT,. ELIZABETH FIELD AIRPORT -FISHERS ISLAND File No. 211.004 � r! AIRFIELD LIGHTING, VISUAL AIDS t ELECTRICAL BUILDING ;,, a g r7" FAA-AIP NO. 3-36-0029-05-92, N. Y, S. D. 0. T. NO. 0913.05 Date: 1/13/93 Estimate No: 5th & Final TO THE TOWN OF SOUTHOLD: Pursuant to the terms of the Contract, dated May 1, 1992, by and between the Town of Southold and Falvey Construction Corporation, contractor for the construction of the Elizabeth Field Airport -Fishers Islam, Airfield Lighting, Visual Aids I< Electrical Building (FAA-AIP No. 3-36-0029-05-92, N.Y,S.D.O.T. No. 0913.05), we hereby submit the Fifth and Final Estimate, for work completed through December 22, 1992: • ORIGINAL QUANTITY . Item CONTRACT UNIT : TO UNIT TOTAL f Number DESCRIPTION QUANTITY DATE PRICE TO DATE P-152 IA. : Common Excavation, Area No. 1 100.00% : L.S. 100.00% : $1,600.00 $1,6+0.00 P-152 2. : Pavement Excavation (Bituminous Concrete) 900.00 S. Y. 896.11 3.00 2,E88.33 P-612 3. : Field Office 100.00% : L.S. 100.00% : 18,200.00 18,200.(X) P-620 4. : Runway Painting 23,000.00 s. f. 21,606.62 0.50 10,803.31 ; L-102 5. : Electrical Building Electrical Service 100.00% : L.S. 100.00% : 9,000.00 9,000.00 ; L-106 6. : Segmented Circle 100.00% : L.S. 100.00% : 15,300.00 15,300.00 L-107 7. : Lighted Wind Cone 100.04% : L.S. 100.00% : 16,700.00 16,700.+0 ; L-108 8. : Cable Trenching for the Installation : of Underground Cable 8,6+0.00 l.f. 7,766.50 2.25 17,474.63 L-108 9. : No. 8 AW6 600V Type C Single Conductor . : Underground Cable instld in Trench/Duct 28,300.00 l.f. 28,463.50 0.38 10,816.13 L-108 10. : No, 8 AWG 5KV Type C Single Conductor : Underground Cable instld in Trench/Duct 12,900.00 l.f. 14,880.00 0.38 5,654.44 ; L-108 11. : No. 8 AW6 Bare Copper Counterposie Wire : installed in Trench including Grounding : Rods and Exothermic Connections 9,500.00 l.f. 10,316.50 0.28 2,888.62 L-109 12. : Installation of Airport Electrical : Building Equipment, in Place 100.00% : L.S. 100.00% : 30,000.00 : 30,000,00 ; L-110 13. : 4 -way Electrical Duct Bank Type I 700.00 1.f. 697.00 55.00 : 38,335.00 ; : L-110 14. : 8 -way Electrical Duct Bank Type I 200.00 1.f. 195.00 70.00 : 13,650.00 : L-110 15. : 2 -in Dia RSC installed in Pavement 3,000.00 1.f. 2,408.40 4.00 : 9,633.60 : L-110 16. : 2 -in Dia RSC installed in Turf 270,00 1.f. 212.00 2.00 : 424.00 : L-110 17. : 2 -in Dia RSC reinstalled in Turf 190.00 1.f. 126,00 2.00 : 252.00 : L-112 18. : Electrical Building 100.00% : L.S. 100.00% : 40,000.00 : 40,000.00 : L-115 19. : Electrical Manhole No. 1 1.00 each : 1.00 : 12,250.00 : 12,250.00 ; : L-115 20. : Pull Box Reinstallation 1.00 each : 1.00 : 500.00 : 500.00 : L-125 21. : Medium Intensity R/W Edge Lights, : Base Mounted, in Pavement 57.00 each : 57.00 : 315.00 ; 17,955.00 L-125 22. : Runway 25 Threshold Lights 100.00% : L.S. : 100.00% : 3,800.00 3,800.00 L-125 23, : Airport Guidance Sign No. R-2-5, : Base Mounted, in Pavement 100,00% : L.S. 100.00% : 2,655.00 2,655.00 L-125 24. : Airport Guidance Sign No. R-2-19, : Base Mounted, in Pavement 100.00% : L.S. 100.00% : 2,655.00 2,655.+0 L-125 25. : Airport Guidance Sign No. R-1-3, : Base Mounted, in Turf 1+0.00X : L.S. 104.00% : 2,400.04 2,400.00 L-125 26. : Airport Guidance Sign No. R-1-19, : Base Mounted, in Turf 100.00% : L.S. 140.00% : 2,400.00 2,400.00 L-125 27. : R/W End Identification Light (REIL) : System, Runway 7 End 100.00% : L.S. 100.00% : 8,250.+0 8,250.00 L-125 28. : R/W End Identification Light (REIL) . System, Runway 25 End 100.00% . L. S. 100.00% 8,250.00 8, 250. C,0 . L-425 29. : R/And Identification Light (REIL) 100.00% : : System, Runway 12 End L-125 30. : R/W End Identification Light (REIL) • : System, Runway 30 End L-125 31. : Generic Visual Approach Descent . : Indicator System, Runway 7 End L-125 32. : Generic Visual Approach Descent 9,580.00 : Indicator System, Runway 25 End L-125 33. : Generic Visual Approach Descent 9,580.00 : Indicator System, Runway 12 End L-125 34. : Generic Visual Approach Descent 100.00% : : Indicator System, Runway 30 End L-125 35. : Removal of Existing Runway Edge Lights : M-100 36. : M 6 P of Traffic : M-200 37. : Mobilization STATEMENT OF DAYS CHARGED TOTAL CONTRACT DAYS 60 LESS DAYS CHARGED 65 DAYS REMAINING -5 FALVEY CONSTRUCTION CORP TION BY: TITLE: 'i r-JLO -� �.`'14z. DATE: 1- , �J, , S5 3 z 100.00% i L.S. 100.00% : 8,250.00 8,250.00 100.00% : L.S. 100.00% : 8,250.00 8,250.00 100.00% : L.S. 100.00% : 9,580.00 9,580.00 100.00% : L.S. 100.00% : 9,580.00 9,580.00 100.00% : L.S. 100.00% : 9,580.00 9,580.00 100.00% : L.S. 100.00% : 9,580.00 9,580.00 100.00% : L.S. 100.00% : 7,500.00 . 7,500.00 100.00% : L.S. 100.00% : 23,500.00 . 23,500.00 100.00% : L. S. 100.00% : 16, 000.00 . 16, 000.00 :. Total Amount of Work Done to Date Less 0% Retained Amount Recommended for Payment, Previous Estimates AMOUNT DUE CONTRACTOR, FIFTH AND FINAL ESTIMATE CALOCERINOS 5 SPINA Engineers, P.C. �ti Harold W. Wagner, , P.E. Division Manager $406,355.02 0.00 $406,355.02 361, 841.19 $44,513.83 q7 3go,g� FISHER ISLAND -ELIZABETH FIELD Fisher Island, NY FAA AIP No. 3-36-0029-05-92 FAA GRANT TOTAL PREVIOUSLY INVOICE Description LIMITS REQUESTED DATE AIRFIELD LIGHTING, VISUAL AIDS, & ELECTRICAL BUILDING (Construction) Inspection $84,559.00 $74,893.02 12/15/92 01/15/92 Construction Admin. Exp. Miscellaneous TOTALS INVOICE TOTAL EXPENDED AMOUNT TO DATE $2,963.45 $1,969.12 $419,421.00 $361,841.20 01/13/92 $44,513.83 $3,820.00 $3,000.00 -------------- -------------- $510,800.00 $436,734.22 $79,825.59 $406,355.03 ------------ ---------------- $49,446.40 $486,180.62 FAA SHARE IS: 90% $459,720.00 $44,501.76 $437,562.56 211.004 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 02/09/93 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 F.A.A. AIP PROJECT NO. 3-36-0029-05-92 N.Y.S.D.O.T. PROJECT NO. 0913.05 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING a. ADMINISTRATIVE EXPENSE ......................... $3,820.00 $3,820.00 $0.00 $0.00 b. PRELIMINARY EXPENSE ............................ $0.00 $0.00 $0.00 $0.00 c. LAND, STRUCTURES, RIGHT -OF -BAY ................. $0.00 $0.00 $0.00 $0.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... $0.00 $0.00 $0.00 $0.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... $0.00 $0.00 $0.00 $0.00 f. PROJECT INSPECTION FEES ........................ $84,559.00 $84,559.00 $79,825.59 $0.00 g. LAND DEVELOPMENT ............................... $0.00 $0.00 $0.00 $0.00 h. RELOCATION EXPENSE ............................. $0.00 $0.00 $0.00 $0.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... $0.00 $0.00 $0.00 $0.00 j. DEMOLITION AND REMOVAL ......................... $0.00 $0.00 $0:00 $0.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... $419,421.00 $419,421.00 $406,355.02 $0.00 1. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 s. MISCELLANEOUS COST ............................. $3,000.00 $3,000.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $510,800.00 $510,800.00 $486,180.61 $0.00 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 02/09/93 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 PROJECT INSPECTION FEES ANALYSIS PROGRAM NO. 1 ------------------------------------ * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $79,825.59 871,927.55 $0.00 ------------------------------------------------------------------------ LESS RETAINAGE: $4,201.35 SUBTOTAL: $84,026.94 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 07/24/92 $13,411.07 $11,316.65 * 08/18/92 $6,648.06 $5,565.54 $0.00 * 09/15/92 $24,464.40 820,762.36 $0.00 * 10/22/92 820,370.03 817,829.11 80.00 * 11/10/92 $13,941.20 812,042.22 80.00 12/15/92 83,119.42 82,646.15 80.00 01/15/93 $2,072.76 $1,765.52 $0.00 Account Number ............. Invoice #............. Date ................ 19........... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 13-5318940 .................................... C$S Engineers, Inc. Payee Reference: Address: .................................... 5e.vezith .NQr.t.h . St.............. Phone No. 1....1 ....................... • Liverpool, NY 1.3.088 . , , , Vendor Contact i CashDiscount ..................% .........Days.................................... The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof h en paid, except as er in stated. and that the balance therein stated is actually due and owing. CZ,S Engine(er�s, n Dated ............................. .19 .... X. V.�. .. Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 11/27/92 THROUGH 12/31/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE (:�w Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 INV. DATE: 01/15/93 INVOICE #: 301083 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 UYS THIS INVOICE CUMULATIVE "` 416.05 18,789.15 582.47 -------------- -------------- 26, 304.81 998.52 45,093.96 31.50 -------------- -------------- 883.75 1,030.02 45,977.71 772.38 27,696.19 1,802.40 73,673.90 270.36 10,353.04 ---------------------------- 2,072.76 84, 026.94 -- 103.64 -------------- 1,969.12 cas Engineers, Inc. 1020 Seventh North Street, Liverpool, New York 13088-6199 (315) 457-6711 Fax (315) 457-9803 TOWN OF SOUTHOLD INV. DATE: 01/15/93 FISHERS ISLAND FERRY DISTRICT INVOICE #: 301083 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 AMOUNT S A L A R Y & E X P E N S E D E T A I L 67.50 SALARIES BASED ON MULTIPLIER 84.00 31.50 63.00 HOURS RATE PROJECT ENGINEER 8.50 LEANA, JAMES W. 7.00 19.0000 SR.INSP./CONST.RECORDS SPECIALIST AMOUNT 1.0000 WILDS, KAREN D. 4.50 15.0000 INSPECTOR 54.70 1.0000 SHOVA, SCOTT H. 8.00 10.5000 SHOVA, SCOTT H. 6.00 10.5000 JUNIOR INSPECTOR SIMS, DYROL D. 5.50 10.1000 SECRETARY BAXTER, CYNTHIA A. 1.00 8.5000 EDWARDS, SUSAN L. .50 9.0000 32.50 OTHER EXPENSES COST/QTY TRAVEL & SUBSISTENCE CERRETANI, LAWRENCE J. 151.20 SHOVA, SCOTT H. 557.00 AUTO RENTAL SHOVA, SCOTT H. 54.70 MISCELLANEOUS OTHER DIRECT EXPENSE Crystal Photo & Printing 9.48 PREM AMOUNT 133.00 67.50 84.00 31.50 63.00 55.55 8.50 4.50 31.50 416.05 RATE AMOUNT 1.0000 151.20 1.0000 557.00 1.0000 54.70 1.0000 9.48 ------------ 772.38 - Calocerinos & Spina EXPENSE REPORT SUMMARYDI Engineers, P.C. TE __ I ai EMPLOYEE NAME : (PRINT) 5 C.a J DEPARTMENT NAMEt r N PERIOD SHE ET :�_ OF FROM: - 9g0 : 1 - - SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCCOUNTINO DEPT. USE ONLY RECONCILIATION APPROVALS PROJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO.�1 ACCOUNT NUMBEROR ITEM AMOUNT � �Q'` J � � �� , f EMPLOYEE DATE SUPERVISOR DATE PARTNER GATE ACCOUNTING DATE D D'i DD /,, /� &6 % C/V O TOTAL PPD. PE CREDIT CARO EXPENSE t `-10 "1 � 4 � O D TOTAL OUT OF POCKET EXPENSE. I V D TOTAL EXPENSE ADVANCE DATE ADVANCE. TE ADVANCE TE TOTAL ADVANCE V p p LESS OUT OF POCKET EXPENSE BALANCE DUE COMPANY DUE EMPLOYEE 1� Q D o REMARKS ^ GRAND TOTAL V3— w y •C nj 171 C "t z =oma W r VI — C� 1`r m . _. i(Lr'i:t%:Hil.. HF7i'F"-�L`��Y'�.F:.it$iti��:$."Y?.iiti7r �.'h,. 1rt.�.�.mR�s'11�Mtal(.6=.fid[1�/1 �• �li►.1+.'.'Y9+•!�'.�V,ll-.a tA.'i/wmk�; lid C 1 1 THE TRAVEL BUG 101 OLD COVE ROAD SUITE 109 - _ D _ LIVERPOOL. NY 13090 jjjlll TM (315)451-8633 1 - n FAX 0151 451-8121 AIP,POP.T TE<ACE) O SALES PERSONS 33 ITINERARY/INVOICE NO. 0080258 PATE: 09 1 <<04 ELLA GRASGO -4 CUSTOMER NBRI 021009 RWKEJF PAGE: 01 WIND'cOR LOCKS CT. STATION kO0G00000 TGs CALOCERINOS AND SPINA C � }} :10''0 7TH NORTH ST., CUSTOMER SALES RECEIPT �`. !LIVERPOOLr NY 13088 81::c� fl %: 1P r a iI� _•3t GG Pri 12 -15 -?2 o u . . ... . . • .. _ 1 G FOR=` SHOVA/SCOTT ,.... HOSE 11.. . 12 �:. N � U � . 1 PRODUCT ........... ..2 _ m �✓i s FEF' 10 DEC 92 - THURSDAY TOTAL CSH SALE...t0006.00 AIR USAIR FLT:830 --ECONOMY .ry TFiAtIK VCIIJ 1 N '�°m z LV SYRACUSE 720P EOP: 737-400 9 AR HARTFORD 807P NON-STOP COME Ar�A 2 N SHOVA/SCOTT SEAT -07A US -121757845 80o!— oio• Go 11 DEC 92 ` - FRIDAY_' A -rco Xmas - $ AIR USAIR ' FLT81240' ECONOMY C3a� �` _ " LV HARTFORD r: 540P EOPt DC -9 STRETCH AR SYRACUSE 629P MM -STOP- ' -' SHOVA/SCD TT T 8EA 3-1217578 T£'^1: SJ'T "T,. ? + e r 1, . } . y + + kJ -'.` ` F xx + x�'LT �, .���yyFrr,`��T' 's'y"� 3 (I f:a • ��+ AIR TICKET:.. _,' U3772419009 - OV SCOTT , �• } '`t._ . 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INirF IeQN®AND READACOMREIE Corr df 9E SRfrµ AG�MNirMO AgIfID TO RS1t11M5 AND 001`d1101VS, mo 00 . CO NOT SIGN TM 09WAL D00.M9A f VQU IMVI NOT /KIP469 A C01W OF 11E IMMIX ACRG!EMBR. - ' x Re41a19 NATURE x ADOIOONAL AMMORIZED DRNtR THE TRAVEL BUG APPREC: ,THE TRAVEL BUG TOLL FI See below fo'r Aidmi Form, 861`181 Number It TRAVE,}L 6U9 VFW �U G 879f �>Calocerinos & Spina EXPENSE REPORT �.Q Engineers, P.C. GATE: --1-"-_/ 6 41-1., EMPLOYEE NAME: C C (PRINT$ `� c O- lINq4k DEPARTMENT f{AME: G° i tti PERI00 SHEETS OF _ FROM: - 1 T0: - DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED, BY NAME . COMPANY i TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE' ITEM. LOCATION P.O. MNIC. OJ.9 CONT. i ' PHASE ACCOUNT NO. CARO TYPE PPD. OR CC. OUT OF POC► U01 11-1ti-9 G�.r %,j r t� X11 0 �1 0 2 / v U U O w IJ Oil Co.r Re \VFor f r 0 CA t. 4t. is> STANDARD FORM 231-A TOTAL TO BE ACCOUNTED FOR 4 u ' 1 Calocerinos & S ina p EXPENSE REPORT SUMMARY C', - Engineers, P.C. DATE Z ��- / �� / 9 EMPLOYEE NAME : (PRINT) �� �//�� �� DEPART ENT NAME: S %QK/ PERIOD SHEET : L OF i FROM. y TO : SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS PROJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EMPL EE DATE )k SUPERVISOR DATE PARTNER DATE A DATE 0LE LIM a/�� c%. / 609 • D A / 0 �_ (J TOTAL PPD. OR CREDIT CARD EXPENSE -k TOTAL OUT OF POCKET EXPENSE TOTAL EXPENSE 5 • L V _ ADVANCE DATE ADVANCE ATE ' ADVANCE TE TOTAL ADVANCE O LESS OUT OF POCKET EXPENSE 7 () BALANCE DUE COMPANY DUE EMPLOYEE ( S Z V REMARKS i r' GRAND TOTAL / j'/• 7C MYSTIC HILTON MR. L. CERRETANI Room(s) 0451 101 OLD COVE ROAD, STE 109 LIVERPOOL Arrival Tue Sep22/92 19:36 NY Exp.Departure Wed Sep23/92 13090 Guests 1 THE TRAVEL HUG Rate • 135.00 Plan T Payment AX 371411607171006 1192 Page 1 Reserv.* 100843 Date Description of Charges ----------------------------------------------------------------------------- �G f,. Charges Credits Tue Sep22 Room Charge ** 135.00 Tue Sep22 Tax ** 16.20 Total Account 151.20 151.20 0.00 THANK YOU FOR CHOOSING THE MYSTIC HILTON! Summary of Charges: Room Charge Tax 135.00 16.20 Total 151.20 �t ALI \ i LA4 l`J J L�'7 VN ,� lit li •] S ��./ :''� h- C:) i,l • 1.:. I � Ili �G f,. G.� . w w I.0 � tiC cn 135.00 16.20 Total 151.20 �t \ i LA4 VN C:) J.J , �G f,. G.� . w w tiC cn 17 r CalocerinoS & SpinaEXPENSE REPORT L� Engineers. P.C. , : z EMPLOYEE NAME: IPRINT) agg9! DEPA�MENT NAME: PERIOD SHEET: l OF L FROM: smO: DATE NATURE OF EXPENSE PROJECT NAME ANO/OR BUDINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED . BY NAME COMPANY B TITLE) ALLOCATION OF EXPENSE CLAIMED AECOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.O. MISC. iAbJ. CONT. 6 ' PHASE ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF PO( 9-lzy2 Al/N0�'% �-ti . l � a yi i d V `f uc� �. b�S c A41k.1,0 44-6077" � Y� ✓.n. � c � STANDARD FORM 231-A TOTAL TO BE ACCOUNTED FOR REQUISITION FOR 35MM FILM . Please Prw Date: /0 Z Cost per roll A)l . T Speed: Z C>0 Exposure 0 z4 o Color: x e S BlacldWhita Charge to ]ob. No. �oZ .� i .00 4. ©p Charge to Office Misc. Lab Misc. Q. 0 Requested ey: /yi c D e''%H FULL NAME Approved by: A it Associate or Managing Engineer COMPLiEM FORM AND SUBMIT TO PURCHASING REQUISITION FOR 35MM FILAR Please Print Date: Cost per IOU T� speed: Zoo Expo me Color: t S Black/White: Charge to Job. No. _ l • Do �• o0 2 . (o0 9 Charge to Office Mist. Lab Misc. Rquated By: FULL NAME _ Approved by:___/�G Associate or Managing Engineer s . COMPLETE FORM AND SUBMIT TO PURCHASING FISHERS ISLAND AIRPORT -ELIZABETH FIELD AIRFIELD LIGHTING (Construction) FISHERS ISLAND, NY F.A.A. AIP PROJECT NO. 3-36-0029-05-92 N.Y.S.D.O.T. PROJECT NO. 0913.05 SUMMARY OF STATE ELIGIBLE PROJECT COSTS PROGRAM NO. 1 --------------------------------------------- 02/09/93 211.004.002 ESTIMATED TOTAL COST ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE -------------------------------------------------------------------------------------------------------------------------------------- FEDERAL ELIGIBLE STATE ELIGIBLE STATE ELIGIBLE PARTICIPATING -------------------------------------------------------------------------------------------------------------------------------------- a. EQUIPMENT ...................................... 80.00 $0.00 50.00 80.00 b. LAND ........................................... $0.00 80.00 80.00 80.00 c. CONSTRUCTION ................................... 8419,421.00 8419,421.00 8406,355.02 $0.00 d. ENGINEERING .................................... $84,559.00 871,956.00 871,927.55 80.00 e. OTHER .......................................... 83,000.00 83,000.00 80.00 $0.00 f. ADMINISTRATION ................................. -------------------------------------------------------------------------------------------------------------------------------------- 83,820.00 83,820.00 80.00 80.00 TOTAL STATE COSTS 8510,800.00 8498,197.00 8478,282.57 $0.00 WORK PERFORMED TO: 01/15/93 0 FISHERS ISLAND AIRPORT -ELIZABETH FIELD AIRFIELD LIGHTING (Construction) FISHERS ISLAND, NY PROJECT INSPECTION FEES ANALYSIS PROGRAM NO. 1 ---------------------------------- * Indicates previous submittal 02/09/93 211.004.002 FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $79,825.59 $71,927.55 $0.00 LESS RETAINAGE: $4,201.35 SUBTOTAL: $84,026.94 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 07/24/92 $13,411.07 $11,316.65 08/18/92 $6,648.06 $5,565.54 $0.00 09/15/92 $24,464.40 $20,762.36 $0.00 10/22/92 $20,370.03 $17,829.11 $0.00 11/10/92 $13,941.20 $12,042.22 $0.00 12/15/92 $3,119.42 $2,646.15 $0.00 01/15/93 $2,072.76 $1,765.52 $0.00 Account Number ............. Invoice #.207270, . , , , Date. .. , , , .19.......... . TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY T0: Payee Identification j Payee Name: or Social Security Number: 16-1321757 Caloceri... s F '. ... a. Engineers, P.C. Payee Reference: Address: 1020. Seynt.h, .NQztb. S.t ............ Phone No. (....)...................... . L i v� rp o Q ] , ,yx ], 3 q $ 8 Vendor Contact Cash Discount .................. %......... Days .................................... The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof has been paid, except herein stated, and that the balance therein stated is actually due and owing. Dated...............................19 ....`�.�.. . Signature w w. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED THROUGH 07/10/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS 15% FIXED FEE TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE INV. DATE: 07/24/92 INVOICE #: 207270 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 �-S G18C67 THIS INVOICE CUMULATIVE ��',6�� 3,616.85 3,616.85 5,063.59 -------------- 5,063.59 -------------- 8,680.44 8,680.44 z� 110.25 110.25 -------------- -------------- 8,790.69 2,871.11 -------------- -------------- 8,790.69 2,871.11 11,661.80 1,749.27 11,661.80- 1,661.801,749.27 1,749.27 -------------- -------------- b 13,411.07 13,411.07 670.55 -------------- 12,740.52 TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 INV. DATE: 07/24/92 INVOICE #: 207270 PROJECT #: 211.004.002 SALARY& EXPENSE DETAIL SALARIES BASED ON MULTIPLIER HOURS RATE MANAGING ENGINEER PETRANCHUK, MARK F. 5.00 30.5000 PROJECT ENGINEER KLUKIEWICZ, THOMAS C 4.00 18.9000 MAKHLOUF, GHAITH N. 2.00 21.2000 ENGINEER MCDERMOTT, CHARLES R 62.50 16.1000 LEANA, JAMES W. 2.00 17.8000 ASSISTANT ARCHITECT CAVINO, JOSEPH J. 3.50 14.7000 ASSISTANT ENGINEER MCDERMOTT, CHARLES R 1.00 15.3000 HUGGINS, WILLIAM J. 4.50 13.9000 ASSISTANT AIRPORT PLANNER HOTALING, MICHAEL D. 15.00 14.4000 SENIOR DRAFTER LUU,PHUNG N. 1.50 11.3000 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 4.00 24.5000 CERRETANI, LAWRENCE 17.00 25.5000 INSPECTOR SAWMILLER, JOSEPH A. 34.00 14.2000 PREM AMOUNT 152.50 75.60 42.40 1,006.25 35.60 51.45 15.30 62.55 216.00 16.95 98.00 433.50 482.80 TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 S A L A R Y& EXPENSE DETAIL SALARIES BASED ON MULTIPLIER INV. DATE: 07/24/92 INVOICE #: 207270 PROJECT #: 211.004.002 HOURS RATE PREM AMOUNT JUNIOR INSPECTOR SHOVA, SCOTT H. 54.00 10.5000 567.00 SHOVA, SCOTT H. 8.00 10.5000 42.00 84.00 SHOVA, SCOTT H. 13.00 10.5000 68.25 136.50 SECRETARY WILDS, KAREN D. 10.50 12.5000 131.25 RECEPTIONIST LIEBOWITZ, KIMBERLY 1.00 9.2000 9.20 -------- 242.50 ---------- 110.25 ---------- 3,616.85 OTHER EXPENSES COST/QTY RATE AMOUNT REPRODUCTION & PRINTING COST C&S REPRO 139.40 1.0000 139.40 TRAVEL & SUBSISTENCE CERRETANI, LAWRENCE J. 932.59 1.0000 932.59 MCDERMOTT, CHARLES R. 426.48 1.0000 426.48 SHOVA, SCOTT H. 1,260.00 1.0000 1,260.00 POSTAGE & SHIPPING UNITED PARCEL SERVICE 49.44 1.0000 49.44 AUTO RENTAL CERRETANI, LAWRENCE J. 63.20 1.0000 63.20 ------------ 2,871.11 Total Cost:. S i Acct. Use Only CALOCERINOS & SPINA (Reproduction) to ee Name: �P Y .�o � . ��w K I �I.ER Ext. No.: A `' Today's Dace: } - JUN - 9 2- Date & Tune Needed 5- N-3,! A.M. • , P.M. j ClieaVPrroject No. 4 i I . 4Contract No. 002 Phase Prints: (each) Xerox: (each) (sets) Uto (sets) (Total square feet) I ✓ �— (Total number of copies made) Mylar. (each)' Xerox (2080): (each) (sets) r (sets) (Total square feet) 10323 (Total Linear feet) To be bound? (circle): �or no TAPE - SPUZAL SINGLE SIDED Stamped? (circle): yes no DOUBLE SIDED Special Instructions: "-'— Total Cost: S JC' Acct Use Only 1 CALOCERINOS & SPINA (Reproduction) Employee Name: f OE �_SAWMILLFI- Ext No.: A /P Today's Date: �q-.TUN -92 Date & Tune Needed 5 -JUN- -1. A.M. „ P.M. C1ienVProject No. -,z ii Contract No. 00 "Z Phase 6:40 Prints: (each)each) Xerox: (sets),_, (sets) (� (Total square feet) (Total number of copies made) Mylar (each) Xerox (2080): (each) (sets) (sets) 10324 oral Linear feet) (Total square feet) (T _ To be bound? (circle): yes or no TAPE - SINGLE SIDED Stamped? (circle): yes or no • < DOUBLE SID! Ems__ Special Instructions: _ — _ - BILL TO CLIENT FOR BILLING ------------- 1/1/92- 3/31/92 (INTER # JOB # OF PLOTS SIZE COST E -4et-.,W 120.420. 001. 316.&Pr' "'60 1 D $8.20 125. 266.001. 31.7 «`O 46 D $377.20 125.256.001.31C /50 14 D $114.80 125.2275. 001. b`vn 4 D $32.80 140. 028. 017. 111 3 D $24.60 151. 021.001. 609 1 D $8, 20 005.001.605 5 D $41.00 159. 001. 001. 609 4 D $32.80 160. 153. 002. 603 17 E $173.40 190.124.004.605 28 D $229.60 190. 143. 001. 605 1 D $8.20 190. 143. 002. 605 1 D $8.20 197. 109.001.609 10 D $82.00 198. 110.00" 7 D $57.40 5 D f 41.00 \G979 3 41.001.001. 360 - l y 3 12 E $122.40 36.001.001.609 3 E $30.60 4`1.011.001.609 3 E $30.60 Y•73 #'37. 009. 001. 336 115o 10 D $ 82.00 499. 004.001.600 6 E $61. �0 $1,647.80 ZU UNITED PARCEL SERVICE Shipper No. X11289 From: Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, NY 13088 Project Number 4v. Date: tiT L4 N - Employee Sender: lam, WDF-KMo-rf—',�� To: Mr. FA I V? \1 FalyeNj 12, F G99 1 0&11.9 J Reference pe of Service Pickup Record No. 0 '70,S- No. Pkgs / Weight Tracking No. '--)Y?': 9?3;;'7 d -Ll Charges Due 14 2- I)AYeF 9 i I 16 UNITED PARCEL SERVICE Date: Shipper No. X11289 Employee Sender: %�C' 0erl"O I To: From: Calocerinos & Spina ,NA -ren `�/ -Z Engineers, P.C. N YS DEc 1020 Seventh North Street vN ,Sta•� Liverpool, NY 13088 oo/ ,SL � r��� N `(• ���9p — Zr:rG Proj ect Number '®T^fes Reference pet of Service Pickup Record No. /c30ay(o 9'6 No. Pkgs / Weight Tracking No.!G �f�o�l -s--3(�> Charges Due UNITED PARCEL SERVICE Shipper No. X11289 From: Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, NY 13088 Project Number Reference Pickup Record No. Tracking No. Date: 4l2 `! Employee Sender: 2 Ove •607 Type of Service G5 No. Pkgs / Weight��/ Charges Due AK� 0 ro UNITED PARCEL SERVICE Shipper No. X11289 From: Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, NY 13088 Date: s V? 2-- Employee-Sender: To: (, 4,'l ve- -f l _ c),4 —5 Z" -fl'? Project Number DO Z j Reference '�b�� ' Type of Service Pickup Record No. No. Pkgs / Weight 2- �-s- Tracking No. Charges Due �•� I j: /r 9a D 9 1 j yi UNITED PARCEL SERVICE Shipper No. X11289 From: Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, NY 13088 Date: s V? 2-- Employee-Sender: To: (, 4,'l ve- -f l _ c),4 —5 Z" -fl'? Project Number DO Z j Reference '�b�� ' Type of Service Pickup Record No. No. Pkgs / Weight 2- �-s- Tracking No. Charges Due �•� I j: /r 9a D 9 1 _f/ UNITED PARCEL SERVICE Date: Shipper No. X11289 Employee Sender: /' '��� ✓, From: Calocerinos & Spina To: qM E Engineers, P.C. 1020 Seventh North Street.-- " Liverpool, NY 13088 Project Number Reference W Type of Service Pickup Record No. No. Pkgs / Weight IT Tracking No. cpG7� 75=5/7 Charges Due �. • y 7=� 99 1 D ri UNITED PARCEL SERVICE Date: (9 Shipper No. X11289 Employee Sender:P To: From: Calocerinos & Spina (r"a--��� Engineers, P.C. 1020 Seventh North Street Liverpool, NY .13088 �2z" Project Number �q 00'� Reference o`1i1, 2 6" fiype of Service Pickup Record No. 130a 4i(e Ez No. Pkgs / Weight 3 Tracking No. Charges Due [L= NUNN u Q V. go Y UNITED PARCEL SERVICE Date: 1$ -.3 U N -32- Shipper 92Shipper No. X11289 Employee Sender: S21M, From: Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, NY 13088 Project Number Reference 211-W4,OOZ .{9f?� Pickup Record No. /30 Tracking No. a« 6a�%� To: Type of Service No. Pkgs / Weight Charges Due C] � � o r ZJ x UNITED PARCEL SERVICE Shipper No. X11289 From: Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, NY 13088 Date: tP�-S.l�N-92 Employee Sender: To: NY 11581 Project Number n� Reference X11 �Da4.002 .(�� Type of Service Pickup Record No. �3 0:��� 9/gyp No. Pkgs / Weight Tracking No. Pq'7 '9.37%O 9, 3 Charges Due r y.: f �NQi�r$ t 5 r t UNITED PARCEL SERVICE Shipper No. X11289 From: Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, NY 13088 Project Number Reference 21(. OM - 002.(,09 Pickup Record No. 13 Cd c16 % Tracking No. --------------- i Date: 08 'SUN -- 92- Employee 2Employee Sender: GR-. KCDEXXnT- To: e c r ert r � 12 i`trc.ower Roan P.O.- Bex- G99 l nnwo CT 0&419 Type of Service No. Pkgs / Weight Charges Due sR s P ,z' ti • 4 r r• t< � �h{ f o � Calocerinos & Spina EXPENSE REPORT SUMMARY C SEngineers, P.C. / DATE : / _.�._/ � O / 9 EMPLOYEE NAME : (PRINT) / �� Com/ �j�{j�, DEPARTM�N T NAME: 4>nJS l7�O/✓ PERIOD SHEET : 3 OF FROM ;� -2 LTO : 7 - z SUMMARY OF EXPENSES TO 8E ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS PROJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT II Dd Q� 60 �p 4 0? J AL PPO. OR TT CREDCARD EXPENSE TOTAL OUT OF EXPENSE POCKET EX EMP YE! DAT l SUPERVISOR DA/TI PARTNER DAT _ ACCOUNTING 17//0 DATt U 8 Co� Q TOTAL EXPENSE $¢� o4-- Q p2 O O ? { 4 ADVANCE ATH ADVANCE ATE . ADVANCE ATH TOTAL ADVANCE LESS OUT OF POCKET EX►ENSE BALANCE DUH COMPANY DUE EMPLOYEE 04 - REMARKS GAAND TOTAL c, X, (j r i W 0 Ul (,j 14 cu r I CJ U) C, o n Q, IQ� Z 7-jtL uj Cu � X z V) L �J LL => Z 0 'r rr �u W W U.J U ><r .:1 C-1 z It 11 D- D.DOH -1 (0 a <V) - - - 2 W L -W UJ - 'I = M _j Ui X X 1– X LU <E U.J 0 Cr C6 z Of x xVJ u z U- W 1"PQtP zrWL 0171611 1%11 736374 2k4 R1 1117;01104/52 LUP: ?? 4j yY N••.1.;'-4: 1;..' M; !!;IT!EX )`,39 XfAf m*5 s FX IA s I H� ktcll 1 0- (`PAIL C, '�;L XWK qi�T� 6 �04 ., *4NWI. LM FFL M I LUOA I K I kF"! P,tR Ii I m1 Ll c. FUJ Lel(mf)s 0.63 C &W rlmk INU CILly,M] pt C R 11 ESTABLISHMENT NAME 'Lkj 'j t W 11 T* NT "A'14iE 4",Klb )11) L&t.44 cut CLI -1. ILINME T T* ',-I IC fmi'l LVOYI+. AW YY Zw-AVW.A1uEu. U -10C P I I I p+VNEP AT �TE0 LOFT W, LOFT # I I LWU Tri qkb4Nt INJM .111L ts --nk-T to -IlIi0 to Q Pilllium 1 r: Sc 1 (T P,�c , v T* t 13) SIGNING 5 1 1 THIS .� 10764 tr'r,ki, IN, I J EW6 Urc I I I ' I '• L AND YLKIR DATE A' ck)cc -r _L Lit- 111 YLIJ W1 1, 16 y IN IRIS RENTAL F C' Br t WIX 311411t`,u'Ji,006 16 A lit' Hy: li4? CUSTOMER LJ I-EIRRETf-01 3714116071 0 7;7 --- TRANSACTION TYPE SALE 6" below for Airline Form, Serial Number : RECORD OF CHARGE ♦ TER it. -,,I I it ILI I 14 1 URAVEA. F11JI3 �DE��RIPT 30004,-? 18 j, $III —.71 M, 744 1 Ili r FOOD AHE) 8E'.lEP,4GL , .3 13,71"All -7:, g ;t7,. CA //. 00#, 00�7- 4009 SASE AMOUNT v Ii fill to +4 TIP ANOUN 10 TOTAL I all &Tq X 7709196269 5 a 3 > Calocerinos &Spina EXPENSE REPORT Engineers. P.C. DAT / �aE. 9 EMPLOYEE N/AME: /J (PRINT) G Z GE L' Z / DEPART NT NAME: PERIOD SHEET: �_ OF 3 FROM: fl bt j T0:- DATE NATURE Of EXPENSE PROJECT NAME ANO/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY A TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.D. MISC. PR J CONT. i ' PHAat ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF PO q2 0 Z.bD�i C e 1 I rc'vw,�o�r A !2 G! rhe c 00 Z '�— Cie EST �-v , K G • t STANDARD FORM 231-A TOTAL TO BE ACCOUNTED FOR /�j r a >� Calocennos & SpinaXPENSE REPORT E ^� Engineers, P.C. 7 DATE: <G EMPLOYEE NAME: /� (PRINT) CF L G �E , DEPART ENT NAME: 470N pERl00 SHEET: �_ OF FROM: (, -cJ-CjL TO: L DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY & TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT Of EXPENSE ITEM LOCATION P.O. MISC. PR J. N ., CONT.ASE • PH ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF ►, -sti1 6 �e-tiz Q G U0 `f Epi ,P4 i'rf� L 6 ,' G�/ 7rl� oLGS yr 3 OG� e�CC1 ✓ Gj Efr�i 11 N 7," �l V 9 - - STANDARD FORM 231-A TOTAL TO BE ACCOUNTED FOR 2 Calocerinos &Spina N�"'EXPENSE REPORT SUMMARY EmP Engineers, P.C. DATE L 2-4� EMPLOYEE NAME : ;PRINT) Q'/ aOC//PiO DEPARTMENT NAME: PERIOD %/ O♦ FROM : TO : G �o SHEET :�^ OF _ SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS PROJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT /4 PPD. OR CRED TTCARD E XP TOTAL OUT OF VI POCKET EXPENSE. TOTAL EXPENSE ,( �l E LOYEE DATE r j�J /< SUPERVISOR DA E � O PARTNER DATE ACCOUNTING DATE ADVANCE AT ADVANCE ATE ADVANCE DATE TOTAL ADVANCE O LESS OUT OF POCKET EXPENSE DUE COMPANY BALANCE DUE EMPLOYEE REMARKS 144 GRAND TOTAL a THE TRAVEL BUG 101 OLD COVE ROAD SUITE 109 LIVERPOOL NY 13090 • M nl/vEi s/P (315) 451-8633 FAX(315)451-8121 .: :7INE"%:AF /INVOICE 140- TR:EiX '-At. ;1_.-R:NL: 3 AND S"INA •- JU7TH N01; H 3T. 0JOL, NY 1.3088 ",7[t-Or<T DIVISION 7F.: M'at nOT`iCHAF:LES 09 JUN + - TUESVAr A.R USA I_: FLT:810 LV ,SYRACUSE AR I;ARTFORLI 2ESERVEif SEAT 111 F;O1EL PADISSON HOTELS RLI HOTEL NEW LONDON 35 GOVERNOR WINTHROP HL NEW LONDON CT '06320 TONE 203-443-7000 L,r fE: 0` .IU?a PAG": 01 ECONOMY 450P EOF': FOKKER F28 537P NON=SIOF' 1 NIGHT OUT-10JUN 1 ROOM ACCOMMODATIONS RATE-70.000SD PER NIGHT GOVERNMENT RATE CANCEL 6F'M IIAY OF ARRIVAL GUARANTEED LATE ARRIVAL CONFIRMATION 83687746 10 JUN 92 - i,EDNESLIAY 1;1K USAIR FLT: 1404 ECONOMY ,.' H. RTFORD 535P AR SYRACUSE 626P EOP: 73'-300 NON-STOP 300.01:, ------ ------ - --U d00.no --------------- 0. 0k: RESERVEII SEAT 13C AI'2 i'CKET UC7709196088 MCDERMOTT CHARLES BILLED TO AX37106',034571.007 SUE TOTAL LESS AMOUNT RILIF�f TO CC TOTAL AMOUNT HUG AP�•RECIATFS YOUR BUST.NF.SS. T:;L A:F _ 6:'G TC1_L FREE NUMI•ER IS 1-800-9Z6-8747 . vo �• °Da �� 9 MYSTIC HILTON 20 COOGAN BOULEV'-I�RO MYSTIC CONNECTICUT 06355 201'572-0731 CHARLES MCDERMOTT 6269 LAKESHORE DR CICERO NY 13039 Date Description, of Charges Room(s) 0250 Arrival Tue JunO9/92 20:04 Exp.Departure Wed Jun10/92 Guests 1 Rate 95.00 Plan T Payment AX 371064034571007 0994 Page 1 Reserve 086219 Charges Credits Tue Jun09 Telephone Charge 3156998939 Tue Jun09 Sales Tax - Telephone 3136998939 Tue Jun09 Room Charge •• Tue Jun09 Tax so THANK YOU FOR CHOOSING THE MYSTIC HILTON! Summary of Charges:' Telephone Charge Sales Tax - Telephone Room Charge Tax Total Account 109.14_ 2.45 0.29 95.00 11.40 Total 109.14 ��/• 00� 002- 100 2.45 0.29 95.00 11.40 --------- --------- 109.14 0.00 I agree that my Lah iq n rh . n Ir wmvra a 1 r '• n :he ra Q no exraon, cml assa:•Jlit>n arlt w pa or an pr h'cft ama... 11 Ir I ✓1 ra�r • �y •/ — 0 d-splies or rtv;u•sn w toms, of a. �tY TU,1 IV aUt• .. ' .,1 r, ] .. U.','� ` 8 J { ._—. n` SSG �•\T'.; Ff C,, CafOCerinOs &Spina EXPENSE REPORT �I�rU'Y Engineers, P.C. DA �� EMPLOYEE NAME:^/ /y� EPARTMENT NAME: (PRINT) ( 4ao/C> /i /G�%i T DC/.•7o p.- PERIOD SHEET: �_ OF FROM: (obo TO: DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE 11DENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY A TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.D. MISC. PR151-`N. CONT, i PHASE ACCOUNT NO. CARO TYPE PPO. OR CC. OUT OF PO aCo. Z `09 say o A.? 6e.- Z l.�•,�/ i4•%oo�T oo.•, 2� /09 Q C*, eo9 3 00 � r--- s S . ANDARO FORM 231-A • TOTAL TO of ACCOUNTED FOR CaloCerinos & Spina EXPENSE REPORT SUMMARY DATE ^ 9 Engineers, P.C. �_/ / C APLOYEE NAME : RINT) DEPARTMENT NAME: I PERIOD SHEET : OF FROM 11 ZTO : I 1 SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS M OJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PROJECT NO. PER/ ACCOUNT NUMBER ITEM AMOUNT EMPLOYEE DNTE SUPERVISOR DATE PARTNE DATE ED O ACCOUNTING DATE 411. ��Q ^ ^ t/wog- / (P �1.2(,o 019 �Al Q CREDIT TOTAL PPD. OR CARD EXPENSE PTOTAL OUT OF OET EXPENSE C TOTAL EXPENSE I C J ADVANCE C PAT ^� I. ADVANCE DAT ADVANCE DATE TOTAL ADVANCE0 LESS OUT OF POCKET EXPENSE BALANCE DUE COMPANY DUE EMPLOYEE C 0 REMARKS s , a -i�- I-� ���• i f Tf 1:J (.)JUL!'9j?. - O a L LSI t�� -.. T-K/O K/I 4 ;'REET ADDRESS I ITJIGHTS l CITY f i 4 � f STATE ZIP ` PHONE OUT PHONE IN/ -� EXPIRES COMM SPEC PROG (M CLR NC I 213 8567 9:49 AM 07/06/92 213 B 213 3690 12:15 AM 07/06/92 213 R 213 8879 12:17 AM 07/07/92 213 B 213 9057 12:13 AM 07/08/92 213 B 213 )WARD JOHNSON 92 179 GREEI`JMANV I LL..E AVE MYSTIC. CT 063515 .00 PRBL 184.20-PPAY 18 r� .2l� 184.20-CBPU j 40.00 ROOM I 1.60 RTAX C 3.20 RTAX !I 139.40--TOTI. ..------- - 139.40-CBPU 40.00 ROOM 1.60 RTAX 3.20 RTAX 94.60-TOTL 94.60-CBPU 40.00 ROOM 1.60 RTAX 3.20 RTAX 49.80-TOTL 49.80-CBPU 40.00 ROOM 1.60 RTAX a: 3.20 RTAX 5.00-CBPU 5.00 PDOT .00 TOTL PERSONS STREET ADDRESS 1 I I RATE. - CITY GTD EIV ' CREDIT CARD A. 37E89193 35 1 z 3 4 5 6 7 6 9 to 11 72 13 14 15 16 17 16 19 20 _ CLERK NIGHTS K'O 4 STATE Zip PHONE OUT PHONF i' EXPIRES COMM SPEC PROG CM LR NC C)3/9`* CSV _NCE FORIMARO -- 109 .00 PRP. 109 184.20 -PPA 9782 9:55 AN 07/13/92 184.20-1�JT E 109 184.20-CBPL 109 40.00 Roots 1.60 RTAX 9$58 11:,j PM 11711- 3.20 RTAX X3/92 139.40•-l'OTl 109 139.40-CBPi B 109 40.00 ROOT 1.60 RTA 3.20 RTA 0034 11:36 PM 07/14/92 94.60 -TOT! air oa4. oda. '�pd9 109 94.60 -CBF B 109 40.00 ROE 1.60 RTF 3.20 RTE 0245 11:23 PM 07/15/92 49.80 -TO', 6 iuv 40.00 R00 1.60 RTA; H WARD JO"NS4� 3.20 RTA; O /92 � 5.00-7071 179 GREENMANV I t_.I_.E AVE 109 5.U0 -CBF MYST I C. CT 06 109 5.00 PDC r.v3 36-2654 § 6:23 AM 07/17/92 .00 TO1 2" C,,�--,,S Calocerinos& Spina EXPENSE REPORT Engineers, P.C.--�—Z-- D'TE. EMPLOYEE NAME: (PRINT) S 0 5 a J A D ARTMENT NAME: 0 N 5 �' / r p ) PERIOD SHEET: OF FROM: 6 9 7 T0: 1 7 DATE al NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTNEq PERSONS INVOLVED , BY NAME , COMPANY i TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUN NO DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.D. MISC. PR J. N , CONT. • ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCKS` \I 5 �,1 ► o O � (;o -N 'PI D L J rk, ; N w 1\ tis N r VI el O L 1 a�VN'1 ) N= v �5 era,e,� a{ANDARD FORM 231-A TOTAL TO BE ACCOUNTED FOR C Calocerinos & Spina EXPENSE REPORT SUMMARY j C Engineers, P.C. DATE 1--L-;I Zl�n_ fAPLOYEE NA i (FNNT) J • (mac - E i OEPARTME NAME: T(y�/ PERIOD SHEET: Z OF Z FROM : �/ G- TO SUMMARY OF EXPENSES TO BE ALLOCATED i FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS NOJECT NUMBER i CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EMPOYEE DATE I SUPERVISOR' DATE PARTNER DAT! ACCOUNTING DATE a �I '004 Q O,9. O�O • OZ I Q AL PPD. OR CRED ITCARD EXPENSE TOTAL OUT OF POCKET EXPENSE TOTAL EXPENSE / Z ADVANCE ATE ADVANCE AT! ADVANCE DATE TOTAL ADVANCE O LESS OUT OF POCKET EXPENSE Z Rb DUE COMPANY BALANCE DUE EMPLOYE! REMARKS MET= o /0 E 1%//O GRAND TOTAL ._cc .. 1 "_ H.-0lrr•. rnid at tic :rd :.a'ia pr w:ro•r pm vor .. ... ,, r „� ., ., .i. i,'.I i. ,� •it ii��,�rl �n ire,, r ini �•r rrnn•r i.)nr�.���� IJt•,•, ,. I�.:t m:lat, !.•y „�.... n.l c�,•r ...��. ..� I, •... I... .. .. ... MYSTIC HILTON MYSTIC I iILTON 20lU1><,ANW L.111VARO ; .� (171i(,A•-vbl)l'IIAA1111) M1SIH C ONNtC I K UT Uf, iSS N`.fl IIC''In";� 10i,,7I.l731 LAWRENCE CERRETANI Room(s) 0200 SCOTT SHOVA Room(s) 0252 7613 ASTER OR 7300 CEDAR POST RD LIVERPOOL Arrival Tue Jun09/92 20:02 LIVERPOOL Arrival Tue Jun09/92 20:03 NY Exp.Departure Wed Jun10/92 NY Exp.Departure Wed Jun10/92 13068 Guests 1 I 13066 Guests 1 Rate 95.00 Plan T Rate 95.00 Plan T Payment AX 371411607171006 1192 Payment AX SEE RM 200 Page 1 Reserv.N 086217 Page 1 Reserv.N 086216 Date Description of Charges ChSrges Credits Date Description of Charges Charges Credits 'Ir Jun09 Room Charge +• 95.00 ( Tue Jun09 Room Charge r• 95.00 ',e Jun09 Tax +• 11.40 Tue Jun09 Tax ■+ 11.40 Total Account 106.40 106.40 0.00 Total Account 106.40 106.40 0.00 'wnNK YOU FOR CHOOSING r THANK YOU FOR CHOOSING THE MYSTIC HILTON! THE MYSTIC HILTON! Summary of Charges: Summary of Charges: Room Charge 95.00 Room Charge 95.00 Tax 11.40 ---------- Tax 11.40 Total 106.40 ---------- Total 106.40 i ._cc .. 1 "_ H.-0lrr•. rnid at tic :rd :.a'ia pr w:ro•r pm vor .. ... ,, r „� ., ., .i. i,'.I i. ,� •it ii��,�rl �n ire,, r ini �•r rrnn•r i.)nr�.���� IJt•,•, ,. I�.:t m:lat, !.•y „�.... n.l c�,•r ...��. ..� I, •... I... .. .. ... Calocerinos & Spina ` p EXPENSE REPORT `� Engineers, P.C. DATE: --�— 9 L EMPLOYEE NAME: (PRINT) _� DEP TMENT NAME: Q/V PERIOD SHEET: ` OF Z FROM: -y' LTO: - L DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED . BY NAME . COMPANY L TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.D. MISC. PR J. N .. CONAT. & SE ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCKET t V4 GL�z A v Z /D ✓C STFNDARO FORM 231-A r TOTAL TO B! ACCOUNTED FOR Account Number ............. Invoice *?.QUP6. _ , . , , Date. Aug: 18, 1992 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: .................................... Calocerinos & Spina Engineers, P.C: Payee Reference: ........... . .. ... ....... . . Address: .................................... 1020Seti.enth North Street Phone No. (....)....................... Live rp o o l NY 13 0.8 8 .. , , , , . , .. , Vendor Contact Cash Discount .................. % .........Days.................................... Item Description of Material/Service Quantity Unit Amount No. I I I Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof has been paid, except as therein stated, and that the balance therein stated is actually due and owing. ,) Dated ................... � ��C{1,...,19 qa. ....X •t,.��...... nature Calocennos & Spina P C TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT F00T OF STATE STREET NEW LONDON, CONNECTICUT 06320 ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL -SERVICES RENDERED THROUGH 07/24/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE INV. DATE: 08/18/92 INVOICE #: 208166 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 1020 Seventh North Street, Liverpool, NY 130B8-6199 (315) 457-671 1 FAX (315) 457-9803 YS F ,SBC THIS INVOICE CUMULATIVE 2,353.30 5,970.15 3,294.62 -------------- -------------- 8,358.21 ?,,353-,30 5,647.92 14,328.36 X33• `'D 133.00 243.25 -------------- -------------- 5,780.92 14,571.61 .00 2,871.11 -------------- -------------- 5,780.92 17,442.72 867.14 2,616.41- 72 -57 -------------- -------------- 6,648.06 20,059.13 332.40 -------------- - 6,315.66 1020 Seventh North Street, Liverpool, NY 130B8-6199 (315) 457-671 1 FAX (315) 457-9803 Calocerinos & Spina TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 SALARY & E X P E N S E DETAIL SALARIES BASED ON MULTIPLIER INV. DATE: 08/18/92 INVOICE #: 208166 PROJECT #: 211.004.002 1020 Seventh North Street, Liverpool, NY 130£3£3 6199 (315) 457-f;711 FAX (31 5) 4W -T03 HOURS RATE PREM AMOUNT PROJECT ENGINEER MAKHLOUF, GHAITH N. 2.00 21.2000 42.40 ENGINEER MCDERMOTT, CHARLES R 12.50 16.1000 201.25 ASSISTANT AIRPORT PLANNER FREDA, SARA S. 2.00 13.5000 27.00 DESIGNER HILLEGES,VICKY ANN 2.00 13.5000 27.00 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 24.00 25.5000 612.00 INSPECTOR SHOVA, SCOTT H. 80.00 14.0000 1,120.00 SHOVA, SCOTT H. 19.00 14.0000 133.00 266:00 SAWMILLER, JOSEPH A. 2.00 14.2000 28.40 SECRETARY WILDS, KAREN D. 2.00 12.5000 25.00 BAXTER, CYNTHIA A. .50 8.5000 4.25 -------• 146.00 ---------- ---------- 133.00 2,353.30 =xxsxcxxxvxx 1020 Seventh North Street, Liverpool, NY 130£3£3 6199 (315) 457-f;711 FAX (31 5) 4W -T03 .Y 92 cunri-turriber............. ti voice_,. ZtJ918 .7..... Date. ept:moe.r 1..19........... TOWN 0 50 7THOLD.- COUNTY OF SUFFOLK, :y.Y., Dr. PAY T0: _ .: - Payee Identification Payee Name:, or Social Security Number:. +` ...5 7..................... Cai.ocerinos $. Spina Engineers, P.C. Payee Reference: Address: .. J0 11 C'..Seven.th North. St Phone No. (....)........ L i. ; c i.n o o l NY ........................... ............ Vendor Contact C-Fsh Oisco.rnt .................. ?o ......... Days .......... ............... Item Description of 1U :eriai;Sen ce Quantityn:t rice A,;,ount I j Total Discount Net The undersigned (Claimant) (Acting on behalf of above named laimant) does hereby certify that the foregoing claim is true and correct and that no part thereof h been paid, except as they ' stated, and that the balance therein stated is actually due and owing. Dated...............................19 .... ``.. ,. Signature P t TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FRON 07/10/92 THROUGH 09/04/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE INV. DATE: 09/15/92 INVOICE #: 209187 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 THIS INVOICE CUMULATIVE 5,551.30 11, 521.45 7,771.82 16,130.03 -------------- -------------- 13,323.12 27,651.48 294.00 537.25 -------------- -------------- 13,617.12 28,188.73 7,656.27 10,527.38 -------------- -------------- 21,273.39 38,716.11 -----3,191.01- -----5,807.42- 24, 464.40 44, 523.53 ✓ -✓ 1,223.22 -------------- 23,241.18 TOWN OF SOUTHOLD INV. DATE: 09/15/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 209187 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 S A L A R Y & E X P E N S E D E T A I L SALARIES BASED ON MULTIPLIER HOURS RATE PREM AMOUNT MANAGING ENGINEER PETRANCHUK, MARK F. 3.00 30.5000 91.50 PROJECT ENGINEER MAKHLOUF, GHAITH N. 3.00 21.2000 63.60 ENGINEER MCDERMOTT, CHARLES R 6.50 16.1000 104.65 ASSISTANT ARCHITECT CAVING, JOSEPH J. 4.00 14.7000 58.80 ASSISTANT ENGINEER SAWMILLER, JOSEPH A. 2.00 14.2000 28.40 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 38.00 25.5000 969.00 INSPECTOR SHOVA, SCOTT H. 240.00 14.0000 3,360.00 SHOVA, SCOTT H. 14.00 14.0000 98.00 196.00 SHOVA, SCOTT H. 14.00 14.0000 98.00 196.00 SHOVA, SCOTT H. 14.00 14.0000 98.00 196.00 GRANTS ADMINISTRATOR FARLEY, SHEILA M. 4.00 16.4000 65.60 SECRETARY WILDS, KAREN D. 14.00 12.5000 175.00 BAXTER, CYNTHIA A. 5.50 8.5000 46.75 -------- 362.00 ---------- ---------- 294.00 5,551.30 TOWN OF SOUTHOLD INV. DATE: 09/15/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 209187 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 S A L A R Y & E X P E N S E D E T A I L OTHER EXPENSES COST/QTY RATE AMOUNT TRAVEL & SUBSISTENCE CERRETANI, LAWRENCE J. 461.68 1.0000 461.68 WAGNER JR., HAROLD W. 2,180.00 1.0000 2,180.00 SHOVA, SCOTT H. 3,780.00 1.0000 3,780.00 AUTO RENTAL CERRETANI, LAWRENCE J. 67.46 1.0000 67.46 HERTZ SYSTEM, INC. 1,167.13 1.0000 1,167.13 ------------ 7,656.27 Calocerinus & Sena DATE i EXPENSE REPORT SUMMARY .� / \{ / Engineers, P.C. ;,LOYEE NAME : ��C-u`rT S I���;/ DEPARTMENT NAME: C,,,,� PERIOD ' SHEET : '_ OF c)-I INT) Skr� 1 ,� FROM : I qT0 : �, SUMMARY OF EXPENSES TO BE ALLOCATED RECONCILIATION APPROVALS FOR ACCOUNTING DEPT. USE ONLY J!ECT W164Wn CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT �.�.- 1 I UO`T 00 /� /1 -9N9 �O / / �- TOTAL PPD. OR CREDIT CARD EXPENSE . /✓� TOTAL OUT OF EXPENSE / 1, J EMPLOYEE DATE POCKET rl' TOTAL EXPENSE --- 1 / _ T Il SUPERVISOR DATE ;-- -'_ ADVANCE D)T I ` (J O - ---- ADVANCE DTE - ------ ---- --- -- PARTN:ih DAIS ---__ ADVANCE DATE TOTAL ADVANCE L U 7 o LESS OUT OF POCKET EXPENSE I "� (j q ACCO NTINO^ GATE 1 DUE COMPANY BALANCE U DUE EMPLOYEE 0 cj REMARKS 1 i f— 1?4A - ---�- - G �A.ND TOTAL RLk?�+sT ruu ,RST OUT oArE IN oArE _ C q�7M LAS' IA.. FIRST JUT A E N ' T 2 r+�e 2 2a�,ur=�_�21674 f�l� Fro ,�. -;C 321289 _ CLERK hIGItTi - •.q F'l°-_�_�-i'iJ .c sc 15 SCREE A�,FL_S f PEAGnN$ STC: ET A.f.D .ESS I ,• ' ~� . + CIE UFF:-- . -7Ev -_ - SATE Zlh Fe,,,r.ETf rr 01E r_Iry -------- �:jqY TIRES COMA1 SFE•E F�.I•F. CN ln" h'. ---- El?�'.E �`u I E `.C. 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':"v:'. r..+ �- - L %tg Calocerinos & Spina EXPENSE REPORT~- zia Engineeie F'.C. CAT F: E1.'^LOYE[ NnM[:C nn DEPARTMENT NAME: j ERIOD r SHEET: , OF —TO: pAjE { NATi1R8 Of EXPCNSE PROJECT NAME AND: OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCWUINO OTHER PERSONS INVOLVED , BY NAME , COMPANY 6 TITLE) ALLOCATION OF EXPENSE CLAIMED pji6 NS P.D. MISC. CONT. i pllAYE ACCbUNT O DEPT. ONLY AMOUNT OF t1PFNS_ ITEM LOCATION ACCOUNT NO. CARD TYPE '!]. CR CC. ! OUT OF P3Zmf i L'e''� e.. i -- V ! C.,L ou � c ; 1'`\ I C 1. —� -t- ✓w�y�.41 11 —.� /---��M %-4 yS2 4 of 1 i f ! f i ! i i I i - TOTAL TO L;:: ACCOi:?,7c:; 'U;i ' ! ' "l`. Calocennos & Spina DATE , EXPENSE REPORT SUMMARY � /'- `- Engineers, P.C. PLOYEE NAME ; J INT) %I ✓CE_ ;('L✓%l DEPARTMENT NAME. PERIOD SHtET : 3 OF Z FROM �/S!- Ic�J : 2 TO : �- 1C SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS 4JEC7 NUMBERC0IRIIAC`T PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EYEE DATE RPLO —SUPERVfSbR DATE PARTNER DATE ACCOUNTING DATE V9 14 y TOTAL PPD. OR CREDIT CARD EXPENSE TOTAL OUT OF POCKET EXPENSE Qd�/y/�_O TOTAL EXPENSE J / � C26 16oZI U �—D Q J 9 sa o8 ADVANCE ATE q� O % 3 J. 02� 0 ADVANCE DATE ADVANCE ATE TOTAL ADVANCE Q LESS OUT OF POCKET EXPENSE 2 '�(� J DUE COMPANY BALANCE DUE EMPLOYEE 3 REMARKS GRAND TOTAL '1 �� r .....,: uulury fur Allillie Form, Serial Number f: {yi�ryy+y�w�+yW� I R"r mI llv i:1. sUES SUBJECT TO 1.1S ARC 9PAssENGER000PON I�t�T .FSE. TRAVEL OUG " w E) 2 FEE P`� �"R�'WERM.. JI.�L�r'' � RE,�E �1i�'1� �«Y�INEYCNE�, (� (� I� �e�[1�111ll AN ; 4 °f; tvE l� lT WY , WOW= uxoel�.o - -`it 1 RAC 4A ASE OQD rAsSlwE i.r ►ice S:� p ; � .s .� l... '7 \1'f`� l�l'� r�4T. OEQIQ/N7011 IA YNDEBUE 1QI MOMM KLOW a TJ -11. ��Ak' f.1 l 1.11 111A4 4.11.11. i1",P i:11� i;811' - r VO is l) •� - •, "' V (_) 11.1 • _ •- u,plealEB YYI. °f; , WOW= uxoel�.o IiL;rl �'%:y, VOLl3d. 36 1.118 �i'tFtl:'J�d ;��5 :? 7.72 E'HD . EOUIV. 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DATE % / 3 / ILOYEE NAME : <j DEPARTMENT NAME: PERIOD NT) �1 C d- s t� D J co r� FROM SHEET : p� OF SUMMARY OF EXPENSES TO BE ALLOCATED RECONCILIATION FOR ACCOUNTING DEPT. USE ONLY APPROVALS JECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT r A EMPLOYEE DATE ` �/ 12 8UPERVIdOft DATE " PARTNER DATE ACCOUN DATE D 8. oa oo a to 0 9 Z D AL PPO. OR CREDIT TCARD EXPENSE (� • DO TOTAL OUT OF POCKET EXPENSE D D �/ TOTAL EXPENSE 60 u ADVANCE 3 TE -�, ( a (; U C D ADVANCE DATE ADVANCE DATE TOTAL ADVANCE I a V 0 0 LESS OUT OF POCKET EXPENSE ' p U U BALANCE DUE COMPANY DUE EMPLOYEE iJu 0 V REMARKS GRAND TOTAL _- R001 --GC1,B LAST NAME Si-10VA, l,3CCJf-T FIRST OUT DATE _13 TUL. 9 �2 IN DATE 1 2-7 J UL 5 069191 PERSONS STREET ADDRESS 101 00 ROOM CLERK NIGHTS K/O K/I 7300 CEDER POST RD. 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P.0 —7 DAT l EMPLOYEE NAME: � � (PRINT) v f' i10� DEPA�MENT N ME: o S�/wC� /`t PERIOD SHEET: �_ OF FROM: p 9 TO:Liz DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY A TITLE) ALLOCA ION F EXPENSE CLAIMED AC OUN INO DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.D. MISC. PROJ N CPNATE6 ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCKET f ,ems S �AN)Uri �Iel�9 i� Ie I tN �v`t 6 o Cl U II i i i i 1 ' STANDARD FORM 221-A TOTAL TO 80 ACCOUNTED FOR Calocerinos & Spina EXPENSE REPORT SUMMARY .� :WWEngineers, P.C. DATE ;PLOYEE NAME: !NT) ' DEPARTMENT AME: PERIOD SHEET : OF � FROM: TO :IVA SUMMARY OF EXPENS BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS OJECT NUMaER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EMPLOYEE TATE SUPERVIS611 DA PARTNER DATE ACCOUNTING DATE S� [ a TOTAL PPD. OR CREDIT CARD EXPENSE TOTAL OUT OF POCKET EXPENSE �L TOTAL EXPENSE ADVANCE DATE ADVANCE DATE ADVANCE GATE TOTAL ADVANCE LESS OUT OF POCKET EXPENSE Ca �� BALANCE DUE COMPANY DUE EMPLOYEE �J REMARKS GRAND TOTAL f •nirRwr4Mio 3AI_FS PERSON: 35 CUSTOMER NDR: 021009 THE TRAVEL BUG 101 OLD COVE ROAD SUITE 109 LIVERPOOL, NY 13090 (315) 451-6633 7F,FAX (3>15) 4751+-812y1 -7 1 TIN' Arm'; /INVOICE NO. 0079260 aIAHIB TO: CALOCERINOS AND SPINA 10920 7TH NORTH ST.� LIV`RPJOL.? NY 13002 �ASTk- d L..- Mit, —'AY JA IR FLT: 321 LV S fr:ACUSE Hr'; i•�AR I OR t P r 1-'D HJ MYSTIC- G-ROTON EXT 90 I-915 AND R Y J t MT, ( L 0 t7 [� MY I J.L i l! 355- -'ONE: P6,2;,1....01 i r,ATk 001 .JI'll I. PAGE: 01 *�C0N0M f 715A EUP: 737-30,'-) so1A NON --STOP 4 NI 3HTS f",UT-i -7J U L '. hOC+f TtGC.E LE t,J;.T;; i��; T !� GUARANTEED LATE ARRIVAL 17 JLI 9`1 - rPIrtAY AIf- USS'-tIF: FLT! 140 % ECONOMY P LV HARTFi-.RD 515P EOF': '37 "TREMA �A R SY'RA'CUSE 1 NON-STOP RES`h4'ED SEAT Or US 7 7091965:jo SHOVA SCOTT _ E{ILLFD TO AX37'28919-3)3011000 00 SULN[� T OTAI_ [ T r r/� l... SS F�M'OUN t BILt_.E.I.t O C1' 'JY?•� •�••�••E aeaEcrTGwcnnemNueDEl,wrExEt I' See beiow for Airline Form, Serial Number 22 1'•! Df R 9 MY, g Imwtsrel Aow= 5E ,FIOEORD 10 Co" i ..,...,..... 1.1 VEg115EMENTs';IESTF110TIp15 tT'E. I I t I f !•'E: a' 1Ic: a =:I_IE?.•1 '(� 7 i Il !•). ARDATE OFI� SNGERCOUPON oRIGIwOEST1NAT10N (; �/ 000KI AEF8* �• AASSEN"R NAPE r_f.: i NOT TRA,y-F1ERAlLE :'::;-It"tI" C'l�• is's d �'� Nti'�Ea; TT Fcn O - FROM — NOT GOOD FOR PASSAGE YkNt':tISE CArJ%" FLIGHT IIS '�:;'j CM OATS nr STAM ARE SASISYMT OESIONNI t, re 7'�..li!!. 71`�A f)t; l;l;li�, 1;�tr7F:TFOFU Its 1. ati?� L :' )!)t. F�i`:�F' i1t�: t•;f;t_I'�; ' �cYf?Af'IJ&F iTG t ... t 1t•t, ,�1 ._. ... O Ftd rT tNOELRD Ftt wi ,INOEOED FLS A! L.CKMJFD FARE FAME CALC, TION couv FASE A f I I, rAA— t IAF — TU FON OF FATNENT TJTµ CPN ♦1 AOT INFtt I 4NlINE iiq�ti�wU �>w9UE Form, Serial Number 22 1'•! Df R 9 MY, g Imwtsrel Aow= 5E ,FIOEORD 10 Co" i THE TRAVEL BUG ' ' 101 OLD COVE ROAD SUITE 109 LIVERPOOL, NY 13090 *72awmm (315) 451-6633 FAX (315) 451-8121 t SALES PERSON: 33 ITINERARY/INVOICE NO. 0079146 CUSTOMER NFIR = 021009 SVPKCD TO: CAL.00ERINOS AND SPINA 1020 7TH NORTH ST. f LIVERPOOL r NY 13088 ::..''-1VA/SCOTT `#STA - DATE: 24 JUN PAGE: 01 :UL MONDAY AI:; USAIR FLT: 32 1 ECONOMf L_V SYRACUSE 715A E Q P : 7:57-300 nTr-• r. 3r 0G• r-'�t R� , -! A r. 1 ,- >_1 r. LI � 41r'i '+! CON ---� 1.. , 9-' - FR I11AY r�T1, U:CAIR FLT: 1404 ECONOMY i. -V HARTFORD S 1'R' EQP : 1737 STR TCH AR SYRACUSE 601P NON-STOP T 'ol7091?b4].9 sFiOVA SCG i T BTL.LED TO AX372391933',-511000 f1''. TOTAL LESS �AbUNT 1iILLEi1 TO CC i1OTA OUNT THE TRAVEL BUG APPRECIATE,$' YOUR >�u_ Sa= THE TR;AV1_:L BUG TOLL FREE'i UMBEi�`IS_W'-_S6,019.'6-•8747 tsOOKE.'(i HERTZ DIRECT 77.04 COR 'fi4'i''A .`-F.OR MILISIZE Y'A1:' CO liiTION N'1MBER 821119519A6 'RY `KISHA. 6/24 /92 Y Y, .•.. Y �t � 30G, ---------------- 300, 300° --------------- 0. .AT/OIOM„RM'MU MOM alaunocoannacaRA/EOO1,suoOr •••� _•••. _._.� ...� .__.,. ` See bellow Tor Airline UE'r SI)B.il~f T TO U' ►AssENeER IMME NOT TRANSMAAKI w ;-HFI .lA/SCOT T - x0a; FROM - NOT 0= roR"stN E > _-R us tl� M- TFOR(l (IS 1404t �Tb YPACL)SE L -P=TO f I E' IIIIIQ OEO� � � FARE 1 +j I 1 1 •' � UOEO® , > fAREfXOW1T,ON z 11'>It 7-1. ''') ''TYfi 114. E'CI �r� 101" FARE ro TAX sir TAX Form, Serial Number RC OR,OIWOESTINATION _ R OF v couaow ' i �; f H E RA 1 A(t�;(E�L (13 i0 Fm(io IJ Lr GATE TIME s,ATIA ARE KLS/ " ...TON I- I IROEOQO I"' IN` I uoealc l TAM FORM Of PAYMENT ++ -T ,l W COOS TOTAI'� '7 ��'••' 1 �.) �. 1�/ I 11,���11 �1� �. `�11 . , II ,�'r ' ft 1(• cn+ wre cane FOIrI SERIAL NUMBER u X O NA SsuE A'(-AO7' INFO „r4 T_ P.114AIIIGIA RUM , AIqS*W"(MCHf" TION I -."s) Y�M, '07fTYM), iji�s 5rI11r NA1KM TO -f - �L 1 ' ' i Ji: JS QP�j PASSFXGER COUPON a&: ur KIM I 1. A S OT NOVA. 4`C' NOT RANSFIERA" EROR _y1o, #�yrjot) FOR PASSAGE A ISL CAAFMM — — FLIGHT DA US 3 `�' I T?0j E STAM A. SAIIIIIIII CIESIGNIA If %A F) 0 1. 1 ("N ""Ll 'HARTFOPI-I IIS 1404 43(fl. !!'A' 15 P QK01'15-111; To To 9h=CKrAE0 OICO FARE FARF('A'CUtATIUN— US .t fww FARE N. TAA See below for Airline Form, Serial Number Iii rf-,*AVCt- W,10 - g nop-mno Cep M wxuto TAK FOR. A 7 OF Ymrtq XI I'm, JAIAONECOUt FORM SEAKLNUMOkA I CK WCOP4Z033 037 7715928403 1 DO NOT MARK OR WHITE IN THE WHITE AREA ABOVE OF%QINAJL ISSUE 1 K021009 I Pd0 3 10 Calocerinos & Spina - EXPENSE REPORT ! Engineers, P.C. T DATE: o G Z~ �� EMPLOYEE NAME: t (PAINT) 1� DEPARTMENT NAME P RIOD SHEET; OF Z� FROM: TO:77777-1- DAT! NATURE 49 EXPENSE PROJECT NAM! AND/OR BUSINESS PURPOS! (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED, MY NAME , COMPANY A TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE REM L0CATTIIOONN P.D. MISC. PR POA?. A ' SE ACCOUNT NO. CARO TYPE PPD. OR CC. OUT OF POCKET loot iA STANDARD GRIN 731-A i TOTAL TO B! ACCOUNTED FOR `;�;✓ i j TME HERTZ CORPORATION 'tms: 10 DAYS 1 STATEMt'FJ GATE i TAG@ ti9-,,j PLEASE SHOA' THIS NUMBER Qg/17/92 1 ON ALL CORRESPONDENCE COMMERCIAL ACWUNT NIJWER r I I 1201-127-0000-6 Car Rental Monthly Staument For ACCOUNTS PAYABLE CALOCERINOS & SPINA r Send inquiries to The Hertz 1020 SEVENTH 14 ST ' Corporation,Cit P.O. Noma 731 Oklahoma City, Oklahoma 77125 L I VERP JOL NY 13088-6105 j Attention: M.TABB Phone (405)721-6440 Payments received atter 08/13/92 m w1h be recorded on Cie netd statement Cardholder Transaction Ref.; Number .-_.. ... ..-.. � .:.. ,..:. Retro. :i` rats / MOunt BALANCE 06/92 256.07 07/20/92 PAYMENT 06/92 20 2108 256.07CR BALANCE 07/92 219.54 08/10/92 PAYMENT 07/92 10 2104 219.54CR *** TOTAL PREVIOUS BALANCE ** ** .00 0070-9 S SHOVA ,e '07/17/92 .; HARTFORD'CT'.-1720. :' 17, 55371686 '278 00 ' 07/24/92 HARTFORD CT/1720 24 55373547 219.70 07/31/92•;' HARTFORD 1720.."" 31 ' 55375435 231.01 f 08/07/92 HARTFORD CT 1720 07 55377308 218.68 SUBTOTAL ON MANN * 947.59 ***** CURRENT CHARGES ***** ** 947.59 D o s n P/.c moi" / ooh voa;`&o� Duplicate . Return this copy with your remittance NEW BALINCE 947.59 Please make checks payable to: The Hertz Corporation P.O. Box 21}485, Oklahoma City, Oklahoma 73125 " CR • m Crot CHET - Credd Balance THE HERTZ CORPORATION TERMS: 10 DAYS r6TATEMENT DATE PAGE NQ PLEASE SHOW THIS NUMBER 07/20/92 1 ON ALLCORRESPONDENCE -COMMERCI^L ACCOUNT NUMBER 1201-127-0000-6 Car Rental Monthly Statement For ACCOUNTS PAYABLE CALOCERINOS & SPINA Sena inquiries lQ The Hertz 1020 SEVENTH N ST Corpc-auon, P6 Box 25485 Oklahu,` city Oklahoma 73125 LIVERPOOL NY 13088-6105 Attention M.TABB Phone (405)721.8440 Payments received after 07/16/92 will be recorded on the next statement r Tramactlons Ret P- ""al BALANCE 06/92 25 *** TOTAL PREVIOUS BALANCE ** ** 0070-9 S SHOVA 07/10/92 HARTFORD CT 1720 10 55369930 219.54 ***** CURRENT CHARGES ***** ** 219.54 Original - Retain this copy NEW BALANCE 475.61 Please make checks payable to: The Hertz Corporation P.O. Box 25M. Oklalmm City. Oktahotna 73125 CR - Credit ;,, , - CB, -!39 CRH - Credit Balance �.i t ooh oc�z �bo9) 18-0-886 r V1.11 t BRADLEY INT'L AIRPORT RENTAL_ RECO'") : 553699300 SCOTT SHOVE COMPLETED BY= 6646 RENTED: BRADLEY INT'L AIRPORT RENTAL: 07/06/9" 08:10 RETURN: 07/10/92 14:35 MILES IN: 11200 OUT: 10927 MILES DRIVEN: 273 PLAN IN/OUT: BDSA /BDSA CLS: C 5 DAYS @ 37.00 185.00 FUEL PURCHASE OPTION 18.44 TAXABLE TO FOL 185.00 TAX .06000 11.10 TRANSACTION FEE 5.00 NET DUE 219.54 FORM OF PAYMENT: HCC CREDIT CARD #: 120112.7C0709 �.i t ooh oc�z �bo9) 18-0-886 r ORIGINAL INVOICE Rental Agreement No 553699300 Rental Agreement No 553699300 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 vwning Uly No i Kev uatei I ime LLILU�Vehicle THE HERTZ CORPORATION 01720 IN 07/l0a()2 1435 Date/Time OUT 07/06/92 08:10 No 0009532250 TO BE PAID BY Vehicle License No Returned to City/State/Area 969HFZ 01720-11 RUTH REP Veh Make -Body Style Rate Cls Rate Plan In Rate Plan Out CALOCERINOS & SPINA NTMP C BDSA Veh Cts Sub/up Day C4 5 37.00 185.00 Mileage Cap Plan Week 0 .00 Miles Month IN 11200 0 .00 Credit Card Type and Number Miles Extra Day HCC 120112700709 out 10927 0 .00 #j1 Club Member C.D.P.I.D. No. Credit App/Date/Amt Miles Extra Hours 154668 483308 Driven 273 0 .00 Other Identification Mlles Miles Chged Miles Rate 1 Allow I .00 RATE CONDITIONS ' Minimum Rental Charge Rental Day (24 Hours) ' Rates do not include fuel and service charge .00 Vehicle Returned To (City/State) Area-LocOne HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 185.00 Vehicle Rented At(city/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-451-6633 Date Due 07/10/92 Date Returned 07/10/92 Fuel and Service Charge Mile Per Per on Subtotal 185.00 Renter's Name SHOVA SCOTT Declines X Loss Damage Waiver (LDW) A �oiu Declines PAI PEC Personal Accident Insurance (PAI)/ ACCT s PAI/PEC Service Charge .00 Personal Effects Additional X Coverage (PEC) Charge .00 °eLIS G5 X Liability Insurance Supplement (LIS) A`L°�`� Fuel and Sery Chg 18.44 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 821119519A6 .00 Referral Source PAI & PEC 33879683 .00 Refund Deposit Total Charges 214.54 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (If any) .00 Thank You For Renting From Hertz Please Pay This Amount Final Net Due 219.54 Rental Agreement No 553699300 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 PIN Calocerinos & Spina EXPENSE REPORT SUMMARY J6A Engineers, P.C. D ATE t } / IPLOYEE NAME : TINT) of S DEPARTMENT NAME: C a � r I,*),- PERIOD SHEET : '1 OF FROM : TO : � 1 SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS tOJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT AL PPD. OR TT CREOCARD EXPENSETOTAL Q� V OUT OF EXPENSE POCKET E ' u D Q EMPLOYEE DATE cr� SUPEHVISOh DATE TOTAL EXPENSE `'1 0 Q o ADVANCE ADVANCE D TE ' DATE a 6 0 T— 0 ADVANCE ATE PARTNER DATE TOTAL ADVANCE 1 6 0 Q p LESS OUT OF POCKET EXPENSE 60 011 ACCOUNTING GATE y=11i,;- D BALANCE DUE COMPANY DUE EMPLOYEE I O V /c 7 REMARKS GRAND TOTAL ......•-.c..:._.s..i.,s.:,:.e:�:..,�.:sE.,,a._?.,,:.:.:ifl::r.:.,:.���i. -' _:..z^;;,3r.1,L:.ya��E1:.r� �.�_at..,+ter; .,�91;�y� y 'i': ii .�,'.. �..�.. 'I w - ---- - - s,a.... �... a 1''FII�,105955-- ;?os -S�ov-3,- Sc 0-" ? 2711 QB S OVAE1 SCOTT R$ InaiAUG9r v3FEJG9 0591 S t yc -N GNTS K1O� K1 1 •Rwr OUT j N iiiil STREET*"0"iS D. P.�Cr.E.N'4 1 IDsy'j 1 �73()v CEDER FUST F.L. AFT.7A ._. _ T -ONE Nv _...__.__ - ' fv' rE CITv STA,E -.-_ -. ti P-...*Cui y i.._ ,I ' ] £' _-- - ! ---- ( 40.00 L2'JEFFOOL NY 13 88 r � I Ne.}RO D!v-CRED.T .JWC -- EAY'RE4 � fOYY 9PEC Kl. I LY W `C 03. 9C5 j C3.. i lAIANCEfORNARD -_--� �NRa-- -- --- 109 .00 FRDL '1 , 1 I 49.8i)-Cepti - 205 .00 = -- 109 184,20-PPAY 2 205 4D.00 ROOM ' _ -- i 205 182.20 = 5400 8:33 AM 08/10/92 184.70 -TOTE 2 1.60 RTAX ' 4034 8:17 AM 08/03/92- __ 8 11:02 FM 08/06/92 3.20 RTAX - 5.00 -TOIL s 109 184.20-CBPU s ° B 109 40.00 ROOM s E 205 3.00-CBPU -- - -- --' 1.60 RTAX � 205 5.00 FOOT ° -- ------ s 3.20 RTAX a 4S 0 5:04 AM 08/07/92 -J .00 TOTE ° 8 205 =84.20 5550 10:14 FM 08/10/92 139.40 -TOTE 1 w 40.00 n'_ s f 1.60 p' T2F m 4161 10:50 FM 3.20 08/03/g2 139,40 , T 109 139.40-CBPU ` 1 12--- 2 8 109 40.00 ROOM ��1. - - _ 1.60 RTAX 13 {-- ----- 3.20 RTAX a 14 - 574• 10:32 FM 03/11/92 94.60 -TOTE s s --_--'----__- --, 205 139.2 - , -----------' 109 94.60-CBPU TT n .f � 1.6Q B 109 40.00 ROOM u e so 4363 11:28 PM 08/94/92 94.61' ZU5 9•.60- 8 205 40.00 1.6E 3.20 4533 10:41 PM 08/05/92 49.3: HOWARD JOHNSON TOTE 1 HOWARD JOHNSON, HOWARD JOHNSON E AVE 179 GREENMANVILLE AVE C TMYSTIC. CT 063t-3 1.60 RTAX 3.20 RTAX 19 - - - 5924 11:48 FM 08/12/92 49.80-TOTL I o 21 149.80{BPU 109 1 22 - - -- - B 109 40.00 ROOM 37 1.60 RTAX 24 3.20 RTAX 75- 6113 11:27 PM 08/13/92-TOTL26 - - - ------ 109 G 5.00-CBPU 27 2E 109 5.00 POOF ZU5 9•.60- 8 205 40.00 1.6E 3.20 4533 10:41 PM 08/05/92 49.3: HOWARD JOHNSON TOTE 1 HOWARD JOHNSON, HOWARD JOHNSON E AVE 179 GREENMANVILLE AVE C TMYSTIC. CT 063t-3 C,4S Calocerinos & Spina _ EXPENSE REPORT Engineers, P.C. D ITS , EMPLOYEE NAME: C (PRINT) SGo J DEPA TMENT NAME: 01J SVr I PERIOD SHEET. �_ OF 1 FROM: 3 g T0: q DATE NATURE Of EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSON$ INVOLVED , BY NAME , COMPANY TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNT NO DEPT. ONLY AMOUNT Of EXPENSE ITEM LOCATION P.D. MISC. PROD, N PO AT. i ' ACCOUNT NO. CARD TYPE PPO. OR CC. OUT OF POCK) q �. p sr � 'n ► t I��� e F�eI alb U O CU°I Ll t - L li �•p� I Lo`w J r 1. N+ s S /`� \/ l �i N 447. i 1 1 r O FGhM 2S1-A TOTAL TO Of ACCOUNTED FON ucilocerinos & Spinago DATE EXPENSE REPORT SUMMARY P C. Z L;lgineers, L OV-1 'I NA .a DEPARTMENt-A4AME: PERIOD �FROM SHEET OF TO SUW',.APY C: i' TUg`ALL'OCATED ACCU ONTUNG DEPT. USE ONLY RECONCILIATION APFROVALS TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EMPLOYEE �\PATE TOTAL PPD. OR CREDIT CARD EXPENSE TOTAL OUT OF POCKET EXPENSE %upERVISOR TOTAL EXPENSE -j V DAY-E- ADVANCE DATE ADVANCE PARTNER LATL ADVANCE DATE TOTAL ADVANCE LrGS OUT OF POCKET EXPENSE ACCOWI i;Na GATE DUE COMPANY BALANCE DUE EMPLOYEE REMARKS c3, RE i Mh G;; AN 0 TOTAL THE TRAVEL BUG 101 OLD COVE ROAD �ryp�� SUITE 109 LIVERPOOL, NY 13090 (315) 451-6633 FAX (31.) 451.8121 31 ITINEF:ARY/IHt:OICE NO. 0079445 021009 RWZt:RF „LO=� :INGS AND SPINA :0'0 7TH NORTH ST.f L T VEi,'POOL f NY 13088 SCOTT e. I R �Y nr .USE RESERVED SEAT - FRIDAY FLT:321 ECONOMY 715A 801A 5F I - THE TRAVEL BUG i ! 101 OLD COVE ROAD ! d' SUIIE 109 - LIVERPOOL. NY 13050 DATE: 30 JUL 921 rlen.ua,.� l315) 451-6633 PAGE: 01 FAX 1315) 451.8121 SAL F'S F kS-;N: ':1 11I0ERAF:Y/IN'VOK'E NO. 3)79e•l0 TATE: CUSTOMER NPR: 02100, a`FOIInlJ F'AGE: C1 T0: CALOCERINOS ANi1 SPINA 1020 7TH NORTH ST., LIVERPOOL, Ni 130x8 i FOR: SHOVA/SCOTT EQP: 737-300 NON-STOP CUSTOMER COPY 17 AUG 92 - MONDAY AIR USAIR LV SYRACUSE AR HARTFORII RESERVED SEAT 21 AUG 92 - FRIDAY f AIR USAIR LV HARTFORD AR SYRACUSE RESERVED SCAT isra FLT:321 ECONOMY 715A 601A 7F FLT:1404 ECONOMY 52t;F' 611F' 5A EUP: 737-300 NUN-STCP ECP: 737 �_TRETZ::- NON-STOP AIF: T1 XET US7715928757 SHOVA SCOTT BILLED TO AX372891933511000 3_ ------------ SUB TOTAL -_ LESS AMOUNT BILLED TO CC ------------ TOTAL-AMOUNT ----------- TOTAL -AMOUNT THE TRAVEL BUG APPRECIATES YOUR BUSINESS. THE TRAVEL BUG TOLL FREE NUMBER IS 1-600-926-8747 REFUND/REISSUES SUHJECT.TO USE, 25 FEE - -` See below for Alrtine Form, Serial Number i .i"f?1 i1"+1�x 2"«Ifo ` 1�P.1`•' IF ARC ...issF_r,wwm', k iht 1t'i,-''—f -1"x'1 �r"v%" - N-, �((11'Cn ,f „� 'fl1Feil�J�t L u JJ VIJAV .!; 11 .,F 1 i_:,I I -. 7715928757 5 ❑ —_ CUSTOMEF, C --AIR FLT:1404 ECONOMY 'v HARTFORD 525P EQP: 737 STRETCH S'r'=:ACUSE 611P NON-STOP RESERVED SEAT 5A US771592SS61 SHOVA SCOTT BILLED TO AX372891933511000 320.0 SUB TOTAL- -------------- 320.0 LESS. AMOUNT. BILLED TO CC 320.0 rf TOTAL;- AMOUNT ----------- 0.0 TFA!EL FUG APPRECIATES YOUR BUSINESS. Ii1G TOLL FREE NUMBER IS 1-800-926-8747 " See below for A,rtine Form Number - � ..fp Mme. CfAROM R �7Serial ! I[ 1 P. n'+•T� 1 tJ S �; fA55E t '�T- •"-_i� in-ir ' Ml j . 7715928561 5 ❑1= -TT. -- - T,.,,� CUSTOMER COPY 17 AUG 92 - MONDAY AIR USAIR LV SYRACUSE AR HARTFORII RESERVED SEAT 21 AUG 92 - FRIDAY f AIR USAIR LV HARTFORD AR SYRACUSE RESERVED SCAT isra FLT:321 ECONOMY 715A 601A 7F FLT:1404 ECONOMY 52t;F' 611F' 5A EUP: 737-300 NUN-STCP ECP: 737 �_TRETZ::- NON-STOP AIF: T1 XET US7715928757 SHOVA SCOTT BILLED TO AX372891933511000 3_ ------------ SUB TOTAL -_ LESS AMOUNT BILLED TO CC ------------ TOTAL-AMOUNT ----------- TOTAL -AMOUNT THE TRAVEL BUG APPRECIATES YOUR BUSINESS. THE TRAVEL BUG TOLL FREE NUMBER IS 1-600-926-8747 REFUND/REISSUES SUHJECT.TO USE, 25 FEE - -` See below for Alrtine Form, Serial Number i .i"f?1 i1"+1�x 2"«Ifo ` 1�P.1`•' IF ARC ...issF_r,wwm', k iht 1t'i,-''—f -1"x'1 �r"v%" - N-, �((11'Cn ,f „� 'fl1Feil�J�t L u JJ VIJAV .!; 11 .,F 1 i_:,I I -. 7715928757 5 ❑ —_ CUSTOMEF, C ..... .. ,_.. �.. .. ..... .... ... .._....•-...,..., ....�<..�.,.....,...u.'.-_.. ...: t:::.: ;:a, _.....r..a. �. ._.,.._..r..xa,.i_liSeitiF.,,.y°.v:.,.. .m f...t•.'...a_...�. .-::i....A �w. •.d.r.v::.S1- ;<r�s.;. �_.ri:.i...ai.:u._....x�cw-�._,�._ .. THE TRAVEL BUG 101 OLD COVE ROAD 1 d � SUITE 109 LIVERPOOL, NY 13090 rri reiva taar 1315) 451-6633 FAX 1315) 451-8121 SALES PERSON: 31 ITINERARY/INVOICE NO. 007951: DATE: 0`_, F., CUSTOhER NBR: 021009 RPXRhV PAGE: 01 TG: CALOCERINOS AtiD SPINA 1020 7TH NORTH ST., LIVERPOOLr NY 13088 i� FOR. SHO'VA/SCOTT IAUA See below for Airline I°f ry v y -, 17f,�,_1 L ,, -,,,�„ Form, Serial Number _ i I lytJ FARC�osucracaPon rri>FT HE YF'A1JEl 0110 • ..3 07968y3/ .. I - -- _ '•Jill. '�:t fid �`.+i�12�� 1 S1 JU) 11 z' 7715928475 3 ❑ r i 10 AUG 92 - MONDAY AIR USAIR FLT:321 ECONOMY LV SYRACUSE 715A EQP: 737-3J0 AR HARTFORD 801A N'DN-STOc i RLSERVE-1 SEAT 12A CC ------------- 3=J 114 AUG 92 - FRIDAY 0 AIR USAIR FLT:1404 ECONOMY THE TRAVEL BUG TOLL FREE NUMBER LV HARTFORD 525P EOF: 737 STFETCH REFUND/REISSUES SUBJECT TO AR SYRACUSE 611F' NON-STOP RESERVED SEAT 5F AIR TICKET US7715928639 SHOVA SCOTT BILLED TO AX372891933S11000 ------------- SUB TOTAL. 3Z.' - LESS AMOUNT BILLED TO LESS CC ------------- 3=J TOTAL AMOUNT 0 THE TRAVEL BUG APPRECIATES YOUR, BUSINESS. THE TRAVEL BUG TOLL FREE NUMBER IS 1-800-926-8747 ' REFUND/REISSUES SUBJECT TO USU 25 -FEE See below for Airline Ir �1 r' MMt-' To 1i' � s,r,,,Assumlcasa "' ;• Form. Serial iRAL'El. Number i.1I'.• T+ 1rjtTT 771 5928639 6 a -- --- F, 771 5928639 6 a -- --- — — `-- F�� e'hos& S .ail EXPENSE REPORT c . ... _.. Engineers. P.C. EGdP14.a� NRXtB: OAA - own: Of i MATiNN O! Clti'�Ni! r.:.?,I�,T AI i�N il4tt i !. Y AMf�11ME ' W. �`vol4ow. � OT11R�1 CAM t?iti WCATN1N LM s `�i ri i Tnu� 4►. ', iCCOtlNT MO. TT►! !!o. iT11 CCS OUT CM' Ff?C118T iy ��� vy .. Qfi 'r �� -5 2i1 4004 _ igg ln 19 L 9 t� cid �c.c o � 2 i7{ti Dor 3 z VO" 23.-A v `*t t. TO if ACCOUNTTD FOR FtSS { F�� Account Number ............. Invoice #. ?10109... , , Date.October. 22, ..1992......... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 .................................... Calocerinos. ,q ,Spina, Engineers: P.C. Payee Reference: Address: 1020. Seventh. North, Street ... Phone No. (....)....................... ....... ... ...... L i ve,rp o o l,,.. Ny....130.8.8 ..... , ... , .... Vendor Contact Cash Discount ..................% .........Days.................................... The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof s been paid, except asLreiri ted, andthat the balance therein stated is actually due and owing. Dated...............................19 .. ............. Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 09/04/92 THROUGH 10/02/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE INV. DATE: 10/22/92 INVOICE #: 210109 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 THIS INVOICE CUMULATIVE 3,685.60 15,207.05" 5,159.84 -------------- -------------- 21,289.87 8,845.44 36,496.92 231.00 768.25 - -------------- -------------- 9,076.44 37,265.17 9,086.58 19, 613.96-------------- --------------18,163.02 56,879.13 2,207.01 8,014.43 -------------- -------------- 20,370.03 -------------20,370.03 64, 893.56 1,018.50 -------------- 19,351.53 TOWN OF SOUTHOLD INV. DATE: 10/22/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 210109 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 SALARY & EXPENSE DETAIL SALARIES BASED ON MULTIPLIER HOURS RATE PREM AMOUNT MANAGING ENGINEER PETRANCHUK, MARK F. 2.00 30.5000 61.00 ASSISTANT ARCHITECT CAVING, JOSEPH J. 3.00 14.7000 44.10 ASSISTANT ENGINEER SAWMILLER, JOSEPH A. 11.50 14.2000 163.30 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 26.00 25.5000 663.00 INSPECTOR SHOVA, SCOTT H. 152.00 14.0000 2,128.00 SHOVA, SCOTT H. 13.00 14.0000 91.00 182.00 SHOVA, SCOTT H. 20.00 14.0000 140.00 280.00 SECRETARY WILDS, KAREN D. 5.50 12.5000 68".75 BARBER, MARY ANTOINE .50 10.4000 5.20 FETCHO, LISA MARIE 2.00 9.0000 18.00 BAXTER, CYNTHIA A. 8.50 8.5000 72.25 -------- 244.00 ---------- ---------- 231.00 3,685.60 OTHER EXPENSES COST/QTY RATE AMOUNT SUBCONTRACT PROFESSIONAL SERVICES PROFESSIONAL SERVICE IND 3,336.50 1.0000 3,336.50 TRAVEL & SUBSISTENCE CERRETANI, LAWRENCE J. 508.50 1.0000 508.50 WAGNER JR., HAROLD W. 1,620.00 1.0000 1,620.00 SHOVA, SCOTT H. 2,369.00 1.0000 2,369.00 F TOWN OF SOUTHOLD INV. DATE: 10/22/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 210109 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 CLIENT REF: S A L A R Y& EXPENSE DETAIL OTHER EXPENSES ------------ 9,086.58 COST/QTY RATE AMOUNT POSTAGE & SHIPPING UNITED PARCEL SERVICE 2.24 1.0000 2.24 AUTO RENTAL CERRETANI, LAWRENCE J. 192.36 1.0000 192.36 HERTZ SYSTEM, INC. 1,057.98 1.0000 1,057.98 ------------ 9,086.58 GRAND TOTAL I EXPENSE REPORT SUMMARY NAME: I PERIOD ,� r� FROM : Iu F TO RECONCILIATION .COUNT UMBER ITEM AMOUNT DATE SHEET : OF APPROVALS TOTAL PPD. OR CREDIT CARD EXPENSE Calocerinos & Spina Engineers. P.C. .IPLOYEE NAME :� �'� � � HINT) o � C DE� RTS 0 ' 6 U 0 SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY IOJECT NUMBER CONTRACT PNABE TOTAL AMOUNT PER/ PROJECT NO. DUE COMPANY ADVANCE OA E a J '! GRAND TOTAL I EXPENSE REPORT SUMMARY NAME: I PERIOD ,� r� FROM : Iu F TO RECONCILIATION .COUNT UMBER ITEM AMOUNT DATE SHEET : OF APPROVALS DAT ADVANCE ADVANCE DATE PARTNER DATE TOTAL PPD. OR CREDIT CARD EXPENSE Q I 1 EI% L YEE DATE 4z o SUPERVISOR v DATE �J tJ TOTAL OUT OF POCKET EXPENSE ' 6 U 0 u� TOTAL EXPENSE 1 a � <7 ID U DUE COMPANY ADVANCE OA E a J DAT ADVANCE ADVANCE DATE PARTNER DATE REMARKS TOTAL ADVANCE LESS OUT OF POCKET EXPENSE u� �✓ () DUE COMPANY ACCOU � D DATE O BALANCE '! DUE EMPLOYEE REMARKS ATE N) U BALANCE FORWARD 14 is 25 ARRIV. 205 203 � b r- d -r'_'-1 - - OUT PHONE READWO I IN 11:34 PM 09/17/92 205 205 6:09 AM 09/18/92 49.80--(;opU 40-00 ROOM 1.60 RTAX 3.20 RTAX 5-00-TOTL —3 —4 5 — 6— 1556 10:13 205 205 AM U9/14/92 CLERK NIGH PERSONS STREET ADDRESS I'%D 9 10 + RATE CITY STATE zip PHONE UT PH GTD 81 CREDIT CARD 205 --txolilts -Fdomimlind PA66 13 14 r CM LR NC x ct VT 15 — 1636 11:31 Pil 09/14/92 :39. 0 lAIANGE FORWARD 16 2 49.80--(;opU 40-00 ROOM 1.60 RTAX 3.20 RTAX 5-00-TOTL —3 —4 5 — 6— 1556 10:13 205 205 AM U9/14/92 7 ------- 5.00-.CBPU 5.00 PDOT .00 TOTL 9 10 12 205 13 14 B 205 Gti, j V 3.2fi 15 — 1636 11:31 Pil 09/14/92 :39. 0 16 17 Is 19 — 20 B 20 5 5 1822 11:40 PM 09/15,192 0=10pip • • �v�:� w- 205 114.60- 205 cl CI .0 1.6:1 1996 11:51 PM 09/16/92 HOWARD JOHNSON A�Almmx2vlw" T PHONE OUT READING IN RALAwCE FORWARD 205 40.00 800d %.60 RTA% 3.20 RTAX 5 12:44 AM 09/24/92 3.00-TOTL 205 5.00-CBPU 205 5.00 PD8T 4 6:29 Ail 09/25/92 .00 TOTL 20 24 27 iOWARD JOHNSONO 205 , 2990 12:06 AN 09/232/92 HOWARD JOHNSON | E .111 -H)WI, , f I I. , UE'. AVE o�355 -^- �I J � PERSONS ST14EET ADDRESS CLERK NJU -i � | > RATE CITY STATE ZIP pONE OUTCM GTO BY 'j;C7-RKDfT CARD XOIAts SIPEC7 LR NC' BALANCE FORWARD - � " 205 203 4'}/'F 2674 9:53 AM (19/21/92 � 205 / B 205 - 1.8) F � 12 27J3 11:36 PM 09/21/92 13 14 | 15 16 17 18 205 139.40-[ 8 205 4!.1.I'l.) � 20 3.. � 2U53 11:48, PM 09/22/92 94.�0-T 205 , 2990 12:06 AN 09/232/92 HOWARD JOHNSON | E .111 -H)WI, , f I I. , UE'. AVE o�355 Calocerinos& Spina EXPENSE REPORT Engineers, P.C. D E5Ci"S EMPLOYEE NAM: C DE(ARTMENT NAME:, Oa k .,c n� PERIOD SHEET: OF __2_(PRINT) FROM: P -j TO: DATE ' I NATURE Of EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY S TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT Of EXPENSE ITEM LOCATION P.D. MISC. PR J. N „ PRAT. i ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCK �-)ti-cq _L _ erdltr^ tYi, E 1cI�. `�11 o J,, \— '3ol,.tJSo� �.rF,cl� L�In�'c„i�. ol 1:1 lot STANDARD FORM 231-A TOTAL TO BE ACCOUNTED FOR ilril�iS & SpII Ci DATE : EXPENSE REPORT SUMMARY I � � � /-! z_ DEP RTMENT NAME. PERIOD SHEET : OF �-- --_-_mac::..... T o • j FROM : a 2 TO : 2,L :;L! r.?AARY OF EXPENSES TO BE ALLOCATED RECONCILIATION APPROVALS FOR ACCOUNTING DEC'T. OSE ONLY r :��•.:�� ! PriAGc TOTAL AMOUNT PROJECT NO. PER/ ACCOUNT NUMBER ITEM AMOUNT TOTAL PPO. OR i CREDIT CARD EXPENSE 14., /=-a ._,' / TOTAL OUT OF E PIT EE DATE POCKET EXPENSE V TOTAL EXPENSE Llel /1 SUPERVISOR DATE DATE ADVANCE _-- ------- - � ----_-----"----_ -----. —DATE ADVANCE ` DATE ADVANCE PARTNER D A iE TOTAL ADVANCE LJ LESS OUT OF POCKET EXPENSE .3 ` G '--L—. -' _- - - - -_-� -- ----- _— — - ACCOUNTING Oa7: DUE COMPANY BALANCE DUE EMPLOYEE 2 i - —---'----- — - -- --- -- REMARKS Li 911 - ! `�� -- - C-PAND TOTAL RENTAL CAR RESOURCES I AE 371411607171006 11-92 26/100 " r C) 13 1 J x (Ne. -.141?L. MAX FOR RA -T TO DAY— W j— J3 ffia—al INITIAL p x AUIVAL LN r1i j C, - CC' f (i C3 LINES 3 LINES 30 LINES LINES 0 TO T�E Af��a If A :IcaE w SALESCF Cl! A ILLUS TE FINANCE CXAfiOt PREPARED BY DONNA cLosE-Day DONNA FORM f D I IAL-3 (3r.1) U i c- U"aud-pi —im tL;zkw AN =I-GFT5nI),-W BRADLEY INTL AIRPORT 85-317-SC140EPHOESTER RD. WINDSOR LOCKS, CT 06096 -BDLAP BRADLEY INTL AIR BDLAP 01163307 Lce- CLA :5 VF�T:&E Na 19176 LC LrE%Sg I No. 01GVS wJxF' MOCCL '.ADILLAC DEVILLE EPL OR IGTAVE 9704 8-05-92 0351P VILS TIME CAlT 95191 COT 04-92 uii RENTAL MILEAGE no,, ATES TuE MUE 185 ALLOWANCE LC MKV.Ax RENTAL r 0 . N/A 991 0 2600 060 MIFAGE I)A I L Y ALLOWANCE 1 )gggf 11 4999 4995 DER tJE --K 4FEEK -Y MVn oucIRA :0ff—R tIO TH ONTiLY ON COAN04 VALDE DER TA DPYFXTR4 DAYS N/A M9; 1 0 79§9 coo ArMNnCU 'u, DAYMPOWACKV011 49;9 • Dwawr RAM 00 NIN AY WE FAUIL. TrTX 60 MAX CNA"al ei mpumom RETURN LOCATION CHARGE (MTIOM on Aui& 22 9 JAXABLE TOTAL 4999 ;ALES TAX AT 6.00% FENTLR I AWRENCE CER ETANI REsroENCE 7613 ASTER DR CRYSTATUP f LIVERPOOL NY I, N' HOME PHONE 04-1 LICENSE NOMIP. DATESTATE C056641475970288852 C OMPANY Itli-10-Wki �Tl q CALOCERINOS SPINA COMPANY PNM NOXORPORATE PATE NO. EFUELTNG CHG 3154576711 LOCAL CONTACTAIHM No. 3E-h-:�31 0-2 CNH '31-1 NEW LON60N RADDISSON A=IOKALDR?#MA)JL NONE [5F8a NOJEXP. DAIESTATE " r C) 13 1 J x (Ne. -.141?L. MAX FOR RA -T TO DAY— W j— J3 ffia—al INITIAL p x AUIVAL LN r1i j C, - CC' f (i C3 LINES 3 LINES 30 LINES LINES 0 TO T�E Af��a If A :IcaE w SALESCF Cl! A ILLUS TE FINANCE CXAfiOt PREPARED BY DONNA cLosE-Day DONNA FORM f D I IAL-3 (3r.1) U i c- U"aud-pi —im tL;zkw AN =I-GFT5nI),-W BRADLEY INTL AIRPORT 85-317-SC140EPHOESTER RD. WINDSOR LOCKS, CT 06096 -BDLAP BRADLEY INTL AIR BDLAP 01163307 Lce- CLA :5 VF�T:&E Na 19176 LC LrE%Sg I No. 01GVS wJxF' MOCCL '.ADILLAC DEVILLE EPL OR IGTAVE 9704 8-05-92 0351P VILS TIME CAlT 95191 COT 04-92 uii RENTAL MILEAGE no,, ATES TuE MUE 185 ALLOWANCE LC MKV.Ax RENTAL r 0 . N/A 991 0 2600 060 MIFAGE I)A I L Y ALLOWANCE 1 )gggf 11 4999 4995 DER tJE --K 4FEEK -Y MVn oucIRA :0ff—R tIO TH ONTiLY ON COAN04 VALDE DER TA DPYFXTR4 DAYS N/A M9; 1 0 79§9 coo ArMNnCU 'u, DAYMPOWACKV011 49;9 • Dwawr RAM 00 NIN AY WE FAUIL. TrTX 60 MAX CNA"al ei mpumom RETURN LOCATION CHARGE (MTIOM on Aui& 22 9 JAXABLE TOTAL 4999 ;ALES TAX AT 6.00% TOUR @ 1.00 PER DAY -1.0 oe,41.41) EFUELTNG CHG AT 2.39/GAL 1793 ANK OUT: 8/8 TANK IN: 5/8 IENTAL A3REUEN7 NO. SUB TDTi Dt-Ap 01160307 719c i'LGN'U —TYPE.Ali&NT LESS DEPOSJ E 71.9 �Alp- 71§E NET DuE RENTER NET E > ALL CHARGES SU --ECT TO FIKALL A';c aAL .. .._-. :.r �.. ..::.-.. .�.. _....`4..•.. � � 1...�............_a....._L.�...r_...._u......_�i`Si.._L.Yrs..�ta..sl. ,.. 3.....r...e.._u..a. ... ...� S�i•. 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ONLY AMOUNT OF EXPENSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER jl CARD ilTEhi I LOCATION PERSONS INVOLVED , BY NAME , COMPANY A TITLE) P.D. MISC. CONT. ACCOUNT NO. TYPE PPD. OR CC. OUT OF PCCKE zr)Fr — ` �S.TScD ,ELiif'.�f ���✓J to 9/ 011-- 6x22 < oo'k oo2, r ori I Sazz Leer i l 1 ----- 1—fil/sc r�----! ���si�J-fir j�w �fYYFI�+✓t.� IC Ct>+J�Ytvtt�lUrr 001 o I ------------ r 1 __l - tANC;,ri1-A TOTAL YUEIL•ACCOUNTEDFOA - -'m' S Calocerinos & Spina EXPENSE REPORT SUMMARYDATE Am Engineers, P.C. : } /—Li_/ PLOYEE NAME : INTI T� DEPARTMENT NAME: V N S t st N PERIOD SHEET:r_ OF FROM : TO : 1 SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS EJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EMPLOYEE DATE R SUPERVISOR DATE PARTNER DATE ACCOUNTING DATE TOTAL PPD. OR CREDIT CARD EXPENSE O TOTAL OUT OF POCKET EXPENSE TOTAL EXPENSE ADVANCE ?AT ADVANCE DATE ADVANCE DATE TOTAL ADVANCE LE88 OUT OF POCKET EXPENSE , O BALANCE DUE COMPANY DUE EMPLOYEE (' V Q REMARKS 14 GRAND TOTAL /� 11 K 215 139:040 4'4T i - UR F.) 0 T T 'M12 K4 ITA) ,- 215 +U'' 3.20 PUX 0759 31:45 AF. Wlb RT PAX 215 ? 215 Ruo 0 3.20 RTAX 0937 12:59 09/92 19.80 -TOTE 215 'X B 2 49.9oneml MltTAXX 15 R r --Q-00 iW f-TOTL 3.20 ItTAX 1061 IsO6 J�r�/10/92 5.00-TDTL 215 elowo—ORT logg 6-25 An 09/11/92 .00 TUTL JOHNSON HOWARD msa- C S Calocerinos & Spina EXPENSE REPORT Engineers, P.C. DATE: ^ EMPLOYEE NAME. DEPARTMENT NAME: C- .J 0 rv, cl to fj eERIOD SHEET:_ 1_ OF FROM: q TO:911, 113 DATE ci ;, i NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED. BY NAME .COMPANY A TITLE) ALLOCA 10 OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P D. MtSC. PR PHASE` ' ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCKET o ns 1 -� = W I i STANDARD FORM 231-A TOTAL TO BE ACCOUNTED FOR *I- S Calocerinos & Spina EXPENSE REPORT SUMMARY _ _ Engineers, P.C. / DATE .PLOY E NAME : ,,NT, tied DE RTNIENT NAME: ERIOD SHEET : 2 OF Z FROM : TO s SUMMARY OF EXPENSES FOR ACCOUNTING TO BE ALLOCATED DEPT. USE ONLY RECONCILIATION APPROVALS .OJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT 9 / / ICS EM Ell DATE Il SUPERVISION DATE PARTNER DATE ACCOUNTING DATE Q � 015- TOTAL PPD. OR CREDIT CARD EXPENSE 00.0 �, 0cp. //__ (JQ19 O TOTAL OUT OF POCKET EXPENSE /�4,L/L, TOTAL EXPENSE / `f3 0 5 to dO+ ADVANCE DATE ATE ADVANCE TE ADVANCE DATE TOTAL ADVANCE V LESS OUT OF POCKET EXPENSE -3 S BALANCE DUE COMPANY DUE EMPLOYEE REMARKS— GRAND TOTAL /J, t � i �F IYi`tjT1p MDLAOE [K[R S�i6XCl IU CfkgRgR$CUfRMrDM Df$iXTfET `� • h� ` � OONRINCTIOI P fy NOT TRARSFERAKE J V17TRI ! -lTo o --•LTO W EOJUi.J FARE PO -� 2 g TAY TAY TAX V �lT 1NF� /i coNTROL Np• 6.� F ,i1 n •y a tie T .:.t+' CO NOT MARK OR VM7V IN TRE YYItlTE AREA MOM 1 rt V Q 0 7/ 9 k 68 _ ' • F I tI t l ti .. j �t�1`�Sd41 lA�A F'}yy,,r4 �,•• k i �� J 1 +Fti ryAai,t / Wily, d J l� . �,• .A �, Y i h r y.1yy�. • T.. >� F i 1< �`' �'��.:i � ��jy Aye IJ: ot r i �-YI:' )!'t T�. r 'T ��(hy;�(� '" y ti 1 �.7 �"� ♦ ' t�' � � .. to Spina Calocerinos & EXPENSE REPORT p ^� Engineers. P.C. DATE: ,� �_ / q >? J EM' PLOYEE N ME: DEP TMENT NAME: (PRINT) / I� NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE DATE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER 6 TITLE) ITEM LOCATION PERSONS INVOLVED , BY NAMESE gERIOD FROM: TO:12, SHEET: OF Z ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE P.D. MISC. PR J. N - CONT. & ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCK E T S L, ,CCO/MPPANY �� A 002- z 60 011L &4&7oo,q F 0"!— 'b5�7f>v �f _ q t Scw '0 _ le, r r 4 — I co SJ $ 6b� 002. tN 0 vP4 1073 tl I q�3-52 1/ M ti M f r STANDARD FORM 271-A TOTAL TO Be ACCOUNTED FOR / 3 THE HERTZ CORPORATION TERMS. 10 DAYS THE HERTZ CORPORATION TERMS: 10 DAYS STATEMENT DATE PAGE NO J STATEMENT DATE PAGE NO psi -SE SNOW 7HiS NUMBER 09/ 17/92 1 1 PLEASE SHOW THIS NUMBER 09/17/92 1 ON,CORRESPONDENCE 3 ON ALL CORRESPONDENCE COMMVRCIAL._ACCIDUKT NUMBER I COMMERC1611114, ACCOUNT NUMBER �--1201 — 127-0000-6 Car Rental Monthly Statement 1201-127-0000-6 Car Rental Monthly Statement For For ACCOUNTS PAYABLE ACCOUNTS PAYABLE CALOCERINOS & SPINA CALOCERINOS & SPINA _—Sena inquiries to The Hertz 1020 SEVENTH N ST Send inquiries to The Hertz 1020 SEVENTH N ST Ccrp—mon P a Box 2S"S, Corporation, P O. Box 25465 oxianc rtv City O..- soma 73125 LIVERPOOL NY 13088-6105 Oklahoma City, Oklahoma 73125 LIVERPOOL NY 13088-6105 Atwmr�n Attention: M.TABB M.TABB l Ph.— 1405)721-6440 Payments ments received after Phone (405)721-8440 Payments received ager 09/15/92 -- --- - -- — will be recorded on the next statement will be recorded on the next statement c reeotd.. Traruactio�n Ret R aL Tramacdom f�.P Rtaesl AMOUR* Mtmtber ►aMNIMs N 11gPM� BALANCE 08/92 947.59 BALANCE 08/92 947.59 09/09/92 PAYMLNT 08/92 09 2102 947.59CR 09/09/92 PAYMENT 08/92 09 2102 947.59CR *** TOTAL PREVIOUS BALANCE ** ** .00 *** TOTAL PREVIOUS BALANCE ** ** .00 0010-9 S SHOVA 0070-9 S SHOVA 08/14/92 HARTFORD CT 1720 14 55379221 218.73 08/14/92 HARTFORD CT 1720 14 55379221 218.73 08/21/92 HARTFORD CT 1720 21 55380995 220.24 1 08/21/92 HARTFORD CT 1720 21 55380995 220.24 08/28/92 HARTFORD CT 1720 28 55382802 219.19 08/28/92 HARTFORD CT 1720 28 55382802 219.19 09/04/92 HARTFORD CT 1720 04 55384569 220.02 09/04/92 HARTFORD CT 1720 04 55384569 220.02 09/11/92 HARTFORD CT 1720 11 55386462 179.80 09/11/92 HARTFORD CT 1720 11 55386462 179.80 SUBTOTAL ON MAN # * 1057.98 SUBTOTAL ON MAN /% * 1057.98 ***** CURRENT CHARGES ***** ** 1057.98 ***** CURRENT CHARGES ***** ** 1057.98 i � I 4, GGa ' G °I - - (z- (3 O NEW BALANCE 1057.98 NEW BALANCE 1057.98 Oriyirul -Retain ttvs cagy NEW - Retunt lhia copy with your remittance Paas- mates chedts payable to: The Hertz Corporation Please M4* dndm P&VAMQ to: The Hertz CoWatlon P.O. Bac 25M. Otdahoma City, Oklahoma M25 CR -Credit P.O, So "ter OMOXM City. CWahgm Z 120 CR - Credit Gorrr C.6L139 CRB - Credit Balance - CRB - Credit Saiance M ORIGINAL INVOICE Rental Agreement No: 553792212 Owning City No. Rev °,, Date/Time 01720 IN 08/14/92 15:01 Vehicle No. Date/Time THE HERTZ CORPORATION 0009544834 Out 08/10/92 08:18 TO BE PAID BY Vehicle License No Returned to City:/State/Area 563ALK 01720-11 AUTH REP Veh Make -Body Style Rate Cis Rate Plan In Rate Plan Out CALOCERINOS & SPINA NSUN C BDSA Veh Cis Sub/Up Day C 5 37.00 185.00 Mileage Cap Plan Week 0 .00 Miles Month IN 5648 0 .00 Credit Card Type and Number Miles Extra Day HCC 120112700709 out 5390 0 .00 ##1 Club Member C.D.P.I.D. No. Credit App/Date/Amt Miles Extra Hours 154668 1154904 Driven 258 0 .00 Other Identification Miles Mlles Chged Miles Rate Allow 1 .00 RATE CONDITIONS ` Minimum Rental Charge .00 One Rental Day (24 Hours) Rates do not include Vehicle Returned To (City/State) Area -Loc Subtotal HARTFORD CT, BRADLEY FIEL 01720-11 fuel and service charge 185.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. Date Due Date Returned Fuel and Service Charge Subtotal 315-457-6319 08/14/92 08/14/92 Pelr Per MiGallon 185.00 Renter's Name ° LD%V Loss Damage A LIDer SHOVA SCOTT XWaiver (LDW) Decisnes ACC eDu PAI/PEC Personal Accicent PAI/?EC Service Charge Insurance (PAI;/ .00 Personal Effects Additional X Coverage (PEC) Charge , 00 Dec , G5 Liability insurance A`LCe 15 Fuel and X Supplement (LIS) Sery Chg 17.63 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 82330BB9541 .00 Referral Source PAI & PEC .00 Refund Depos' Total Charges 213.73 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (It any) .00 Please Pay Final Thank You For Renting From Hertz This Amount Net Due 218.73 Direct All Payments and Inquiries To: Rental Agreement No The Hertz Corporation 553792212 PO Box 25485 Oklahoma City, Ok. 73125 I I r it =rT,ffl'4�7 ORIGINAL INVOICE Rental Agreement No »vrnnuCrty N,• jRc,v 017'20 Vehicle No. 553809955 � Daten Mme -- - IN 08/1/92 1433 Date/1 ime THE HERTZ CORPORATION 10009545682 Vehicle License No OUT 08/17/92 08 18 TO BE PAID BY Returned to City,'31ate/Area 708DSK 01720-11 AUTH REP \'eh Male Bogv style Rate : Is Rate Plan In Rate Plan Out CALOCERINOS & SPINA NGP4 C BDSA Veh Cls Suo,up Dav F 5 37.00 185.00 Mileage Cap Plan Weep 0 .00 Mlles IN 7185 Month 0 .00 Credit Card Type and Number HCC 120112700709 Miles out 6926 Extra Day 0 .00 #1 Club Member C.D.P.I.D. No. Cred!t App/Date/Amt Mlles Extra Hours 154668 1460904 Driven 259 0 .00 Other Identification Miles Allow I Mlles Cnged I-00— Miles Rate 00RATE RATE CONDITIONS ` Minimum Rental Charge .00 One Rental Day Hours) ' Rates do not include fuel and service charge Vehicle Returned To (City/State) Area -Loc HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 185.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No.Date 315-457-6319 Due 08/21/92 Date Returned 08/21/92 Fuel and Service Charge Per PerMile Gal on Subtotal 185.00 Renter's Name SHOVA SCOTT ° LDVV X Loss Damage Waiver (LDW) "�oYLS oeciiues PAI/PEC Personal Accident Insurance (PAI/ ACCe�ts PAu EC Service Charge .00 Additional Personal Effects X Coverage (PEC) Charge .00 Oc Lis es X Liability Insurance Supplement (LIS) ACe�`s E Fuel and Sery Chg 19.14 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 8233OBBF385 .00 Referral Source PAI & PEC .00 Refund Deposit Total Charges 215.24 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (It any) .00 Thank You For Renting From Hertz Please Pay This Amount Final Net Due 220.24 Rental Agreement No 553809955 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 ORIGINAL INVOICE Rental Agreement No 553828026 Rental Agreement No 553828026 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 Owning City No. Rev `%, Date/1 ime 01720 IN 08/28/92 14:35 • Vehicle No. Date/Time THE HERTZ CORPORATION 0009544834 out 08/24/92 08:10 TO BE PAID BY 'vehicle License No 563ALK Returned to Crty,State/Area 01720-11 AUTH REP Veh Make -Body Style Rate Cls Rate Pian In Rate Plan Out CALOCERINOS & SPINA NSUN C BDSA Veh Cls Sub/up Day C 5 37.00 185.00 Mileage Cap Plan Week 0 .00 Miles IN 6463 Month 0 .00 Credit Card Type and Number HCC 120112700709 Miles OUT 6205 Extra Day 0 .00 ##1 Club Member C. D.P.I. D. No. Credit App/Date/Amt Miles Extra Hours 154668 1483604 Driven 258 0 .00 Other Identification Miles Miles Chged Mlles Rate Allow 1.00 RATE CONDITIONS ' Minimum Rental Charge .00 One Rental Day (24 Hours)Rates do not include fuel and service charge Vehicle Returned To (City/State) Area -Loc HARTFORD CT, BRADLEY ' FIEL 01720-11 Subtotal 185.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-457-6319 Date Due 08/28/92 Date Returned 08/28/92 Fuel and Service Charge Per PMile er Gal on Subtotal 185.00 Renter's Name SHOVA SCOTT D LDW X Loss Damage Waiver (LDW) ACCep LD W� DeChnesACTC PAUPEC Personal Accident Insurance (PAI)/ PAI/ ec Service Charge .00 Additional Personal Effects X Coverage (PEC) Charge .00 °`;SCS X Liability Insurance Supplement (LIS) A0L°sF`s Fuel and Sery Chg 18.09 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 8262168AFD5 .00 Referral Source PAI & PEC .00 Refund Depos : Total Charges 214.19 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (It any) .00 Thank You For Renting From Hertz Please Pay This Amount Final Net Due 219.19 Rental Agreement No 553828026 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 ORIGINAL INVOICE Rental Agreement No 553845692 �C)wning Crty No Rev ' Date/Time �--_ _d__ 01998 IN 09/04/92 14 31 Rental Agreement No 553845692 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 Vehicle No. Date/Time THE HERTZ CORPORATION 0006165773 our 08/31/92 08:09 TO BE PAID BY Vehicle License No Returned to City/State/Area 01720-11 AUTH REP �ZPH899 Veh Male -Body Style Rate Cls Rate Plan In Rate Plan Out CALOCERINOS & SPINA TMP4 C BDSA iven Cls Sub%Up Day C4 I 5 37.00 185.00 Mileage Cap Plan I Weer. 0 .00 Miles Month IN 8764 0 .00 Credit Card Type and Number Miles Extra Day HCC 120112700709 OUT 8510 0 .00 ##1 Club Member C.D.P.I.D. No. Credit App/Date/Amt Miles Extra Hours 154668 444100 Driven 1 254 1 0 .00 Other Identification I Miles Miles Chged Miles Rate Allow .00 RATE CONDITIONS ' Minimum Rental Charge One Rental Day Hours) ' Rates do not include fuel and service charge .00 Vehicle Returned To (City/State) Area -Loc HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 185.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-457-6319 I Date Due 09/04/92 Date Returned 09/04/92 Fuel and Service Charge Per Per Mile Gal on Subtotal 185.00 Renter's Name�Dw SHOVA SCOTT X Loss Damage Waiver (LDW) A ieoe�� D clines PAI/PEC Personal Accident Insurance (PAI)/ ACCep PAI/PEC Service Charge .00 Personal Effects Additional X Coverage (PEC) Charge .00 Deus eS X Liability Insurance Supplement (LIS) ACCe Fuel and Sery Chg 18.92 Voucher/Certificate No LDW .00 ;T Number Tax .11.10 Reservation ID No LIS 8262168DBA9 .00 Referral Source PAI & PEC .00 Refund Deposit Total Charges 215.02 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (It any) DO Thank You For Renting From Hertz Please Pay This Amount Final Net Due 1220.02 Rental Agreement No 553845692 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 ORIGINAL INVOICE Rental Agreement No 553864625 Rental Agreement No 553864625 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 Owning City No. Rev '-, Date/Time 01720 IN 09/11/92 14-25 vfflujt� Vehicle No. Date/Time THE HERTZ CORPORATION 0009547647 OUT 09/08/92 08:11 TO BE PAID BY Vehicle License No 921HPN Returned to City.'State/Area 01720-I1 AUTH REP Veh Make -Body Style Rate Cis Rate Plan In Rate Plan Out CALOCERINOS & SPINA NTPL C IDSA Veh Cis Subiup Day C4 4 37.00 148.00 Mileage Cap Plan Week 0 .00 Miles IN 6183 Month 0 .00 Credit Card Type and Number Miles Extra Day HCC 120112700709 OUT 5933 0 .00 #1 Club Member C. D.P.I. D. No. 154668 Credit App/Date/Amt 382406 Miles Driven 250 Extra Hours 0 .00 Otner identification Miles Allow Miles Chged Miles Rate .00 RATE CONDITIONS ' Minimum Rental Charge .00 One Rental Day (24 Hours) Rates do not include fuel and service charge Vehicle Returned To (City/State) Area -Loc HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 148.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-457-6319 Date Due 09/11/92 Date Returned 09/11/92 Fuel and Service Charge Per Per Mile GallonRenter's Subtotal 148.00 Name SHOVA SCOTT Declines X Loss Damage Waiver (LOW) WLS p ALD DeclinesA�Ce PAIPEG Personal Accideni Insurance (PAI)/ Pts PAi� EC Service Charge .00 Additional Personal Effects X Coverage (PEC) Charge .00 Deus C5 X Liability Insurance Supplement (LIS) I Accepts 3 Fuel and Sery Chg 18.92 Voucher/Certificate No LOW .00 IT Number Tax .. 8.88 Reservation ID No LIS 826216922D7 .00 Referral Source PAI & PEC .00 Refund Deposit Total Charges 175.80 Reservation Class Misc C00 4.00 Currency Conversion Rate Less Dep (If any) .00 Thank You For Rentine From Hertz Please Pay This Amount Final Net Due 179. 80 Rental Agreement No 553864625 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 t # s CI UNITED PARCEL SERVICE Shipper No. X11289 From: Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, NY 13088 Project Number Reference Pickup Record No. Tracking No. Date: 22 -SEPT Employee Sender: To: n . 0 O iP i 11n,awDA CT D(D 9 - Type of Service No. Pkgs / Weight Charges Due rMA �Albs s Date: 22 -SEPT Employee Sender: To: n . 0 O iP i 11n,awDA CT D(D 9 - Type of Service No. Pkgs / Weight Charges Due rMA �Albs P.TlQF.l,7,,SSI0NAL SERVICE INDUSTRIES, INC. OFFICE PERFORMING SERVICES • I u NEW HANEEN., CONNECTICUT FED. ID37-0962090 09/29/92 (R) jp=!W!95 510 East 22nd Street Lombard, IL. 60148 PLEASE MAIL REMITTANCE TO DEPT: L912P PITTS3URGHf PA 15264 CALOC_RINOS b SPINA CALOC:RINOS & SPINA ENGIN:_= 1 )2J S_VF'vTH NORTH a-TET 1 )2 2 SEVENTH NORTH STREET LIVErt?50L. NY 13) 3s LIVERPOOL NY 13038 ATT;;: C. M. :MC Dc.RnOTT USTOMER PURCHASE INVOICE INVOICE PAGE FILE NO. PROJECT NAMF. NUMBER CROER DATE NUMBER NO. X5113 I ,7/31/?2 9o,=73? 01 jC95-2-07991FISHER'S IS+AND AIRPORT FISHER'S ISLAND. NY ;.211.0.: SSURE PROPER CREDIT TO YOUR ACCOUNT PLEASE RETURN REMITTANCE COPT )ATE REPORT NUMBER DESCRIPTION QUANTFTY UNIT COST AMOUNT ' •9 G)01 C;JyC�cT= :;r'SP=CTiJV P_R 1/ J.�Y 1.0 115.07 115.0= 9 (i02 CJtiC.,2cTE C),NPR=SS:JN T-31 4.0 12.00 43.C,. 'h 3 0003 :,:,V= AINALYS:;, 1.9 53.00 50.'J . '73 U:'l;i rGISTURE D;:N-TTY RELATIONSHIP 1.0 80.00 80.'2_ '10 UOvo CONCRZETE lNSPECTIJ'J F_R DAY 1.0 225.J0 225.2 r"": _LD S I T Y T_ - TS 0Jus CONCR=TE INSP_CTIV'N 0V_RT1''_ PER HOER 4.0 35.0C 140.J- 'ilo 0037 CJ;4CRcTE CCAPiESSICJ1 T --:ST 4.I_ 12.00 48.2- '70 60IJ6 FIEL.J DENSITY Tc STS PER DAY 1.2 Pc? DAY �.3 '17 O0G9 CiNCRET= ISSPECTIJ:N PER DAY 1.0 225.00 225.E r7 U;)lJ COI`Cx=T= CCA,)RESSION TEST 4.0 12.00 43.•2 i7 0011 SI -::V= ANALYSis 1.0 7:.00 75.0 117 JJ11 MUISTU,R= aJ=NS:TY REL. �r, 1.0 35.00 d5.0 F1 OG 12 C)'+C<cTc IvSPECTIJv 225.00 225.0 � l J01 2 CJNC:?=T= :NSP= .J} V _ = =R hOU. 3.5 35.00 122.5 1::1 Jv13 CJNCRcT_ LJMA ,,'J = T 4.0 12.00 48.0 �C2 1.]014 CJ%C? I C ."IS TI JN V "RT _ PER FOUR e2 JJ15 cci "51 ?-'31T T_ST �2 0 J_,',.SITY DAY 3 L;u1 CJIy'.? Tc C' I. .i=, T -3T k3 u,0,,1 / t.J :_') 0=v ITY T; -:STP iv=_D:D �7 01D ii:L D_ T=STS P_q OAY E z UJL1 Fl-EL.D V _ J.TY TCSTS P --;R DAY �3 UO,�1 r"": _LD S I T Y T_ - TS JV:. T:-'= ?_? HJUR �jJ'2 CJNCTt_Tc IISP_CT:Jti F_? DAY 3 UJc3 CUNCRST_ C0;?NRESS-70Iv T_5T P3 u024 FIELD J=+CITY TcSTS Pc? DAY �.3 L;Jc5 CONCRET= IVS?_CT10 P-:? 0 NY pu J CJ,.0T= 1\S�'ICT:J': OV :.RT_3 h,JL'R MS N( T 10 NAYS A 1VICE CHARGE Of 15Y rt n 'i(H WiliAi IS AN ANNUAL ICENTAGE RAI[ O( 10',I U4 ANALYSIS OF IIP Annt -n IIl nI r nn:r YOUR ACCOUNT 35.00 12.10 225.0 12.00 225.';0 225.00 35.J0 225.0'0 12.00 225.)7 35.00 35.0 48.,7 225.' 48.!' 225.0-- 2 2 5 . 10 - 25.0=225.0_ 70.0- 225.CJ 48.0, 225.0- 3 5 . C-, 25.0_35.:, AL 4pPg$SI0NAI, SERVICE INDUSTRIES, INC. =iws:g 510 East 22nd Street Lombard, IL. 60148 OFFICE PERFORMING SERVICES NEW HAVENS CONNECTICUT FED. ID37-0962090 09/29/92 (R) PLEASE MAIL REMITTANCE TO DEPT: L912P PITTSBURGH. PA 15264 CALOC_RINOS d SPINA Et;�j_piEEFS CALOCERINOS & SPINA ENGINEER S-EVENTH NJRTH ST:, -7--:T 1320 SEVENTH 4ORTH STREET LIVERr 30L NY 13.i --j L�'VER0L NY 13063 ATTN: C. M. MC DE.4.'^OTT JSTCMER PURCHASE INVOICE INVOICE PAGE FILE NO. PROJECT NAME NUMBER CROER DATE MJMBER NO. -:113 U7/31/?2 4,)-07 J� ,�?5-2'�79r FISH=P.'S ISLAND AIRPORT FISHER'S ISLAND. NY 4211.0_ SSURE PPOPEv CREOIr TO YOUR ACCOUNT PLEASE RETURN REMITTANCE COPY ATE REPORT NUMBERMBER DESCRIPTION QUANTITY UNIT COST AMOUNT P'j'Uj4D CJiC;_TE CufiPKi SIG T_ST 4.0 12.10 48.3,- 3 FiE! J 02V51TY T=STS P_? D. Y 1.0 115.60 115. D- 1-� J-317 CCN-C.�_T-E INSPECTION P_R DAY 1 •0 115 . 07 � 115.-_ li J5 CJNCR=TE 1IN5P_CTIJ:N CA:iC - L 1.0 115.00 115 • J I I I I T;iTAL -.ILLITNJ THIS 1`iY0_TCE 3561.x- I I I I I I I I I I I I I I I I I I I I i I I _ I i i i MS NtT 10 DAYS A R� - pct .f R �:: •• r.t'. 'VICE CHARGL OF 1.5'.. f [ H 4TH VJiIC H 1t'. AN ANNUAL S f ANALYSIS OF J J 1 j.�-5.t 1 50 CLNTAGE RAZE OI IU, YOUR ACCOUNT i �. Account Number ............. Invoice #. ...... Date. 11/10/92...... 19 .... • . TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 .................................... Calocerinos & Spina Engineers, P.C. payee Reference: Address: .................................... .1020.Seventh. North St Phone No. (....)....................... Live rp o o_l NY ...1.3.088 ...... Vendor Contact Cash Discount ..................% .........Days.................................... The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof has een paid, excep erein stated, and that the balance therein stated is actually due and owing. Dated. .NTQVe.Mbex..1,Q, ..............,19 9?.. . ..... Signature N. C,a locerinos&Spina i:. P fl - TOWN TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 10/02/92 THROUGH 10/30/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL SUBCONTRACTOR COST OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE INV. DATE: 11/10/92 INVOICE #: 211067 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 '0 c'(,,. _(,:h I ! ��✓ar+t;r�;,l. "i" 1 .`,;';:3 wl)` ) (31'; 1 157 6711 FAX (315) 457-%-03 IS THIS INVOICE CUMULATIVE SLY IS 2,502.15 17, 709.20 3,503.01 -------------- -------------- -------------- 24,792.88 �,�p 2- 6,005.16 42,502.08 84.00 852.25! -------------- -------------- 6,089.16 43,354.33 �� Zp, 1,204.00 4,986.67 25, 804.63 : ---------------------------- 69,158.96 1,661.37 9,675.80 Z`' 13,941.20 78,834.76 697.06 -------------- 13,244.14 '0 c'(,,. _(,:h I ! ��✓ar+t;r�;,l. "i" 1 .`,;';:3 wl)` ) (31'; 1 157 6711 FAX (315) 457-%-03 L-.aiocerii ios &spIClL TOWN OF SOUTHOLD INV. DATE: 11/10/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 211067 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 SALARY & EXPENSE DETAIL SALARIES BASED ON MULTIPLIER HOURS RATE PREM AMOUNT SENIOR PROJECT ENGINEER ROBBINS, JEFFREY L. 7.00 23.1000 161.70 PROJECT ENGINEER KLUKIEWICZ, THOMAS C 12.00 18.9000 226.80 ENGINEER MCDERMOTT, CHARLES R 11.00 16.1000 177.10 ASSISTANT ARCHITECT CAVING, JOSEPH J. 1.50 14.7000 22.05 ASSISTANT ENGINEER SAWMILLER, JOSEPH A. 4.00 14.2000 56.80 DESIGNER SAWICKI II, STEVE 4.50 14.5000 65.25 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 7.00 25.5000 178.50 INSPECTOR SHOVA, SCOTT H. 92.00 14.0000 1,288.00 SHOVA, SCOTT H. 12.00 14.0000 84.00 168.00 GRANTS ADMINISTRATOR FARLEY, SHEILA M. 3.00 16.4000 49.20 SECRETARY WILDS, KAREN D. 7.00 12.5000 87.50 BAXTER, CYNTHIA A. 2.50 8.5000 21.25 163.50 84.00 2,502.15 !"A i.'Y 1 ,i 1_,, 6711 FAX 315) 457-9£303 ualocennos &SpIlia TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 SALARY & EXPENSE DETAIL OTHER EXPENSES COST/QTY SUBCONTRACT PROFESSIONAL SERVICES PROFESSIONAL SERVICE IND 1,204.00 TRAVEL & SUBSISTENCE CERRETANI, LAWRENCE J. 834.77 WAGNER JR., HAROLD W. 1,120.00 SHOVA, SCOTT H. 1,890.00 AUTO RENTAL HERTZ SYSTEM, INC. 876.76 COMPUTER SERVICES C&S CADD AND COMPUTER 63.14 MISCELLANEOUS OTHER DIRECT EXPENSE Alexander & Alexander In 202.00 INV. DATE: 11/10/92 INVOICE #: 211067 PROJECT #: 211.004.002 CLIENT REF: RATE AMOUNT 1.0000 1,204.00 1.0000 834.77 1.0000 1,120.00 1.0000 1,890.00 1.0000 876.76 1.0000 63.14 1.0000 202.00 ------------ 6,190.67 /r,rilh r'J, ch457 071 1 FAX (3 15) 157-9803 - 4•r. �.. �,��� -moi• wi X..tlV • dt. 9.i Y••e..dV Utl!•Y■1.�../� L 1t.• ��i 510 East 22nd Street Lombard, IL. 60148 Phone (708) 691-1490 NEW HAVEN. CONNECTICUT (203) 772-0710 FED. ID 37-0962090 09/28/92 (R) PLEASE MAIL RFMITTANrE DEPT: L912P PITTSBURGH, PA 15264 -0 ASSURE PROPER CREOIT TO YOUR ACCOUNT. PLEASE RETURN REMITTANCE COPY DATE M CALOCERINOS & SPINA ENGINEERS UNIT COST B 08103 CALOCERINOS & SPINA ENGINEER SIEVE ANALYSIS 1.0 1020 SEVENTH NORTH STREET 08103 0027 MOISTURE DENSITY RELATIONSHIP 1020 SEVENTH NORTH STREET 85.00 L LIVERPOOL NY 13088 FIELD DENSITY TESTS PER DAY L 225.00 LIVERPOOL NY 13088 08'10 T ATTN: C. M. MC DERMOTT 225.00 T 10811 0030 o 4.0 12.00 O j0826 0031 CONCRETE INSPECTION PER DAY 1.0 225.00 225.00 CUSTOMER NUMBER 0032 PURCHASE ORDER 4.0 INVOICE DATE INVOICE NUMBER PAGE I NO. FILE NO. PROJECT NAME 205113 0828 08/31/921977810 CONCRETE INSPECTION PER DAY 01 095-20799 FISHER'S ISLAND AIRPORT 0828 0035 CONCRETE COMPRESSION TEST 4.0 12.00 48.00 FISHER'S ISLAND, NY #211.00 -0 ASSURE PROPER CREOIT TO YOUR ACCOUNT. PLEASE RETURN REMITTANCE COPY DATE REPORT NUMBER DESCRIPTION QUANTITY UNIT COST AMOUNT 08103 0027 SIEVE ANALYSIS 1.0 75.00 75.00 08103 0027 MOISTURE DENSITY RELATIONSHIP 1.0 85.00 85.00 08105 0028 FIELD DENSITY TESTS PER DAY 1.0 225.00 225.00 08'10 0029 FIELD DENSITY TESTS PER DAY 1.0 225.00 225.00 10811 0030 CONCRETE COMPRESSION TEST 4.0 12.00 48.00 j0826 0031 CONCRETE INSPECTION PER DAY 1.0 225.00 225.00 0826 0032 CONCRETE COMPRESSION TEST 4.0 12.00 48.00 0826 0033 FIELD DENSITY TESTS PER DAY 1.0 0828 0034 CONCRETE INSPECTION PER DAY 1.0 225.00 225.00 0828 0035 CONCRETE COMPRESSION TEST 4.0 12.00 48.00 TOTAL BILLING THIS INVOICE 1204.00 I ' i I._Li // C TEPMS NET 10 DAYS A SERVICE CURRENT MONTH 90-60 DAYS 60 DAYS/OVER CHARGE OF 1.5°c PER MONTHArt ANNUAL PERCENT- ANALYSIS OF 1 , 204.00 tPISAMOUNT 204.00 AGE RATE ':P 18", till -L HE ADD YOUR ACCOUNT CALOCERINOS & SPINA COMPUTER USAGE TIMES - CADD PERIOD BEGINNING : 10-09-1992 ---------------------------------------------------------------- ENDING : 10-15-1992 PAGE ... 39 ----- DATE OF BILLIN : 10-23-1992 JOB NUMBER ... ------------------------------------------------------------------------------- 211.004.002.609 USER NAME ------------------------------------------------------------------------------- DATE HOURS ON SYSTEM TOTAL USER TIME STEVES 10-12-1992 10:04:08 11:22:23 1.30 STEVES 10-12-1992 11:32:06 11:53:16 0.35 STEVES 10-12-1992 11:53:16 12:48:30 0.92 STEVES 10-13-1992 13:26.:40 13:44:27 0.30 2.87 TOTAL JOB HOURS 2.87 TOTAL JOB COST 2.87 $22.00/hr. _ $63.14 1.1665 ALEXANDER & ALEXANDER OF NEW YORK INC. ,&Wnder P.O. BOX 4453 ander CHURCH STREET STATION NEW YORK NY •10261-4453 ACCOUNT NUMBER TELEPHONE: 3.15-424-8088 F 19763 INVOICE NUMBER 532257 INVOICE DATE 10; 9; 92 TO CALOCERINOS & SPINA ENGINEERS. P.C. 1020 SEVENTH NORTH ST. LIVERPOOL NY 130888 TERMS: PAYMENT IS DUE UPON RECEIPT OF INVOICE all looyf off, 601 j 01 GLO3100394 ST PAUL INS CO 202.00 I OWN PROTECT LIAR. NEW POLICY i EFFECTIVE 09-01-92 EXPIRES 09-01-93 TOWN OF SOUTHHOLD AIRFIELD LIGHTING VISUAL AIDS CI TOTAL 202.00 C1h-T T !NT'L AIRPORT 1553882055 �HO'JA _ETcc"D B1: - 6477 BRADLEY INT'L AIRPORT " ',L 09%14/92 08:33 FET.,RN: 09!18/92 14:19 IN: 13485 OUT: 13225 M1 DRIVEN: 260 F'. -N iN'OUT: BE -SA /BDSA CLS: C I C, 37.00 185.00 F;JFL Fl -!F -CHASE OPTION 18.09 TOTt±L. 185.00 Oc000 ! 11.10 i-91.00 5.00 _T ',JE 219.19 F'.�, ^F P.i1MENT: HCC CE -:T CAKD k: 120112700709 // vvooa. �oCJ9 18-0-636 ow BRADLEY INT'L AIRPORT RENTAL RECORD: 553939094 SCOTT SNOVA COMPLETED BY: 6477 RENTED: BRADLEY INT'L AIRPORT RENTAL: 10/05/92 08:35 RETURN: 10/09/92 11:05 MILES IN: 0912.6 OUT: 08872 MILES DRIVEN: 254 PLAN IN/OUT: BWSA /BWSA CLS: C 1 WEEKS @ 185.00 185.03 FUEL PURCHASE OPTION 18.09 TAXABLE TOTAL 185.00 TAX .06000 11.10 CTTX@1.00 5.00 NET DUE 219.19 FORM OF PAYMENT: HCC I CREDIT CARD #: 120112700709 g.� k 9 1--uoo to a v 1 .21 BRADLEY INT'L AIFFORT RENTAL RECORD: 553900671 T SHOVA COMPLE'.ED BY: 64," RENTED: BRADLEY INT I. AIRPORT FEN TAL: 09/21/92 08:07 RETURN: 09/25/92 14:22 MILES IN: 11292 OUT: +.1033 MILES [RIVEN: 259 PLAN IN/OUT: BDSA /BDSA CLS: C 5 DA"iS @ 37.00 185.0(: FUEL PURCHASE OPTION 18.0 TAXABLE TOTAL 185.011 TAX .06000 11.111 CTTX01.00 5.00 NET DUE 219.1 FORM OF PAYMENT: HCC CREDIT CgRD #: 120112700709 BRADLEY IrIT I AIPPOPT PENTAL RECOFD: 53 :COT' SHWA CvMFi.ETED Bt: PFNiED: BRA.DLE1 !NT I FE!i?AL: 09:28/ 0:i:1: FE T': RN: 10/%2/` % 14 :d 1 PILE: IN: 106�4 OJT: 10391 MILE, DFIVEN: 2.3 FLA': IN/OUT: PDSA CL_: 5 IAYS @ '7.00 -_ FLIEL PURCHASE OPTION TAY..:.BLE TOTAL ` TAX .06000 1 CTTX@1.00 NET DUE 2 -- FORM OF PAYMENT: HCC CREDIT CARD #: 120112700709 18-0.886 Z)-1 004 ooZ to 0) Calocerinos & Spina C S Engiloc P c p EXPENSE REPORT SUMMARY DATE EMPLOYEE NAME : (PRINT) lj C p ►TU� DEPARTMENT N ME: l� /V , PERIOD SHEET : OF FROM lf f TO : 7 SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT, USE ONLY RECONCILIATION APPROVALS PROJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT 51`T� J I G I EMPLOYEE DATE _ 1 SUPERVISOR DATE PARTNER DATE -- ACCQVNTINQ DATE O c�.� _ (/O � 1Ll4 0AL (f/ U O a PPD. OR CREDIT TCARD E PENSE TOTAL OUT OF POCKET EXPENSE 1 TOTAL EXPENSE ADVANCE ATE �� O Q p ADVANCE TE 0 on- J 6. U (� V ADVANCE DA E TOTAL ADVANCE LESS OUT OF POCKET EXPENSE 60 U G DUE COMPANY (] O L% BALANCE DUE EMPLOYEE REMARKS GRAND TOTAL C s Calocerinos &Spina — — DATE: EnQ1`'PPr` D C EXPENSE REPORT__ rpt n ,lUbJLlj T_1 :.il 10W) . 51]01 1 l' 202 .I.,.r 1 r'.1�1E .F=' ' r"' --1STREET ADDRESS NIGHTS WO K/1 73UC1 CEDER F'OS7 RD. APT. 7A CITY STATE ZIP PH Ou PHONF IN 0C►u 1 L.1 VERF,00L. NY 13088 J CREDIT CARD EXPIRES COMMSPEC PROG CM LR NC '"372691933511000 p/95 � CGV 115 179.20-F'PAY 3652 9:48 AM 09/23/92 1. ?,20 MITI_ Fl 111 115 179.20- C:HF'U 463b IIIA lv aft 115 40.00 80011 e z11 1.60 RTAX 3726 11:39 PH 09!24/92 3.20 RTAX 1,34, 40- [0 rl. 4813 11:34• Fit 115 134.411- . ..0 R 111 115 40.00 ROOM 111 B 1.60 RTAX crl-io 11:12 Ff! ill 3.20 RTAX 3347 n:42 f'M (19/29/Y2 39.60•••T0 60-JUL 115 9 , f�►) -CEFiJ 0 115 40.00 ROW1 1.60 RTAX 3.21) RTAX 3979 11:54 FM 1)9/31)/92 44.80-TOTL 115 44.90-CRF'U E 115 411.00 11100M 1.6i1 RTAX 3.21) RTAX 4128 12:26 Ail 1Q/01/92 -00 TUTL OWARDJOHNSON "'I-I(J�1F-1 , 1.13COT.L. i .:: PERSONS STREET ADDRESS CLERK N GHTS 1� 4 - -- — RATE CITY STATE 21P I PINE OUT P- --j " T_4(_►,1.)1'i �__ GTD BV CREDIT CARD T EXPIRES— ( COMM SPEC PRO I— CM LR- NC— — —--------- -------oma, •ricc cna,w�ao 1 _. _- 0 0 Q 7 e 9 ,0 11 12 13 14 15 18 17 18 19 zo HOWARD JOHNSON'""', W" 111 111 463b IIIA lv aft 111 e z11 111 E• 111 4813 11:34• Fit 111 t'• 111 111 B 111 crl-io 11:12 Ff! ill HOWARD JOHNSON'""', W" Calocerinos & Spina EXPENSE REPORT SUMMARY C S Eno nee�s. P C DATE . / SZ_/ EMPLOYEE NAME : (PRINT) S p J DEPARTMENT NAME: co •� 5� r Lk� I o n, PERIOD SHEET : 'OF FROM : -11-q) TO : SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS PROJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT I J EMPLOYE! DA E t� �' SUPERVISOR t DATE PARTNER DATE ACCOUNTING DATE TOTAL PPD. OR CREDIT CARD EXPENSE TOTAL OUT OF( POCKET EXPENSE O i O O TOTAL EXPENSE 6 3 0 O 0 ADVANCE T1TE U O O ADVANCE DATE ADVANCE DAT! TOTAL ADVANCE O 0 0 LES! OUT OF POCKET EXPENSE BALANCE DUE COMPANY DUE EMPLOYEE (j 3 0 U 0 i REMARKS eS '' C1 GRAND HO"A, S �STREETS l60C--F9_C 150CTq4 i CLERK TS] K10 I U Jsk 44.80-COPU 5 40.00 ROOM tIll -CITY STATE ZIP PHONE T PHO IN RATE 5762 12.'14 AM W/12/92 5864 6:31 Ph 10/13/92 ?EDIT CARD ----Pi-PI-RES—ICOMMTSP—EC-0-FtO—G-I 13 CM LR INC Toi i itr crrD 8) R 111 GV V4 209 209 6130 5:52 Ph 10/15/92 209 8 209 6179 11:56 PM 10/15/92 DWARDJOHNSON IV J79 GREENMANVILLE AVE MYSTIC. CT 06355 P03-536-2654 U j CLERK-- -—NIG ADDRESS H TS X STATE ZIP --PHONE OUT I —I " EEXPIRESI COMM I S PEC P ROG I CM LR -PMCNC GV .00 PRBL 1 2 44.80-PPAY I 3 44.80-TOTL —4 111 5736 7:25 PM 10/12/92 44.80-COPU 5 40.00 ROOM 111 B 111 1.60 RTAX 7 3.20 RTAX 8 .00 TOTL —9111 10 5762 12.'14 AM W/12/92 5864 6:31 Ph 10/13/92 -i2 13 Toi i itr -,4 R 111 5891 11:30 PM 10/13/92 17 is 19 20 111 a 111 61-125 11:52 Ph 10/14/92 HOWARD JOHNSON 179 GREEHMANVILLE AVE MYSTIC. CT 06355 09.60 - ?.IL, vo J, . /,n- 40.011) 1.6101 3.20 4;. ;,1 4 4. F!'I ULLZ. 3.20 3. 2 C S-Calocerinos & Spina EXPENSE REPORT Esc�c= �C _DATE: � EMPLOYEE NAME: (PRINT) C Q DEPARTMENT NAME: co ') 1 p ►J PERIOD SHEET; Of FROM: _ '1- TO: 10 -1 ,' DATE I NATURE OF EXPENSE PROJECT NAME AHO: OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME " COMPANY i TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT Of EXPENSE ITEM LOCATION P.D. MISC. PR J. NO- CO T. f AStTYPE ACCOUNT NO. CARD PPO' OR CC. OUT OF POLO T ),3 f1 .,._ F�<A,sr 151&-,N, 1 {;Ig�f V;Q�,�. all STANDARD FORM 271-A TOTAL TO BP '"JMTED FOR � Calocerinos & Spina EXPENSE REPORT SUMMARYDATE . __ Engineers, P.C. : Z )� / / ,.OYEE NAME: DEPARTMENT NAME: P RIOD SHEET :�_ OF !T1 FROM : TO s SUMMARY OF EXPENSES ALLOCATED RECONCILIATION APPROVALS FOR ACCOUNTING DEPT. USE ONLY JECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT �Q EMPLOYEE DATE IZ bj` rte"` PARTNER DATE ACCOUNTING DATE �. OU'�' QQ -;l0ptJp7IO CREDI TOTAL CARO EXPENSE TOTAL OUT OF POCKET EXPENSE. TOTAL EXPENSE „�� $ 5 ADVANCE ATE ADVANCE TE ADVANCE DATE TOTAL ADVANCE LESS OUT OF POCKET EXPENSE I Cl Ss BALANCE DUE COMPANY DUE EMPLOYEE REMARKS ' P5, .- s DIF) ,u L, - GRAND TOTAL 101 OLD COVE ROAD SUITE 109 LIVERPOOL. NY 13090 TRAM Wo' (315) 451-6633 FAX (315) 451-8121 SALES PERSON: 30 ITINE:T'ARY/INVOICE N0, 008005-0 DATE= 17 SEF CUSTOMER NBR; 021009 QTZYLF PALE: 01 TO: CALOCERINOS AND SPINA 1020 7TH NORTH ST.r LIVERPOOL,' NY 13008 FOR: SHOVA/SCOTT w� -ISTA - a io.w ARe.., 28 SEP 92 — MONDAY AIR USAIR FLT:321 COACH LV SYRACUSE 71SA EDP: 737-300 AR HARTFORD 802A NON—STOP RESERVED SEAT 12A 02 OCT 512 — FRIDAY V U AIR USAIR FLT:1404 COACH LV HARTFORD 515P EDP: 737 STRETCH AR SYRACUSE 606P NON—STOP RESERVED SEAT 7A AIR TICKET US7715929359 '' SHOVA4SCOTT BILLED TO AX372891933511000 440,( -------------- ,fSUB :TOTAL �' �� 440, G e'- FILLED TO CC 440,C BLESS ,AMOUNT 7—TOTALAMOUNT x- 0.0 60 4 THE TRAVEL BUG APPRECIATES YOUR BUSINESS,,,., THE TRAVEL BUG TOLL FREE NUMBER' IS ..1.-800-926-8747 } •AffiEUMTORTWOkOMM.6ECEQ SLaWTOCOIO 1M=ffAMMTMs UIj In"",lh °°"�""°""°�'�' See below for Airline rM17M T i S IES 118JEC i 1`0 IJ'3 ARCI PASSENGER COUPON , � `°" f F Form, Serial Number . HE '!'kA'.'EL E�1)Q 0 Y t� •,..I FFE JrrGATE PIV R NAME cf NOT TWNSFEMBIE OF ISSUE ,c'EFI5) � — X21 YIFE SSl1ED w E%CNANDE POR , , [j��� ((/\VN��/I�//��'(1L���� ��,��I I''/'u��_J' ,, ��(j��J 4` , Xq 'ROM T INOOD FOA i A1T GOOD FOA TO 1) HAR TI.0RD T� �T4TR ar: J S F —LTO --VO I r1-- � FARE , lj,i;b 400. 0A FOUIV FARE PO. a TAR TAY N {) • �� TA•[ j RIONT a.m DATE TIME 6TAT6! [ARE aI I, RR. DESKiNATOA P F7 •_ ii'��• 19r YMLdpE DT MIDJi19 ;32'] LaSFF' TiQII rlt: r:� ALLOV 404 It 020CT I 515P 10KI ,'r4 Mf[MOE 04Dao I— I' rci - Trt cucuuTlDN ulrxueo uocDrto uoEaa its "� - YR US 06 40+)• IIO FNh u OF P V,1 N rou cam �1(j(-(-.7 70 IYN I AIRLINE COOP L.—W. I (.N ORIIY ,SLUE F -77773o 03; 7715929359 5 ❑ :i 111,E iI - cl':'.tf1;:,2`;b,'f�`; .. )I i�''i +i/l Its+.r(1,�f1,�{ 1.+C � r. ,I,f 1hAN. l�II A•N ! �I.I w.��i, ♦—..,ui1. o� F M TRW$LAQA SALES PERSON: 35 CUSTOMER NBR: 021009 IJi JLU UUVL HUHU SUITE 109 LIVERPOOL, NY 13090 (315) 451-6633 FAX (315) 451-8121 ITINERARY/INVOICE NO. 0080154 RZYJLL TO: CALOCERINOS AND SPINA 1020 7TH NORTH ST.y LIVERPOOLY NY 13033 DATE: 01 OC`T PAGE: 01 FOR: SHOVA/SCOTT M..e. 05 OCT 92 — MONDAY AIR USAIR FLT:321 ECONOMY LV SYRACUSE 715A EQP: 737-300 ' AR HARTFORD 802A NON—STOP RESERVED SEAT 8C ti 09 OCT 92 — FRIDAY AIR USAIR FLT:1404 ECONOMY LV HARTFORD 515P EQP: 737 STRETCH AP. SYRACUSE 606P NON—STOP RESERVED SEAT 5D AIR TICKET US7715929483 Si4oVA SCOTT _ BILLED TO AX372891933511000 340.1: --------------- SUB TOTAL~Y ~ 340-C LESS AMOUNT BILLED TO CC 340.- -------------- --TOTAL-'AMOUNT 40.---------TOTAL'AMOUNT 0.( THE TRAVEL BUG APPRECIATES YOUR-�BUSINESS. THE TRAVEL RUG TOLL FREE NUMBER IS 1-800-926-8747 f • ter' _�.�� _— �! ��'�.... -...—i _�• .moi _'��_� '�' _' �!—_l.�—.�� / i AssEr[AT tl�7wucsngE G[Q 9a*VT0C0NDM E=WN*-DNT4ISTCMT �w�gC„�,,,�,s See below for Airline ?Y-_Tt� I kir Form, Serial Number r l='ti!(L��`� rMj_c s. i { , ARC oafsAVEsn una+, u ltf{JE :1 t 1.1 lr, aAssENGEACOUPON .r F F' (HE TRAVEL FJ1JG � C OA1E OF ISSUE I Ir C NOT TRANSFERADIE '' CS wry. AfR -0v a PASSENGER NAYE ISSI.fD MSE%CftANOE MR pj LIP - wO. FR — NOT GOOD FOR V"SAGE CJUVVER FLIGHT ? . S / itl •� .i; : ` a I c'i t{ar. (1SE GATE U�; A" 1 -, i`rli j" TIME SIAM ARE Mll5 OESVy/ATOR �- •AVp Ip,xy yTgl yyp,V_ 1 `��; flt: �t�.r t 0 t FSR TF ORD US t pit):• g ?9rJ1.^, 7" t5 t `'i F' r Ih. ttt3 5 YRACUSE �.o VO I B — FAEOUIV waeaFO F0 +^ FA � Fa n Fa rn rct w F lF\�9 w to EOUIV FARE FV VIA/ �`i F1 rj I. 1 ,P T -1 L�ul r ��./ 77p. i.4.�A� ♦ �J 1' ,jr�`i . 1 �� I IT�' •' TAX S S( 30.90 TAA G � rAM FORM aF rAVMENT Y7 f IOTA �1X .113S'1wZ.3`l 1.�)0Il#1.'?; �� , roup CDOE 'r���r� ?�` I)r `r ��sc�.0' lf'N NNFINk CODE F�)HM SE NI/y NUMVEq CK %1gINAl15$JE a¢ AI NFG L��uiN,t.•Mk�� . � 037 7715929483 3 ❑ 1 ' Z-' �::• 1.r t 62050219860 1l: it :_ 1 116" 1 fdVOOFJO 1 `,;:r 'Y I �� r«yuv,q.I�q wont .N nrt .VNI rF u,cA AIavF I A 0. I 0 1,11 166, 1111UCI I ---i- -- ----' - PASSENGER COUPON I HEK - WAYLL 92 P1.110 0 ?"f FEL IN C DATE OF ISSUEREF 0900-92 NOT TRAI,ISFEI�ABLE - per, I n,LV�JnD XJO FfOM NOT Ofg fGR PAsawe I F �nmi LIONT. fi �-Amz IC I 25A, 12 h 24 4"mc PAnA rAFIE DEWGNATC* - - - - MJD sum _,�J fit'IR tFORil tIS' 1404 41. 40CTY �515P OKI tIf3 to .�:--V()lfl-- P13, T D , FAFtkCAtCVLATION- I'l 09 10 8% If? t IS P. (It. 154.5"; 1.18 SY R 1 0 EOUIV FARE PO *5 4 55 349.10 E t4 b TAX TAX- FOF%A OF PAYMENT TfITAL A -17 'Cl 9 1. 9 T-3 45 1 t Q 4) t2 9 2 TOUR CODE 0 0 2',61 Ll S It' -140. 00 CPN 1 AIRLINE com F(M SERIAL NUMBER I CK OmaINAL CON NFOJ-4 1 03 .7 7715929567 .3 -03721 62975276463 -13 PK02 10091 114V00002.37 DO NOT MARK OR WRITE IN ZHE WHITE AREA ABOVE ---------------- A 0. I c1�16Calocerinos & Spina EXPENSE REPORT 0 Engineers. P.C. DATE: EMPLOYEE NAME: (PRINT) DEPARTME NAME: ` PERIOD SHEET:_� OF FROM: TO: DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY A TITLE) ALLOCATION OF CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSEEXPENSE ITEM LOCATION P.D. MISC. ORSJ. N CPO AT. S ' ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POC 9 2 o'04 aaz bag S��c.aZZ' W14V-�-w � -- o C>3 tog t '� �- ►0 7 92 doe tool Z V _ `II Z ► I )"09 3 � — o 41 ►�1 ob joo ZL-- STANDARD FORM 221-A' TOTAL TO BE ACCOUNTED FOR a _ ................... .................................................. ............................. S: .. ................ PROJECT: ELIZABETH FIELD AIRPORT-FISHERS ISLAND File o. 211.004 1 AIRFIELD LIGHTING, VISUAL AIDS 6 ELECTRICAL BUILDING FAA-AIP NO. 3-36-0029-05-92, N.Y.S.D.O.T. NO. 0913.05 Date: 8/10/92 Estimate No: ONE , TO THE TOWN OF SOUTHOLD: , Pursuant to the teras of the Contract, dated May 1, 1992, by and between the Torn of Southold and Falvey Construction Corporation, contractor for the construction of the Elizabeth Field lirport-Fishers Island, Airfield Lighting, Visual Aids 6 Electrical Building (FAA-AIP No. 3-36-0029-05-92, N.Y.S.D.O.T. No. 0913.05), we hereby submit the First Estimate, for work completed through July 30, 1992: ---------------------------------------------------------------------------------------------------------------------------------------• ORIGINAL : QUANTITY Item CONTRACT UNIT : TO UNIT TOTAL $ Number ------------- DESCRIPTION I------------------------------------------ QUANTITY DATE PRICE --l----------------: TO DATE P-152 1. I---------------- Common Excavation, Area No. 1 I-------- 100.001: I---------------- L.S. I---------------- 0.001 : 810,000.00 80.00 : P-152 2. Pavement Eacavation(Bituminous Concrete) 900.00 S.Y. 0.00 3.00 0.00 : P-612 3. Field Office 100.001: L.S. 32.001 : 18,200.00 5,824.00 : P-620 4. Runway Painting 23,000.00 s.f. 0.00 0.50 0.00 : L-102 S. : Electrical Building Electrical Service 100.001: L.S. 75.001 : 9,000.00 6,750.00 : L-106 6. : Segmented Circle 100.001: L.S. 0.001 : 15,300.00 0.00 : L-107 7. : Lighted Wind Cone 100.001: L.S. 0.001 : 16,700.00 0.00 : L-108 B. Cable Trenching for the Installation of Underground Cable 8,600.00 l.f. 2,716.00 2.25 6,111.00 L-108 9. No. 8 AWG 600V Type C Single Conductor Underground Cable instld in Trench/Duct 18,300.00 l.f. 10,956.50 0.38 4,163.47 : L-108 10. No. 8 AWG 5[V Type C Single Conductor - Underground Cable instld in Trench/Duct 12,900.00 : l.f. .0.00 0.38 0.00 L-108 11. : No. 8 AWG Bare Copper Counterposie Wire . installed in Trench including Grounding : Rods and Exothermic Connections 9,500.00 l.f. 0.00 0.28 0.00 L-109 12. : Installation of Airport Electrical : Building Equipment, in Place 100.001: L.S. 0.00% : 30,000.00 0.00 : : L-110 13. : 4-way Electrical Duct Bank Type I 700.00 l.f. 258.00 55.00 14,190.00 : : L-110 14. : B-way Electrical Duct Bank Type I 200.00 : l.f. 195.00 70.00 13,650.00 : : L-110 15. : 2-in Dia RSC installed in Pavement 3,000.00 l.f. 590.70 4.00 2,362.80 : L-110 16. : 2-in Dia RSC installed in Turf 270.00 l.f. 13.00 2.00 26.00 : L-110 17. : 2-in Dia RSC reinstalled in Turf 190.00 l.f. 0.00 2.00 0.00 : L-112 18. : Electrical Building 100.001: L.S. 42.001 : 40,000.00 16,800.00 : L-115 19. : Electrical Manhole No. 1 1.00 each : 49.001 : 12,250.00 6,002.50 : L-115 20. : Pull Box Reinstallation 1.00 each : 0.00 : 500.00 0.00 : L-125 21. : Medium Intensity R/W Edge Lights, : Base Mounted, in Pavement 57.00 each 0.00 : 315.00 0.00 L-125 22. : Runway 25 Threshold Lights 100.001: L.S. 40.001 : 3,800.00 1,520.00 L-125 23. : Airport Guidance Sign No. R-2-5, : Base Mounted, in Pavement 100.001: L.S. 0.001 2,655.00 0.00 L-125 24. : Airport Guidance Sign No. R-2-19, : Base Mounted, in Pavement 100.001: L.S. 0.001 : 2,655.00 0.00 L-125 25. : Airport Guidance Sign No. R-1-3, : Base Mounted, in Turf 100.00% : L.S. 0.002 : 2,400.00 0.00 L-125 26. : Airport Guidance Sign No. R-1-19, : Base Mounted, in Turf 100.00% : L.S. 0.00% : 2,400.00 0.00 L-125 27. : R/W End Identification Light (REIL) : System, Runway 7 End 100.001: L.S. 40.001 : 8,250.00 3,300.00 L-125 28. : R/W End Identification Light (REIL) : Systea, Runway 25 End 100.00% : L.S. 40.00% : 8,250.00 3,300.00 r5 29. OV End Identification Light (BEIL) - Svstem, Runway 12 End 190.00% : L.S. : 0.00% : 8,250.00 :-!.:5 30. R/o End Identification Light (BEIL) System, Runway 30 End 100.00% : L.S. 0.00% : 8,250.00 :-_5 31. : Generic Visual Approach Descent : Indicator System, Runway 7 End 100.00% : L.S. 40.00% : 9,580.00 '25 32. : Generic Visual Approach Descent : Indicator System, Runway 25 End 100.00% : L.S. 40.00% : 9,580.00 ; :Z5 33. : Generic Visual Approach Descent : Indicator System, Runway 12 End 100.00% : L.S. 0.00% : 9,580.00 '._5 34. : Generic Visual Approach Descent : Indicator System, Runway 30 End 100.00% : L.S. 0.001 : 9,580.00 : ''5 35. : Removal of Existing Runway Edge Lights 100.00% : L.S. 0.00% : 7,500.00 : ±-::.0 36. : M d P of Traffic 100.00% ; L.S. : 19.001 : 23,500.00 : !-100 37. : Mobilization 100.001 : L.S. : 100.00% : 16,000.00 : ----------------------------------------------------------------------------------------------------------------- Total Amount of Vort Done to Date ----- —___-_--_____�__�� STATE?= OF DAYS CHARGED Less 5% Retained --------------------------------------------- TOTAL CONTRACT DAYS 60 LESS DAYS CHARGED 19 Amount Recommended for Payment, Previous Estimates ----------- - DAYS REMAINING 41 AMOUNT DOE CONTRACTOR, FIRST ESTIMATE ---------- 7J- ZF— CON!M- DCTION CORPORATION CALOCERINOS i SPINA Engineers, P.C. Harold R. 9agner, Jr 19 Division Manager ....... ...................................................... /................................................................ ..... PROJECT: ELIZABETH FIELD AIRPORT-FISHERS ISLAND File No. 211.__-' AIRFIELD LIGHTING, VISUAL AIDS & ELECTRICAL BUILDING C FAA-AIP NO. 3-36-0029-05-92, N.Y.S.D.O.T. NO. 0913.05 Date: 9/141':2 Estimate No: Two TO THE TOWN OF SOUTHOLD: Pursuant to the terms of the Contract, dated May 1, 1992, by and between the Town of Southold and Falvey Construction Corporation, contractor for the construction of the Elizabeth Field Airport-Fishers Island, Airfield Lighting, Visual Aids & Electrical Building (FAA-AIP No. 3-36-0029-05-92, N.Y.S.D.O.T. No. 0913.05), we hereby submit the Second Estimate, for work completed through August 31, 1992: :--------------------------------------------------------------------------------------------------------------------------------------- ORIGINAL QUANTITY Item CONTRACT UNIT TO UNIT Number ------------- DESCRIPTION i------------------------------------------ I---------------- QUANTITY I-------- I---------------- DATE PRICE 7, :;A:T P-152 1. Common Excavation, Area No. 1 100.00% : L.S. I------------------ 0.00% : I----------------: $10,000.00 80.00 P-152 2. Pavement Excavation(Bituminous Concrete) 900.00 S.Y. 0.00 3.00 ; 0.00 P-612 3. Field Office 100.00% : L.S. 62.00% : 18,200.00 ::,284.00 P-620 4. Runway Painting 23,000.00 s.f. 0.00 0.50 O.CO L-102 5. Electrical Building Electrical Service 100.00% : L.S. 75.00% : 9,000.00 :;750.00 L-106 6. Segmented Circle 100.00% L.S. 0.00% : 15,300.00 0.00 L-107 7. Lighted Wind Cone 100.00% L.S. 0.00% : 16,700.00 0.00 L-108 8. Cable Trenching for the Installation of Underground Cable 8,600.00 l.f. 6,784.00 2.25 :5,264.00 L-108 9. No. 8 AWG 600V Type C Single Conductor Underground Cable instld in Trench/Duct 28,300.00 l.f. 23,130.50 0.38 3,7,;.59 L-108 10. No. 8 AWG SKV Type C Single Conductor , Underground Cable instld in Trench/Duct 12,900.00 l.f. 11,029.30 0.38 4,191.13 L-108 11. No. 8 AWG Bare Copper Counterposie Wire installed in Trench including Grounding Rods and Exothermic Connections 9,500.00 l.f. 9,330.00 0.28 =,612.40 L-109 12. Installation of Airport Electrical Building Equipment, in Place 100.00% : L.S. 0.00% : 30,000.00 0.00 L-110 13. 4-way Electrical Duct Bank Type I 700.00 l.f. 697.00 55.00 _,335.00 L-110 14. 8-way Electrical Duct Bank Type I 200.00 l.f. 195.00 70.00 :2,653.00 L-110 15. 2-in Dia RSC installed in Pavement 3,000.00 l.f. 2,004.40 4.00 2,017.60 L-110 16. 2-in Dia RSC installed in Turf 270.00 l.f. 185.00 2.00 370.00 L-110 17. 2-in Dia RSC reinstalled in Turf 190.00 l.f. 0.00 2.00 0.00 L-112 18. Electrical Building 100.00% L.S. 42.00% : 40,000.00 :S,BCO.00 L-115 19. Electrical Manhole No. 1 1.00 each 49.00% : 12,250.00 6,002.50 L-115 20. Pull Box Reinstallation 1.00 each 0.00 : 500.00 0.00 L-125 21. Medium Intensity R/W Edge Lights, Base Mounted, in Pavement 57.00 each 0.00 315.00 :.00 . L-125 22. Runway 25 Threshold Lights 100.00% L.S. 40.00% : 3,800.00 : _f52V.00 L-125 23. Airport Guidance Sign No. R-2-5, Base Mounted, in Pavement 100.00% : L.S. 0.00% : 2,655.00 C.00 L-125 24. Airport Guidance Sign No. R-2-19, Base Mounted, in Pavement 100.00% L.S. 0.00% : 2,655.00 0.00 L-125 25. Airport Guidance Sign No. R-1-3, Base Mounted, in Turf 100.001 L.S. 0.00% : 2,400.00 0.00 L-125 26. Airport Guidance Sign No. R-1-19, Base Mounted, in Turf 100.00% : L.S. 0.00% : 2,400.00 0.00 L-125 27. R/W End Identification Light (REIL) System, Runway 7 End 100.00% : L.S. 40.00% : 8,250.00 3,300.00 L-125 28. R/W End Identification Light (REIL) System, Runway 25 End 100.00% : L.S. 40.00% : 8,250.00 3,300.00 �-1F5 29. ' : R/W End Identification Light (REIL) System, Runway 12 End 100.00% : L.S. 0.00% : 8,250.00 0.00 e-125 30. R/W End Identification Light (REIL) System, Runway 30 End 100.00% : L.S. 0.00% : 8,250.00 0.00 1-125 31. Generic Visual Approach Descent Indicator System, Runway 7 End 100.00% L.S. 46.00% : 9,580.00 4,406.80 1-125 32. Generic Visual Approach Descent Indicator System, Runway 25 End 100.00% : L.S. 46.00% : 9,580.00 4,406.80 -125 33. Generic Visual Approach Descent Indicator System, Runway 12 End 100.00% : L.S. 0.00% : 9,580.00 0.00 1-125 34. Generic Visual Approach Descent Indicator System, Runway 30 End 100.00% : L.S. 0.00% : 9,580.00 0.00 L-125 35. Removal of Existing Runway Edge Lights 100.00% L.S. 0.00% : 7,500.00 0.00 !-100 36. M & P of Traffic 100.00% : L.S. : 57.00% : 23,500.00 13,395.00 1-200 37. Mobilization 100.00% L.S. 100.00% : 16,000.00 16,000.00 ----------------------------------------------------------------------------------------------------------------------------------------- Total Amount of Work Done to Date ---------------------------- $178,394.82 STATEMENT OF DAYS CHARGED Less 5% Retained --------------------------------------------- 8,919.74 TOTAL CONTRACT DAYS 60 $169,475.08 LESS DAYS CHARGED 37 Amount Recommended for Payment, Previous Estimates ----------- 106,522.33 DAYS REMAINING 23 AMOUNT DUE CONTRACTOR, SECOND ESTIMATE ---------- $62,952.75 =7-Y CO:;STRUCTION CORPORATION CALOCERINOS & SPINA Engineers, P.C. :_-�. �. `� per- 1 � �, � G � • � -� Harold W. Wagner, Jr , E. Division Manager :................................................ ............. ..................................................:......:� PRbdECT: ELIZABETH FIELD AIRPORT -FISHERS ISLAND File No. 211.004. o O T AIRFIELD LIGHTING, VISUAL AIDS 6 ELECTRICAL BUILDING FAA-AIP NO. 3-36-0029-05-92, L Y.S.D.O.T. NO. 0913.05 Date: 10/7/92 Estimate No: Three TO THE TOWN OF SOUTHOLD: Pmt -to tbrterns-nf th:.£onatract, dated by L 199L by and betmeen the Iomnf Southold and Falvey Construction Corporation, contractor for the construction of the Elizabeth Field Airport -Fishers , Island, Airfield Lighting, Visual Aids 6 Electrical Building (FAA-AIP No. 3-36-0029-05-92, N.i.S.D.O.T. No. 0913.05), we hereby submit the Third Estimate, for work completed through October 2, 1992: , • ORIGINAL . QUANTITY Item CONTRACT UNIT : TO UNIT TOTAL 3 Number DESCRIPTION QUANTITY DATE PRICE 10 DATE --- l---------- - . --.----------------- I--------- ------ I--- #-- I ---i ----. P-152 1. _: Conon Excavation, Area No. 1 100.005: L.S. : OJM : $10,000.00 : $0.00 : P-152 2. _: Pavement Excavation(Bitumincus ConcreW 900.00 : S.Y. : 8%.11 : 3.00 : 2,668.33 : P-612 3. Field Office _ 100.005: L.S. : 93.001 : _. 18,200.00 : 15,926.00 : P-620 4. Runway Painting 23,000.00 s.f. : 0.00 : 0.50 : 0.00 : L-102 S. Electrical Building Electrical Service 100.005: L.S. : 90.00% : 9,000.00 : 8,100.00 : L-106 6. : Segmented Circle 100.00% L.S. : 20.00% : 15,300.00 : 3,060.00 : L-107 7. : Lighted Wind Cone 100.00% : L.S. : 95.00% : 16,700.00 : 15,865.00 : L-108 8. : Cable Trenching for the Installation, .: : of Underground Cable B,600.00 l.f. 7,766.50 2.25 : 17,474.63 L-108 9. : No. 8 AWG 600V Type C Single Conductor . : Underground Cable instld in Trench/Duct 28,300.00 l.f. : 28,300.00 0.38 : 10,754.00 L-108 10. : No. 1 AWG 5LV Type C Single Conductor : Underground.Cabie instld in.Trench/Duct 12,900.00 1.f. _ 12,900.00 0.38 4,902.00 1-108. U. : Bo. 8 AWG Bare Copper Counterposie Wire : installed in Trench including Grounding : Rods and Exothermic Connections 9,500.00 l.f.. 9,500.00 0.28 2,660.00 L-109 12. : Installation of Airport Electrical - Building Equipment, in Place 100.001 :_ L.S. 50.001 : 30,000.08 : 15,000.00 : L-110 13. : 4 -way Electrical Duct Bank Type I 700.00 : l.f. 697.00 : 55.00 : 38,335.00 : L-110 14. : 8 -way Electrical Duct Bank Type I 200.00 : l.f. 195.00 : 70.00 : 13,650.00 : L-110 15. : 2 -in Dia RSC installed in Pavement 3,000.00 : l.f. 2,408.40 : 4.00 : 9,633.60 : L-110 16. : 2 -in Dia RSC installed in Turf 270.00 : l.f. 212.00 : 2.00 : 424.00 : L-110 17. : 2 -in Dia RSC reinstalled in Turf 190.00 : 11. 126.00 : 2.00 :. 252.00 : L-112 18. : Electrical Building 100.00% : L.S. 63.005 : 40,000.00 34,000.00 : L-115 19. : Electrical Manhole No. 1 1.00 : each : 1.00 : 12,250.00 12,250.00 L-115 20. : Pull Box Reinstallation 1.00 : each 1.00 500.00 500.00 L-125 21. : Medium Intensity R/W Edge Lights, : Base Mounted, in Pavement 57.00 each 39.00 315.00 : 12,285.00 L-125 22. : Runway 25 Threshold Lights 100.00%: L.S. : 100.00% : -3,800.00 : 3,800.00 L-125 23. : Airport Guidance Sign No. R-2-5, : Base Mounted, in Pavement 100.005 :. L.S. 100.00% : 2,655.00 2,655.00 L-125 24. : Airport Guidance Sign No. R-2-19, : Base Mounted, in Pavement 100.005: L.S. 100.00% : 2,655.00 2,655.00 1.-173 25. : Airport Guidance Sign No. 1-1-3, : Base Mounted, in Turf 100.005: L.S. 100.005 : 2,400.00 : 2,400.00 L-125 26. : Airport Guidance Sign No. R-1-19, : Base Mounted, in Turf 100.005: L.S. 100.001 2,400.00 2,400.00 L-125 27. : R/W End Identification Light (REIL) : System, Runway 7 End 100.005: L.S. 90.00% : 8,250.00 7,425.00 L-125 28. : R/W'End Identification Light (REIL) : System, Runway 25 End 100.00% : L -S. 90.002 ; 8,250.00 7,425.00 L425 29. ': R/Q End Identification Light (RETE) I, System, Runway 12 End 100.00% : L.S. 80.00% : 8,250.00 6,600.00 L-125 30. R/8 End Identification Light (RFIL) System, Runway 30 End 100.00% : L.S. 80.00% : 8,250.00 6,600.00 L-125 31. Generic Visual Approach Descent Indicator System, Runway 7 End 100.00Z : L.S. 75.00% : 9,580.00 7,185.00 L-125 32. : Generis Visual Approach Descent. : Indicator System, funway 25 End 100.00% : L.S. 75.00% : 9,580.00 7,185.00 L-13 33. : Generic Visual Approach Descent. : Iadicatar Systet, Runway 12 End _ 100.001 : L–S. BO.00Z : 9,580.00 7,664.00 L-IZ5 34. : Generic Visual Approach Descent : Indicator System, Runway 30 End 100.001 : L.S. 75.00% : 9,580.00 7,)85.00 : L-125 35. : Removal of Existing Runway Edge Lights 100.001 : L.S..: 0.00% : 7,500.00 : 0.00 : M-100 36. : M & P of Traffic 100.00% : L.S_ .: 90.001 : 23,500.00 21,150.00 : M-200 37. : Mohilization _ 100.001 : L.S. : 100.001 : 16,000.00 16,000.00 : --------------------------- 9327,088.56 Total Amount of Work Done to Date STATEMENT OF DAYS CHARGED Less 5% Retained ---------- ----------------------- 16,354.43 TOTAL CONTRACT DAYS 60 9310,734.13 LESS DAYS CHARGED 57 .... Amount Recommended for Payment, Previous Estimates ----------- 169,475.08 ............. DAYS REMAINING: 3 IALVET CORSTUCTCORPORATION BY: gyp' TITLE: I eGtss3 DATE: /v –/L — 9 2– AMOUNT DUE CONTRACTOR, SECOND ESTIMATE -- CALOCERINOS &- SPMA Engineers, P.C.. Harold R. Wagner,, .E. Division Manager $141,259.05 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. PROjE:T: ELIZABETH FIELD AIRPORT -FISHERS ISLAND File No. 2 AAIRFIELD LIGHTING, VISUAL AIDS & ELECTRICAL BUILDING FAA-AIP NO. 3-36-0029-05-92, N.Y.S.D.O.T. 90. 0913. -CS 'late: -.j Estimate No: Four TO THE TOWN OF SOUTIOLD: Pursuant to the terms of the Contract, dated May 1, 1-992, by and between the Town of Southold and Falvey Construction Corporation, contractor for the construction of the Elizabeth Field Airport -Fishers :sland, Airfield Lighting, Visual Aids & Electrical Building (FAA-AILP No. 3-36-0029-05-92, N.Y.S.D.O.T. No. 0913.05), we hereby submit the Fourth Estimate, for work completed through October 30, 1992: ------------------------------------------ I --------------------------------------------------------------------------------------------- ORIGINAL QUAN7TTY Item CONTRACT UNIT TO UNIT TOTAL S Number DESCRIPTION QUANTITY DIKE TM PRICE :ATL ------------- 1. ------------------------------------------ ------------------------ Common Excavation, Area No. 1 100.00% L.S. ------------- ------------------- 0.001 ---------------- $10,000.00 $0.2 P-152 2. Pavement Excavation(Bituminous Concrete) 90040 S.Y. 896.11 3.00 2,688.33 P-612 3. Field Office 100.00% L.S. 100.00% 18,200.00 12.20.00 P-620 4. Runway Painting 23,000.00 s.f. 21,606.62 0.50 :-",803.21 L-102 5. Electrical Building Electrical Service 100.00% L.S. :00.00% 9,000.00 9,000.00 L-!-'6 5. Segmented Circle lC^V.00% L.S. 80.00% 15,300.00 1-7,250.00 L-: 7 ",7 7. Lighted Wind Cone 100.00% L.S. 100.00% 16,700.00 !-,70O.CO L-108 8. 'able Trenching for the Installation of Underground Cable 8,600.00 l.f. 7,766.50 2.25 1.7,474.63 108 9. No. 8 AWG 600V Type C Single Conductor Underground Cable instld in Trench/Duct 28,300.00 l.f. 28,300.00 0.38 :^,754.00 L-108 140. No. 8 AVG 5KV Type C Single Conductor Underground "able instld in Trench/Duct 12,910.00 l.f. 12,900.00 0.38 4,902.00 L-108 ill. No. 8 AWG Bare Copper Counterposie Wire installed in Trench including Grounding Rods and Exothermic Connections 9,500.00 l.f. 9,500.00 0.:8 -1,660.00 L-:09 12. Installation of Airport Electrical 3uilU'ing Equipment, in Place 100.001 L.S. 90.00% 30,000.00 27,30.00 L-110 :3. 4 -way Electrical Duct Bank Type I 700.00 l.f. 697.00 55.00 ZZ'1335.cc L-110 14. 8 -way Electrical Duct Bank Type 1 200.00 l.f. 195.00 70.00 1.2,650.00 L-110 1-5. 2 -in Dia RSC installed in Pavement 3,000.00 l.f. 2,408.40 4.00 9,633.60 L-110 16. 2 -in Dia RSC installed in Turf 2.70.00 l.f. 212.00 2.00 424.00 1-10 17. 2 -in Dia RSC reinstalled in Turf 190.CO l.f. 126.00 2.00 252.00 L-11:2 18. Electrical Building 100.00% L.S. 90.00% 40,000.00 2=,000.03 L-11-5 19. Electrical Manhole No. 1 1.00 each 1.00 12,1450.00 .2,250.00 L-115 1.0. Pull Box Reinstallation 1.00 each 1.00 500.00 500.00 L-125 21. Medium Intensity R/W Edge Lights, Base Mounted, in Pavement 57.00 each 39.00 1z'285.10 L-125 22. Runway 25 Threshold Lights 100.00% L.S. 1OO.CO% 3,800.00 3,8,10.110 L-125 23. Airport Guidance Sign No. R-2-5, Base Mounted, in Pavement L.S. 100.00% 2,655.00 2,655.00 L-125 24. Airport Guidance Sign No. R-2-19, Base Mounted, in Pavement 100.00% L.S. 1100.00% 2,655.00 2,655.0 11-125 415. Airport Guidance Sign No. R-1-3, Base Mounted, in Turf 100.00% L.S. 100.00% 2,400.00 2,4040 L-125 26. Airport Guidance Sign No. 8-1-19, Base Mounted, in Turf 100.00% L.S. 100.00% 2,400.00 2,400.00 L-125 27. ',-/W End 'Identification Light (REIL) System, Runway 7 End 100.00% L.S. 99.00% 8,250.00 8,167.50 L-125 28. R/W End identification Light (REIL) System, Runway 25 End 1.00.02% L.S. 99.00*4 8,250.00 2,167.50 v,-1.25 29. R/W End 'Identification Light (REIL) , System, Runway 12 End 100.001 . L.S. 99.00% 8,250.00 L-125 30. R/W End Identification Light (REIL) , System Runway 30 End / � y ^^ iCO.��X T ,,.5. 99.00% . 50 8,2�-.CO L-125 31. Generic Visual Approach Descent indicator System, Runway 7 End 100.00% L.S. 98.00% . 9,580.00 : L-125 32. Generic Visual Approach Descent , : Indicator System, Runway 25 End 100.00X L.S. 98.00X : 9,580.CO : L-125 33. Generic Visual Approach Descent , : Indicator System, Runway 12 End 100.00% L.S. : 98.00% : 9,580.00 : : L-125 34. Generic Visual Approach Descent , : Indicator System, Runway 30 End 100.00% : L.S. 98.010% : 9,580.00 : : L-125 35. : 3emoval of Existing Runway Edge Lights 100.00% : L.S. 80.00% : 7,500.00 : : M-100 36. M & P of Traffic 100.00% : L.S. 100.00% : 23,500.00 : 1-200 37. Mobilization 100.00% L.S. :00.00% . 16,000.00 Amount Withheld for Liquidated Damages days 5.00 -900.00 3,:67.53 : 8,16'.50 . 9,388.40 : 9,388.40 : 9,398.40 . 5,3C3.00 : 3,500.00 . 1151000.011 -4,1400.00 ---------------------------------------------------------------------------------------------------------------------------------------- Total Amount of Work Done to Date ---------------------------- 838C,885.47 STATEMENT OF DAYS CHARGED Less 5% Retained --------------------------------------------- 19,044.Z7 TOTAL CONTRACT DAYS 60 LESS DAYS. CHARGED 65 DAYS REMAINING -5 FALVEY CONSTRUCTION CORPORATION TITLE: DATE: 2--9 .......,....,...., 8361,541.19 Amount Recommended for Payment, Previous Estimates ----------- 313,734.13 AMOUNT DUE CONTRACTOR, FOURTH ESTIMATE---------- CALOCERINOS & SPINA Engineers, P.C. $51,107.0t 3�7)ogg 91 A'A �� 7-53� Harold W. Waqner, J . P.E. Division Manager ` ............................... ................................................................ .. r . ......:............. ....... / PROJECT. ' ELIZABETH FIELD AIRPORT-FISHERS ISLAND File No. 211.004 'T • AIRFIELD LIGHTING, VISUAL AIDS b ELECTRICAL BUILDING • FAA-AIP NO. 3-36-0029-05-92, N. Y. S. D. O. T. NO. 0913.05 Date: 1/13/93 • Estimate No: 5th & Final TO THE TOWN OF SOUTHOLD: Pursuant to the terms of the Contract, dated May 1, 1992, by and between the Town of Southold and Falvey Construction Corporation, contractor for the construction of the Elizabeth Field Airport-Fishers Island, Airfield Lighting, Visual Aids & Electrical Building (FA"IP No. 3-36-0029-0r92, N.Y.S.D.O.T. No. 0913.05), we hereby submit the Fifth and Final Estimate, for work completed through December 22, 1992: • , ORIGINAL . OUANTITY Item CONTRACT UNIT : TO UNIT : TOTAL f Number •------------!--- DESCRIPTION Ql KITY DATE PRICE TO DATE P-152 IA. Common Excavation, Area No. 1 100.00% : L.S. : 100.00% : $1,600.00 : $1,6(x).!'10 : P-152 2. Pavement Excavation(Bituminous Concrete) 900.00 : S. Y. : 896.11 3.00 : 2,E88.33 : P-612 3. Field Office 100.00% : L.S. : 100.00% : 18,200.00 : 18,200.!0 : P-620 4. Runway Painting 23,000.00 : s.f. : 21,606.62 0.50 : 10,803.31 : L-102 5. Electrical Building Electrical Service 100.00% : L.S. : 100.00% : 9,000.00 : 9,000.00 : L-106 6. : Segmented Circle 100.00% : L.S. : 100.00% : 15,300.00 : 15,300.00 : L-107 7. : Lighted Wind Cone 100.00% : L.S. : 100.00% : 16,700.00 : 16,700.00 : L-108 8. : Cable Trenching for the Installation : of Underground Cable 8,600.00 l.f. : 7,766.50 2.25 17,474.63 L-108 9. : No. 8 AWG 600V Type C Single Conductor : Underground Cable instld in Trench/Duct 28,300.00 l.f. 28,463.50 0.38 10,816.13 L-108 10. : No. 8 AWG 51(V Type C Single Conductor : Underground Cable instld in Trench/Duct 12,900.00 l.f. 14,880.00 0.38 5,654.4{) L-108 11. : No. 8 AWE Bare Copper Counterposie Wire : installed in Trench including Grounding : Rods and Exothermic Connections 9,500.00 1.f. 10,316.50 0.28 2,888.62 L-109 12. : Installation of Airport Electrical : Building Equipment, in Place 100.00% : L,S. 100.04% : 30,000.00 : 30,000.00 : L-110 13. : 4-way Electrical Duct Bank Type I 700.00 : 1.f. 697.00 : 55.00 : 38,335.00 : L-110 14. : 8-way Electrical Duct Bank Type I 200.00 : 1.f. 195.00 : 70.00 : 13,650.00 : L-110 15. : 2-in Dia RSC installed in Pavement 3,000.00 : 1.f. 2,408.40 : 4.00 : 9,633.60 : L-110 16. : 2-in Dia RSC installed in Turf 270.00 : 1.f. 212.00 : 2.00 424.(b : L-110 17. : 2-in Dia RSC reinstalled in Turf 190.00 : 1.f. 126.00 : 2.00 252.40 : L-1122 18. : Electrical Building 100.00% : L.S. : 100.00% : 40,000.00 40,000.00 : L-115 19. : Electrical Manhole No. 1 1.00 : each : 1.00 : 12,250.00 12,250.00 : L-115 20. : Pull Box Reinstallation 1.00 : each : 1.00 : 500.00 500.W : L-125 21. : Medium Intensity R/W Edge Lights, : Base Mounted, in Pavement 57.00 , each . 57.00 . 315.00 17,955.00 L-1225 22. : Runway 25 Threshold Lights 100.00% : L.S. : 100.00% : 3,800.00 3,800.00 L-125 23. : Airport Guidance Sign No. R-2-5, : Base Mounted, in Pavement 100.00% : L.S. 100.00% : 2,655.00 2,655.00 L-125 24. : Airport Guidance Sign No. R-2-19, : Base Mounted, in Pavement 100.00% : L.S. 100.00% : 2,655.00 : 2,655.00 L-125 25. : Airport Guidance Sign No. R-1-3, : Base Mounted, in Turf 100.00% : L.S. 100.00% : 2,400.00 2,400.00 L-125 26. : Airoort Guidance Sign No. R-1-19, : Bas2 Mounted, in Turf 100.00% : L.S. 100.00% : 2,400.00 2,400.00 L-125 27. : R/W End Identification Light (REIL) : System, Runway 7 End 100.00% : L.S. 100.00% : 8,250.00 8,250.00 : L-125 2S. : R/W End Identification Light (REIL) , System, Runway 25 End 100.00% . L. S. 100.00% 8,250.00 8, 250, !i0 . 125 29.. R/W End Identification Light (REIL) LESS DAYS CHARGED 65 DAYS REMAINING -5 System, Runway 12 End 100.00% : L.S. 100.00% : 8,250.00 8,250.00 f L-125 30. R/W End Identification Light (REIL) , : System, Runway 30 End 100.00% ; L.S. 100.00% : 8,250.00 8,250.00 L-125 31. : Generic Visual Approach Descent : Indicator System, Runway 7 End 100.00% : L.S. 100.00% : 9,580.00 9,580.00 L-125 32. : Generic Visual Approach Descent : Indicator System, Runway 25 End 100.00% : L.S. 100.00% : 9,580.00 9,580.00 L-125 33. Generic Visual Approach Descent Indicator System, Runway 12 End 100.00% ; L.S. 100.00% : 9,580.00 9,580.00 L-1225 34. : Generic Visual Approach Descent Indicator System, Runway 30 End 100.00% : L.S. 100.00% : 9,580.00 : 9,580.00 L-1225 35. Removal of Existing Runway Edge Lights 100.00% : L.S. : 100.00% : 7,500.00 : 7,500.00 M-100 36. M 6 P of Traffic 100.00% : L.S. : 100.00% : 23,500.00 : 23,500.00 M-200 37. : Mobilization 100.00% : L.S. : 100.00% : 16,000.00 : 16,000.00 STATEMENT OF DAYS CHARGED TOTAL CONTRACT DAYS 60 LESS DAYS CHARGED 65 DAYS REMAINING -5 FALVEY CONSTRUCTION CO TION BY: TITLE: nATE: �_ VA 3 Total Amount of Work Done to Date Less 0% Retained — Amount Recommended for Payment, Previous Estimates AMOUNT DUE CONTRACTOR, FIFTH AND FINAL ESTIMATE CALOCERM t SPINA Engineers, P.C. atAHarold W. Wagner, IJPJR.E. VV Division Manager 5406, 355.02 0.00- $406,355.02 .00$406,355.02 361,841.19 544,513.83 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OI �_ \1 oily OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 10, 1992 Sheila M. Farley Grants Administrator Calocerinos E Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088 Re: Fishers Island -Elizabeth Field Airfield Lighting FAA AIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 Dear Ms. Farley: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Enclosed are four (4) executed copies of Form 271 for Partial Payment Request No. Three for the above captioned project. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (3) cc: Accounting & Finance to OUTLAY REPORT AND REQUEST FOR REIMBURSE- Approved by Office of Management and Budget No. 80-RO181 1 PAGE 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST (c) 11 FINAL ® PARTIAL ® CASH 11 ACCRUAL 3. FEDERAL SPONSORING AGENCYN NI TO 4. FEDERAL G 97PARTIAL PAYMENT REQUEST NO. WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED TOTAL BY FEDERAL AGENCY THREE Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-05-92 a. Administrative expense 6. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT FROM (Month, day, year) TO (Month, day, year) $0.00 IDENTIFYING NUMBER 11-6003307 N/A 10/7/92 11/10/92 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check should be sent If d/tterent than Item 9) Name: TOWN OF SOUTHOLD Name: TOWN HALL, 53095 MAIN ROAD $0.00 No. and P.O. BOX 1179 No. and Street., SOUTHOLD, NY 11971 street. City, City, State and State and ZIP Code: ZIP Code: STATUS OF FUNDS STANDARD FORM 271 (7-76) Prescribed by Office of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (a) (b) (c) CLASSIFICATION AIRFIELD LIGHTING TOTAL (Construction) a. Administrative expense $0.00 $0.00 $0.00 $0.00 b. Preliminary expense $0.00 $0.00 $0.00 $0.00 c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00 d. Architectural engineering basic fees $0.00 $0.00 $0.00 $0.00 e. Other architectural engineering fees $0.00 $0.00 $0.00 $0.00 f. Project inspection fees $74,893.02 $0.00 $0.00 $74,893.02 g. Land development $0.00 $0.00 $0.00 $0.00 h. Relocation expense $0.00 $0.00 $0.00 $0.00 i. Relocation payments to individuals and businesses $0.00 $0.00 $0.00 $0.00 j. Demolition and removal $0.00 $0.00 $0.00 $0.00 k. Construction and project improvement cost $361,841.20 $0.00 $0.00 $361,841.20 I. Equipment $0.00 $0.00 $0.00 $0.00 m. Miscellaneous cost $0.00 $0.00 $0.00 $0.00 n. Total cumulative to date (sum of lines a thru m) $436,734.22 $0.00 $0.00 $436,734.22 o. Deductions for program income $0.00 p. Net cumulative to date (Line In minus line o) $436,734.22 $0.00 $0.00 $436,734.22 q. Federal share to date $393,060.80 $0.00 $0.00 $393,060.80 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $393,060.80 $0.00 $0.00 $393,060.80 I. Federal payments previously re- quested $317,728.33 $0.00 $0.00 $317,728.33 u. Amount requested for reimbursement $75,332.47 $0.00 $0.00 $75,332.47 v. Percent of physical completion of Niujea;i �5 5o"O 11 0%1 0.00/6 85.5% SIGNATURE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED 12. CERTIFICATION OFFICIAL P- ) 1 . n i `_L, certify that to the best of my knowledge a. RECIPIENT and belief the billed Costs Or disburse- DOR PRINTED NAME AND TITLE TELEPHONE NO. ments are in accordance with the terms VSCOTT L. HARRIS of the project and that the reimbursement O N SUP RVI (516) 765-1800 represents the Federal share due which has not been previously requested and SI&NATURE OFAUTFCORIZED CER I ING DATE REPORT SUBMITTED that an inspection has been performed OFFICIAL and all work is in accordance with the b. Representative terms of the award. certifying to line 11v. TYPED OR PRINTED NAME AND TITLE TELEPHONE NO. CALOCERINOS $ SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR STANDARD FORM 271 (7-76) Prescribed by Office of Management and Budget Cir. No. A-110 1 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON DECEMBER 8, 1992: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute Partial Payment Request No. Three to the Federal Aviation Administration for reimbursement of $75,332.47 for the Fishers Island - Elizabeth Field Airfield Lighting Project, all in accordance with the recommendation of Calocerinos & Spina, P.C., the Town's engineers for the project. 61 Judith T. Terry Southold Town Clerk December 9, 1992 } S C CaloCerinos &spina Engineers. P.0 To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, NY 06390 Attention: Enclosed please find the following: RECEIVED DEC 31992 Scwthol.4 i Re: Fisher Island -Elizabeth Field Airfield Lighting FAA AIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 File: 211.004.002 Date: 20 -Nov -92 - Five copies of Partial Payment Request No. Three (Form 271) for your review and signature. Remarks: Please have Mr. Harris sign four copies of Form 271, and return them to me for further processing. Please keep one copy of the form with the attached backup documentation for your files. If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Enclosures cc: Ms. Judith TerryC...��_ Sheila M. Farley Grants Administrator 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 FISHER ISLAND - ELIZABETH FIELD AIRPORT FAA AIP No. 3-36-0029-05-92 Airfield Lighting, Visual Aids & Electrical Building Invoice Date Invoice Amount Inspection 10/22/92 $ 19, 351.53 11/10/92 $ 13,244.14 Construction 11/02/92 (Construction Estimate No. Four) $ 51,107.06 $ 83,702.73 x 90% _ $ 75,332.47 FISHERS ISLAND AIRPORT -ELIZABETH FIELD AIRFIELD LIGHTING (Construction) FISHERS ISLAND, NY F.A.A. AIP PROJECT NO. 3-36-0029-05-92 N.Y.S.D.O.T. PROJECT NO. 0913.05 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 ----------------------------------------------- 11/20/92 211.004.002 FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING a. ADMINISTRATIVE EXPENSE ......................... $3,820.00 $3,820.00 $0.00 $0.00 b. PRELIMINARY EXPENSE ............................ $0.00 $0.00 $0.00 $0.00 c. LAND, STRUCTURES, RIGHT-OF-WAY ................. $0.00 $0.00 $0.00 $0.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... $0.00 $0.00 $0.00 $0.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... $0.00 $0.00 $0.00 $0.00 f. PROJECT INSPECTION FEES ........................ $84,559.00 $84,559.00 $74,893.02 $0.00 g. LAND DEVELOPMENT ............................... $0.00 $0.00 $0.00 $0.00 h. RELOCATION EXPENSE ............................. $0.00 $0.00 $0.00 $0.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... $0.00 $0.00 $0.00 $0.00 j. DEMOLITION AND REMOVAL ......................... $0.00 $0.00 $0.00 $0.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... $419,421.00 $419,421.00 $361,841.20 $0.00 1. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 ■. MISCELLANEOUS COST ............................. $3,000.00 $3,000.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $510,800.00 $510,800.00 $436,734.22 $0.00 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 11/20/92 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 PROJECT INSPECTION FEES ANALYSIS PROGRAM NO. 1 ------------------------------------ Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ 874,893.02 867,515.88 $0.00 ------------------------------------------------------------------------ LESS RETAINAGE: $3,941.74 SUBTOTAL: $78,834.76 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 07/24/92 $13,411.07 $11,316.65 * 08/18/92 86,648.06 85,565.54 80.00 * 09/15/92 $24,464.40 820,762.36 80.00 10/22/92 820,370.03 $17,829.11 $0.00 11/10/92 $13,941.20 812,042.22 80.00 Account Number ............. Invoice #. ?10109 .. , , Date.October. 22, 1992 PAY TO: Payee Name: TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. Payee Identification or Social Security Number: 16-1321757 .................................... Calocer.inos_ ,q .Spina, Engineers a P.C. Payee Reference: Address: .................................... 1020 Seventh North Street Phone No. (....)....................... ... .. .. ... ...... Liverpool,,. ,NY ..130.8 ................. . . Vendor Contact Cash Discount ..................% .........Days.................................... IItem Description of Material/Service QuantityI Unit I Amount No. Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above named claimant) does hereby certify that the foregoing claim is true and correct and that no part thereof s'been paid, except as t rem stated, and that the balance therein stated is actually due and owing. Dated 19 .. , .l^ .. . Signature TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 09/04/92 THROUGH 10/02/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE INV. DATE: 10/22/92 INVOICE #: 210109 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 THIS INVOICE CUMULATIVE l 3,685.60 15, 207.05 .. 5,159.84 21,289.87 -------------- -------------- 8,845.44 36,496.92 231.00 768.25 y -------------- -------------- 9,076.44 37,265.17 9,086.58 19,613.96 3 -------------- --------------18,163.02 56,879.13 2,207.01 -------------- 8,014.43 -------------- 20,370.03 64,893.56 ____________ 1,018.50 -------------- 19,351.53 TOWN OF SOUTHOLD INV. DATE: 10/22/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 210109 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 SALARY & EXPENSE DETAIL SALARIES BASED ON MULTIPLIER OTHER EXPENSES HOURS RATE PREM AMOUNT MANAGING ENGINEER PROFESSIONAL SERVICE IND 3,336.50 PETRANCHUK, MARK F. 2.00 30.5000 61.00 ASSISTANT ARCHITECT CERRETANI, LAWRENCE J. 508.50 1.0000 508.50 CAVING, JOSEPH J. 3.00 14.7000 1,620.00 44.10 ASSISTANT ENGINEER 1.0000 2,369.00 SAWMILLER, JOSEPH A. 11.50 14.2000 163.30 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 26.00 25.5000 663.00 INSPECTOR SHOVA, SCOTT H. 152.00 14.0000 2,128.00 SHOVA, SCOTT H. 13.00 14.0000 91.00 182.00 SHOVA, SCOTT H. 20.00 14.0000 140.00 280.00 SECRETARY WILDS, KAREN D. 5.50 12.5000 68-.75 BARBER, MARY ANTOINE .50 10.4000 5.20 FETCHO, LISA MARIE 2.00 9.0000 18.00 BAXTER, CYNTHIA A. 8.50 8.5000 72.25 -------- 244.00 ---------- 231.00 ---------- 3,685.60 OTHER EXPENSES COST/QTY RATE AMOUNT SUBCONTRACT PROFESSIONAL SERVICES PROFESSIONAL SERVICE IND 3,336.50 1.0000 3,336.50 TRAVEL & SUBSISTENCE CERRETANI, LAWRENCE J. 508.50 1.0000 508.50 WAGNER JR., HAROLD W. 1,620.00 1.0000 1,620.00 SHOVA, SCOTT H. 2,369.00 1.0000 2,369.00 TOWN OF SOUTHOLD INV. DATE: 10/22/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 210109 F00T OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 CLIENT REF: S A L A R Y & E X P E N S E D E T A I L OTHER EXPENSES COST/QTY RATE AMOUNT POSTAGE & SHIPPING UNITED PARCEL SERVICE 2.24 1.0000 2.24 AUTO RENTAL CERRETANI, LAWRENCE J. 192.36 1.0000 192.36 HERTZ SYSTEM, INC. 1,057.98 1.0000 1,057.98 ------------ 9,086.58 SCalocerinos &S ina p EXPENSE REPORT SUMMARY Engineers, P.C. DATE .IPLOYEE NAME : HINT) u v J c- DEPARTMENT NAME: �n I J C o r✓ S r PERIOD : � SHEET OF � — : I� r. TO ; - � SUMMARY OF EXPENSES TO HE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS AOJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT C 1 1 rl J s E11 L YEE DATE SUPERVISOR= DATE PARTNER DATE ACCOU D GATE O DDS ODS �� /��v,' AL PPD. OR CREDIT TCARD EXPENSE TOTAL OUT OF POCKET EXPENSE ^� r u U J TOTAL EXPENSE 1 � � u 1 ADVANCE DA E ] G L P J ADVANCE DAT ADVANCE DATE TOTAL ADVANCE I U , LESS OUT OF POCKET EXPENSE U BALANCE DUE COMPANY DUE EMPLOYEE (�� u J REMARKS GRAND TOTAL i -I i--- -) N) U V&A71 AT E ARRIV. BALANCE FORWARD b r tj JA j 1, 1 PHONE READING 11:34 PM 09/17/92 6 205 205 6:09 AN 09/13/92 12 21 24 28 [ it -*%u kl(:nKi 0 NUMBER PERSONS STREET ADDRESS 1 CLERK I NIGHTS OA i a o RATIE,-- CITY STAT E ZIP PH5-t UT- PH I Ij OUT je -1 _dft l' `,'I l ;�''1)t'?I l l r 1 1`'��`� d I_CREDITCREDIT CARD EXPIRES COMM �PEC Pk� CM LR NC 3 -BALANCE FORWARD 2 49.8i)--CepU 3 40.00 ROOM 4 1.60 RTAX 5 205 3.20 RTAX — 205 5-00-TOTL 6 1.556 10:13 AM 09/14/y2 134.70 1-1,41. 7 5.00-CBPU 9 5.00 PDOJ' — 10 .00 TOTL — 11 12 205 13 B 205 (1 14 3 . -2 15 16 9. / — 1636 11:31 Pil Cl9/14/92 !-i 17 18 19 20 B 1322 11:40 PH 09/1� 5/92 4. 20-5 f 1. 9 205 4cI,cq.I 1996 11:51 PM 09/16/92 HOWARD JUHi�lSUf� HkJWA @ 11-1(il JV 11.1 E. AVE T 'sc 0) —2-8 2-8 4 ARROW. OUT FOLIO NUMBER E � o `(d`7_3S PHONE OUT READING IN BALANCE FORWARD 14,15 20540.00 R 0 1.) f 1 1.60 RTAX Or RTAX 12:44 AM 09/24/92 �.00--TOTL 205 5.00-copu j 211" 5.00 Pl)e7' 6:29 All 09/25/92 .00 '10% 21 �313.20 ,4 i 5 6 kjIJ4 9 10 12 15 16 19 20 23 24 27 iOWARD JOHNSON@ -- 2115 2 0 TO 2980 12:06 AN 119/23/92 HOWARD JOHNSON PERSONS STIiEET ADDRE,5S I CLERK NIGHTS -RAME CITY STATE ZIP PAONE OUT PI -101 (.0.) 1 F VE: F11 Tit It GTD BY CREDIT CAR MM PROG CM LA NC BALANCE FORWARD 2 3 4 205 5 205 1S 6 2674 9.53 AM (19/21!92 7 8 2 C, 5, 19 t 205 10 6r F 11 12 1_/j3 11:36 I'll 09/21/92 13 14 15 16 17 18 205 139.41-C 19 Cr 205 20 3. 2,3' 3 11:43 PM 139/22/92 Y4 Ao)-T 2115 2 0 TO 2980 12:06 AN 119/23/92 HOWARD JOHNSON Calocerinos & Spina EXPENSE REPORT v'Y Engineers, P.C. DATE: n . EMPLOYEE NAM: (PRINT) C p DEPARTMENT NAME:, UPJ �,(t,c nQ PERIOD SHEET: OF FROM: ly T0: DATE I T:% h NATURE OF EXPENSE PROJECT NAME ANO/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY A TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTIND DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.D. misc. PRJ. N CONT. i PHASE ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCK -K\-`q _ - erdltr� � — F�SI.t� �S�u,.? II�h e1'1. �el� `,1 U o4 v c > � ��- �ol.t✓5or� �.. rF�c�� L'�u\��r►r�v. f,, Iy1 Qo. a,i,,,, c—li r— STANDARD FORM 221-A TOTAL TO BE ACCOUNTED FOR '1 is & p I r, a EXPENSE REPORT SUMMARY DATE : 17 - 1--2- LLz-- L TD—E�PPRTMENT NAME. PERIOD P I E SHEET OF IFROM 2- To 7 -4 uro'j z;lu O�; EXPEKS�S TO 13E ALLOCATED RECONCILIATION APPROVALS FOR ACCOUNTING DEPT. USE ONLY P 1; & Git TOTAL AMOUNT PROJECT NO. PCR/ ACCOUNT NUMBER ITEM AMOUNT TOTAL PPD. OR (I', ?) '-� /0 CREDIT CARD EXPENSE �Zj 'u It /ill- I igo &69 TOTAL OUT OF POCKET EXPENSE EiAp EL DATA TOTAL EXPENSE / 'f/% SUPERVISOR DATE DATE ADVANCE ADVANCE DATE ADVANCE PARTNER DATE TOTAL ADVANCE LESS OUT OF POCKET EXPENSE ACCOUNTING DATE DUE COMPANY BALANCE DUE EMPLOYEE REMARKS u j GRAND TOTAL 3d i NOILD.M.-M FOR RATE TO S«.,,..E— DAY t,4 'IT J�7 'o W cn rcNTAL CAR RESOIJkCES RE 371411607171006 11-92 2G/100 A UTY, FEMER RESIDENCE 7613 ASTER DR CrFYISTATFZP LIVERPQDL NY 13088 HOME PrO%E DO B. WO ACTIO UCENSE NOJW. OATESTATE C056641475970288852 04-18-96 COMPANY CALOCERINDS SPINA COMPANY PHONE NOJCORPORATE RATE NO. 3154576711 I AN BRADLEY INTL AIRPORT 8S-317 -SCH13CPHOESTER RD. WINDSOR LOCKS, CT 06096 203— AP BRADLEY INTL AIR SDLAP 01160307- E No 191-16 LC NG I(OIGVS WCCZL WILLAC DEVILLE Lu(. EPL ORIG TIME 9704 IN-" 8-05-92 0351P ALS i TL4F CIJT 9519 our RENTAL MILEAGE .AL Al'ES Alw185 T`E ALLOWANCE LC M%vAX 1 1 ILEAGE RENTAL LH tiuliN �OUR l.y N/A 99: 0 26p01 06':, DIER PA AIL ALLOWANCE lr 4999 4995 :IER E 5EK Y 9999 YffR tlO rTH rONT'LY :-ER XTPA DRYXTR; DAYS I N/A i 999: f 0 709 003 ATTENnom 1101111 DAY EseAA>,t CKwX 4999 S� pvtw RETURN LOCATION CtLkRAX fsts P� a a TAXABLE TOTAL 4959 ;ALES TAX AT 6.00% 300. : 11 1.0 TOUR @ 1.00 PER DAYI 1p0 REFUELING CHG AT 2.39/CAL 179- TANK OUT: 8/8 TANK IN: 5/8 MNTAI A3REEW.E%T NO, .QUIAn01160307 7192 aui]N', —TvpElWO�NT LESS OE?GS,T 000 1 IE 7 kAID 71�E NET OoE FEWER NET C4> 0.001 00 ALL Cr.ARGES S:,E—E,7 TO FiN.kL A- FOR RATE TO S«.,,..E— DAY 'o W cn -r- i WNTER S js� *JLkL c) *m* wwtd tA VALUE f -u & 4WO ,vw, uw. —J cl m CC? S HE C-. c RAOE OfA 7AfUSM .9 C:) Nu. rAf .4. .14 11.4.11- 0 LINES EICIAE -7-B- 1;7 7-A 1, i": rr, LINES LINES 0F LINES-- -P-REPAAFD CLoGED&Y I,US�.E PhANU CMAA�E —D-5—NFI—A BY DONNA FORM J 0.j 14L3 (3/91) ( ) r" i AN BRADLEY INTL AIRPORT 8S-317 -SCH13CPHOESTER RD. WINDSOR LOCKS, CT 06096 203— AP BRADLEY INTL AIR SDLAP 01160307- E No 191-16 LC NG I(OIGVS WCCZL WILLAC DEVILLE Lu(. EPL ORIG TIME 9704 IN-" 8-05-92 0351P ALS i TL4F CIJT 9519 our RENTAL MILEAGE .AL Al'ES Alw185 T`E ALLOWANCE LC M%vAX 1 1 ILEAGE RENTAL LH tiuliN �OUR l.y N/A 99: 0 26p01 06':, DIER PA AIL ALLOWANCE lr 4999 4995 :IER E 5EK Y 9999 YffR tlO rTH rONT'LY :-ER XTPA DRYXTR; DAYS I N/A i 999: f 0 709 003 ATTENnom 1101111 DAY EseAA>,t CKwX 4999 S� pvtw RETURN LOCATION CtLkRAX fsts P� a a TAXABLE TOTAL 4959 ;ALES TAX AT 6.00% 300. : 11 1.0 TOUR @ 1.00 PER DAYI 1p0 REFUELING CHG AT 2.39/CAL 179- TANK OUT: 8/8 TANK IN: 5/8 MNTAI A3REEW.E%T NO, .QUIAn01160307 7192 aui]N', —TvpElWO�NT LESS OE?GS,T 000 1 IE 7 kAID 71�E NET OoE FEWER NET C4> 0.001 00 ALL Cr.ARGES S:,E—E,7 TO FiN.kL A- AdO� c 0' P. IIM/Un 3„'d 1i W311 P VAT4 96090 13 51301 HOSCEIM OSSV89 V113 60Z rl/INV136?31 110911 vilf 'VI411-116 )JItISA 01 A40D SIIII NIVIBU BSV"31d u 9e3aMrw 1111 4.1 r..A. MI ...d, 1.. 1110 1 --bo &I,.) 0.!;w. —m At 1— -0 71 r (S' ARANAL 0&- kP r AES,, m C P 01!11,1 O+ , T.— L RIPTION t —TI t IC c G,E DATE CHECAED LA.IPEkCE I CILA Eutt10- CA, 1 0— I I . 08fl4qc- b or. ASE WRrTE FIRMLY 3t L Cards 304091 Cardmember Copy 3 _j 2 ARANAL 0&- kP r AES,, m C P 01!11,1 O+ , T.— L RIPTION t —TI t IC c G,E DATE CHECAED LA.IPEkCE I CILA Eutt10- CA, 1 0— I I . 08fl4qc- b or. ASE WRrTE FIRMLY 3t L Cards 304091 Cardmember Copy (._"'a (`n Innnrinnc R. Qnino I DATE: ( Engi eers. P.C. EXPENSE REPORT EP.ti LOYEc ))AME: t1t:TI �. �C£ E7elP DE RTMENT NAME: ±�tlC-7lot-J PERIOD SHEET: OF FROM 2.T0: C:,1"c f NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY A TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE t ITEM ! t LOCATION P.D. MISC. pq�j. N � DMAT. i ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF PCCKE S ,�ita;I— ' LvfNb ,EL I Z /},(� f'. 7>< -t �i_4 _ :Z II ov C.) o 2- j Lc,�aua CT 1 ca e >sm-g Leri- i wt14 ,rx C_T } i i Ll � c I — — - - - / ACS — - ----- - - ` . �IL.CA1fL �S [��S/_sc� r� -_ of 16 rr" 1 ------ ' '� .,n,.,a�a-�. 'j (W (��1"Tl G ✓�.� �c C-t>N �Yt.� t�lU f-� C(� ':ANi It l i D It N :3! TOTAL YO OL ACCOUNTED FOR �+Ir- SCalocerinos & Spina EXPENSE REPORT SUMMARYDATE Engineers, P.C. : - I LLL— ?LOYEE NAME : ` iNT) DEPARTMECT NAME``: V N 51 r p Iv PERIOD SHEET:— OF FROM: q TO. 1 SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS EJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EMPLOYE! (] =11 DATE SUPERVISOR DATE PARTNER DATE ACCOUNTING DATE ❑ O ] -moi TOTAL PPD. OR CREDIT CARO EXPENSETOTAL OUT OF POCKET EXPENSI. TOTAL EXPENSE ADVANCE AT a 0 a n O ADVANCE DATE ADVANCE DATE TOTAL ADVANCE 10 y 0 0 LESB OUT OF POCKET EXPENSE , ' o of BALANCE DUE COMPANY DUE EMPLOYE! REMARKS GRAND TOTAL J aL TcIL 2!5 215 139.40 +PA tTg 4u: rj 0739 61- 7 215 94 215 a IRTAX TCT: 00 R50 0937 12:59 09/09/92 91. 810TROTTALX 215 215 49 ITAI _ 00I 1061 1:06 AC0Z/10�2 3. TAX /9 S.00-torL '-TOTE 0- 215 5-00 FOOT 1089 6:25 Arl 09/11/92 .00 TOTE HOWARD JOHNSON ll.;SIjL. f:j At Calocerinos & Spina EXPENSE REPORT C Engineers, P C. q DATE: EMPLOYEE NAME IrRillrl 'J! �fi. �� DEPARTMENT NAME: n1 k •v - f eJ PERIOD SHEET: OF _ FROM: q TO: DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY 6 TITLE) ALLOCA'TIO4 OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.D. MISC. N PR J.N CONT. ' PHASr ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCKET � o 6 0 U ` .L (A _ �XICJ1 �^ tJ Ir LA Ig STANDARD FORM 231-A TOTAL TO BE ACCOUNTED FOR ' I (; CC1 • 'v _ S um/DATE CalocerinoS & Spina EXPENSE REPORT SUMMARY Engineers, P.C. EPLOY E NAME ' s INT) � 1��G ✓/ PERIOD SHEET; Z OF FROM :,%.—", TO : SUMMARY OF EXPENSES FOR ACCOUNTING TO SE ALLOCATED DEPT. USE ONLY RECONCILIATION APPROVALS �OJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT 19 + C� C' EM YEE DATE SUPERVIS611 DATE PARTNER DATE ' ACCOUNTING DATE � O , C�/D TOTAL FIND. OR CREDIT CARO EXPENSE }� // w, VO O TOTAL OUT OF POCKET EXPENSE TOTAL EXPENSE ADVANCE ATE ADVANCE ATE ADVANCE DATE TOTAL ADVANCE V LESS OUT OF POCKET EXPENSE 34-3 S BALANCE DUE COMPANY DUE EMPLOYEE REMARKS-- GRAND TOTAL /� 4, Ff I I ri I if I , 1_ NOT TRANSFER1181LE �6 V f If 7 .TROEt - , e - to, 7 CM DO NOT MARK OR WRITE IN THE WHITE AREA ABOM ALIOW rH PASSAGE -XO - Fn rfr IT? FARE C. F -L PO vl� Ci T" --- • I-- rAs �6 V f If 7 .TROEt - , e - to, 7 CM DO NOT MARK OR WRITE IN THE WHITE AREA ABOM ALIOW vl� ilf , vt Calocerinos &Sina p EXPENSE REPORT_�_ ^� Engineers. P.C. DATE: ,� g Z. i EM' PLOYEE N ME: (PRINT) ♦ DEP TMENT NAME: /d PERIOD FROM: TO: T - J--1 d SHEET; OF 2 - FEXPENSE DATE NATURE Of EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED . BY NAME , COMPANY 8 TITLE) ALLOCATION OF CLAIMED ACCOUNTING DEPT. ONLY AMOUNT Of EXPENSE ITEM LOCATION P.D. MISC. PROJ. N „ CONT. A PHASE(�_iJ. ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCK E T S L �• E1�2 '' %� /9 � iii oL.�Ga 1 v 60 — � any t duo v $ 't � fj _ 6b 00 Z. t��-7 D 163 cos- -- I STANDARD FORIA 271-A TOTAL TO BE ACCOUNTED FOR /Is THE HERTZ CORPORATION TERMS: 10 DAYS STATEMENT DATE I PAGE NO FSE -SE SHOW THIS NUMBER 09/17/92 1 CJN �:L CORRESPONDENCE COMMERCLLL ACCOUNT NUMBER 1201-127-0000-6 Car Rental Monthly Statement For ACCOUNTS PAYABLE CALOCERINOS & SPINA Svnd "nquaies to The Hertz 1020 SEVENTH N ST COrP—uon P tti Box 25485, o.'arwm City 0.. oma 73125 LIVERPOOL NY 13088-6105 t�.rcvm"� n BALANCE 08/92 M.TABB 947.59 Pnone i4o51721-84ao PAYMENT Payments received after 09/15/92 I - - -- — --- 2102 will be recorded on the next statement Car/holder ransactions Number TRN BALANCE Rprtgll Aoreawf4 ** OrIgUlial . Retain tiffs copy NEW BALANCE Phase make to A, payable to: The Hertz Corporation P.O. Bac 25M, OWahom City, Wahm= 73126 Form X80139 THE HERTZ CORPORATION TERMS: 10 DAYS 6TATEMENT OATH I PAGE NO PLEASE SHOW THIS NUMBER 09/ 17/92 i ON ALL CORRESPONDENCE COMMERCM4. ACCOUNT NUMBER 1201-127-0000-6 Car Rental Month[ Statem nt Send inquiries to TheHertz Corporation, P O. Box 25405 Oklahoma City, Oklahoma 73125 Attention: M.TABB Phone (405)721-8440 C=110=- rdhe •r =110 r - f. Tra y e For ACCOUNTS PAYABLE CALOCERINOS & SPINA 1020 SEVENTH N ST LIVERPOOL NY 13088-6105 Payments received afar 09/ 15/92 will be recorded on the ne"d statement BALANCE 08/92 947.59 09/09/92 PAYMENT 08/92 09 2102 947.59CR *** TOTAL PREVIOUS BALANCE ** ** .00 1j(') 10 S SHOVA 08/14/92 08/14/92 HARTFORD CT 1720 14 55379221 218.73 08/21/92 HARTFORD CT 1720 21 55380995 220.24 08/28/92 HARTFORD CT 1720 28 55382802 219.19 09/04/92 HARTFORD CT 1720 04 55384569 220.02 09/11/92 HARTFORD CT 1720 11 55386462 179.80 SUBTOTAL ON MAN # SUBTOTAL ON MAN # 1057.98 * 1057.98 ***** CURRENT CHARGES ***** ** � 1057.98 i I OrIgUlial . Retain tiffs copy NEW BALANCE Phase make to A, payable to: The Hertz Corporation P.O. Bac 25M, OWahom City, Wahm= 73126 Form X80139 THE HERTZ CORPORATION TERMS: 10 DAYS 6TATEMENT OATH I PAGE NO PLEASE SHOW THIS NUMBER 09/ 17/92 i ON ALL CORRESPONDENCE COMMERCM4. ACCOUNT NUMBER 1201-127-0000-6 Car Rental Month[ Statem nt Send inquiries to TheHertz Corporation, P O. Box 25405 Oklahoma City, Oklahoma 73125 Attention: M.TABB Phone (405)721-8440 C=110=- rdhe •r =110 r - f. Tra y e For ACCOUNTS PAYABLE CALOCERINOS & SPINA 1020 SEVENTH N ST LIVERPOOL NY 13088-6105 Payments received afar 09/ 15/92 will be recorded on the ne"d statement 1057.98 NEW BALANCE Duplllcate -Return alis appy with your remittance Please ma kii dmKft payables to: The Hertz Corporation P.Q."24486. Ok1ahottttl 01% OW411h9m 741241 CR -Credit CRB - Credit Balance 1057.98 CR - Creda CRB - Credit Balance BALANCE 08/92 I 947.59 09/09/92 PAYMENT 08/92 09 2102 947.59CR *'►* TOTAL PREVIOUS BALANCE ** ** .00 0070-9 S SHOVA 08/14/92 HARTFORD CT 1720 14 55379221 218.73 08/21/92 HARTFORD CT 1720 21 55380995 220.24 08/28/92 HARTFORD CT 1720 28 55382802 219.19 09/04/92 HARTFORD CT 1720 04 55384569 220.02 09/11/92 HARTFORD CT 1720 11 55386462 179.80 SUBTOTAL ON MAN # * 1057.98 ***** CURRENT CHARGES ***** ** 1057.98 1057.98 NEW BALANCE Duplllcate -Return alis appy with your remittance Please ma kii dmKft payables to: The Hertz Corporation P.Q."24486. Ok1ahottttl 01% OW411h9m 741241 CR -Credit CRB - Credit Balance 1057.98 CR - Creda CRB - Credit Balance ORIGINAL INVOICE Rental: Agreement No: 553792212 Rental Agreement No 553792212 I(' m 00 I!)/ Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 Owning City No. Rev "„ Date/Time 01720 IN 08/14/92 15:01 L11—LTJA�` Vehicle No. Date/Time Ab THE HERTZ CORPORATION 0009544834 out 08/10/92 08:18 TO BE PAID BY Vehicle License No 563ALK Returned to City!State/Area 01720-11 AUTH REP Veh Make -Body Style Rate Cls Rate Plan In Rate Plan Out CALOCERINOS & SPINA NSUN C BDSA Veh Cis Sub/Up Day C 5 37.00 185.00 Mileage Cap Plan Week 0 .00 Miles Month IN 5648 0 .00 Credit Card Type and Number Miles Extra Day HCC 120112700709 OUT 5390 0 .00 ##1 Club Member C.D.P.I.D. No. Credit App/Date/Amt Miles Extra Hours 154668 154904 Driven 258 0 .00 Other Identification Miles Miles Chged Miles Rate Allow I .00 RATE CONDITIONS ' Minimum Rental Charge Rental Day (24 Hours) ' Rates do not include fuel and service charge .00 Vehicle Returned To (City/State) Area-LocOne HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 185.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. I 315-457-6319 Date Due 08/14/92 Date Returned 08/14/92 Fuel and Service Charge Per Per Mile Gallon Subtotal 185.00 Renter's Name SHOVA SCOTT DLDWeS XWaiver Loss Damage (LDW) pD AlpWts oeciines PAI/PEC Personal Accident Insurance (PAI)/ ACC7ts PAI/ EC Service Charge .00 Personal Effects Additional X Coverage (PEC) Charge , 00 Dec eS X Liability Insurance Supplement ILIS) Ac`eet, Fuel and Sery Chg 17.63 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 82330BB9541 .00 Referral Source PAI & PEC .00 Refund7Deposr. Total Charges 213.73 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (It any) .00 Thank You For Rentina From Hertz Please Pay This Amount Final Net Due 218.73 Rental Agreement No 553792212 I(' m 00 I!)/ Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 ORIGINAL INVOICE Rental Agreement No 553809955 )wrim 7 uity N,, 1 heV Uaie, I lrnt! 01720 IN 08/21/92 14 33 fffoia;7� weriiCle No THE HERTZ CORPORATION 0009545682 tDate/1 ime OUT 08/17/92 08-18 TO BE PAID BY vehicie License No Returned to City,"31ate/Area 708DSK 01720-11 AUTH REPvet, vale -Boas Stvie ate CIs Rate Plan In Rate Plan Out CALOCERINOS & SPINA NGP4 C BDSA Veh Cls Sub Up Dav F 5 37.00 185.00 Mileage Cap Plan Wee 0 .00 MIIes IN 7185 Moan 0 .00 Credit Card Type and Number HCC 120112700709 Miles OUT 6926 Extra Day 0 .00 #1 Club Member C.D.P.I.D. No. 154668 Credit App/Date/Amt 460904 Mlles Driven 259 Extra Hours 0 .00 Other Identification Mlles Allow Miles Cnged I Miles Rate .00 RATE CONDITIONS ' Minimum Rental Charge .00 One Rental Day (24 Hours) Rates do not include fuel and service charge Vehicle Returned ToCit /State) Area -Loc ( y HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 185.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-457-6319 Date Due 08/21/92 Date Returned 08/21/92 Fuel and Service Charge Per Per Mile Gallon Subtotal 185.00 Renter's Name SHOVA SCOTT ° LDwes X Loss Damage Waiver (LDW) "L`o`�i5 Decl m05 PA11PEC Personal Accident Insurance (PA11/ ACce pis PAI�PEC Service Charge .00 Additional Personal Effects X Coverage (PEC) Charge .00 °`its es x Liability Insurance Supplement (LIS) ACCTts 5 Fuel and Sery Chg 19.14 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 82330BBF385 .00 Referral Source PAI & PEC .00 Refund Deposit Total Charges 215.24 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (If any) .00 Thank You For Rentina From Hertz Please Pay This Amount Final Net Due 220.24 Rental Agreement No 553809955 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 ORIGINAL INVOICE Rental Agreement No: 553828026 Rental Agreement No 553828026 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 s Owning City No. Rev `5o Date/Time 01720 IN 08/28/92 14:35 Vehicle No. Date/Time THE HERTZ CORPORATION 0009544834 OUT 08/24/92 08:10 TO BE PAID BY `vehicle License No Returned to City, State/Area 563ALK 01720-11 AUTH REP Veh Make -Body Style Rate Cls Rate Pian In Rate Plan Out CALOCERINOS & SPINA NSUN C BDSA Veh Cls Sub/up Day C 5 37.00 185.00 Mileage Cap Plan Week 0 .00 Miles Month IN 6463 0 .00 Credit Card Type and Number Mlles Extra Day HCC 120112700709 Out 6205 0 .00 #1 Club Member C.D.P.I.D. No. Credit App/Date/Amt Miles Extra Hours 154668 1483604 Driven 258 0 .00 Other Identification Miles Miles Chged Mlles Rate Allow .00 RATE CONDITIONS ' Minimum Rental Charge One Rental Day (24 Hours) Rates do not include fuel and service charge .00 Vehicle Returned To (City/State) Area -Loc HARTFORD CT, BRADLEY ' FIEL 01720-11 Subtotal 185.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-457-6319 Date Due TDate 08/28/92 Returned 08/28/92 Fuel and Service Charge Per Per Mile l on Subtotal 185.00 Renter's Name SHOVA SCOTT Declines X Loss Damage Waiver (LDW) A LD Dec ii nes P PAI'Ec Personal Accident Insurance (PAI)/ Aeoe Pt9 PAI/ EC Service Charge .00 Personal Effects Additional X Coverage (PEC) Charge 00 DeCj. C5 X Liability Insurance Supplement (LIS) A`C`j)`s Fuel and Sery Chg 18. 09 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 8262168AFD5 .00 Referral Source PAI & PEC .00 Refund Deposit Total Charges 214.19 Reservation Class Mlsc C00 5.00 Currency Conversion Rate Less Dep (If any) .00 Thank You For Rentina From Hertz Please Pay This Amount Final Net Due 219.19 Rental Agreement No 553828026 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 s ORIGINAL INVOICE Rental Agreement No 553845692 Uwninq City No Rev Date/lime 01998 IN 09/04/92 14 31 Rental Agreement No 553845692 I-- C HU19/ Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 Vehicle No. Date/Time THE HERTZ CORPORATION 10006165773 OUT 08/31/92 08:09 TO BE PAID BY Vehicle License No Returned to City/State/Area ZPH899 01720-11 AUTH REP Veh MaF e -Body Style Rate Cis Rate Plan In Rate Plan Out CALOCERINOS & SPINA TMP4 C BDSA Veh Cls Sub/Up Day C4 5 37.00 185.00 Mileage Cap Plan Weer 0 .00 Miles Month IN 8764 0 .00 Credit Card Type and Number Miles Extra Day HCC 120112700709 OUT 8510 0 .00 ##1 Club Member C.D.P.I.D. No. 154668 Credit App.iDate/Amt 444100 Miles Driven 254 Extra Hours 0 .00 Other Identification I Mlles Miles Chged Miles Rate Allow .00 RATE CONDITIONS Minimum Rental Charge One Rental Day Hours) Rates do not include fuel and service charge .00 Vehicle Returned To (City/State) Area -Loc HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 185.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-457-6319 I Date Due 09/04/92 Date Returned 09/04/92 Fuel and Service Charge Per Per Mile Gal on Subtotal 185.00 Renter's Name SHOVA SCOTT oe o;"°5 X Loss Damage Waiver (LDW) A for oeciines PAI/PEC Personal Accident Insurance (PAI)/ ACCep S PAIMEtC Service Charge .00 Personal Effects Additional X Coverage (PEC) Charge .00 °tis" X Liability Insurance Supplement (LIS) ACCe3)ts ILI Fuel and Sery Chip 18.92 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 8262168DBA9 .00 Referral Source PAI & PEC .00 Retund Deposit Total Cnarges 215.02 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (If any) .00— 00Please Thank You For Renting From Hertz Please Pay This Amount Final Net Due 220.02 Rental Agreement No 553845692 I-- C HU19/ Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 ORIGINAL INVOICE Rental Agreement No 553864625 Rental Agreement No 553864625 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 Owning City No. Rev '-, Date/Time 01720 IN 09/11/92 14-25 V'r fu�� Vehicle No. Date/Time THE HERTZ CORPORATION 0009547647 out 09/08/92 08:11 TO BE PAID BY Vehicle License No 921HPN Returned to Crty,'State/Area 01720-11 AUTH REP Veh Make -Body Style Rate Cls Rate Plan In Rate Plan Out CALOCERINOS & SPINA NTPL C $DSA Veh Cls Sub/up Day C4 4 37.00 148.00 Mileage Cap Plan Week 0 .00 Mlles IN 6183 Month 0 .00 Credit Card Type and Number Miles Extra Day HCC 120112700709 out 5933 0 .00 ##1 Club Member C. D. P.I.D. No. Credit App/Date/Amt Mlles Extra Hours 154668 382406 Driven 250 0 .00 Other IdentificationMiles Mlles Chged Miles Rate Allow .00 RATE CONDITIONS Minimum Rental Charge .00 One Rental Day include Hours) Rates do not include fuel and service charge Vehicle Returned To (City/State) Area -Loc HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 148.00 Vehicle Rented At (City/State) Area -Loc You agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-457-6319 Date Due 09/11/92 Date Returned 09/11/92 Fuel and Service Charge Per Per Gat= Subtotal 148.00 Renter's Name SHOVA SCOTT OMile e o„,`5 X Loss Damage Waiver (LDW) DD A LDWtS Deol ne5ACCept5 vnuvec Personal Accideni Insurance (PAI)/ PAI/ ec I Service Charge .00 Additional Personal Effects X Coverage (PEC) Charge .00 oecli"es FIs X Liability Insurance Supplement (LIS) Al fll tl I �, Fuel and Sery Chg 18.92 Voucher/Certificate No LDW .00 IT Number Tax -.8.88 Reservation ID No LIS 826216922D7 .00 Referral Source PAI & PEC .00 Refund Deposit Total Charges 175.80 Reservation Class Misc C00 4.00 Currency Conversion Rate Less Dep (If any) .00 Thank Yeu For Renting From Hertz Please Pay This Amount Final Net Due 179.80 Rental Agreement No 553864625 Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 - -. ♦: ,. j, a�� � ,.. r sic - . t ,A Ott 1 1 7r ti K UNITED PARCEL SERVICE Date: 22 -SEPT -9Z _ Shipper No. X11289 Employee Sender: To: From: Calocerinos & Spina Engineers, P.C. inri �r Faive\l nnjf I 1020 Seventh North Street , �r Liverpool, NY 13088 -151 . OT - Project Project Number Reference z1 .004,662.609 Type of Service Pickup Record No. /3a�4�G % No. Pkgs / Weight 2 { Tracking No. Charges Due �. - a i PROFESSIONAL SERVICE INDUSTRIES, INC. OFFICE PERFORMING SERVICES u NEvi HA.VENi CONNECTICUT F=D. ID37-0962090 09/29/92 (R) M 90% p 510 East 22nd �Street Lombard, �L. 601 48 PLEASE MAIL REMITTANCE TO DEPT: L912P PITTS9URGH,* PA 15264 C A L 0 C R I N 0 3 14 SPIINA=`iCIN S CALOC=RINGS I SPINA ENGIN=_ i )2J J_VE!vTH NORTH STS==T 1 32: SEV-ENTH NORTH STREET LIVET?:iGL. N'Y 13) 3 99 LIVERPOOL NY 13038 ATT�i : C . M SIC D : Rm(DTT USTOMER PURCHASE INVOICE INVOICE PAGE FILE NO. PROJECT NAMF. NUMBER CRDER DATE NUMBER NO. -,311 3I 57/31 / �2 9' ' 7:9 01 C95-2O7�9 �FISHES:V ISLAND AIRPORT FISHIR'S ISLAND. NY ;.211.3_ SSURE PROPER CREOiT TO YOUR ACCCUNT PLEASE PETURN REMITTANCE COPY )ATE REPORT NUMBER DESCRIPTION QUANTITY UNIT COST AMOUNT 'P'9 GOU1 C,�;yC cTt 1'1 1,P=CTIJV P=R 1 /= J.,Y 1.0 115.07 11 5.0 '�-9 602 CJ,NC -iETZ C:NPR_S3iJN T --- 3i 4.0 12.00 4+3 I-- 3 3 0-)03 :,:2V: AYALY3:Z 1.0 5J. 00 50.'x. .i u01L)3 InGIJTUR= 0 E N S I T Y R_LAT10NS;'�IP 1.0 80.00 80.0 _ '(I � 003o CONCRETE ZYSPECTIJ'J F=R DAY 1.0 225.00 225.0 o UiiuS CONCR=T= I`JSP=CTA'%iN OV=RTi 'c PER HOAR 4.0 35.00 140.) _ 'no UG37 CJ:4CRET= CCAPiESSICIN T'_ST 4.'J 12.00 48.2= 'ho 600 FIEL) DENSITY Tc STS PER DAY 1.0 '17 +00i✓9 CONCRETE :`iSPECTiJ,V P=fit DAY 1.0 225.0'7 225.6 . '(17 UJ10 CONC�iET= CCil,"RESSION TEST 4.0 12.00 4u.-2 'i7 00 11 SIEVE ANALYSIS 1.0 75.00 75.E h7 1 JJ11 OG12 li11STU.-= J=N3ITY REL. ' h a CJNCtcTc INSPECTIJN P, R „Y 1.C! 1.'J 35.00 225.00 d5.C. 225.2 �Ci J�012 CJ C?=T= :.VS?= Jf V _ = ?_< HDU. 3.5 ?S.u0 122.5 1 JvlS CJ wCR_T_ CJ?^- i-� _ T G,7 12.00 43.2 �2 '3014 e2 J�15 K2 JG1� �3 UJ15 k3 6C'1 �7 IJJ,J 0u0uJ- u 0 JJ3 L, Pu 6u, 24 �J IiJLJ pJ uJ c: CJ?:CJ .^IS '= T1 JN V R PER Hou? ,1 ?_'3IJ. T_ST J=.Si-Y T_� ? DAY 'TY T=STS FIcL D_ T= TS P_q OAY F:=`D „_.,.TY TCSTS P --:R D;Y Fi=LD J=;vSITY T_iTS JV=kT:O;a=? HDUF CJNCR Tc INSP.CT1)% F=? DAY CuNCR=TE CC�NR=SS-L0N T:ST FIELD J.NSITY TcST-- Pc-? DAY CONCRET= Iv;?=CTIO'v P_? JLY CJ..C'�=T= 1L%SP3CT:J: 0V'=.RT:'h- P=? HJUR ;%ili NL T 10 GAYS A iVICE CHARGE Of 1 5°a Pf R 7 f H V':I IC i IS AN ANNUAL ICENTAGE RA1F Of 1p', ANALYSIS OF rr+ uc= Ai,nrn In Ai i nA•:T YOUR ACCOUNT 35.00 12. 10 225. -0 12.00 225. i;0 225.00 35.J0 225.0'0 12.00 225.07 35.00 35 48.0 225.^ 48.! 225.0: 225.0- 70.0- 225 .01-1 0_70.0- 225.0J 48.0; 225.0_ 35.0'_ 'PROFf SSIONAJ, SERVICE INDUSTRIES, INC. OFFICE PERFORMING SERVICES d *y NEW HAVENS CONN=CTICUT FED. ID37-0962090 ® 09/29/92 (R) ®1 ® 510 East 22nd Street Lombard, IL. 60148 PLEASE MAIL REMITTANCE TO DEPT: L912P PTTTS3URGHi PA 15264 WN CALOC-ERINOS & SPINA ENo-- i -EFS CALOC=RINGS & SPINA ENGINEER 1 Jcl S::ViNTH fN0RTH STS=_T 1)20 S�VSNTH NORTH STREET LIVER'JOL NY 13.i.S LIVERPOOL NY 13063 ATT+N: C. M. MC Dc.R;-:OTT JSTCMER NUMBER PURCHASE ORDER INVOICE DATE INVC+CE MJMBER PAGE NO. FILE NO. PROJECT NAME ":113 CCMPxESS_G. TEST u7/31/?2 _J7 )L j'?: -2:799 FI3H_P.'S ISLAND AIRPORT (CJ;rLR_TE FiEL-) DENSITY TESTS P—ER D,"NY 1.0 . 115 u0 115. r3 I iu17 FISHE:R'S ZSLAyD. s�iY X211.0_ 1.0 SSURE PROPEL CgEDiT TO YOUR ACCOUNT PLEASE RETURN REMITTANCE COPY 11;.x_ ATE REPORT NUMBER DESCRIPTION QUANTITY UNIT COST AMOUNT Uu2 CCMPxESS_G. TEST 4.0 12.J0 ( 48.1- 3 JG13;w G 13 -1 (CJ;rLR_TE FiEL-) DENSITY TESTS P—ER D,"NY 1.0 . 115 u0 115. r3 I iu17 �CO,C.�:TE INSPECTID`i P_R DAY 1.0 115. 00 11;.x_ 4 IJ;u5 CJNCR=TE 1ISPECT;JA—CAiCEL 1.0 115.00 115.0_ I I I I T5T.AL ILLitic THIS I'iV0_TCE 3561.x_ I I I I I I I I I I I I I I I I I i I I I I I I I ED -----� i I I I I MS NLT i0 DAYS A r ;R" VICE CHARGL OF 1.5'.. f Fil 1TI1 V.HI�11 It. AN ANNUAL ANALYSIS OF 3, C J 1 • , I) CLNTAGE RAI[ OI 18 YOUR ACCOUNT V A FISHERS ISLAND AIRPORT -ELIZABETH FIELD 11/20/92 AIRFIELD LIGHTING (Construction) -------- FISHERS ISLAND, NY 211.004.002 CONSTRUCTION AND PROJECT IMPROVEMENT ANALYSIS PROGRAM NO. 1 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ 8361,841.20 8380,885.47 80.00 ------------------------------------------------------------------------ LESS RETAINAGE: 819,044.27 SUBTOTAL: 8380,885.47 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 08/10/92 8112,128.77 8112,128.77 80.00 * 09/14/92 866,266.05 866,266.05 80.00 * 10/07/92 8148,693.74 8148,693.74 80.00 11/02/92 853,796.91 853,796.91 80.00 ....!.........................................................................�................................. a Irv. +?ROZ".: ELiZABE` FIELD AIRPORT-F:SriERS :SLASD AIRFIELD LIGHTING, VISUAL AIDS & ELECTRICAL iVIV,NG FAA-AIP ti0. 3-36-0029-05-92, N.Y.S.D.O... NO. 0913.C5 ate: ..2! Est:Wate No: .,, . TO T:aE :OWN OF SOUTHOLD: Pursuant to the terms of the Contract, dated May 1, '-992, by and between the Town of Southold and Falvey Construction Corporation, contractor for the construction of the Elizabeth Field Airport-F:Z-hers island, A'_rfield Lighting, Visual Aids & Electrical Building FAA -A:? No. 3-36-^029-95-92, N.Y.S.D.O.T. No. 0913.05), we hereby submit the Fourth Eat:mate, for work completed through October 30, 1992: :--------------------------------------------------------------------------------------------------------------------------------------- • ORIGINAL 01"AN71TY Item CONTRACT UNIT. TO CNi, !cumber ------------- DESCRIPTION ------------------------------------------ QUANTITY DATE PRICE lL ?-:52 1. ---------------- Common Excavation, Area No. 1 10O.00% -------- L.S. ---------------- ------------------ 0.00% . .-_-.--__--___-__ s10,Ou .CC 52.00 . P-152 2. Pavement Excavation(Bitunnous Concrete) 900.CO S.Y. 896.11 3.00 2,6EE.33 . P-612 3. Field Office 100.00% L.S. 100.00% , :8,2CO.00 '_?.200.00 . ?-620 4. Runway Painting 23,000,00 s.f. 21,606.62 0.50 T-1-2 5. Elect.ical Building EJ. A.cal Service 100.00% L.S. :00.00% . 9,000.00 000.00 . L-15 6. .Segmented Circle 100,001 . L.S. 80.00% . 15,303.00 :_,::40.00 . -_7 7. Ligated Wind Cone 100.00% L.S. 100.00% . 16,700.00 .;,,700.;:0 . 8. Cable Trenching for the installation . of Underground Cable 8,600.00 l.f. 7,766.50 2.25 :-474.63 . L-:38 9. No. 8 AWG 600V Type C Single Conductor . Underground Cable instld in Trench/Duct 28,300.00 I.f. 28,300.00 0.38 : ,"54.00 , L-:98 10. No. 8 AWG 5KV Type C Single Conductor . Underground Cable instld in Trench/Duct 12,900.00 l.f. 12,900.03 0.38 11-:08 11. No. 8 AWG Bare Copper Counterposie Wire : installed in Trench including Grounding : . Rods and Exothermic Connections 9,500.00 i.f.' 9,500.00 0.28 ,,60.0. . „-IC9 12. Installation of Airport Electrical Suilding Equipment, in Place 100.00% L.S. 90.0C% . 30,000.00 .- .0 .3. 4 -say filectrieal Duct Bank Type I 7CO.00 I.f. 697.00 55.00 ,_,335.CC . L-110 14. 8 -way Electrical Duct Bank Type I 200,CO l.f. 1-95.00 70.00 ,65.00 . L-110 :5. 2 -in Dia RSC installed in Pavement 3,000.00 I.f, 2,408.40 4.00 L-:10 16. 2 -in Gia RSC installed in Turf 270.00 l.f. 212.00 2.00 424.00 . L-1:0 17. 2-.r, D:a RSC reinstalled in Turf 190.CO l.f. 126.00 2.00 252.00 . L-1:2 :8. Electrical Building 100.00% . L.S. 90.00% . 40,000.00 L-115 19. Electrical Manhole No. 1 1.00 each 1.00 12,250.00 :2,250.00 . L-115 20. . Pull Box Reinstallation 1.00 each 1.00 500.00 50.00 . L-_25 21. . Medium Intensity R/W Edge Lights, . Base Mounted, in Pavement 57.00 each 39.09 315.00 :,2S5.00 . L-125 22. • Runway 25 Threshold Lights 100.00% L.S. :00.00.. 3,300.00 KC.Co L-125 23. • Airport Guidance Sign No. R-2-5, . Base Mounted Pavement wit • '_CC.^,C• L. S. IV.V 10 0% 2, .D 655 0 .., .� i55 °C . L-125 24. . Airport Guidance Sign No. R-2-19, . Same Mounted, in Pavement 1_00.00% L.S. :00.00% 2,655.00 :,655.f'0 . L-125 25. . Airport Guidance Sign No. R-1-3, . Base Mounted, in Turf i00.COX L.S. 100.00% . 2,400.00 �,400.00 . L-125 26. . Airport Guidance Sign No. R-1-19, . Base 4ounted, in Turf 100.00% L.S. :00.00% . 2,400.00 _,400.00 . L-125 27. . R/W End Identification Light (REIL) . System, Runway 7 End 100.00% L.S. 99.00% . 8,250.00 L-125 28. . R/W End identification Light (REIL) . System, Runway 25 End :CO.CO% L.S. 99.50; 8,259.00 ,167.50 . 141,25 23. R/W End Identification Light (REIL) - :,� u� Systes, Runway 12 End 100.0% L.S. 9^ nn' Vv ,LJV.I'O 0,_67. J 30. R/W End identification Light (R 7-T System, Runway 30 End 100.00% . L.S. 99.00%8,167.50 . L-125 .,_. Generic Visual Approach Descent :nd.cator System, Runway 7 End 100.00% L.S. 98.00% . 9,580.00 3,^E2.40 . L-125 32. Grreric Visual Approach Descent , indicator System, Runway 25 End 100.00% . L.S. 98.00% . 9,580.00 9,388.40 . L-125 33. Generic Visual Approach Descent , : Indicator System, Runway 12 End 100.00% : L.S. 98.00% : 9,580.00 9,388.40 : : :.-125 34. Generic Visual Approach Descent Indicator System, Runway 30 End 100.00% . L.S. 98.00:. 9 560.000 . �, 388.4�� 11-125 35. Removal of Existing Runway Edge Lights 100.00% . L.S. 80.00% . 7,500.00 �,0�0.IV . M-100 36. M & P of Traffic 100.00% L.S. 100.0^1% . 23,500.C^1 M-200 37. Mobilization 100.00% . L.S. 100.^1O% . 16,000.00 Amount Withheld for Liquidated Damages days 5.00 -900.00 ---------------------------------------------------------------------------------------------------------------------------------------- Total Amount of Work Done to Date ---------------------------- STATEMENT OF DAYS CHARGED Less 5% Retained --------------------------------------------- 19,044,7 TOTAL CONTRACT DAYS 60 LASS DAYS CHARGED 65 Amount Recommended for Payment, Previous Est mates ----------- 31. 734.13 AMYL ..Y.Y.1M..I.rMw DAYS REMAINING -5 AMOUNT DUE CONTRACTOR, FOURTH EST:MATE FALSY CONSTRUCTION CORPORATION CALOCERINOS & SPINA Engineers, P.C. BY: / .-, nTLE: D' A 7z _Aj PL Haroid W. Wagner, ?.E. Division Manager �� Q-1 U.S. Department V. Yom, Ahpo t 4. of Transportation Federal Aviation Om - Administration � U. 1581 58 4 Administration Mr. Scott L. Harris Supervisor, Town of Southold REGEIVED Town Hall 53095 Main Road NOV 5 1992 Southold, New York 12953 Scw&k,4.J T...,.,, x-1,,,.4 Dear Mr. Harris: F.?:.zabeth Field A_ rpnrt; Fi=,}-+ers Tsla.nd Lighting & Rehabilitation for Runways 7-25 & 12-30 VASI & REILS on R/W's 7, 25, 12 & 30 and Electrical Vault Installation - Engineering Agreement for Inspection Phase - Executed Copy - AIP Project No. 3-36-0029-05-92 This is to acknowledge that this office received via a letter from your consultant, Calocerinos & Spina, dated October 1, 1992 the executed agreement for the inspection phase of the subject project. If you have any questions, please call at 516-295-9343. Sincerely, Dan Vornea Airport Engineer z ..0 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 4, 1992 Sheila Farley Grants Administrator Calocerinos & Spina Engineers 1020 Seventh North Street Liverpool, New York 13088 Dear Ms. Farley: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Enclosed herewith are four executed copies of Form 271, Outlay Report and Request for Reimbursement for Construction Programs, with respect to Partial Payment Request No. TWO on the Fishers Island - Elizabeth Field Airfield Lighting program. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (4) cc: Accounting S Finance I -> JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER �oc��FFOLKcOGy o � z OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON NOVEMBER 10, 1992: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute Partial Payment Request No. TWO, Outlay Report and Request for Reimbursement for Construction Programs, to the Federal Aviation Administration, in the amount of $204,707.68, with respect to Fishers Island - Elizabeth Field Airfield Lighting Program, all in accordance with the recommendation of the Town's Engineers for the project, Calocerinos & Spina Engineers, P.C. Judith T. Terry Southold Town Clerk November 12, 1992 r r Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. 80-RO181 1 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST 11 FINAL ® PARTIAL ® CASH [] ACCRUAL 3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMERrTzy 4. FEDERAL GRANT OR OTHER6. . WHICH THIS REPORT IS SUBMnTED IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY TWO Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-05-92 _ e. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT IDENTIFYING NUMBER FROM (Month, day, year) TO (Month, day, year) 11-6003307 1 N/A 8/180 1 10/7/92 9. RECIPIENT ORGANIZATION PROGRAMS - FUNCTIONS - ACTIVITIES 10. PAYEE (K*ere check should be sent N d1fterent than Item 8) Name: TOWN OF SOUTHOLD (c) Name: TOWN HALL, 53095 MAIN ROAD AIRFIELD LIGHTING No. and P.O. BOX 1179 No. and Street SOUTHOLD, NY 11971 street City, $0.00 $0.00 City, State and $0.00 $0.00 State and ZIP Code: ZIP Code: I I CTiTI IC nF FIimniq Z/ 1-1 V Z a � r�rvv r-vrw� u � p -rot Prescribed by Office of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (a (b) (c) CLASSIFICATION AIRFIELD LIGHTING TOTAL (Construction) a. Administrative expense $0.00 $0.00 $0.00 $0.00 b. Preliminary expense $0.00 $0.00 $0.00 $0.00 c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00 d. Architectural engineering basic fees $0.00 $0.00 $0.00 $0.00 e. Other architectural engineering fees $0.00 $0.00 $0.00 $0.00 f. Project inspection fees $42,297.35 $0.00 $0.00 $42,297.35 g. Land development $0.00 $0.00 $0.00 $0.00 h. Relocation expense $0.00 $0.00 $0.00 $0.00 I. Relocation payments to individuals and businesses $0.00 $0.00 $0.00 $0.00 j. Demolition and removal $0.00 $0.00 $0.00 $0.00 k. Construction and project improvement cost $310,734.13 $0.00 $0.00 $310,734.13 I. Equipment $0.00 $0.00 $0.00 $0.00 IT. Miscellaneous cost $0.00 $0.00 $0.00 $0.00_ n. Total cumulative to date (sum of lines a thru m) $353,031.48 $0.00 $0.00 $353,031.48 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $353,031.48 $0.00 $0.00 $353,031.48 q. Federal share to date $317,728.33 $0.00 $0.00 $317,728.33 r. Rehabilitation grants (100% reim- bursement) _ s. Total Federal share (sum of lines q and r) $317,728.33 $0.00 $0.00 $317,728.33 t. Federal payments previously re- quested $113,020.65 $0.00 $0.00 $113,020.65 u. Amount requested for reimbursement $204,707.68 $0.00 $0.00 $204,707.68 v Perr_.wnt of physical Completion of project 69.1% 0.096 0.0% 69.1 SIGNATURE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED 12. CERTIFICATION OFFICIAL p' O V 2 7992 1 certify that to the best of my knowledge a. RECIPIENT and belief the billed costs or disburse- TVPE OR PRINTED NAJa AND TITLE TELEPHONE NO. ments are in accordance with the terms SCOTT L. HARRIS of the project and that the reimbursement TOWN SUPERVISOR (516) 765-1800 represents the Federal share due which _ b. Representative' certifying to lin " " _ SIGNATURE AUTHORIZED CERTIFYINGF OFFICIAL A DATE REPORT SUBMITTED G y /'A"� has not been previously requested and that an inspection has been performed and all work is in accordance with the terms of the award. ED OR PRINTED NAME AND TITLE TELEPHONE NO. 11v. CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR Z/ 1-1 V Z a � r�rvv r-vrw� u � p -rot Prescribed by Office of Management and Budget Cir. No. A-110 C caiocorinos & Spina F_ngweers, P C. To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, New York 06390 Attention: Enclosed please find the following: RECEIVED NOV 2 1992 Re: Fisher Island -Elizabeth Field Airfield Lighting FAA AIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 File: 211.004.002 Date: 22 -Oct -92 - Five copies of Partial Payment Request No. TWO (Form 271) for your review and appropriate signature. - Six copies of Form AV -20, Certification of Municipal Contract for Construction for your review, attorney signature, and Notary signature. Remarks: Please have Mr. Harris sign four copies of Form 271, and return them to me for further processing. Keep one copy of the form with the attached backup documentation for your files. Form AV -20 should be signed by the town attorney with a Notary witness. Return five copies to me for distribution to appropriate agencies. Keep one copy of Form AV -20 for your files. ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Enclosures, cc: Ms. Judith T. Terry - Sheila M. Farley Grants Administrator 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 FISHERS ISLAND AIRPORT -ELIZABETH FIELD AIRFIELD LIGHTING FISHERS ISLAND, NY F.A.A. AIP PROJECT NO. 3-36-0029-05-92 N.Y.S.D.O.T. PROJECT NO. 0913.05 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 ----------------------------------------------- :0/21/92 211.004.002 FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE -------------------------------------------------------------------------------------------------------------------------------------- AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING -------------------------------------------------------------------------------------------------------------------------------------- a. ADMINISTRATIVE EXPENSE ......................... $3,820.00 $3,820.00 $0.00 b. PRELIMINARY EXPENSE ............................ $0.00 $0.00 $0.00_ sQ.UQ c. LAND, STRUCTURES, RIGHT-OF-WAY ................. $0.00 $0.00 $0.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... $0.00 $0.00 $0.00 $11.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... $0.00 $0.00 $0.00 $0.00 f. PROJECT INSPECTION FEES ........................ $84,559.00 $84,559.00 $42,297.35 $0.00 q. LAND DEVELOPMENT ............................... $0.00 $0.00 $0.00 $0.00 h. RELOCATION EXPENSE ............................. $0.00 $0.00 $0.00 $0.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... $0.00 $0.00 $0.00 $0.00 j. DEMOLITION AND REMOVAL ......................... $0.00 $0.00 $0.00 $0.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... $419,421.00 $419,421.00 $310,734.13 $0.110 1. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 a. MISCELLANEOUS COST ............................. $3,000.00 $3,000.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $510,800.00 $510,800.00 $353,031.48 $0.00 Y FISHERS ISLAND AIRPORT -ELIZABETH FIELD 10/21/92 AIRFIELD LIGHTING -------- FISHERS ISLAND, NY 211.004.002 PROJECT INSPECTION FEES ANALYSIS PROGRAM NO. 1 -------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ 842,297.35 837,644.55 90.00 ------------------------------------------------------------------------ LESS RETAINAGE: $2,226.18 SUBTOTAL: 844,523.53 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 07/24/92 913,411.07 911,316.65 * 08/18/92 96,648.06 85,565.54 90.00 09/15/92 924,464.40 920,762.36 90.00 17 ij,cr,ount Number.....:..... 20913.7.... Date. September 14't9 92 ,. ....... "I OWN OP SOUTHOLD' COUJJ T Y Gr SUFFOLK, .-4.Y., Dr. PAY T0: _ Payee Identification - Payee Name: or Social Security Number: 1b-1%1757 - Calocerinos $ Spina -Engineers, P.C. ... .. .. Payee Reference: Address: - -,'Cl eventorthr 1 U ............ ....... St Phone No. {....)........... Li.vei.pool.,. NY .... 1308.8............... Vendor Contact Cash Disco -,int ............. °o ......... _ - Days ...... ........... ........... Item'— Description of W-,eriai;Sen, e Quantity n,t rice —i Amount j Total Discount Net The undersigned (Claimant) (Acting on behalf of above namedlaimant) does hereby certify that the foregoing claim is true and correct and that no part thereof h been paid, except as the, - stated, and that the balance therein stated is actually due and owing. Dated ......................... 19 'Q�c—`c'='. . Signature -' . TOWN OF SOUTHOLD FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 ELIZABETH FIELD AIRFIELD LIGHTING INSPECTION SERVICES FOR PROFESSIONAL SERVICES RENDERED FRON 07/10/92 THROUGH 09/04/92 ANALYSIS OF COSTS DIRECT SALARIES OVERHEAD % 140.00 TOTAL REGULAR LABOR EXPENSE PREMIUM LABOR COST TOTAL DIRECT PERSONNEL OTHER DIRECT CHARGES TOTAL COSTS FIXED FEE 15% TOTAL THIS INVOICE LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE INV. DATE: 09/15/92 INVOICE #: 209187 PROJECT #: 211.004.002 EST. COST: 70,843.00 FIXED FEE: 10,626.00 TOTAL : 84,559.00 THIS INVOICE CUMULATIVE` 5,551.30 11,521.45 7,771.82 -------------- -------------- 16,130.03 13,323.12 27,651.48 294.00 537.25 2 alj ---------------------------- 13,617.12 28,188.73 7,656.27 10,527.38 --------------------------- 21,273.39 - 38,716.11 -----3,191_01- ----- - 24, 464.40 1,223.22 44, 523.53 23,241.18 TOWN OF SOUTHOLD INV. DATE: 09/15/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 209187 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 S A L A R Y & E X P E N S E D E T A I L SALARIES BASED ON MULTIPLIER HOURS RATE PREM AMOUNT MANAGING ENGINEER PETRANCHUK, MARK F. 3.00 30.5000 91.50 PROJECT ENGINEER MAKHLOUF, GHAITH N. 3.00 21.2000 63.60 ENGINEER MCDERMOTT, CHARLES R 6.50 16.1000 104.65 ASSISTANT ARCHITECT CAVING, JOSEPH J. 4.00 14.7000 58.80 ASSISTANT ENGINEER SAWMILLER, JOSEPH A. 2.00 14.2000 28.40 INSPECTION SUPERVISOR CERRETANI, LAWRENCE 38.00 25.5000 969.00 INSPECTOR SHOVA, SCOTT H. 240.00 14.0000 3,360.00 SHOVA, SCOTT H. 14.00 14.0000 98.00 196.00 SHOVA, SCOTT H. 14.00 14.0000 98.00 196.00 SHOVA, SCOTT H. 14.00 14.0000 98.00 196.00 GRANTS ADMINISTRATOR FARLEY, SHEILA M. 4.00 16.4000 65.60 SECRETARY WILDS, KAREN D. 14.00 12.5000 175.00 BAXTER, CYNTHIA A. 5.50 8.5000 46.75 -------- 362.00 ---------- ---------- 294.00 5,551.30 TOWN OF SOUTHOLD INV. DATE: 09/15/92 FISHERS ISLAND FERRY DISTRICT INVOICE #: 209187 FOOT OF STATE STREET PROJECT #: 211.004.002 NEW LONDON, CONNECTICUT 06320 S A L A R Y & E X P E N S E D E T A I L OTHER EXPENSES COST/QTY RATE AMOUNT TRAVEL & SUBSISTENCE CERRETANI, LAWRENCE J. 461.68 1.0000 461.68 WAGNER JR., HAROLD W. 2,180.00 1.0000 2,180.00 SHOVA, SCOTT H. 3,780.00 1.0000 3,780.00 AUTO RENTAL CERRETANI, LAWRENCE J. 67.46 1.0000 67.46 HERTZ SYSTEM, INC. 1,167.13 1.0000 1,167.13 ------------ 7,656.27 :z CalocErinos & Spina "Ja Engineers, PC. EXPENSE REPORT SUMMARY OATS PLOYEE NAME :,1. } RJT) C. u-1 161 DEPARTMENT NAME: Cun► S�ry PERIOD ^ n SHEET: -. OF I FROM: 9to oll SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS OJECT i.Ur-iISER CONTRACT Pt1ASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT + �--J EMPLOYEE DATE SUPERVISOR DATE PARTNcH DAIS ACCO N INODAT£ D l/y©q ��} O� / (OQ �Q .• �� AL PPD. OR CREDIT TCARD EXPENSE /✓� � (.� TOTAL OUTOF POCKET EXPENSE. f � O �j J _ TOTAL EXPENSE — ---�--- — ADVANCE /-,ICA ------ — -- ADVANCE D E -� -- ADVANCE DATE TOTAL ADVANCE 0 0 LESS OUT OF POCKET EXPENSE q I BALANCE DUE COMPANY DUE EMPLOYEE U 0 REMARKS G,%AND TOrlL 3 �; t QC%,'j LAST NAME FIRST GUT OATE IN DA rE AUG -9,321674 • PE' SCIIS -in • CLERK hrGII �55TE Room LAST.. FIRST OUT DATE L 'I,, J21289 13 SCO I T 1�1 L- -FTF;ZV, ADDRESS j%.r�TS GEDEIP FGSI I CITV GTD BY CREDIT CARD AX 37; 2c 2 35 1100".) C-3 /9F, 111 .00 PRPL 179.20-F'PAY 6806 9:1; All 08/17.,92 'L??.-)-TOTL a 111 179.n--cspu 40.00 ROOM 1.60 RTAX 3.20 RTAX 6391 12:17 All 08/17/92 134.40-TriTL t12 13 14 Ill !3.;.40-cspfj 111 40-00 Rooll I 1.50 RTA( 7064 11:52 FM Oel'.-192 RTAX s ?.,50-TOTL 20 39.60-CCFU 40.00 ROGM 1.60 RTAX A� 3.20 RTAX 7249 11:50 FM 03,119/92 44.80-TOTL 111 44.80-CEPU 111 4111 Ill NIAX RTAX :00 TOTL CT 109 134.20-PPAY 2 8085 9:0 AM 08/24/92 " 1-m • 109 184.20 -ROOM 109 40.00 ROOM 1-60 RTAX 8161 11:40 PM 08/24,19-2 3.20 RTAX 121 13109 14B 109 139.40-(JU 40.00 ROOM 1.60 RTAX 2� 3.20 RTAX isf 8336 11:54 PM 08/25/92 94.60-TOTL 17 W is 109 94.60-CPPU 109 40.00 ROOM 1.60 RTAX 3.20 RTAX 8539 11%58 FM 03/26192 49.80-TOTL 109 -OL- -Csp-u 109 40.00 ROW 1.61) RTAX 3.20 RTAX 8715 12:13 AM 08/27/92 a-caZIUL 109. 5.00-CBPU 010 to CIO TOTL GF:EE'-'jr-,Wf,' IVII-1-F AVE z TOL LG FRE= RE SER VA TiON 4 T,'OIVV" OF 7 -BOO G5 -'OOL' Room LAST.. FIRST OUT DATE L 'I,, J21289 13 SCO I T 1�1 L- -FTF;ZV, ADDRESS j%.r�TS GEDEIP FGSI I CITV GTD BY CREDIT CARD AX 37; 2c 2 35 1100".) C-3 /9F, 111 .00 PRPL 179.20-F'PAY 6806 9:1; All 08/17.,92 'L??.-)-TOTL a 111 179.n--cspu 40.00 ROOM 1.60 RTAX 3.20 RTAX 6391 12:17 All 08/17/92 134.40-TriTL t12 13 14 Ill !3.;.40-cspfj 111 40-00 Rooll I 1.50 RTA( 7064 11:52 FM Oel'.-192 RTAX s ?.,50-TOTL 20 39.60-CCFU 40.00 ROGM 1.60 RTAX A� 3.20 RTAX 7249 11:50 FM 03,119/92 44.80-TOTL 111 44.80-CEPU 111 4111 Ill NIAX RTAX :00 TOTL CT 44 MN & Spina EXPENSE REPORT oA,F:Calocerinos � _ E1.—LOYEE NAME: C DEPARTMENT NAME. ON eERIOD SHEET: + pF -- FROM: 17 TO: ' 1 �— DALE ' ' 1 NATURE OF EXPENSE PROJECT NAME AND/ OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTNER PERSONS INVOLVED , BY NAME , COMPANY 6 TITLE) ALLOCATION OF EXPENSE CLAIMED Piielj MC P.O. MISC. t It r. i ACCbUNT O DEPT. ONLY AMOUNT OF exaFNS° ITEM LOCATION ACCOUNT NO. CARD TYPE OR CC. OUT OF PCZxE 1 j 1 sJ/� i+ Ir��f l'�ttiU UV(1 DU C o Ci r U b 5 S A4 x) 51 -4� — k.-9 v ) ► � - .. % 5'1 4 cQ to =1� � � i fct ! I � l l 'CF,;.. 237-A TOTAL YO U ACCOutv7c3 iL8 — 44 _i ; Calocorinos & Spina EXPENSE REPORT SUMMARY DATE Engineers, P.C.'- PLOYEE NAME : /DEPARTMENT I NAME: PERIOD SHEET : OF 3 FROM : c )- TO : %- 1G' 2— INT) �% ��E C .i�s��✓w /V(SI�• C' %CFI/ SUMMARY OF EXPENSES TO BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS OJECT NUMB" CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT ! f QDO r '• (� "�JO TOTAL PPD. OR . / -��►. MoD x'' �I`O CREDIT CARD EXPENSE c �.,., , " �' // Iy 6 /• / ��O F �' TOTAL OUT OF POCKET EXPENSE E LbYEE DATE SUPERV R DATE Lid.? (DQ 9• � TOTAL EXPENSE 16 • DQ �p2l _SATE /_1 0-1��C/ /C_oD� ((J Lo 3 l py �a DO ADVANCE PARTNER DATE ACCOUNTING DATE ._ g` J. 3 f / O � ADVANCE DATE ADVANCE MATE TOTAL ADVANCE 0 LESS OUT OF POCKET EXPENSE J DUE COMPANY BALANCE DUE EMPLOYEE REMARKS i9p, I GRAND TOTAL ^J /� tai WbNx+CrxJN iK�tlyr .c� uwuw for All 11110 Form, Serial Number �yt� ry �r R 1 -TO �f: iJUES �y f �+ . SUOJEC To, us PASSBMwiP01i j / �!' 1� IiAVE:I DUO" 1) 25 FEF PLS�^� �rC3 C�pa�r d J���<:'1031C111�?b991�0�il9:r .t�1P��Q 879 ��gqooa�u ki7!� lf`��nE py�r� �( q� V:y alb— V .1ti{Ir a -P#\/ ,qtr �e L1P► iAW aaruron awu .a..o.nM a.aw a !TAAk raft 1 C' i 1 U 404 4,11.)!. 51 P' OK I B811S, • 3� MJtii1 '%'2,'�' S'fk S !31?L1�eS.36 US �i`i'kl:lh.36 �.�. 2;'.28 DO :? 2� %2 END TAX r ,,.... J���<:'1031C111�?b991�0�il9:r ,«� i�7{>. f�;ti► , �,� i it 01 66 Fob. 77.15928404 2 13 K021009 1"81.'40''9;;10 . • 00 NOT 11MY1 OR WgTE N1 THE YYItl1E MlA �90V6 40 "'W't5.95.Q ;?A, ktl;iFl.: WIVY7 1/:41) WfiO N INPI_ AIMI'lltl{ (11'171111 till NN 4!• i(!Fal: U/I14/YZ 1'1:1/ BRAMLY 1NPL Alkt'tNl 111/'11111 1 i 44.Y9 t1 K. .IANI Lbe: 881196 fTHHlRb ;( r F I:US hQ4W6 LX DAYS S r i iYl IEi'aJU 1.L u;5 LI IlhtLU 111%LU/Yti3h196 RES:ti2JUlh/t:A3/ RES LLS: C MILEA6t CI(6 MI EAU i FI .L b SUL N S J'.:4 MI S 1.60 61_ MILEA6t IN: 1051 MILtn6t LAJI: 146/9 +r""_'� MILLS WIVLN: 161 W.N1Al. UNI s .1:11 r �LI)W ULCLIM0 UI%WNl t i 1.'i5 �LIh ULLI-INW MILES AL1.(PAD: 93111UTAt S 47.;4 VAI,PLC U11LLiNtU MILLS L'M IAkU: 1811114 Lily (IX) i AWL CFIAk1; -s I IX,) i tiArl IN/Wl :LI)Ud /LUW 14AIr CLS:C LOW (1X) % = 44.YY/ UAY LIS _ / kX WIN F'AI FK (NI) I t / EX DAY 1.1111 8 W.L (IX) t 1Y.Y6 1 'r EX ULLK IAXABLt SLIb U k I 61.111 ! �� 004. 00A , / ; MILk 60 Q IW( .11601111 1UTAL CF1Att!k'=. 1 i 3./6 66.46 'i% VIlU1:Ntk I RENIAI- ('; N, I I 11U IRBIk( 1-LAtMUI- F'r;:?'YP;I:i:'tX ti.`t4?IF.-11/L ;IFr ' 'N' h� , 'l l:' t:i. Fl( 3 ,,1111/ 11!)111!'.11 CliXii?.Isis 1N11 i 1.1111 + WI ILWN 1-IWM i1` VA' :Ti) 11 , M, ;:i 16,1: 1;1,P116 1`RWARVil UY: t;;bi 1 ':i''� 11 iI i••I 9;4; N 1 .;;if f o/.46 hrNIN. WFLUND ' ') 2 r Iff n. • j ' n��ero wo ` t L i1 YJiNJS-lM Iw A101 sNOSMiA 'oN:'Wr4 yM38 r' • ON MJBq LMO bo9'�o0 moo •/.p � - x '. Amount Paid a �q e T M ATIN <., -4 V ) m *SYRACUSE•HANCOCK IN T'NL i� n r ❑ DOWN -TOWN GARAGES ? .. n 3 n in ` [7 r 4 0 ' • ❑ DOWN-TQWN LOTS t "� 01 j ,� ❑ GASOLINE GALS. j !` s « ; ThuLk You I Murbro Parking Inc. ) �'' w a 6� Syrocu", Now York 13212 (y,l �, rJ fl7 C - - �V 004 eoerap9�155 5263 "iii � �r � r- 1 'p •7If�' C C r � ^ N 7 ^ T t u r . - I- < < - rr z rr 7 zC -rr Cr_ 1! rrrr • qr� z it tr r 7c C y - r .W i n ry v U r�rr e'.. afy - s7 z c2i R T ( j M 3C C rrC C 7 3 3 rr •, iwpcpEprplrpnnrN .--_ .- y 2 x S U z I x ii I p r�pr e ? 7 fr C rr ? 00i 0 X r . - I- < < - rr z rr 7 zC -rr Cr_ 1! rrrr • qr� z it tr r 7c C fMEMEM y - r .W i n ry v U e'.. afy :O Cz 00 00i 0 Q s. d F W e i g N C i Q a T!"N' ^ y = f � A t fMEMEM r' jf!�,41Calocerinos & Spina _ EXPENSE REPORT Engineers, P.C. DATE: ��_ EMPLOYEE NAME: %� (PRINT) [.� DEPA TMENT NAME: J__., G' �� PRI SHEET: �_ OF FROM: I TO: DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED . BY NAME COMPANY E TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P -DI MISC. pRd:f.- a7 PIAT. A ACCOUNT NO. CARO TYPE PPD, OR CC. OUT OF POCK; i' V Az CID L e / 7l•I %JIL ods. A &j �LkJr0f�6. �bISoN�1u�' " cr 3A t���Gr-5 5� [c��rLA�. � Q cr. Wl c q L �r Tv CC , l 4114 -1614i - 1 -1o,ci71W mcg 71W 1:2x,z,Xsv-j 72 607 ,. ) I/ - - -- 5,ANDAFU FORIA 271-I1 TOTAL TO UC ACCOUNTED FOR V&• Calocerinos & Spina EXPENSE REPORT SUMMARY m JNIP Engineers, P.C. DATE _ 31 '• JLOYEE NAME: C NT) S ( �� �-IOJ DEPARTMENT NAME: Co � PERIOD SHEET : OF FROM : �o TO : ,� SUMMARY OF EXPENSES FOR ACCOUNTING TO BE ALLOCATED DEPT. USE ONLY RECONCILIATION APPROVALS +JECT NUMBER COMPACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EMPLOYEE DATE Q� 1 V� I)n/ SUPERV OR DATE " PARTNER DATE ACCOUN GATE Q D ` Gi TOTALOR CREDIT CAROD EXPENSE /^ (R�. C� DO TOTAL OUT OF POCKET EXPENSE. I 6 U Do TOTAL EXPENSE 60 on ADVANCE / 3 TE ( a a D ADVANCE DATE ADVANCE DATE TOTAL ADVANCE G 000 LESS OUT OF POCKET EXPENSE ' 'a � p 00 BALANCE DUN COMPANY DUE EMPLOYEE REMARKS GRAND TOTAL . -A 1 ROOT+ QQ' lA4i NAME J - FIRST OUT DATE IN DATE StiGGH SHOVA , SCO TT 31 JUL.9L 2 7JULq'009191' PERSONS STREET ADDRESS -�-CLERK NIGHTS ; K!O I K/I 1 7300 CEDER POST RD. APT. 7A 4 RATE CITY STATE ZIP PHONE OUT PHONE IN i NY 13088 _I I 4'E��''c Cili1_ j �p g,.} •.� E'�p EXPIRES I COMM SPEC PAOG i CM LR NC 1 AX 372691933511000 03/95� i GV 2 101 .00 PRBL K 3 101 9.00-PPAY 264 8:21 AM 07/27/92 0-TOTLj 8 it Gad. ora . � o q 101 189.00-CBPU R 101 0.00 ROOM 1.60 RTAX 3.20 RTAX 2723 10:40 PM 07/27/9 144.20-TOTL 101 144.20-C8PU B i01 0.00 ROOM 1.60 RTAX 2903 9r59 PM 07/23/9_ 03.20 RTAX .9.40 -TOIL 2ci I 101 99.40-CBPU B 101•p .00 ROOM 1.60 RTAX —� 3.20 RTAX 3107 10:09 Fit 07/29/92 54.60-TOTI. 101 5 .i:-- J -- R 101 � 0.00 ROOM 1 1.60 RTAX 3.20 RTAX 3321 10:00 PM 0713u/9� 9.90-1'OTL -r-'---- - IQ1 9.E0-GfF'U 101 9.80 PDOT �1; �Z HOWARDRD JOR NSOC' .0 '(OTL AVE _ m Y S l� [ C . C "i" �::? 6 3 ` � 5 i 22"19 G-GE90 13 '311SAW NOSNHOr (311VMOH Aso 40.00 RM .60 ITAX 2 3.20 RTAX 07/23f92 is wyon E610EILO W ol Sri $ILI —4 XVIS OVE A 113 YOOdI 00 ot113 rig 2 OdBJ-oo.*6 r 6123 M 07/24/92 tit WtVLO Ud 6CTT tost f. i12 0 13 XVI'l 091, woos oolot Ell P. Ell IS /oc/zo Ud dt:Ij t 21) ()r-E 21 OGS o0os 22 23 -rjt-jol Ell 23 Ellfa 24 n 26 Z610CILO MV V;26 Lbit r^ os 27 0, 27 24 Ell 24 �P' XV w" a olo HOWARD JOHNSON 100.4.11 1I1 00 Q 8 150-3 .143(133 0,rz, L11:19 -4. Calocerinos & Spina EXPENSE REPORT C Engineers. P.C. 7 DATE. EMPLOYEE NAME: J (PRINT) " (_ o l OEPA�AAE�S�. wL OD ' 8HE£T: �_ OF 2PE9, TO: FROM: ' DATE NATURE OF EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED , BY NAME , COMPANY A TITLE) ALLOCA ION iOF EXPENSE CLAIMED AC OUN IND DEPT. ONLY AMOUNT Of EXPENSE ITEM LOCATION P.D. MISC. P No" CPOAYEA ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCKET y erd-e,-, _ f e� 1-�D11A_ -3 L) h t,,5 Fisk, /510-d' E (1e, hflb ai vo 1 6oc1 } �/ 6-)0 C o T 1c L IO L N V\v JIL C.?. 3 s h —q 3 rl/ 3L r7 i a i 37ANDARD FORM 22/-A TOTAL TO BE ACCOUNTED FOR i - CalocerinoS & Spina EXPENSE REPORT SUMMARY i :__' Engineers, P.C. /DATE !PLOYEE NAME : :INT) DEPARTMENT ARAE: PERIOD SHEET : ` OF 7� FROM : TO : A SUMMARY OF EXPENS BE ALLOCATED FOR ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS OJECT NUMDER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT / T , IDATE U ERVIS DA PARTNER DATE _ ACCOUNTING DATE - 722:77-�UM� , 'S h ,p `�,,� .• v •.rM TOTAL PPD.OR CREDIT CARD EXPENSE TOTAL OUT OFEMPLOYEE POCKET EXPENSE (] O` _I TOTAL EXPENSE ADVANCE DATE ADVANCE DATE ADVANCE DATE TOTAL ADVANCE LESS OUT OF POCKET EXPENSE Cl �� BALANCE DUE COMPANY DUE EMPLOYEE t(j REMARKS - GRAND TOTAL 1j THE TRAVEL. BUG • 101 OLD COVE ROAD SUITE 109 LIVERPOOL, NY 13090 (315) 451-6633 FAX (315) 451-8121 SALES PERSON: 35 ITxN, "` Ar:Y/"I.NVOICE NO. 0079260 CUSTOMER NDR: 021009 SIAHIB TO: CALOCERINOa AND SPINA 1020 7TH NORTH ST. LIVERPOOL ► NY 13002 SHz iVA/SCt?TT Mr1,D.r DATE: 03 JIL11. PAGE: 01 _,:.:1_ - MONDAY JAR USAIR FLT: 321 ECONOMY LV SYFN,ACUSP 715A ECP': 737-• 04) AR HARTFORD 801 A NON-STOP RESERVED SEAT RC - HO 1=i_ HARTFORD 4 NIGHTS OUT -17 JUL H ' MYSTIC GnOTON 1 ROOM DOUBLE WITH BATH EXT 90 I-9::; AND ' 2 MYSTIl- CT 0535,.x', GUARANTEED LATE ARRIVAL ONE 203--536-2.554 �0Ni= P'62%71-•-01 11 JL - r2 - FRIDAY AIF: USAIR FLT' 1404 ECONOMY LV HAR T F RLI 515F'EOF': "x'37 i STRETC AR SYRACUSE 601P NON-STOP RESERVED SEAT 8C AIF; I'TLC :ET US7709196550 SHOVA SCOTT ,.:..' .BILLFD TO AX3728919:33511000 300. SUB TOTAL 3C,o I_.__SS AMOUNT BILL.ED TO CC __ .__1�.__ __.. _ _ ___ __. �_. ___...__. _ _ • See below for Amine mmlTlaarAlerlEEArarDc EuaERTGtaarortacAE®rneTOO OOM.nIWCT,OMTCRET,B) �' • �) `~' Form, Serial Number t .1,1 till' "S t.)t3..JE'CT -r t-1 IJc AR� calcouaon -' ��"�;'rbi"; . TNf TRA'!CL F-1,113) l U ME (r I' NOT MAMMA" + ✓ _) t 11.. �' " std li�dui� wr �� �� a 4111 'A/9 -OTT C'•!NF� NU �� Y q -T , C ;b �f1101/-rO�T GOOD �O11.A51W[ 'WREr R,OMf OA1 OTE TIMI RAM ARE usamn DEMNAT iR ' 97 6.4--T WTvamm ow ITo I K04t_.IiSt. I.It 3,, i t; ) _;..IUI..1 71 A () t: Ii:S3Ut, ),'tJARTF0RU Its t xicl•. li, 1-'l �TciYPACUSF 5 TO ),I _.... M0011�0[ MOOD RX Mf UQEOGD '� UNOfOGD MC FARE FARE CAICUUTIOM ! > I I', I EOAW FARE .0 Y F• 11 �; �; i, ( I 11 o f I I/ F i T F' 11'I fa T. TAA FORM OF PATYENT IU COL" 10Mi �I'1 • 1 �) ` IE.11 11,(1,•��� '1 , -1•'11.11 y l � iMAI Il9UE �`a I� �11 .1111. ��1 Ll AOT ,NFJ CPM A,/II NIE COOE FORM SI A,AI NUMOEfI cR T THE ''-- _-____ 1D1OLD COVE ROAD ^ ^ SUITE 109 LA/GRpOOLNf130&0 .*nm*m (315)481'G633 FAX (315) 451-8121 � ' SALES PERSON: 33 ITINERARY/INVOICE NO. 0079146 � CUSTOMER NFIR: 021009 SVPKCD TO: CALOCER%NOS AND SPINA ^ 1020 7TH NORTH ST., LIVERPOOL, NY 13088 ShOVA/SCOTT DATE: 24 JUN PAGE: 01 ` 06 �UL .92 - MONDAY / AIR USAIR FLT:321 ECONOMY LV SYRACUSE 715A EQP: 737-300 AR HARTFORD 8O1A NON-STOP 1O JUL 92 - FRIDAY AJR USAIR FLT:1404 ECONOMY LV HARTFORD 515P EQP: 737 STRETCH AR SYRACUSE 601P NON-STOP '. AlR TICKET US7709196419 .,'SHOVA'`COTT-'` BrU..EEI TO A 37 89 933511O00 O CC GLINT THE TRAVEL BUG APPR�C � ! THE TKAV[L BUG TOLL 747 BOOKED HERTZ DIRECT �� MTDSIZE CAR COhFI�MATION NUMBER /92 ' ^ � 300- -------------- 300f OO^-------------3OO. 300.' -------------' O^ ------------1 ' bee DeIOW Tor Airline .��- �-7nnI r_-�� PON form, Serfal Number G� . .__. _. .._. _... ._. - •_ -----__-... _ ... N1Wi{YTIOBI.. MYIYAYYa OEpI sumer to(M*tKm W/IAftu M IMS . MET tWA I F( ,, _ . _ _ ._. _. __._ ._- ._ . _...---� - below Air 5 elo for line see Form, Serial Number � _ .z.'lliif� :M0,11:C1' i(a I.IS a►ss�cEncouvon � ME 'TkAVCI_ lGtl,lti # r NAME 101111W. NARIE w RM .. io* 76O.r11OM �F� MOT GCM rOn PASYMTE CAyM01 RIGHT OIMiI DATE --; Y'ACi.JSE: IwE Y411EY &MWKT. OESKOMMTOR 8t.I9 �f MW Iq YYAYfH NlOw — i ?NA TFtJF�t'i IIS 404, a 4.111t. 51 5P OK KRIS*YRACUSE � t� 9 ..tib o-�wiiI�_- �. YYIEAYFOECxFY RY. WI n:Y { I •� •r VO 111 ••• •••• uYalro�o . • MnEalw wr. ra. uwEac® wf. N7 wT wx(x[o UILIBPlO f 6 O iME rME L'AIC.ULAIiUN a U's t 27 2. 7 ? `✓'f k US 601.,146. 36 1.1113 -�,S f R I 1,1 , •3 ' 417 2 7'2 END r Tµ I,; � i iAK TM ronM Oi r TIK x:#r agi.93331 t000*o3:'945 rwN COOS i {;p{7y�`• K .. CK 0 G'_^4 MW.& CONE RWA _ SMAL WMUO Ow OMAI #s" �32ST x.�P��o3: 037 77 15 92 8403 1 n 4.372, L .: A'' o" ` x";89 00260 IsKO21009 I NVO0791Wp 00 NOT MAM OR WMIR w TME WWTE MEA ABOVE Calocerinos & S ina Engineers, P.C. p EXPENSE REPORT GATE: 4 � / 9 Z EMPLOYEE NAME: IPnINT) w DEPARTMENT NAME P RI00 SHEET: �. OF L FROM: ' TO: DAT! NATURE OF EXPENSE PROJECT NAM! AND/OR DUSIME&S FUR►OS! 11IENTN1Y SUEJECT MATTER DISCUSSED MCLUDXNG OTHERPROJ.No, PERSONS INVOLVED, EY NAME .COMPANY A TITLE) ALLOCATION OR EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION PA. misc. CPOAT. A ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POC�cET 1u -It-0 s 211 14 OIL) l Z�G STANDARD FORM ASI -A TOTAL TO SR ACCOUNTED FOR I� S./ --- 1.► ( j THE HERTZ CORPORATION-; wAs: 10 DAYS STATF)AtlJi.pATt:' .. PA4E NO'_ ; } PLEASE SHOW SHIS NUMAER OS/17/92 1 ON ALL CORRESPONDENCE COMMERCIAL ACOOUNT NUMBER 1 1201-127-0000-6 Car Rental Monthly Stauownt For ACCOUNTS PAYABLE CALOCERINOS & SPINA Send inquiries to The Here 1020 SEVENTH N ST ' Corporation, P.O. Bos 2545 Oklahoma City, Oklahoma 73125 L 1 VERP JOL NY 13088-6105 i Attention: , M.TABB ' 08/13/92 Phone (405)721-6"0 Payments received aper will a recorded on the nett rttatement ' Transactions' - `r'l,,,� AttIount BALANCE 06/92 256.07 07/20/92 PAYMENT 06/92 20 2108 256.07CR BALANCE 07/92 219.54 08/10/92 PAYMENT 07/92 10 2104 219.54CR *** TOTAL PREVIOUS BALANCE ** ** .00 0070-9 S SHOVA / '07/17/92.AARTFORWCT^::1720' =;.``1T 5537.1686 '278.00 07/24/92 HARTFORD CT�1720. 24 55373547 219.70 r 07/31/92 < HARTFORD `.M: :1720. `, . 317 55375435 - 231.01 f 08/07/92 HARTFORD CT 1720 07 55377308 218.68 SUBTOTAL ON MAN 947.59 ***** CURRENT CHARGES ***** ** 947.59 P°���ul Duplicate - Return this copy with your remittance NEW BAL'%NCE 947.59 Please make checks payable to: The Herts Corporation P.O, Box 26485, Oklahoma City, Oklahoma 73125 - cR • cr.e't CNB • Credit Balance t THE HERTZ CORPORATION TERMS: 10 DAYS STATEMENT PATE I_ WB MQ_ PLEASE SHOW THIS NUMBER 07/20/92 1 ON ALL CORRESPONDENCE C014MERCM ACCOUNT NUMBER 1201-127-0000-6 Car Rental Monthly Statement For ACCOUNTS PAYABLE CALOCERINOS & SPINA Send inquiries tg The H•'u 1020 SEVENTH N ST ltBox2545 rtic cy olaorns 7125 LIVERPOOL NY 13088-6105 Atantion M.TABB Phone (405)721 -SW Cardholder TraniiC11011i 16 MAU;# I V1.11 s BRADLEY INT'L AIRPORT RENTAL RECOPr): 553699300 SCOTT SHOVE COMPLETED BY: 6646 Paymems received after 07/16/92 RENTED: BRADLEY INT ' L AIRPORT will be recorded on the and statement RENTAL: 07/06192 0 8:10 �- r- RETURN- 07 10 92 4 1 •3 BALANCE 06/92 25 **+► TOTAL PREVIOUS BALANCE ** ** 0070-9 S SHOVA 07/10/92 HARTFORD CT 1720 10 55369930 219.54 ***** CURRENT CHARGES ***** ** 219.54 Original - Retain this copy NEW BALANCE 475.61 (lease make checks payable to: The Hertz Corporation P.O. Box 26183, Okl4mm City. Ok hom 73125 CR -Credit Fc - Cr" !39 CRB - Credit Balance 5 . MILES IN: 11200 OUT: 10927 MILES DRIVEN: 273 PLAN IN/OUT: BDSA /BDSA CLS: C 5 DAYS @ 37.00 185.00 FUEL PURCHASE OPTION 18.44 TAXABLE TOTAL 185.00 TAX _06000 11.10 TRANSACTION FEE 5.00 i NET DUE 219.54 FORM OF PAYMENT: HCC CREDIT CARD #: 120112700709 �.t l bpZ C k .J� ORIGINAL INVOICE Rental Agreement Nw 553699300 Owrr rq ( ty No. ^ Rev Date/Ttme 01790 iIN 07/10s•12 14:35 afw±.�, THE HERTZ CORPORATION Vehicle No o009532250 Date/Time OUT 07/06/92 08:10 TO BE PAID BY Vehicle License No Returned to City/State/Area 969HFZ 01720-11 AUTH REP Veh Make -Body Style Rate Cis Rate Plan In Rate Plan Out CALOCERINOS & SPINA NTMP C BDSA Veh Cis Sub/up Day C4 5 37.00 185.00 Mileage Cap Plan Week 0 .00 Miles Month IN 11200 0 .00 Credit Card Type and Number Miles Extra Day HCC 120112700709 OUT 10927 0 .00 #1 Club Member C.D.P.I.D. No. Credit App/Date/Amt Miles Extra Hours 154668 1483308 Driven 273 0 .00 Other Identification Miles Miles Chged Miles Rate Allow .00 RATE CONDITIONS ' Minimum Rental Charge Rental Day (24 Hours) ' Rates do not include fuel and service charge .00 Vehicle Returned To (City/State) Area-LocOne HARTFORD CT, BRADLEY FIEL 01720-11 Subtotal 185.00 Vehicle Rented At(City/State) Area-LocYou agree to upgrade HARTFORD CT, BRADLEY FIEL 01720-11 at additional charge .00 Cust. Telephone No. 315-451-6633 Date Due 07/10/92 Date Returned 07/10/92 Fuel and Service Charge Per Per Mile Gal on Subtotal 185.00 Renter's Name SHOVA SCOTT ° clinesLow X Loss Damage Waiver (LDW) A Cer Lo oecnnes PAI PEC Personal Accident Insurance (PAI)/ ACCO is PA1�8Ec $erVICC Charge .00 Personal Effects Additional X Coverage (PEC) Charge -00 oe` S es X Liability Insurance Supplement (LIS) A`Min Fuel and Sery Chg 18.44 Voucher/Certificate No LDW .00 IT Number Tax 11.10 Reservation ID No LIS 821119519A6 .00 Referral Source PAI & PEC 33879683 .00 Refund Deposit Total Charges 214.54 Reservation Class Misc C00 5.00 Currency Conversion Rate Less Dep (If any) .00 Thank You For Renting From Hertz Please Pay This Amount Final Net Due 219.54 Rental Agreement No 553699300 111— C60I9/ Direct All Payments and Inquiries To: The Hertz Corporation PO Box 25485 Oklahoma City, Ok. 73125 r Calocennos & Spina EXPENSE REPORT SUMMARY DATE i ti Engineers, P.C. / / IPLOYEE NAME : LINT) 5 f- o S DEPARTMENT NAME: C o r� f v. Iul� PERIOD SHEET : '� OF FROM : TO : ' ,i 1 SUMMARY OF EXPENSES FOR ACCOUNTINO TO BE ALLOCATED DEPT. USE ONLY RECONCILIATION APPROVALS iOJECT NUMBER CONTRACT PHASE TOTAL AMOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT EMPLOYEE DATE r/ 1 � �, SUPERVISOJI DATE PARTNER DATE ACCOUNTING DATE 0 G D /� TOTAL PPD. OR CREDIT CARD EXPENSETOTAL O, /' p:r; / o OUT OF POCKET EXPENSE , G u d TOTAL EXPENSE ` 1 L 0 1i ADVANCE ADVANCE TE DATE' —' ADVANCE ITTE TOTAL ADVANCE Z 60 O LESS OUT OP POCKET EXPENSE 60 0 p DUE COMPANY 0 0 BALANCE DUE EMPLOYEE �/ REMARKS 916 GRAND TOTAL ..;.r::..::_:.,.::,�.:.-... �:ii:.,.ss�'�� 'a" -«I. x1r..wsi:wtL:aSr..I;i.�. ?=:`.:�s.•�«".3x��'ru✓;�-+P:.Ms .aaer.-�" sa-�.•..,r-.';:...§Fr,_,.:n�_ �t'f�ir.r-t';..3ie�' .��a�r�tz�.� .r_e� ✓.M. c .a Ol,t ]'E N D E X059550 I S KIOTIC'1 ; -- - F^.T Fes. AF- 4 �p c r 7:. _ l _ ... .. ._.. S-A•E _ _...aR � ir�Cr.E OI.i T, ",ONE FA CY l". NG qt 109 .00 iitBt i ! - - -- --- 109 184.20-PPAT _ 5460 8:33 AM 08/10/92 184.20-TOTL - 109 184.20-CBPU ' B 109 40.00 ROOM E ------- - - 1.60 RTAX T 3.20 RTAX E 5550 10:14 FM 08/10/92 139.40 -TOIL y 1 ro 109 139.40-C8PU ,_ 8 109 40.00 ROOM 1.60 RTAX u 3.20 RTAX !. - -- 5744 10:32 FM 08/11/92 94.60-TOTL ly 109 94.60-C8PU 17 8 109 40.00 ROOM 1.60 RTAX f 3.20 RTAX 1 T' ----- ---- - - - 5924 11:48 PM 08/12/92 49.80-TOTL m -- t x2 109 49.80-C8PU 8 109 40.00 ROOM 27 1.60 RTAX E! 3.20 RTAX a 6113 11:27 PM 08/13/92 ``UO-TOTL n r 109 5.00-CBPU 2E 109 5 OU POOP r nO ' L 5f NAME iAST OVT DKTE •M OA. E -. . Sc off-} L ? 2711 SGG1H jSHOVA. SCOTT 107AUG92 03iJG910591 s uar °uT I%p •u,�E! lsc.S I�SIF 1 17300 CEDER POST RL. APT .7A 1 4 M"NCE POWARD 20 205 11:02 FM 08/06 205 205 5:04 AM 08/07 -- /92 fE Cm AT NE OUT h E E M NO % B 205 40.00 40. 01, LIVERPOOL NY 13 88 } 3.2ij 4583 10:41 PM 08/05/92 49.&i AX1372891933511000 a3.95� Gv 1 203 -- 49.80-CBpU ' 40.00 ROOK ' 1.60 RTAX ° 205 184.20-- 3.20 RTAX K 4034 8:17 AM 08/03/92 184.20-" ' 5.00 -TOIL s .ted 1 , 5.00-C8PU E .00 POOT-- J.00 - j /92 TOIL ° 8 205 p .. 40.00 n_ u 1.60 F' -- 4161 30:50 FM 08/03/?2 3.20 R' u 139.40-T- u - -.---- nj- 205 139.4u- oj i 8 a205 40.0 4363 11:28 PM 08/04/92 94=_ HO `(�`'1 'vJ.�/��e T HOWARD JOHNSON HOWARD JOHNSON � r 'E AVE 179 GREENMANVILLE AVE MYSTIC. CT 063f5 ..-� ... .. - ?� i3-`-;36-2.,314 i B 205 40.00 1.6G 3.2ij 4583 10:41 PM 08/05/92 49.&i HO `(�`'1 'vJ.�/��e T HOWARD JOHNSON HOWARD JOHNSON � r 'E AVE 179 GREENMANVILLE AVE MYSTIC. CT 063f5 ..-� ... .. - ?� i3-`-;36-2.,314 i Engineers, Caloceprin os & Spina _ EXPENSE REPORT DATE: IE _ '1 EMPLOYEE NAIVE: (PRINT) 5Go J DEPAEMENT NAME: 0 S� (t" PERIOD SHEET: --L- OF FROM: 9 TO: 'i DATE ' NATURE Of EXPENSE PROJECT NAME AND/OR BUSINESS PURPOSE (IDENTIFY SUBJECT MATTER DISCUSSED INCLUDING OTNER PERSONS INVOLVED, BY NAME. COMPANY i TITLE) ALLOCATION OF EXPENSE GL ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEM LOCATION P.D. MISC. N PR2SJ. U N COAT. A ' ACCOUNT NO. CARD TYPE PPD. OR CC. OUT OF POCK) ooh V nu 10 (; t \ I I- I 1 f S 1 Ar40'.:nD FOhM 251-A TOTAL TO BE ACCOUNTED FOR �' �, 1- r. ualocerinos &Spina EXPENSE REPORT SUMMARY i-rigineers, P.C. 10 VE S E MENT-NAME: )$ERIOR_ SHEET OF io o/ FROM: Yom!' t/ R07M7-, SUW'AA2y 0;: 2xhNstS T61ALLOCATED F02 ACCOUNTING DEPT. USE ONLY RECONCILIATION APPROVALS TOTAL AUOUNT PER/ PROJECT NO. ACCOUNT NUMBER ITEM AMOUNT TOTAL PPD- 08 CREDIT CARD EXPENSE TOTAL OUT OF �v EMPLOYEE \DATE POCKET EXPENSE Cy tjPERVISOR 0A Qu; r; a TOTAL EXPENSE ZF5 1 b 19j 6, q ADVANCE DATE ADVANCE PARTNEn ADVANCE DATE — TOTAL ADVANCE f ACCOU:i [ING DAT! t� LESS OUT OF POCKET EXPENSE DUE COMPANY BALANCE I DUE EMPLOYEE REMARKS N 14 V / GAAND TOTAL r THE TRAVEL BUG --• 101 OLD COVE ROAD SUITE 109 LIVERPOOL, NY 13090 1315)451-8833 FAX (315)451-8121 =.ALES `';^.`•:' 31 ITINERARY/INVOICE NO. 0079445 _.-T' F, NFR: 021009 kWZF:R.F CALOCERINGS AND SPINA 1020 7TH NORTH ST., LIVERPOOL► NY 13088 . ... /SCOTT IR FLT:321 SY &ACUSE HARTFORD PESEkVED SEAT 5F I - FRIDAY 1 j THE TRAVEL BUG 101 OLD COVE ROAD SUITE 109 LIVERPOOL, NY 13050 DATE: 30 JUL 92 rrenarar:ro- (315)451-6633 PAGE: 01 I FAX 1315) 451-6121 c SALFS PEkS�iN: 31 T1INERARY/1N'JOTCE NO. 0J79610 CUSTOMER NAR: 021009 SFOEIRW TO: CALOCERINOS AND SPINA 1020 7TH NORTH ST., LIVERPOOL.r Nf 13058 ECONOMY 715A EQP: 737-300 801A NON-STOP --A TR FLT: 1404 ECONOMY �.V HARTFORD 525P EQP: 737 STRETCH S'r-:ACUSE 611P NON-STOP RESERVED SEAT 5A US771592856L SHOVA SCOTT PILLED TO AX372891933511000 SUB TOTAL ----- LESS. AMOUNT., BILLEEI TO CC 'TOTALAKOUNT TIE TF'AVEL AUG APPRECIATES YOUR, BUSINESS.., THC TRA�'_L I•UG TOLL FREE NUk"BER IS 1-800-926-8747 r , See below for Aldine Serial Number 320.00 320.00 --320.00 0.00 ForynmS C -''n^ �y] i T- JU' T A __�sse+aE�wu01t�.C��� 1J 11 3 0 -?966-31' 3 L_ 77„15928561 .5 p .t ,Tt�----�--- CUSTOMER COPY 1 FOR: SHOVA/SCOTT 17 AUG 92 - MONDAY AIR USAIR LV SYRACUSE: AR HARTFORD RESERVED SEAT 21 AUG 92 - FRIDAY r AIR, USAIR LV HARTFORD AR SYRACUSE RESERVED SEAT Bina FLT:321 ECONOMY 715A 601A 7F FLT:1404 ECONOMY 611P 5A i,ATE: 1' PAGE: 01 EOP: 73? -300 NON-STOP EOP: 737 -�TRET:, NON -SI OP AIF: TI \ET US7715928757 SHOVA SCOTT PILLED TO AX372891933511000 I SUB TOTAL LESS AMOUNT BILLED TO CC TOTAL- AMOUNT THE TRAVEL BUG APPRECIATES YOUR BUSINESS.. - THE TRAVEL BUG TOLL FREE NUMBER IS1-800-926-8747 REFUND/REISSUES SU8JECTi7O USD 25_ FEE ------------ ------------ See ------- --- See below for Aldine 1F I ---- �� ,—__I_ Form. Serial Number - n:1..i11- s7.irr. r „riF N) J•L� � G W - :•u: u � 5i,rro'Yi� '•..,il41i"..tul1� -_11;_,1•iµ.'''=-----wl•n--------- 7715928757 5 CUSTOMER .3�, �ARC�j 7 lot" 4 )_fill ry, ---------------- 7 7715928475 3 0 I i See below for Airline Form, Serial Number HC YPAVEL tic) 14'"a 3 07968--3/ N Li; THE TRAVEL BUG 101 OLD COVE ROAD SUITE 109 LIVERPOOL. NY 13090 (315) 451-6633 FAX 1315) 451-8121 SALES PERSON: 31 ITINLP.ARY/INVOICE 00. 31079b12 DATE OIL CUSTOMER NDR: 021009 fkF ACRMV PAGE: 01 TO: CALOCERINOS AND SPINA 1020 7TH NORTH ST., LIVERPOOLF NY 13088 FOR: SHOVA/SCOTT ASTA 10 AUb 92 -, MUNDAY AIR USAIR FLT:321 ECONOMY LV SYRACUSE 715A EOP: 737-300 AR HARTFORD 801A NON-STOP i RESERVED SEAT 12A 114 AUG 92 - FRIDAY AIR USAIR FLT:1404 ECONOMY LV HARTFORD 5255P EQP2 737 STRETCH AR SYRACUSE 611P NON-STOP RESERVED SEAT 5F AIR TICKET US771S928639 SHOVA SCOTT BILLED TO AX372891933511000 ------------- SUE' TOTAL 3z' LESS AMOUNT BILLED TO CC 3z) ------------- -"TO'TAL AMOUNT THE TRAVEL BUG APPRECIATES YOUk.,BUSINESS. THE TRAVEL BUG TOLL FREE NUMBER IS 1-800-426-8747 REFUND/REISSUES SUBJECT TO USEP 2S -FEE 7715928639 6 a See below for Airline Form, Serial Number 0— "E' ZE flit: 1PAL-El. f I T T SAW'A' 7715928639 6 a ea-lorxl� as ,.,;:.:, ClO-e�"ltlOS Sc �vw'i 1a EXPENSE REPORT :..� �!Engineers, P.C. DATE; Y EBdPtO':== ((R5(E: DEPAOTMEN ME: _ PERIOD SH EFT: OF FROM: TO: 1. "T ; :: I NATURE OF EXPENSE e..OJECT NAME AND/OR SUSINESS PURPOSE (IDENTIFY SUDJECT MATTER DISCUSSED INCLUDING OTHER PERSONS INVOLVED OT NAME. COMPANY A TITLE) ALLOCATION OF EXPENSE CLAIMED ACCOUNTING DEPT. ONLY AMOUNT OF EXPENSE ITEU LOCATION P.D. MISC. PAW. CPO"?. A' SEJ ACCOUNT NO. TYPE PPD. OR CC. OUT Of POCXET 609 3 IT 40'-1 t• (� — Z 0 Z ryl�./� :m e..Q ,.�•._c tri h )40'r, 1.09 I c� '1 jJ� 0 Lt 7n 9 0,; e -kLl its l �j °i Z N tl Z;-� ctn la 7 Oct `�c' � on "� f• Cl _+ :OTAL TO W. ACCOUNTED FCA - i FISHERS ISLAND AIRPORT -ELIZABETH FIELD 10/21/92 AIRFIELD LIGHTING -------- FISHERS ISLAND, NY 211.004.002 CONSTRUCTION AND PROJECT IMPROVEMENT ANALYSIS ----------------------------------------------- PROGRAM NO. 1 Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: 8310,734.13 8327,088.56 80.00 LESS RETAINAGE: 816,354.43 SUBTOTAL: 8327,088.56 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 08/10/92 8112,128.77 8112,128.77 80.00 09/14/92 866,266.05 866,266.05 80.00 10/07/92 8148,693.74 8148,693.74 80.00 JUDITH T. TERRI' TOWN CLERK REGISTRAR OF VITAL. STATISTICS MARRIAGE, OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 2, 1992 Sheila Farley Grants Administrator Calocerinos S Spina Engineers 1020 Seventh North Street Liverpool, New York 13088 Dear Ms. Farley: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Enclosed herewith are five (5) Form AV -20, executed by Assistant Town Attorney Kiernan, and notarized by myself, regarding the Fishers Island - Elizabeth Field, Airfield Lighting, FAA AIP No. 3-36-0029-05-92. Very truly yours, Judith T. Terry Y Southold Town Clerk Enclosures (5) AV -20 211.004.002 NEN YORK STATE DEPARTMENT OF TRANSPORTATION AIRPORT/AVIATION CAPITAL GRANT PROGRAM CERTIFICATION OF MUNICIPAL CONTRACT FOR CONSTRUCTION OR EQUIPMENT PURCHASE Instructions I. This form should be submitted in quadruplicate to the appropriate NYSDOT Regional Office as soon as possible after the contract signing and an accepted copy must be on file in the Comptroller's Office before requests for State reimbursement can be processed. 2. In the case of multiple contracts as in a building construction contract encompassing multiple State Grants use a separate certification for each Grant and provide the allocated portion of costs. In both cases, provide appropriate cross-references. Contract Data (a) Airport: FISHERS ISLAND AIRPORT -ELIZABETH FIELD (b) Contract Description and Location: AIRFIELD LIGHTING (Construction) (c) Municipal Corporation Designation Number, if any: (d) Contractor Name and Address: Falvey Construction Corporation P.O. Box 699 Killingworth, Connecticut 06419 (e) Total Contract Amount $419,421.00 (f) Total State Eligible Amount, if different from (e): (g) State Share: $31,456.57 (h) State PIN: 0913.05 (i) State Comptroller Grant No. K - Maximum Project Cost $510,800 Maximum State Amount $38,310 (j) Federal Grant Number 3-36-0029-05-92 Amount $459,720 Certification I, Matthew Kiernan, with offices at Town of Southold Attorney's Office, 53095 Main Road, Southold, NY, am the Attorney for the Town of Southold, and have reviewed this contract entered into on August 10, 1992 between the Town of Southold and Falvey Construction Corporation, P.O. Box 699, Killingworth, Conn. 06419 for $419,421 and certify to the follow'ng: 1. This contract has incorporated the contract provisions specified / in Addendum No. 1, Schedule 1 and Appendix A of the referenced �YS Grant Agreement. 2. The award of this contract was based on public advertisementd competitive bidding, and conforms to all State and local laws i i PrA 3. The award of this contract was made to the lowest bidder from at least three (3) bids received and opened on 03/12/92 (Date) and was within 20% of the Engineer's Estimate. (If this statement cannot be made because the award to the lowest responsible bidder was not the lowest bid received, or if less than three (3) bids were received, or if the awarded bid was not within 20% of the Engineer's Estimate, then cross out thin statement from the certification and attach the following: 1. Engineer's Estimate 2. Certificated copy of Bid Tabulation 3. Justification for making the award under these conditions. 4. The execution of this contract (or purchase order in the case of equipment purchase) by the municipality was specifically authorized by resolution passed on April 8. 1992 by its governing body. (Date) 5. The contractor has submitted to the municipality executed copies of Performance Bond and Labor & Material Bonds in amounts that are equal to or greater than the value of the contract (not required for equipment purchase). 6. The contractor has submitted an executed non -collusion certification as part of his bid for this contract. 7. The contractor has provided the municipality with proof that liability insurance has been obtained in the amounts specified in the Grant Agreement for this project. 8. The contract or purchase order is properly executed by both the municipality and the contractor. 9. Any or all of the above documents will be submitted to the NYSDOT upon their request. 2Ato Signature hew G. Kiernan ovember 2, 1992 Date Acknowledgement of Attorney's Signature by Notary Public: November 2. 1992 Date JUDITH T. TERRY Notary Public, Stab: sof New York No, Est -0344983 Qualified in Suffolk County Commission Expires May 31, 18 ACCEPTED BY N.Y.S.D.O.T.: Date Accepted for the State Comptroller: Date AV 20 (10/81) 09/04/92 �� Calocerinos & Spina Engineers, P.G. Son&M Tow., Glmk To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, New York 06390 Attention: Enclosed please find the following: Re: Fisher Island -Elizabeth Field Airfield Lighting FAA AIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 File: 211.004.002 Date: 22 -Oct -92 - Five copies of Partial Payment Request No. TWO (Form 271) for your review and appropriate signature. - Six copies of Form AV -20, Certification of Municipal Contract for Construction for your review, attorney signature, and Notary signature. Remarks: Please have Mr. Harris sign four copies of Form 271, and return them to me for further processing. Keep one copy of the form with the attached backup documentation for your files. Form AV -20 should be signed by the town attorney with a Notary witness. Return five copies to me for distribution to appropriate agencies. Keep one copy of Form AV -20 for your files. ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. i Enclosures , cc: Ms. Judith T. Terry fella M. Farley Grants Administrator 1020 Seventh North Street, Liverpo� 1, NY 13088-6139 (315) 457-F)7F-11 X (;315) X1`7 98, , L/ l -1 UZ a i nrwraw roma zn v-rol Prescribed by Office of Management and Budget Cit. No. A-110 Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. 80-RO181 1 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST CLASSIFICATION FINAL ® PARTIAL ® CASH ❑ ACCRUAL 3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TU 4. FEDERAL GRANT OR OTHER ARTIAL PAYMENT REQUEST . WHICH THIS REPORT IS SUBMrrTED IDENTIFYING NUMBER ASSIGNED TWO BY FEDERAL AGENCY a. Administrative expense Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-05-92 $0.00 S. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVER® BY THIS REPORT IDENTIFYING NUMBER FROM (Month, day, year)(Month, TO day, year) 11-6003307 N/A 8/18/92 10/7/92 9. RECIPIENT ORGANIZATION 10. PAYEE (Wheys check should be sent If different than Item 8) Name: TOWN OF SOUTHOLD Name: TOWN HALL, 53095 MAIN ROAD c. Land, structures, right-of-way No. and P.O. BOX 1179 No. and Street. SOUTHOLD, NY 11971 sneer. City, city, State and state and ZIP Code: ZIP Code., _CTATI It;C AF m imnq L/ l -1 UZ a i nrwraw roma zn v-rol Prescribed by Office of Management and Budget Cit. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (y (6) (c) CLASSIFICATION AIRFIELD LIGHTING TOTAL (Construction) a. Administrative expense $0.00 $0.00 $0.00 $0.00 b. Preliminary expense $0.00 $0.00 $0.00 $0.00 c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00 d. Architectural engineering basic fees $0.00 $0.00 $0.00 $0.00 e. Other architectural engineering fees $0.00 $0.00 $0.00 $0.00 f. Project inspection fees $42,297.35 $0.00 $0.00 $42,297.35 g. Land development $0.00 $0.00 $0.00 $0.00 h. Relocation expense $0.00 $0.00 $0.00 $0.00 i. Relocation payments to individuals and businesses $0.00 $0.00 $0.00 $0.00 j. Demolition and removal $0.00 $0.00 $0.00 $0.00 k. Construction and project improvement cost $310,734.13 $0.00 $0.00 $310,734.13 I. Equipment $0.00 $0.00 $0.00 $0.00 m. Miscellaneous cost $0.00 $0.00 $0.00 $0.00 n. Total cumulative to date (sum of lines a thru m) $353,031.48 $0.00 $0.00 $353,031.48 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $353,031.48 $0.00 $0.00 $353,031.48 q. Federal share to date $317,728.33 $0.00 $0.00 $317,728.33 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $317,728.33 $0.00 $0.00 $317,728.33 I. Federal payments previously re- quested $113,020.65 $0.00 $0.00 $113,020.65 u. Amount requested for reimbursement $204,707.68 $0.00 $0.00 $204,707.68 v. Percent of physical completion of projeci 69.1% 0.0%1 0.0% 69.1% SIGNATURE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED 12. CERTIFICATION OFFICIAL I certify that to the best of my knowledge a. RECIPIENT and belief the billed costs or disburse- TYPED OR PRINTED NAME AND TITLE TELEPHONE NO. ments are in accordance with the terms SCOTT L. HARRIS of the project and that the reimbursement TOWN SUPERVISOR (516) 765-1800 represents the Federal share due which SIGNATURE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED has not been previously requested and that an inspection has been performed OFFICIAL and all work is in accordance with the b. Representative terms of the award. certifying to line TYPED OR PRINTED NAME AND TITLE TELEPHONE NO. 11v. CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR L/ l -1 UZ a i nrwraw roma zn v-rol Prescribed by Office of Management and Budget Cit. No. A-110 AV -20 211.004.002 NEW YORK STATE DEPARTMENT OF TRANSPORTATION AIRPORT/AVIATION CAPITAL GRANT PROGRAM CERTIFICATION OF MUNICIPAL CONTRACT FOR CONSTRUCTION OR EQUIPMENT PURCHASE Instructions I. This form should be submitted in quadruplicate to the appropriate NYSDOT Regional Office as soon as possible after the contract signing and an accepted copy must be on file in the Comptroller's Office before requests for State reimbursement can be processed. 2. In the case of multiple contracts as in a building construction contract encompassing multiple State Grants use a separate certification for each Grant and provide the allocated portion of costs. In both cases, provide appropriate cross-references. Contract Data (a) Airpnrt: FISHERS ISLAND AIRPORT -ELIZABETH FIELD (b) Contract Description and Location: AIRFIELD LIGHTING (Construction) (c) Municipal Corporation Designation Number, if any: (d) Contractor Name and Address: Falvey Construction Corporation P.O. Box 699 Killingworth, Connecticut 06419 (e) Total Contract Amount $419,421.00 (f) Total State Eligible Amount, if different from (e): (g) State Share: $31,456.57 (h) State PIN: 0913.05 (i) State Comptroller Grant No. K - Maximum Project Cost $510,800 Maximum State Amount $38,310 (j) Federal Grant Number 3-36-0029-05-92 Amount $459,720 Certification I, Matthew Kiernan, with offices at Town of Southold Attorney's Office, 53095 Main Road, Southold, NY, am the Attorney for the Town of Southold, and have reviewed this contract entered into on August 10, 1992 between the Town of Southold and Falvey Construction Corporation, P.O. Box 699, Killingworth, Conn. 06419 for $419,421 and certify to the following: I. This contract has incorporated the contract provisions specified in Addendum No. 1, Schedule 1 and Appendix A of the referenced NYS Grant Agreement. 2. The award of this contract was based on public advertisement and competitive bidding, and conforms to all State and local laws. KA 3. The award of this contract was made to the lowest bidder from at least three (3) bids received and opened on 03/12/92 (Date) and was within 20% of the Engineer's Estimate. (If this statement cannot be made because the award to the lowest responsible bidder was not the lowest bid received, or if less than three (3) bids were received, or if the awarded bid was not within 20% of the Engineer's Estimate, then cross out this statement from the certification and attach the following: 1. Engineer's Estimate 2. Certificated copy of Bid Tabulation 3. Justification for making the award under these conditions. 4. The execution of this contract (or purchase order in the case of equipment purchase) by the municipality was specifically authorized by resolution passed on April 8. 1992 by its governing body. (Date) 5. The contractor has submitted to the municipality executed copies of Performance Bond and Labor & Material Bonds in amounts that are equal to or greater than the value of the contract (not required for equipment purchase). 6. The contractor has submitted an executed non -collusion certification as part of his bid for this contract. 1. The contractor has provided the municipality with proof that liability insurance has been obtained in the amounts specified in the Grant Agreement for this project. 8. The contract or purchase order is properly executed by both the municipality and the contractor. 9. Any or all of the above documents will be submitted to the NYSDOT upon their request. Attorney's Signature ACCEPTED BY N.Y.S.D.O.T.: Date Date Acknowledgement of Attorney's Accepted for the State Comptroller: Signature by Notary Public: Date Date AV 20 (10/81) 09/04/92 SMF JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 8, 1992 Sheila M. Farley Grants Administrator Calocerinos 8 Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island -Elizabeth Field Airfield Lighting Dear Ms. Farley: Town Ball, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Enclosed are four (4) executed copies of Form 271, Partial Payment No. ONE, for the Elizabeth Field Airport, Fishers Island, Airfield Lighting project. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting & Finance '1.._ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 8, 1992 Sheila M. Farley Grants Administrator Calocerinos 8 Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island -Elizabeth Field Airfield Lighting Dear Ms. Farley: Town Ball, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Enclosed are four (4) executed copies of Form 271, Partial Payment No. ONE, for the Elizabeth Field Airport, Fishers Island, Airfield Lighting project. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting & Finance JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON OCTOBER 6, 1992: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute Partial Payment Request No. ONE to the Federal Aviation Administration for $113,020.65 for the Elizabeth Field Airport, Fishers Island, Airfield Lighting project, all in accordance with the recommendation of Calocerinos & Spina, P. C, the Town's engineers for the project. /'-I�udithT.Terry Southold Town Clerk October 7, 1992 alwvurvW r%AW zn tr-rt0 Pmecribed by Office of Management and Budget Ci. No. A-110 Approved by Office of Management and PAGE CUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. 80-RO181 1 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE of: Maur* 1 x. IASIS OF REQUEST CLASSIFICATION ❑ FINAL ® PARTIAL ® CASH 0 ACCRUAL & FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMERM WHICH THIS REPORT IS SUBMITTED 4. FEDERAL GRANT OR OTHER 6. PARTIAL PAYMENT REQUEST NO. IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY ONE Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-05-92 e EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT $0.00 IDENTIFYING NUMBER FROM (Month, day, year) TO (Month, doy. year) 11-6003307 N/A 6/30/92 8/18/92 e. RECIPIENT ORGANIZATION 10. PAYEE (More crieak should be sent Hdftrent than hem D) Name: TOWN OF SOIJTHOLD Name: TOWN HALL, 53095 MAIN ROAD $0.00 Nva and P.O. BOX 1179 Na and sweet SOIJTHOLD, NY 11971 street C C* State and State and Z/P Code: 2W Code. 11. STATUS OF FUNDS alwvurvW r%AW zn tr-rt0 Pmecribed by Office of Management and Budget Ci. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES ra (b) �a) CLASSIFICATION AIRFIELD LIGHTING TOTAL a. Administrative expense $0.00 $0.00 $0.00 $0.00 b. Preliminary expense $0.00 $0.00 $0.00 $0.00 c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00 d. Architectural engineering basic fees $0.00 $0.00 $0.00 $0.00 e. Other architectural engineering fees $0.00 $0.00 $0.00 $0.00 I. Project inspection fees $19,056.17 $0.00 $0.00 $19,056.17 g. Land development $0.00 $0.00 $0.00 $0.00 h. Relocation expense $0.00 $0.00 $0.00 $0.00 I. Relocation payments to individuals and businesses $0.00 $0.00 $0.00 $0.00 J. Demolition and removal $0.00 $0.00 $0.00 $0.00 k. Construction and project improvement cost $106,522.33 $0.00 $0.00 $106,522.33 I. Equipment $0.00 $0.00 $0.00 $0.00 m. Miscellaneous cost $0.00 $0.00 $0.00 $0.00 n. Total cumulative to date (sum of lines a thru m) $125,578.50 $0.00 $0.00 $125,578.50 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $125,578.50 $0.00 $0.00 $125,578.50 q. Federal share to date $113,020.65 $0.00 $0.00 $113,020.65 r. Rehabilitation grants (100° reim- bursement) s. Total Federal share (sum of lines q and r) $113,020.65 $0.00 $0.00 $113,020.65 t. Federal payments previously re- quested $0.00 $0.00 $0.00 u. Amount requested for reimbursement $113,020.65 $0.00 $0.00 $113,020.65 v_ Percent of physical completion of project 24.6 0.0 0.0% 24.6% 12. CERTIFICATION SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL DATE REPORT SUBMITTED DCT 1, Me I certify that to the best of my knowledge a. RECIPIENTS"Ve3g/_� At-� and belief the billed costs or disburse- TYPED OR PRINT9D NAME AND TITLE TELEPHONE NO. ments are in accordance with the terms SCOTT L HARRIS of the project and that the reimbursement TOWN SUPERVISOR (516) 765-1800 represents the Federal share due which has not been previously requested and SIGNATURE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED that an inspection has been performed OFFICIAL and all work is in accordance with the b. Representative / o /Cn// terms of the award. certifying to line A ' TYPED OR PRINTED NAME AND TITLE TELEPHONE NO. CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR alwvurvW r%AW zn tr-rt0 Pmecribed by Office of Management and Budget Ci. No. A-110 w Cr Calocerinos & Spina Engineers, P.C. RECEIVED 1,992 To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, New York 06390 Attention: Enclosed please find the following: Re: Fisher Island -Elizabeth Field Airfield Lighting FAA AIP No. 3-36-0029-05-92 NYS PIN No. 0913.05 File: 211.004 Date: 17 -Sep -92 - Five copies of Partial Payment Request No. ONE (Form 271) for your review and signature. Remarks: Please have Mr. Harris sign four copies of Form 271, and return them to me for further distribution. Please keep one copy of the form with the attached backup documentation for your files. ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- If you have any questions or need additional information, please do not hesitate to contact us. Enclosures cc: Ms. Judith T. Terry (w/encl) CALOCERIOS & SPINA ENGINEERS, P.C. 4eila M. FarTey Grants Administrator 1020 Seventh North Street, Liverpool, N`( 13088-6199 (310) 457-6711 FAX (13151 41`1� 7 t� FISHERS ISLAND AIRPORT -ELIZABETH FIELD AIRFIELD LIGHTING FISHERS ISLAND, NY F.A.A. AIP PROJECT NO. 3-36-0029-05-92 N.Y.S.D.O.T. PROJECT NO. 0913.05 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 ----------------------------------------------- 09/03/92 211.004.002 FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON_ PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING a. ADMINISTRATIVE EXPENSE ......................... 83,820.00 83,820.00 80.00 $0.00 b. PRELIMINARY EXPENSE ............................ 80.00 80.00 $0.00 80.00 c. LAND, STRUCTURES, RIGHT-OF-WAY ................. $0.00 80.00 $0.00 $0.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... $0.00 80.00 $0.00 80.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... 80.00 80.00 80.00 80.00 f. PROJECT INSPECTION FEES ........................ 884,559.00 $84,559.00 819,056.17 $0.00 g. LAND DEVELOPMENT ............................... $0.00 $0.00 80.00 80.00 h. RELOCATION EXPENSE ............................. 80.00 $0.00 80.00 $0.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... 80.00 80.00 $0.00 80.00 j. DEMOLITION AND REMOVAL ......................... 80.00 80.00 $0.00 80.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... 8419,421.00 $419,421.00 $106,522.33 $0.00 1. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 a. MISCELLANEOUS COST ............................. 83,000.00 83,000.00 $0.00 80.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS 8510,800.00 $510,800.00 $125,578.50 $0.00 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 09/03/92 AIRFIELD LIGHTING -------- FISHERS ISLAND, NY 211.004.002 PROJECT INSPECTION FEES ANALYSIS PROGRAM NO. 1 -------------------------------- Indicates previous subaittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $19,056.17 $16,882.19 $0.00 ------------------------------------------------------------------------ LESS RETAINAGE: $1,002.96 SUBTOTAL: $20,059.13 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 07/24/92 $13,411.07 $11,316.65 08/18/92 $6,648.06 $5,565.54 $0.00 FISHERS ISLAND AIRPORT -ELIZABETH FIELD 09/03/92 AIRFIELD LIGHTING -------- FISHERS ISLAND, NY 211.004.002 CONSTRUCTION AND PROJECT IMPROVEMENT ANALYSIS PROGRAM NO. 1 ----------------------------------------------- * Indicates previous subsittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ 8106,522.33 8112,128.77 80.00 ------------------------------------------------------------------------ LESS RETAINAGE: 85,606.44 SUBTOTAL: 8112,128.77 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 08/10/92 8112,128.77 8112,128.77 80.00 .-......................................................................................5:..:.... ..... ....... PROJECT: ELIZABETH FIELD AIRPORT -FISHERS ISLANDFile o. 211.004 ` AIRFIELD LIGHTING, VISUAL AIDS & ELECTRICAL BUILDING FAA-AIP NO. 3-36-0029-05-92, N.Y.S.D.O.T. NO. 0913.05 Date: 8/10/92 Estimate No: ONE TO THE TOWN OF SOUTHOLD: , Pursuant to the terms of the Contract, dated May 1, 1992, by and between the Town of Southold and Falvey Construction Corporation, contractor for the construction of the Elizabeth Field Airport -Fishers Island, Airfield Lighting, Visual Aids 6 Electrical Building (FAA-AIP No. 3-36-0029-05-92, N.I.S.D.O.T. No. 0913.05), we hereby submit the First Estimate, for work completed through July 30, 1992: :-------------------------------------------------------------------------------------------------------------------------------------�. ORIGINAL . QUANTITY Ites CONTRACT UNIT : TO UNIT TOTAL $ Number -------------- DESCRIPTION I------------------------------------------ QUANTITY DATE PRICE I----------------; TO DATE : P-152 1. I---------------- Common Excavation, Area No. 1 I-------- 100.00% : L.S. I---------------- I------------------ 0.00% : $10,000.00 80.00 : : P-152 2. Pavement Excavation(Bituminous Concrete) 900.00 : S.Y. 0.00 3.00 0.00 : : P-612 3. Field Office 100.001: L.S. 32.00% : 18,200.00 5,824.00 : : P-620 4. Runway Painting 23,000.00 s.f. 0.00 0.50 0.00 : : L-102 S. Electrical Building Electrical Service 100.001 : L.S. 75.00% : 9,000.00 6,750.00 : : L-106 6. : Segmented Circle 100.001 : L.S. 0.001 : 15,300.00 0.00 : : L-107 7. Lighted Wind Cone 100.001 : L.S. 0.002 : 16,700.00 0.00 : : L-108 8. Cable Trenching for the Installation : of Underground Cable 8,600.00 l.f. 2,716.00 2.25 6,111.00 : : L-108 9. No. 8 AWG 600V Type C Single Conductor : Underground Cable instld in Trench/Duct 28,300.00 l.f. 10,956.50 0.38 4,163.47 : : L-108 10. : No. 8 AWG SKV Type C Single Conductor : Underground Cable instld in Trench/Duct 12,900.00 l.f. .0.00 0.38 0.00 : : L-108 11. No. 8 AWG Bare Copper Counterposie Wire : installed in Trench including Grounding : Rods and Exothermic Connections 9,500.00 l.f. 0.00 0.28 0.00 : L-109 12. : Installation of Airport Electrical : Building Equipment, in Place 100.00% : L.S. 0.00% : 30,000.00 0.00 : : L-110 13. : 4 -way Electrical Duct Bank Type I 700.00 11. 258.00 : 55.00 : 14,190.00 : : L-110 14. : 8 -way Electrical Duct Bank Type 1 200.00 l.f. 195.00 z 70.00 : 13,650.00 : : L-110 1S. : 2 -in Dia YSC installed in Pavement 3,000.00 l.f. 590.70 : 4.00 : 2,362.80 : : L-110 16.. : 2 -in Dia RSC installed in Turf 270.00 l.f. 13.00 : 2.00 : 26.00 : : L-110 17. : 2 -in Dia RSC reinstalled in Turf 190.00 l.f. 0.00 : 2.00 : 0.00 : : L-112 18. : Electrical Building 100.00% : L.S. 42.00% : 40,000.00 : 16,800.00 : : L-115 19. : Electrical Manhole No. 1 1.00 : each 49.00% : 12,250.00 : 6,002.50 : : L-115 20. : Pull Box Reinstallation 1.00 each 0.00 : 500.00 : 0.00 : : L-125 21. Medium Intensity R/W Edge Lights, : Base Mounted, in Pavement 57.00 each : 0.00 : 315.00 : 0.00 : L-125 22. Runway 25 Threshold Lights 100.00% : L.S. : 40.00% : 3,800.00 : 1,520.00 : L-125 23. Airport Guidance Sign No. R-2-5, : Base Mounted, in Pavement 100.001 : L.S. 0.00% 2,655.00 0.00 : : L-125 24. : Airport Guidance Sign No. R-2-19, : Base Mounted, in Pavement 100.001: L.S. 0.00% : 2,655.00 0.00 : : L-125 25. : Airport Guidance Sign No. R-1-3, - : Base Mounted, in Turf 100.001: L.S. 0.00% : 2,400.00 0.00 : L-125 26. : Airport Guidance Sign No. R-1-19, : Base Mounted, in Turf 100.00% : L.S. 0.00% : 2,400.00 0.00 : : L-125 27. : R/W End Identification Light (REIL) : System, Runway 7 End 100.001: L.S. 40.00% : 8,250.00 3,300.00 : L-125 28. : R/W End Identification Light (REIL) : Sy3tea, Runway 25 End 100.001: L.S. 40.001 : 8,250.00 3,300.00 : _-' S _29. R/Q Erb Identification Light (REIL) _ , 1. , ♦ a y M System, Runway 12 End 100.00% : L.S. 0.002 : 8,250.00 : 0.00 : 125 30. R/V End Identification Light (REIL) , System, Runway 30 End 100.00% : L.S. 0.00% : 8,250.00 0.00 _5 31. Generic Visual Approach Descent , Indicator System, Runway 7 End 100.00% : L.S. : 40.001 : 9,580.00 3,832.00 '.15 32. ; Generic Visual Approach Descent , Indicator System, Runway 25 End 100.00% : L.S. 40.00% : 9,580.00 3,832.00 :25 33. : Generic Visual Approach Descent , : Indicator System, Runway 12 End 100.001 : L.S. 0.00% : 9,580.00 0.00 '...'5 34. : Generic Visual Approach Descent , : Indicator System, Runway 30 End 100.00% : L.S. 0.00% : 9,580.00 0.00 :-'25 35. : Removal of Existing Runway Edge Lights 100.001 : L.S. 0.00% : 7,500.00 ; 0.00 Ll -'10 36. : M 6 P of Traffic 100.00% : L.S. : 19.001 : 23,500.00 : 4,465.00 ?-100 37. : Mobilization 100.00% : L.S. : 100.00% : 16,000.00 : 16,000.00 -------------------------------------------------------------------------------------------------------------------------------- Total Amount of Vork Done to Date ------------------- --------- 8112,128.77 STATEMENT OF DAYS CHARGED Less 5% Retained --------------------------------------------- 5,606.44 ............. TOTAL CONTRACT DAYS 60 8106,522.33 LESS DAYS CHARGED 19 N.. Amount Recommended for Payment, Previous Estimates ----------- 0.00 ........... DAYS REMAINING 41 AMOUNT DOE CONTRACTOR, FIRST ESTIMATE ---------- $106,522.33 CORMT UCTION CORPORATION c s 04 t P-11, . �A �. V ♦ a a i CALOCERINOS & SPINA Engineers, P.C. Harold V. Vagner, Jr ! 9 Division Manager C) US. Department of Transportation Federal Aviation Administration SFS 2 1992 Mr. Scott L. Harris Superintendent, Town of Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Dear Mr. Harris: V. 181 S. 9ao.An ", Q. 305 vAV Uum,, 71y 11581 REIL Installation of R/W 30 Elizabeth Field Airport AIP 3-36-0029-04-91 & 3-36-0029-05-92 RECEIVED SEP 8 1992 Reference is made to our letter to you dated March 11, 1992 approving the installation of REILS at 100 ft. upwind from the threshold of R/W 30 at a distance of 40 ft. from the edge of pavement and your consultant, Calocerinos & Spina, recent request to revise the approved 40 ft. distance to 35 ft. Please be advised that we have reviewed this recent request with staff within FAA and is approved subject to one comment: -The new REILS must be shielded to avoid interference with the VASI. If you have any questions, please call at 516-295-9343. Sincerely, Dan Vornea — Airport Engineer Enclosure �1 US. Department of Transportation Federal Aviation Administration Mr. Scott L. Harris Supervisor, Town of Southold Town Hall 53095 Main Road Southold, New York 12953 Dear Mr. Harris: V"A 181 1 YwAn ,dam OZm. 305 va&� &wan, nY 11581 RECEIVED JUL 13 1992 SoufhoM T_ �`la•ir Elizabeth Field Airport, Fishers Island Lighting & Rehabilitation for Runways 7-25 & 12-30 VASI & REILS on R/W's 7, 25, 12 & 30 and Electrical Vault Installation, AIP Project No. 3-36-0029-05-92 Reference is made to your consultant letter dated June 23, 1992 advising this office that their efforts to hire a local qualified inspector for the reference project failed and they will use a qualified inspector from their Syracuse Office. We have reviewed all the material submitted with the aforementioned letter and it is our belief that your consultant made a good faith effort to hire a local inspector and they demonstrated that although they were candidates, their qualifications did not meet the requirements for this specialized project. Consequently, we formally approve the inspection fee in the amount of $84,559. We also acknowledge the receipt of the draft agreement for Inspection Services, reflecting the same amount of money, which was transmitted to us by the consultants with their letter of June 18, 1992. We have reviewed this agreement and found it acceptable. An executed copy should be sent to us for our files, when available. If you have any questions, please call at 516-295-9343. Sincerely, Dan Vornea Airport Engineer JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 7, 1992 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Mark F. Petranchuk, Managing Engineer Calocerinos S Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island Airport Airfield Lighting, Visual Aids 8 Electrical Building Dear Mr. Petranchuk: Enclosed are six (6) executed copies of the Cost Plus Fixed Fee Consultant Agreement for Inspection on the above -referenced project, along with certified resolution of the Southold Town Board authorizing execution of same by Supervisor Harris. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (6) cc: Accounting & Finance JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER f OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JUNE 30, 1992: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute a Cost Plus Fixed Fee Consultant Agreement for Inspection, in the amount of $10,626.0.0, between the Town of Southold and Calocerinos & Spina Engineers, P.C., for Contract Administration and Inspection during construction of the Elizabeth Field, Fishers Island, Airfield Lighting, Visual Aids 6 Electrical Building Contract, dated December, 1991. Judith T. Terry Southold Town Clerk July 1, 1992 G S Calocerinos & Spina Engineers, P.0 June 18, 1992 Mr. Scott L. Harris Supervisor, Town of Southold Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Dear Mr. Harris: Y , 7 _x V # JUN 2 9 1cm Re: Fishers Island Airport Airfield Lighting, Visual Aids & Electrical Building Subj : Cost Plus Fixed Fee Consultant Agreement for Inspection File: 211.004 Enclosed are eight copies of the Cost Plus Fixed Fee Consultant Agreement for Inspection on the above -referenced project. This Agreement provides for resident project representation of the project during construction, as well as contract administration, grants administration, construction surveys and testing and direct expenses associated with the project. Please note that the amount of this Agreement has been calculated based on a 60 day, 8 hour per day construction period. This scope shall define the expected level of effort of this Agreement. By copy of this letter, we are submitting draft copies of this Agreement to the Federal Aviation Administration and New York State Department of Transportation for their concurrent review and approval. Please review and if acceptable execute each copy, retain the required number for your records and return the remainder, along with a copy of the resolution authorizing execution, to my attention for formal distribution to the New York State Department of Transportation and Federal Aviation Administration. If you have any questions in reference to the enclosed, please do not hesitate to contact me. Very truly yours, CALOCERINOS & SPINA ENGINEERS, P.C. Mark F. Petranchuk Managing Engineer MFP Jmc Enclosure cc: Mr. Philip Brito (w/encl) Mr. Robert Michaud (w/encl) Mr. James Kuzloski (w/3encl) Mr. R. Philip Knauff (w/encl) r 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 a a,. COST PLUS FIXED FEE CONSULTANT AGREEMENT FOR INSPECTION PROJECT: Elizabeth Field - Fishers Island Airport Airfield Lighting, Visual Aids & Electrical Building AW Project No. 3-36-0029-05-92 N.Y.S.D.O.T. PROJECT NO. This Agreement made this,,'"tday of , 1992, by and between the Town of Southold (hereinafter referred to as the "SPONSOR"), and alocerinos & Spina Engineers, P.C. (hereinafter referred to as the 'CONSULTANT"). WITNESSETH: That the SPONSOR and the CONSULTANT, for the consideration hereinafter named, agree as follows: ARTICLE 1. DESCRIPTION OF WORK TO BE DONE. The SPONSOR agrees to and hereby does retain and employ the personal service of the CONSULTANT because of his ability and reputation, and the CONSULTANT agrees to perform such services of said Project being particularly described in Schedule A attached hereto and made a part hereof. ARTICLE 2. PROVISION FOR PAYMENT. A. Basis for Payment. The SPONSOR shall pay to the CONSULTANT, and the CONSULTANT agrees to accept as full compensation for his services under this Agreement: Item I: Actual Direct Salaries of all employees assigned to this Project on a full-time basis for all or part of the term of this Agreement, plus properly allocable partial salaries of all persons working part-time on this Project, all subject to audit. Overtime in accordance with the terms of this Agreement shall be charged under this Item. The cost of the Principals' salaries (or allowable portion thereof) included in Direct Costs during the period that they are working specifically on the Project (productive time) are eligible if their comparable time is also charged directly to other projects in the same manner. Otherwise, Principals' salaries are only eligible as an overhead cost. Item II: Actual Direct Non -salary Costs incurred in fulfilling the terms of this Agreement, as defined in Schedule B herein, all subject to audit. Item III: Overhead Allowance based on actual expenses during the terms of this Agreement, subject to audit. Submitted overhead amounts may be audited based upon the Federal Procurement Regulations and State Policy. The overhead allowance shall be established as a percentage of Item I (Actual Direct Salaries) of this Article, estimated at the start of work to be 140%. The overhead allowance shall not be applied to premium time costs. 9.11.91 .irv:\21I\W4\& .\ag=.;m -2 - For the purpose of this Agreement, an accounting period shall be the CONSULTANT'S fiscal year. For monthly billing purposes, the latest overhead percentage approved by the SPONSOR shall be applied to the charges made under Item I of this Agreement to determine the charge to be made under this Item. For the purpose of establishing the final payment under this Agreement, the actual allowable overhead percentage determined for each accounting period shall be applied to that accounting period. Item IV - Fixed Fee: A negotiated lump sum fee which in this Agreement shall equal $10,626.00. Fixed Fee is not subject to audit, and is not subject to review or modification unless the SPONSOR determines that such review or modification is justifiable and advisable. A summary of the monies due the CONSULTANT under Items I, H, III and IV is attached and listed as Schedule B. Item V: In the event of any claims being made or any actions being brought in connection with the project, the CONSULTANT agrees to render to the SPONSOR all assistance requested by the SPONSOR. Compensation for work performed and costs incurred in connection with such requirement shall be made on a fair and equitable basis. In all cases provided for in this Agreement for the additional services above described, the SPONSOR'S directions shall be exercised by the issuance of a Supplemental Agreement. Item VI: This Agreement shall be reviewed by the Consultant when thirty percent (30%) and sixty percent (60%) of the allocated fees in the Agreement have been expended to determine if any changes or Supplemental Agreements are warranted. The CONSULTANT agrees to notify the SPONSOR, New York State Department of Transportation and the Federal Aviation Administration of the findings of each such review in writing. B. Partial Payments. The CONSULTANT shall be paid in monthly progress payments based on actual allowable costs incurred during the month in accordance with Section A of this Article. Monthly bills shall clearly identify the costs of the work performed and are subject to approval of the SPONSOR. A percentage of the Fixed Fee defined in Item IV of this Article shall be paid with each monthly payment. The percentage to be used in calculating the monthly payment under Section A, Item IV, shall equal the ratio of the costs expended during the billing period to the maximum amount payable (exclusive of fixed fee) allocated to fulfill the terms of this Agreement as established herein. Accounts of the CONSULTANT shall clearly identify the costs of the work performed under this Agreement and may be subject to periodic and final audit by the SPONSOR, New York State Department of Transportation and the Federal Aviation Administration. Such an audit shall not be a condition for making partial payments. The SPONSOR shall retain five percent (5%) of each monthly progress payment due under this Agreement, exclusive of Subcontractor costs, up to a maximum of twenty thousand dollars ($20,000.00) conditioned upon the faithful performance of all terms and provisions of this Agreement by the CONSULTANT. The SPONSOR shall retain from each monthly installment five percent (5%) of each Subcontractor's costs up to a maximum of twenty thousand dollars ($20,000.00) for each individual Subcontractor. C. Final Payment. Upon completion and acceptance of the project by the SPONSOR, New York State Department of Transportation and the Federal Aviation Administration, fifty percent (50%) 9.11.91 .uv:\211 WoaVgnmis\ft=.mn -3 - of the retained percentages may be released. Final payment, including the balance of retainage, shall be made within sixty (60) days after the SPONSOR receives the final engineering audit. The acceptance by the CONSULTANT of the final payment shall constitute and operate as a release to the SPONSOR for all claims and liability to the CONSULTANT or his representatives, except as otherwise provided in Section A, Item V, herein. The maximum amount payable under this Agreement including profit shall be $84,559.00 unless there is a substantial change in scope, complexity, character or duration* of the work to be performed in conjunction with Item VI above. Time for completion of the services agreed to under this Contract shall be as recorded in Schedule A which is attached and made a part of this Agreement. *Duration would be applicable to construction inspection only. ARTICLE 3. STANDARD PRACTICES AND REQUIREMENTS. The CONSULTANT shall ascertain the standard practices of the SPONSOR, the New York State Department of Transportation, and the Federal Aviation Administration prior to beginning any of the work of this project. Where practicable, all work required under this Agreement shall be performed in accordance with these standard practices. In the event that provisions of these standard practices are in conflict or strict adherence to same is impossible or undesirable, the CONSULTANT may, with the approval of the other parties, vary or deviate from such standards. The CONSULTANT shall certify that all work performed under this Agreement will conform with all approved Federal and State standards and/or with deviations of such standards when approved. ARTICLE 4. DOCUMENTS FORNMG THE CONTRACT. The Contract Documents shall be deemed to include this Agreement, with accompanying schedule or schedules. ARTICLE S. TAXES, ROYALTIES AND EXPENSES. The CONSULTANT shall pay all taxes, royalties and expenses incurred in connection with the services under this Agreement, unless otherwise provided in Article 2. ARTICLE 6. CONSULTANT LIABIIITY. The CONSULTANT shall be responsible for all damage to life and property due to activities of the CONSULTANT, his Subcontractors, agents or employees, in connection with his services under this Agreement. The CONSULTANT specifically agrees that his Subcontractors, agents or employees shall possess the experience, knowledge and character necessary to qualify them individually for the particular duties they perform. Further, it is expressly understood that the CONSULTANT shall indemnify and save harmless the SPONSOR, New York State Department of, Transportation and Federal Aviation Administration from claims, suits, actions, damages and costs of every name and description resulting from the negligent performance of the services of the CONSULTANT under this Agreement, and such 9.11.91 ak\3:\21 I `W4\%g=ww\ag=.me -4 - indemnity shall not be limited by reason of enumeration of any insurance coverage herein provided. Negligent performance of service, within the meaning of this Article, shall include, in addition to negligence founded upon tort, negligence based upon the CONSULTANT'S failure to meet professional standards and resulting in obvious or patent errors in the progression of his work. Nothing in this Article or in this Agreement shall create or give to third parties any claim or right of action against the CONSULTANT or the SPONSOR beyond such as may legally exist irrespective of this Article or this Agreement. ARTICLE 7. LABOR LAW REQUIREMENTS. The CONSULTANT specifically agrees, as required by the Labor Law, Sections 220, 220-4 and 220-e, as amended, that his execution of this Agreement binds him to the following specific agreements: A. No laborer, worker or mechanic in the employ of the CONSULTANT, Subcontractor or other persons doing or contracting to do the whole or part of the work included in the Agreement shall be permitted or required to work more than eight (8) hours in any one (1) calendar day or more than five (5) days in one (1) week in the performance of work included in this Agreement except in the emergencies set forth in the Labor Law; B. The wages (including supplements) paid for a legal day's work shall be not less than the prevailing rate of wages (including supplements) as defined by law; C. The minimum hourly rate of wages (including supplements) to be paid shall not be less than that designated by the Industrial Commissioner; D. The minimum hourly supplements to be paid shall be in accordance with the prevailing practices in the locality where the project is located and shall be not less than designated by the Industrial Commissioner. Supplements as defined in Section 220 of the Labor Law, as amended, mean all remuneration for employment paid in any medium other than cash or reimbursement for expenses or any payments which are not wages within the meaning of the law, including, but not limited to health, welfare, non -occupational disability, retirement, vacation benefits, holiday pay and life insurance; E. The Labor Law provides that the Agreement may be forfeited and no sum paid for any work done thereunder on a second conviction for willfully paying less than: 1. The stipulated wage scale (including supplements) as provided in the Labor Law, Section 220, Subdivision 3, as amended, or 2. The stipulated minimum hourly scale (including supplements) as provided in the Labor Law, Section 220-4, as amended. F. The CONSULTANT specifically agrees as required by the provisions of Labor Law, Section 220-e, as amended, that: In the hiring of employees for the performance of work under this Agreement or any Subcontract hereunder, no CONSULTANT, Subcontractor, nor any person acting on 9.11.91 airv:\21 iaoaN&gmm.mgzao.m. -5 - behalf of such CONSULTANT or Subcontractor shall, by reason of race, creed, sex, color or national origin discriminate against any citizen of the State of New York who is qualified and available to perform the work to which the employment relates; 2. No CONSULTANT or Subcontractor or any person on his behalf, shall in any manner discriminate or intimidate any employee hired for the performance of work under the Agreement on account of race, creed, sex, color or national origin. 3. There may be deducted from the amount payable to the CONSULTANT by the SPONSOR under the Agreement, a penalty of five dollars ($5.00) for each person for each calendar day during which such person was discriminated against or intimidated in violation of the provisions of the Agreement; 4. The Agreement may be canceled or terminated by the SPONSOR and all monies due or to become due thereunder may be forfeited for a second or any subsequent violation of the terms or conditions of this section of the Agreement. G. Surveying Services - The SPONSOR recognizes that the CONSULTANT will be required by the New York State Department of Labor to compensate its personnel performing field survey work in accordance with the applicable state wage rates in effect at the same time services are performed. The SPONSOR understands that the CONSULTANT has no control over these labor rates and their periodic increases. Therefore, it is agreed that the SPONSOR will compensate the CONSULTANT for field survey services included as a part of this agreement in accordance with the pricing schedule made a part of this agreement. Furthermore, the SPONSOR will compensate the CONSULTANT for all increases in labor costs including applicable overhead and profit when those increases occur by direction of the New York State Department of Labor. Billings for these increases and payments by the SPONSOR of these increases will take place routinely in accordance with the appropriate terms of this agreement and these increases will be paid as an additional cost over and above the agreed contract amount. Additional Federal Labor Law provisions are contained in Schedule H. ARTICLE 8. NON-DISCRMHNATION PROVISIONS. During the performance of this Contract, the CONSULTANT agrees as follows: A. The CONSULTANT will not discriminate against any employee or applicant for employment because of race, creed, sex, color or national origin, and will take affirmative action to insure that they are afforded equal employment opportunities without discrimination because of race, creed, sex, color or national origin. Such action shall be taken with reference to, but not limited to: recruitment, employment, job assignment, promotion, upgrading, demotion, transfer, layoff or termination, rates of pay or other forms of compensation and selection for training or retraining, including apprenticeship and on-the-job training. B. The CONSULTANT will send to each labor union or representative of workers with which he has or is bound by a collective bargaining or other agreement or understanding, a notice, to be provided by the State Division of Human Rights, advising such labor union or representative of the CONSULTANT's Agreement under clauses (a) through (g) (hereinafter called "non- discrimination clauses"). If the CONSULTANT was directed to do so by the contracting agency 9.11.91 air\3:\21 I \OOA& Vmwta\ag220.ma on as part of the bid or negotiation of this Agreement, the CONSULTANT shall request such labor union or representative to furnish him with a written statement that such labor union or representative will not discriminate because of race, creed, sex, color or national origin and that such labor union or representative will affirmatively cooperate within the limits of its legal and contractual authority, in the implementation of the policy and provisions of these non- discrimination clauses or that it consents and agrees that recruitment, employment and the terms and conditions of employment under this Agreement shall be in accordance with the purposes and provisions of these non-discrimination clauses. If such labor union or representative fails or refuses to comply with a request that it furnish such a statement, the CONSULTANT shall promptly notify the State Division of Human Rights of such failure or refusal. C. The CONSULTANT will post and keep in conspicuous places, available to employees and applicants for employment, notices to be provided by the State Division of Human Rights setting forth the substance of the provisions of clauses (a) and (b) and such provisions of the State's laws against discrimination as the State Commissioner of Human Rights shall determine. D. The CONSULTANT will state, in all solicitations or advertisements for employees placed by or on behalf of the CONSULTANT, that all qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, sex, color or national origin. E. The CONSULTANT will comply with the provisions of Section 291-299 of the Executive Law and Civil Rights Law, will furnish all information and reports deemed necessary by the State Commissioner of Human Rights under these non-discrimination clauses and such sections of the Executive Law, and will permit access to his books, records and accounts by the State Commissioner of Human Rights, the Attorney General and the Industrial Commissioner for purposes of investigation to ascertain compliance with these non-discrimination clauses and such sections of the Executive Law and Civil Rights Law. F. This Agreement may be forthwith canceled, terminated or suspended, in whole or in part, by the contracting agency upon the basis of a finding made by the State Commissioner of Human Rights that the CONSULTANT has not complied with these non-discrimination clauses, and the CONSULTANT may be declared ineligible for future Agreements made by or on behalf of the State or a public authority or agency of the State, until he satisfies the State Commissioner of Human Rights that he has established and is carrying out a program in conformity with the provisions of these non-discrimination clauses. Such finding shall be made by the State Commissioner of Human Rights after conciliation efforts by the State Division of Human Rights have failed to achieve compliance with these non-discrimination clauses and after verified complaint has been filed with the State Division of Human Rights, notice thereof has been given to the CONSULTANT and an opportunity has been afforded him to be heard publicly before the State Commissioner of Human Rights or his designee. Such sanctions may be imposed and remedies invoked independently of or in addition to sanctions and remedies otherwise provided by law. G. The CONSULTANT will include the provisions of clauses (a) through (f) in every Subcontract or purchase order in such a manner that such provisions will be binding upon each Subcontractor or vendor as to operations to be performed within the State of New York. The CONSULTANT will take such action in enforcing such provisions of such Subcontract or purchase order as the contracting agency may direct, including sanctions or remedies for non-compliance. If the CONSULTANT becomes involved in or is threatened with litigation with a Subcontractor or vendor as a result of such direction by the contracting agency, the CONSULTANT shall promptly 9.11.91 .v\3:\21I\004\Agrwnt9\Ag220.w -7 - so notify the Municipal Counsel, requesting him to intervene and protect the interests of the SPONSOR. ARTICLE 9. WORKER'S COMPENSATION AND LIABILITY INSURANCE. The CONSULTANT agrees to procure and maintain at his own expense and without direct expense to the SPONSOR; with the exception of Item (b)4 which may be billed as a direct expense to the SPONSOR, until final acceptance by the SPONSOR of the services covered by this Agreement, insurance of the kinds and in the amounts hereafter provided in insurance companies authorized to do business in New York State, covering all operations under the Agreement, whether performed by it or by Subcontractors. Before commencing the work, the CONSULTANT shall furnish the SPONSOR a certificate or certificates in form satisfactory to the SPONSOR showing that it has complied with this schedule, which certificate or certificates shall provide that the policies shall not be changed or canceled until thirty (30) days written notice has been given to the SPONSOR. The kinds and amounts of insurance required are as follows: A. Policy or policies covering the obligations of the CONSULTANT in accordance with the provisions of any applicable Worker's Compensation or Disability Benefits Law, including for the State of New York Chapter 41, Laws of 1914, as amended, known as the Worker's Compen- sation Law, and amendments thereto, and Chapter 600 of the Laws of 1949, as amended, known as the Disability Benefits Law, and this Agreement shall be void and of no effect unless the CONSULTANT procures such policy or policies and maintains the same in force during the term of this Agreement. B. Protective Liability Insurance issued to and covering the liability of the Municipal Corporation, the Federal Aviation Administration, the State, the Commissioner and all employees or other representatives of each of them, both officially and personally with respect to all operations under the Agreement including omissions and supervisory acts of the Municipal Corporation, the Federal Aviation Administration, the State, the Commissioner and their employees or other representatives. Policies of bodily injury liability and property damage liability insurance, each with limits of liability of not less than one hundred thousand dollars ($100,000.00) for all damages arising out of bodily injury, including death at any time resulting therefrom sustained by one person in any one accident and subject to that limit for each person; not less than three hundred thousand dollars ($300,000.00) for all damages arising out of bodily injury, including death at any time resulting therefrom, sustained by two or more persons in any one accident, and not less than one hundred thousand dollars ($100,000.00) for all damages arising out of injury to or destruction of property in any one accident and subject to this limit per accident not less than three hundred thousand dollars ($300,000.00) for all damages arising out of injury to or destruction of property during the policy period. 1. Liability insurance issued to and covering the liability of the CONSULTANT with respect to all work performed by him under this Agreement.;.; 2. Liability insurance issued to and covering the liability of each of the CONSULTANT'S Subcontractors with respect to all work performed by said Subcontractors under this Agreement. 9.11.91 ak\1\21 I \W4\j�\&ZM0.me -8- 3. Protective liability insurance issued to and covering the liability of the CONSULTANT with respect to all work under this Agreement performed for the CONSULTANT by Subcontractors. 4. Protective liability insurance issued to and covering the liability of the SPONSOR and all employees of the SPONSOR, both officially and personally, with respect to all operations under this Agreement by the CONSULTANT or by his Subcontractor, including omissions and supervisory acts of the SPONSOR and its employees. ARTICLE 10. ASSIGNMENT REQUIREMENTS. The CONSULTANT specifically agrees that: A. He is prohibited from assigning, transferring, conveying, subletting or otherwise disposing of the Agreement or of his right, title or interest therein, or his power to execute such Agreement, to any other person, company or corporation without the previous consent in writing of the SPONSOR and the Commissioner of Transportation and the Federal Aviation Administration. B. If this provision of the Agreement is violated, the SPONSOR may revoke and annul the Agreement and the SPONSOR shall be relieved from any and all liability and obligations thereunder to the person, company or corporation to whom the CONSULTANT shall assign, transfer, convey, sublet or otherwise dispose of the Agreement, and such transferee shall forfeit and lose all monies therefore assigned under said Agreement, except so much as may be required to pay his employees. ARTICLE 11. EXTRA WORK. If the CONSULTANT is of the opinion that any work he has been directed to perform is beyond the scope of this Agreement and constitutes Extra Work, he shall promptly notify the SPONSOR of that fact. The SPONSOR shall be the sole judge as to whether or not such work is in fact beyond the scope of this Agreement and constitutes Extra Work. If the SPONSOR determines that such work does constitute Extra Work, it shall provide extra compensation to the CONSULTANT upon a fair and equitable basis. A Supplemental Agreement providing for such compensation for Extra Work shall be prepared and executed by the CONSULTANT and SPONSOR and be approved by the appropriate State and Federal officials. ARTICLE 12. ABANDONMENT, CHANGE OF PLAN AND TERMINATION. The SPONSOR shall have the absolute right to abandon the work or to amend its project or to change the general basis at any time, and such action on its part shall in no event be deemed a breach of contract. If the SPONSOR does amend its project or change the general basis and the CONSULTANT is of the opinion that Extra Work is made necessary as a result thereof, the provisions of Article 11 of this Agreement with respect to Extra Work shall apply. 9.11.91 sirl3:\21t�ooa� .mez2o.m. -9 - The SPONSOR has the right to terminate this Agreement at its pleasure and make settlement with the CONSULTANT upon an equitable basis as determined by the SPONSOR, who shall fix the value of the work performed by the CONSULTANT prior to the termination of this Agreement. In determining the value of the work performed, the SPONSOR shall consider the following: A. The ratio of the amount of work performed by the CONSULTANT prior to the termination of the Agreement to the total amount of work contemplated by this Agreement, less any payments previously made. B. The amount of the expense to which the CONSULTANT is put in performing the work performed prior to the termination, in proportion to the amount of expense to which the CONSULTANT would have been put had he been allowed to complete the total work contemplated by the Agreement, less any payments previously made. C. The actual cost incurred by the CONSULTANT as verified by audit, plus a portion of the fixed fee equal to the percentage of work completed. In determining the value of the work performed by the CONSULTANT prior to the termination, no consideration will be given to profit which the CONSULTANT might have made on the uncompleted portion of the work. If the termination is brought about as a result of unsatisfactory performance on the part of the CONSULTANT, the value of the work performed by the CONSULTANT prior to termination shall be fixed solely on the ratio of such work to the total amount of work contemplated by this Agreement. ARTICLE 13. SUSPENSION OF WORK. In the event that the work under the Agreement is entirely suspended, the CONSULTANT agrees that his services shall likewise be suspended without compensation for the suspended period, unless otherwise directed by the SPONSOR. Upon the resumption of the work under the Agreement, the CONSULTANT shall resume his services under this Agreement until the work is completed and accepted. In all cases provided for in this Agreement for the additional services above described, the SPONSOR'S directions shall be exercises by the issuance of a Supplemental Agreement. ARTICLE 14. DEATH OR DISABILITY OF THE CONSULTANT. In case of the death or disability of one or more, but not all, of the persons herein referred to as the CONSULTANT, the rights and duties of the CONSULTANT shall devolve upon the survivor or survivors of them, who shall be obliged to perform the services required under this Agreement, and the SPONSOR shall make all payments due to him or them. In case of the death or disability of all the persons herein referred to as the CONSULTANT, all data and records pertaining to the project shall be delivered within sixty (60) days to the SPONSOR or its duly authorized representative. In case of the failure of the CONSULTANT, his successors or personal representatives, to make such delivery on demand, then and in that event the representatives of the CONSULTANT shall be liable to the SPONSOR for any damages it may sustain by reason thereof. 9.11.91 .0\3:\21I\0W\&Vmw"\M o.m. -10 - Upon the delivery of all such data to the SPONSOR, the SPONSOR will pay to the representatives of the CONSULTANT all amounts due the CONSULTANT, including retained percentages to the date of the death of the last survivor. ARTICLE 15. INTERCHANGE OF DATA. All technical data in regard to the project whether (a) existing in the office of the SPONSOR or (b) existing in the office of the CONSULTANT, shall be made available to the other party to this Agreement without expense to such other party as the case may be. ARTICLE 16. DISPOSITION OF PROJECT DOCUMENTS. At the time of completion of the work, the CONSULTANT shall make available to the SPONSOR all original tracings, plans, maps, computerized programs and reports which have been prepared as the result of this Agreement. This material shall become the property of the SPONSOR and the maintenance of the data shall be the responsibility of the SPONSOR. The cover sheet of each document furnished to the SPONSOR by the CONSULTANT shall include the appropriate State and Federal financial notices and the endorsement of the CONSULTANT. In the event that this Agreement is terminated for any reason, then within ten (10) days after such termination, the CONSULTANT shall make available to the SPONSOR all data and material prepared under this Agreement including cover sheets in accordance with the above paragraph. ARTICLE 17. DAMAGES AND DELAYS. The CONSULTANT agrees that no charges or claim for damages shall be made by him for any delays or hindrances from any cause whatsoever during the progress of any portion of the services specified in this Agreement. Such delays or hindrances, if any, shall be compensated for by an extension of time for such reasonable period as the SPONSOR may decide, it being understood, however, that the permitting of the CONSULTANT to proceed to complete any services or any part of them after the date of completion or after the date to which the time of completion may have been extended, shall in no way operate as a waiver on the part of the SPONSOR of any of its rights herein. ARTICLE 18. CODE OF ETHICS. The CONSULTANT specifically agrees that this Agreement may be canceled or terminated if any work under this Agreement is in conflict with the provisions of Section 74 of the New York State Public Officers' Law, as amended and Schedule G. ARTICLE 19. INDEPENDENT CONTRACTOR. The CONSULTANT, in accordance with his status as an independent contractor, covenants and agrees that he will conduct himself consistent with such status, that he will neither hold himself out as nor claim 9.11.91 air\3:\21 I \W4VgrnnWVg=Jm -11 - to be an officer or employee of the SPONSOR by reason hereof, and that he will not by reason hereof make any claim, demand or application to or for any right or privilege applicable to an officer or employee of the SPONSOR, including but not limited to, worker's compensation coverage, unemployment insurance benefits, social security coverage or retirement membership or credit. ARTICLE 20. PATENT RIGHTS AND COPYRIGHTS. Any patentable result arising out of this Agreement, as well as all information, designs, specifications, know-how data, and findings, shall be made available without cost to the State or its licensees and the Federal Aviation Administration for public use. No material prepared in connection with this project will be subject to copyright. The State and the Federal Aviation Administration will have the right to publish, distribute, disclose or otherwise use any material prepared under this project. ARTICLE 21. NEW YORK STATE PARTICIPATION. The work in this Agreement is included in a New York State Department of Transportation project, which is being undertaken and accomplished by the SPONSOR and the State of New York, pursuant to which the State has agreed to pay a certain percentage of the allowable project costs. The State of New York is not a party to this Agreement and no reference in this Agreement to the Commissioner of Transportation or any representative thereof, or to any rights granted to the Commissioner of Transportation or any representative thereof or the State of New York, by the Agreement, make the State of New York a party to this Agreement. The CONSULTANT and the SPONSOR agree that properly authorized officials of the State of New York may from time to time inspect, all project documents for the purpose of insuring compliance with New York State laws and protecting the interests of New York State. ARTICLE 22. FEDERAL PARTICIPATION. The Federal Aviation Administration is not a party to this Contract although the project work program covered by this Agreement is to be financially aided in part by a Grant Agreement between the SPONSOR and the Federal Aviation Administration as provided for under the Airport and Airway Development Act of 1970 (P.L. 91258). The SPONSOR and the CONSULTANT hereby agree to comply fully with the conditions set forth in detail in the Grant Agreement as though they were set forth in detail in this Agreement. The CONSULTANT further agrees that by reason of complying with the conditions of the Grant Agreement, no obligation is entailed on the part of the Federal Aviation Administration to the CONSULTANT. The CONSULTANT and the SPONSOR agree that properly authorized officials of the Federal Aviation Administration may from time to time inspect all project documents for the purpose of insuring compliance with Federal laws and protecting the interests of the Federal Aviation Administration. ARTICLE 23. MISCELLANEOUS. A. The CONSULTANT agrees that he shall require all persons employed upon the work, including 9.11.91 .v\3:\21 1bo4\.Vm1.\.&M0Ao. -12 - his Subcontractors, agents, officers and employees, to comply with all applicable laws in the jurisdiction in which the work is performed. B. If any provision of this Agreement is held invalid, the remainder of this Agreement shall not be affected thereby if such remainder would then continue to conform to the terms and requirements of applicable law. C. By execution of this Agreement, the CONSULTANT represents that he has not paid and also agrees not to pay, any bonus or commission for the purpose of obtaining an approval of this Agreement. D. The SPONSOR and CONSULTANT agree that all project documents requiring formal approval by a Federal agency will be submitted to the New York State Department of Transportation for their prior approval and forwarding to the Federal agency for its formal approval. The SPONSOR and CONSULTANT agree that approval of all project documents requires the complete, prior and simultaneous coordination with the Federal agency and New York State Department of Transportation. ARTICLE 24. SUBCONTRACTORS/SUBCONSULTANTS. All subcontractors and subconsultants performing work on this project shall be bound by the same required contract provisions as the prime consultant. All agreements between the prime consultant and a subcontractor or subconsultant shall include all standard required contract provisions, and such agreements shall be subject to review by the State and the Federal Aviation Administration. IN WITNESS WHEREOF, this Agreement has been executed by the SPONSOR, acting by and through the Supervisor of the Town of Southold, who has caused the seal of his office to be affixed hereto, and the CONSULTANT, by and through a duly authorized officer has executed this Agreement effective the day and year first above written, subject to the approval of the Commissioner, Department of Transportation, the State Comptroller and the Federal Aviation Administration. SPONSOR CONSULTANT Town of Southold Calocerinos & Spina Engineers, P.C. By By: Scott L., -Harris Ronald L. Peckham, P.E. Title: Supervisor Title: Division Manager Dater �,�/ �9� Date:gow 9.11.91 .Uv:\21 i\aoamgnrn.\agzao.m. -13 - (ACKNOWLEDGEMENT OF OFFICER OR OWNER ATTESTING CONTRACT) State of N York ) County o6W) On this k�5O—' day of , 19,��/before me personally came and appeared me known, who being b m duly sworn did depose and say that he is the of the described in and which execut the fUegoing instrument, that he knows the of said Owner; that one of the impressions appearing on said instrument is a true and correct impression of such seal; and that he affixed it thereto and attest the same over his signature by virtue of the authority in him vested. Notary Public Nola rV Cemr i yr ACKNOWLEDGEMENT OF CORPORATION State of New York ) County of Onondaga) On this � day of , 1 before me personally came and appeared RONALD L. A PECKHM, P.E., to me known, who being duly sworn, did depose and say that he resides in Liverpool, New York; that he is the Division Manager of CALOCERINOS & SPINA ENGINEERS, P.C., the CORPORATION described in and which executed the foregoing instrument; that he knew the seal of said corporation; that the seal axed to said instrument was such corporate seal; that is was so affixed by the order of the Board of Directors of said corporation, and that he signed his name thereto by like order. l 't Ajerugej sejidx3 uoissiwwoc) hyy SSLO 'oN '013 e6epuoup ui peygeno VOA MeN !o 01e3S 'oilgnd AMON SNI>IdOH 'W VS3d3H1 .vv:\211\W44g=nts\a&M0.w qlut��, � 1 1 Notary Publ' 9.11.91 SCHEDULE A Project Description: Contract Administration and Inspection During Construction of the Airfield Lighting, Visual Aids & Electrical Building Contract Dated December, 1991 at Elizabeth Field - Fishers Island Airport. The CONSULTANT agrees that the following types of professional services will be provided within the scope of Schedule "B": 1. Provide consultation and advice to the SPONSOR during construction including the holding of a pre -construction conference and other meetings required during the course of construction. 2. Provide technical inspection of construction by a full-time resident engineer or inspector and supporting staff as required, who will also: A. Maintain a project record in conformance with the M.U.R.K. requirements of the New York State Department of Transportation for aviation capital projects. B. Review and approve requests for monthly and final payments to contractors. C. Prepare monthly and final requests for reimbursement for State and Federal Aid on behalf of the SPONSOR. D. Supervise testing and inspection. Arrange for, conduct or witness field, laboratory or shop tests of construction materials as required by the Plans and Specifications; determine the suitability of materials on the site and brought to the site to be used in construction; interpret the Contract Plans and Specifications and check the construction activities to assure compliance with the intent of the design; measure, compute or check quantities of work performed and quantities of materials in-place for partial and final payments to the Contract. E. Prepare and negotiate change orders and supplemental agreements with the Contractor on behalf of the SPONSOR. 3. Submit progress reports of construction activity and problems encountered as required by the SPONSOR, the New York State Department of Transportation and the Federal Aviation Administration. 4. Prepare and furnish copies and one (1) reproducible of the "Record" Drawings for the completed project to the SPONSOR. 5. Issue certificates of completion to the SPONSOR, the New York State Department of Transportation and the Federal Aviation Administration on completion of construction. 6. Provide assistance to the SPONSOR as an expert witness in any litigation that may arise from the development or construction of the Project. Payment for this service will be as stated in Item V, Article 2A of this Agreement. 9.11.91 .uv:�z� nooam�ns�z�o.� A-2 7. The CONSULTANT agrees to provide the services in this phase of the Agreement during the construction contract period, which is estimated to be as follows: Preconstruction Inspection - 3 Days Inspection - 60 Days (8 -Hour Working Days) Post Construction - 5 Days END OF SCHEDULE .uv:\zi iwoavgrmnl.\.g220.m. 9.11.91 TOTAL ESTIMATED DIRECT SALARY COST II. OVERHEAD EXPENSES & PAYROLL BURDEN PER SCHEDULE "C" - (AUDITABLE, ESTIMATED AND EXPRESSED AS A PERCENTAGE OF DIRECT SALARY COST): A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: B. N.Y.S.D.O.T. ELIGIBLE FACTOR: ELIZABETH FIELD - AIRFIELD LIGHTING Page 1 $19,768.00 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST -------------- ---------------- 140% 527,675.00 100% 519,768.00 ---------------------------- ---------------------------- * ARCHITECTURAL/ENGINEERING * COST SUMMARY * SCHEDULE "B" * INSPECTION PHASE *#*******#**********************##* PROJECT: ELIZABETH FIELD - AIRFIELD LIGHTING DATE: 02 -Apr -92 PROJ DESCRIPTION: INSTALLATION OF R/W EDGE LIGHTS, VISUAL & MISC. AIDS, ELEC. BLDG. A/E: CALOCERINOS & SPINA PROJECT NO: 211.004 CLIENT: TOWN OF SOUTHOLD C&S CONTACT: CERRETANI/PETRANCHUK CLIENT MANAGER: MR. R. PHILIP KNAUFF I. DIRECT SALARY COSTS: MAXIMUM AVERAGE RATE OF PAY RATE OF PAY ----------------------------------------- TITLE ($/HR) ----------- ($/HR) ----------- a HOURS ------- COST A. DIVISION MANAGER $47.30 $37.80 X 0 ---------------- = $0.00 B. MANAGING ENGINEER $36.00 $33.50 X 4 = $134.00 C. SEN PROJ ENGINEER $30.30 $26.50 X 0 = $0.00 D. PROJECT ENGINEER $24.00 $22.20 X 64 = $1,421.00 E. SEN GEOLOGIST (SOILS ENG) $25.00 $23.50 X 0 = SO.00 F. HYDROGEOLOGIST $18.90 $17.70 X 0 = $0.00 G. ENGINEER $21.40 $18.70 X 0 = $0.00 H. ASST ENGINEER $18.50 $16.30 X 68 = $1,108.00 I. DESIGNER $17.10 $15.00 X 0 = $0.00 J. SEN DRAFTSMAN $13.50 $12.50 X 16 = $200.00 K. DRAFTSMAN $11.60 $10.50 X 0 = $0.00 L. TECHNICAL TYPIST $13.50 $11.50 X 60 = S690.00 M. GRANT ADMINISTRATOR 518.00 $17.00 X 60 = S1,020.00 N. INSPECTION SUPERVISOR $26.50 $24.10 X 136 = $3,278.00 0. RESIDENT ENGINEER $26.00 $23.60 X 0 = S0.00 P. CHIEF INSPECTOR $24.90 $23.20 X 0 = $0.00 Q. SEN INSPECTOR $21.60 $18.90 X 0 = $0.00 R. INSPECTOR $17.30 $15.20 X 784 = $11,917.00 S. JR INSPECTOR $16.60 $14.60 X 0 = $0.00 T. PARTY CHIEF $27.80 $26.50 X 0 = S0.00 U. INSTRUMENT MAN $24.70 $23.50 X 0 = $0.00 V. RODMAN $22.60 $21.50 X 0 = -------------- -------------- $0.00 TOTAL ESTIMATED DIRECT SALARY COST II. OVERHEAD EXPENSES & PAYROLL BURDEN PER SCHEDULE "C" - (AUDITABLE, ESTIMATED AND EXPRESSED AS A PERCENTAGE OF DIRECT SALARY COST): A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: B. N.Y.S.D.O.T. ELIGIBLE FACTOR: ELIZABETH FIELD - AIRFIELD LIGHTING Page 1 $19,768.00 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST -------------- ---------------- 140% 527,675.00 100% 519,768.00 ---------------------------- ---------------------------- III. SUBTOTAL OF ITEMS I & II: A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE: B. N.Y.S.D.O.T. ELIGIBLE: IV. ESTIMATE OF DIRECT EXPENSES: A. CAR RENTAL 70 DAYS 2 S. TRAVEL, ON SITE, BY AUTO: DAYS a C. TRAVEL, BY AIR: 25 TRIPS B D. PER DIEM: 70 DAYS a E. REPRODUCTION - 1,. DRAWINGS: 10 SETS is 2,. MYLARS: F. COMPUTER TIME: G. OPL PROJECT INSURANCE PREMIUM: H. MISCELLANEOUS: 1 CAR a $50.00 = $3,500.00 MILES/DAY a $0.23 = $0.00 1 PERSONS a $350.00 = $8,750.00 1 PERSONS a $151.00 = $10,570.00 10 SHEETS/SET a $1.00 = $100.00 20 SHEETS a $5.00 = $100.00 0 HOURS 9 $12.00 = $0.00 $250.00 $130.00 TOTAL ESTIMATE OF DIRECT EXPENSES V. FIXED FEE (PROFIT, LUMP SUM): A. LABOR PLUS OVERHEAD: 1 AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: B. DIRECT EXPENSES: 11 AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: TOTAL FIXED FEE ELIZABETH FIELD - AIRFIELD LIGHTING Page 2 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST -------------- ---------------- $47,443.00 $39,536.00 $23,400.00 $23,400.00 15% (OF III.A.) $7,116.00 15% (OF III.B.) $5,930.00 15% (OF IV.) $3,510.00 0.0% (OF IV.) $0.00 ---------------------------- ---------------------------- $5,930.00 $10,626.00 VI. SUBCONTRACTS: A. ESTIMATE OF CONSTRUCTION TESTING SERVICES: 1 ASPHALT TECHNICIAN (PLANT): 0 DAYS & $250.00 = $500.00 2 SOILS/CONCRETE TECHNICIAN: 8 DAYS 8 $200.00 = $1,600.00 3 ADDITIONAL PAVEMENT CORES: 0 EACH 9 $50.00 = $0.00 4 TRIP CHARGE: 0 EACH 2 $60.00 = $0.00 5 MECHANICAL ANALYSIS: 10 EACH 2 $35.00 = $350.00 6 HYDROMETER ANALYSIS: 0 EACH 2 $60.00 = 50.00 'r ATTERBERG LIMITS: 0 EACH 2 $55.00 = $0.00 8 LABORATORY PROCTORS: 4 EACH 2 5100.00 = 5400.00 9 CONCRETE COMPRESSIVE STRENG 40 EACH 9 $6.00 = $240.00 10 CONCRETE FLEXURAL STRENGTH: 0 EACH 2 56.00 = $0.00 11 TOPSOIL (pH): 0 EACH a $40.00 = $0.00 12 LA ABRASION: 0 EACH 2 $180.00 = $0.00 13 MAGNESIUM SULFATE SOUNDNESS 0 EACH 2 $185.00 = $0.00 14 NATURAL MOISTURE CONTENT: 0 EACH 2 56.00 = $0.00 TOTAL ESTIMATED CONSTRUCTION TESTING SERVICES: NYSDOT ELIGIBLE COST -------------- AGREEMENT AMOUNT & FAA ELIGIBLE COST ---------------- $3,090.00 $3,090.00 -------------- -------------- -------------- -------------- VII. TOTALS: A. ESTIMATE OF MAXIMUM TOTAL COST FOR INSPECTION SERVICES, NYSDOT ELIGIBLE: $71,956.00 B. ESTIMATE OF MAXIMUM TOTAL COST FOR INSPECTION SERVICES, AGREEMENT TOTAL & FAA ELIGIBLE: ELIZABETH FIELD - AIRFIELD LIGHTING Page 3 584,559.00 c SCHEDULE C CALOCERINOS & SPINA ENGINEERS, P.C. 1020 SEVENTH NORTH STREET LIVERPOOL, NEW YORK 13088 ESTIMATED ALLOWABLE OVERHEAD FYE 12/31/92 DOLLARS MULTIPLIER SALARY OVERHEAD (PAYROLL BURDEN) Vacation & Holiday Pay 531,200.00 0.112 Sick & Personal Pay 165,800.00 0.035 FICA Taxes 580,000.00 0.122 Unemployment Taxes 45,000.00 0.009 Workmen's Compensation Insurance 29,000.00 0.006 Group Insurance 490,000.00 0.103 Bonus 25,000.00 0.005 Miscellaneous Employee Benefits 115,000.00 0.024 Payroll Preparation 6.000.00 0.001 TOTAL 1,987,000.00 0.418 GENERAL & ADMINISTRATIVE OVERHEAD Indirect Labor 966,600.00 0.203 Clerical & Administrative 901,700.00 0.190 Project Development 745,400.00 0.157 Meeting, Conventions & Education 90,000.00 0.019 Office Supplies & Expenses 290,000.00 0.061 Field Supplies 36,000.00 0.008 Insurance 325,000.00 0.068 Depreciation 255,000.00 0.054 Rent 515,000.00 0.108 Utilities & Maintenance 162,450.00 0.034 Telephone 105,000.00 0.022 Auto Expenses 43,000.00 0.009 Dues & Fees 65,000.00 0.014 Legal & Accounting Expenses 165,000.00 0.035 Miscellaneous 0.00 0.000 TOTAL 4,665,150.00 0.982 TOTAL ALLOWABLE OVERHEAD 6,652,150.00 1.400 TOTAL DIRECT LABOR 4,750,000.00 1.000 END OF SCHEDULE 9.11.91 SCHEDULE E (RESOLUTION TO BE INSERTED) sV\3:\21lWo4\agmts\ag=-i e 9.11.91 N 0 SCHEDULE G CERTIFICATION OF CONSULTANT I hereby certify that I am the Division Manager and duly authorized representative of the firm of Calocerinos & Spina Engineers, P.C., whose address is 1020 Seventh North Street, Liverpool, New York, and that neither I nor the above firm I here represent has: A. employed or retained for a commission, percentage, brokerage, contingent fee, or other consideration, any firm or person (other than a bona fide employee working solely for me or the above consultant) to solicit or secure this Contract. B. agreed, as an express or implied condition for obtaining this Contract, to employ or retain the services of any firm or person in connection with carrying out the Contract, or C. paid or agreed to pay to any firm, organization, or person (other than a bona fide employee working solely for me or the above consultant) any fee, contribution, donation, or consideration of any kind for, or in connection with, procuring or carrying out the Contract; except as here expressly stated (if any): I acknowledge that this certificate is to be furnished to the Federal Aviation Administration of the United States' Department of Transportation, in connection with this Contract, involving participation of Airport Improvement Program (AIP) funds and is subject to applicable state and Federal laws, both criminal and civil. END OF SCHEDULE air\9:\211\004\agtxw19\ag220. w Ronald . Pec am, P.E. Division Manager 9.11.91 SCHEDULE H AIRPORT AID PROGRAM There is set forth below the contract provision required by the regulations of the Secretary of Labor in Parts 5 and 5a of Title 29 of the Code of Federal Regulations. Section 152.55(a) requires sponsors to insert this provision in full in each construction contract. PROVISION REQUIRED BY THE REGULATIONS OF THE SECRETARY OF LABOR A. MINIMUM WAGES All mechanics and laborers employed or working upon the site of the work will be paid unconditionally and not less often than once a week and without subsequent deduction or rebate on any account (except such payroll deductions as are permitted by regulations issued by the Secretary of Labor under the Copeland Act (29 CFR Part 3), the full amounts due at time of payment computed at wage rates not less than those contained in the wage determination decision(s) of the Secretary of Labor which is (are) attached hereto and made a part hereof, regardless of any contractual relationship which may be alleged to exist between the contractor and such laborers and mechanics; and the wage determination decision(s) shall be posted by the contractor at the site of the work in a prominent place where it (they) can be easily seen by the workers. For the purpose of this paragraph, contributions made or costs reasonably anticipated under Section 1(b) (2) of the Davis -Bacon Act on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of Subparagraph 4 below. Also for the purpose of this paragraph, regular contributions made or costs incurred for more than a weekly period under plans, funds, or programs, but covering the particular weekly period, are deemed to be constructively made or incurred during such weekly period [29 CFR 5.5(a)(1)(i)]. 2. Any class of laborers or mechanics, including apprentices and trainees, which is not listed in the wage determination(s) and which is to be employed under the contract, shall be classified or reclassified conformably to the wage determination(s), and a report of the action taken shall be sent by the SPONSOR to the FAA for approval and transmittal to the Secretary of Labor. In the event that the interested parties cannot agree on the proper classification or reclassification of a particular class of laborers and mechanics, including apprentices and trainees, to be used, the question accompanied by the recommendation of the FAA shall be referred to the Secretary of Labor for final determination [29 CFR 5.5(a)(1)(i)]. 3. Whenever the minimum wage rate prescribed in the contract for a class of laborers or mechanics includes a fringe benefit which is not expressed as an hourly wage rate and the contractor is obligated to pay a cash equivalent of such a fringe benefit, an hourly cash equivalent thereof shall be established. In the event the interested parties cannot agree upon a cash equivalent of the fringe benefit, the question accompanied by the recommendation of the FAA shall be referred to the Secretary of Labor for determination [29 CFR 5.5(a) (1)(iii)]. 4. If the Contractor does not make payments to a trustee or other third person, he may consider as part of the wages of any laborer or mechanic the amount of any costs reasonably anticipated in providing benefits under a plan or program of a type expressly listed in the wage determination decision of the Secretary of Labor which is a part of this contract. Provided, however, the Secretary of Labor has found, upon the written request of the Contractor, that the applicable standards of the Davis -Bacon Act have been met. The Secretary of Labor may require the Contractor to set aside in a separate account assets for the meeting of obligations under the plan or program. B. WITHHOLDING: FAA FROM SPONSOR. Pursuant to the terms of the grant agreement between the United States and SPONSOR, relating to Airport Development Aid Project No._,and Part 152 of the Federal Aviation Regulations (14 CFR Part 152), the FAA may withhold or cause to be withheld from the SPONSOR so much of the accrued payments or advances as may be considered necessary to pay laborers and mechanics, including apprentices and trainees, employed by the Contractor or any Subcontractor on the work the full amount of wages required by this Contract. In the event of failure to pay any laborer or mechanics, including any apprentice or trainee, employed or working on the site of the work all or part of the wages required by this Contract, the FAA may, after written notice to the SPONSOR, take such action as may be necessary to cause the suspension of any further payment or advance of funds until such violations have ceased [29 CFR 5.5(a)(2)]. C. PAYROLLS AND BASIC RECORDS. Payrolls and basic records relating thereto will be maintained during the course of the work and preserved for a period of three years thereafter for all laborers and mechanics working at the site of the work. Such records will contain the name 9.11.91 air\3:\21 1w04m&mwLs\&e220.im H-2 and address of each such employee, his correct classification, rates of pay (including rates of contributions or costs anticipated of the types described in Section 1(b)(2) of the Davis -Bacon Act), daily and weekly number of hours worked, deductions made and actual wages paid. Whenever the Secretary of Labor has found, under 29 CFR 5.5(a)(1)(iv) (see Subparagraph 4 of Paragraph A above), that the wages of any laborer or mechanic include the amount of any costs reasonably anticipated in providing benefits under a plan or program described in Section 1(b)(2)(B) of the Davis -Bacon Act, the Contractor shall maintain records which show that the commitment to provide such benefits is enforceable, that the plan or program is financially responsible, and that the plan or program has been communicated in writing to the laborers or mechanics affected, and records which show the costs anticipated or the actual costs incurred in providing such benefits [29 CFR 5.5(a)(3)(i)]. 2. The Contractor will submit weekly a copy of all payrolls to the SPONSOR for availability to the FAA as required by SS 152.59(a). The copy shall be accompanied by a statement signed by the employer or his agent indicating that the payrolls are correct and complete, that the wage rates contained therein are not less than those determined by the Secretary of Labor and that the classifications set forth for each laborer or mechanic conform with the work he performed. A submission of a "Weekly Statement of Compliance" which is required under this Contract and the Copeland regulations of the Secretary of Labor (29 CFR Part 3) and the filing with the initial payroll or any subsequent payroll of a copy of any findings by the Secretary of Labor, under 29 CFR 5.5(a)(1)(v) (see Subparagraph 4 of Paragraph A above), shall satisfy this requirement. The prime Contractor shall be responsible for the submission of copies of payrolls of all Subcontractors. The Contractor will make the records required under the labor standards clauses of the Contract available for inspection by authorized representatives of the FAA and the Department of Labor, and will permit such representatives to interview employees during working hours on the job [29 CFR 5.5(a)(3)(ii)]. D. APPRENTICES AND TRAINEES 1. Apprentices. Apprentices will be permitted to work as such only when the are registered, individually, under a bona fide apprenticeship program registered with a State apprenticeship agency which is recognized by the Bureau of Apprenticeship and Training, United States Department of Labor; or, if no such recognized agency exists in a State, under a program registered with the Bureau of Apprenticeship and Training, United States Department of Labor. The allowable ratio of apprentices to journeymen in any craft classification shall not be greater than the ratio permitted to the Contractor as to his entire work force under the registered program. Any employee listed on a payroll at an apprentice wage rate, who is not a trainee as defined in Subparagraph 2 of this Paragraph, or who is not registered as above, shall be paid the wage rate determined by the Secretary of Labor for the classification of work he actually performed. The Contractor or Subcontractor will be required to furnish to the SPONSOR written evidence of the registration of his program and apprentices as well as of the Appropriate ratios and wage rates, for the area of construction prior to using any apprentices on the contract work [29 CFR 5.5(a)(4)]. 2. Trainees. Trainees will be permitted to work as such when they are bona fide trainees employed pursuant to a program approved by the United States Department of Labor, Manpower Administration, Bureau of Apprenticeship and Training and, where Subparagraph 3 of this Paragraph is applicable, in accordance with the provisions of Part 5a.29 CFR, Subtitle A. 3. Application of 29 CFR Part 5a. On contracts in excess of $10,OOO,the employment of all laborers and mechanics, including apprentices and trainees as defined in 29 CFR 5.2(c) shall be also be subject to the provisions of 29 CFR Part 5a. Apprentices and trainees shall be hired in accordance with the requirements of 29 CFR Parts 5a as set forth in Subparagraphs 4, 5, 6, 7, and 8 of this Paragraph. 4. Apprentice and Trainee Employment Requirements. a. The Contractor agrees: 1) That he will make a diligent effort to hire for the performance of the contract a number of apprentices or trainees, or both, in each occupation, which bears to the average number of the journeymen in that occupation to be employed in the performance of the contract the applicable ratio as determined by the Secretary of Labor; 2) That he will assure that 25 percent of such apprentices or trainees in each occupation are in their first year of training, where feasible. Feasibility here involves a consideration of the availability of training opportunities for 9.11.91 airl3:\21 1\0G4\ag:mou\ag2220Ana H-3 first year apprentices, the hazardous nature of the work for beginning workers, excessive unemployment of apprentices in their second and subsequent years of training; and 3) That during the performance of the Contract he will, to the greatest extent possible, employ the number of apprentices or trainees necessary to meet currently the requirements of Subdivisions 1) and 2) of this Subparagraph. b. The Contractor agrees to maintain records of employment by trade of the number of apprentices and trainees, apprentices and trainees by first year of training, and of journeymen, and the wages paid and hours of work of such apprentices, trainees, and journeymen. The Contractor agrees to make these records available for inspection upon request of the Department of Labor and the Federal Aviation Administration. c. The Contractor who claims compliance based on the criterion stated in (Subdivision 5 b. of this Paragraph) agrees to maintain records of employment, as described in Subdivision b. of this Paragraph on non -Federal and non - Federally assisted construction work done during the performance of this contract in the same labor market area. The Contractor agrees to make these records available for inspection upon request of the Department of Labor and the Federal Aviation Administration. d. The Contractor agrees to supply one copy of the written notices required in accordance (with Subsection 5 c.) at the request of Federal Aviation Administration compliance officers. The Contractor also agrees to supply at three-month intervals during performance of the Contract and after completion of contract performance a statement describing steps taken toward making a diligent effort and containing a breakdown by craft, of hours worked and wages paid for first year apprentices and trainees, other apprentices and trainees, and journeymen. One copy of the statement will be sent to the Federal Aviation Administration, and one to the Secretary of Labor. C. The Contractor agrees to insert in any Subcontract under this contract the requirements contained (n this Subdivision 4). Subparagraphs 5, 6, 7, and S shall also be attached to each such Contract for the information of the Contractor. The term "Contractor" as used in such clauses in any Subcontract shall mean the Subcontractor. 5. Criteria for Measuring Diligent Effort. A Contractor will be deemed to have made a "diligent effort" as required by Subparagraph 4 of this Paragraph if during the performance of his Contract he accomplishes at least one of the following three objectives: A. The Contractor employees on this project a number of apprentices and trainees by craft as required by the Contract clause at least equal to the ratios established in accordance with Subparagraph 6 of this Paragraph. b. The Contractor employs, on all his public and private, construction work combined in the labor market area of this project, an average number of apprentices and trainees by craft as required by the contract clauses, at least equal to the ratios established in accordance with Subparagraph 6. C. 1) Before commencement of work on the project, the Contractor, if covered by a collective bargaining agreement, will give written notice to all joint apprenticeship committees: the local United States Employment Security Office; local chapter of the Urban League (Workers Defense League) or other local organization concerned with minority employment; and the Bureau of Apprenticeship and Training Representative, United State Department of Labor, for the locality. The Contractor, if not covered by a collective bargaining agreement, will give written notice to all the groups stated above except joint apprenticeship committees; this Contractor also will notify all non joint apprenticeship sponsors in the labor market area. 2) The notice will include at least the Contractor's name and address, the jobsite address, value of contract, expected starting and completion dates, the estimated average number of employees in each occupation to be employed over the duration of the Contract, and a statement of his willingness to employ a number of apprentices and trainees at least equal to the ratios established in accordance with Subparagraph 6. 3) The Contractor must employ all qualified applicants referred to him through normal channels (such as the Employment Service, the Joint Apprenticeship Committees and, where applicable, minority organizations and apprentice outreach programs who have been delegated this function) at least up to the number of such apprentices and trainees required by the applicable provision of Subparagraph 6. 9.11.91 air\3:\21 I`W4\agnnnW\ag=Aw H-4 6. Determination of ratios of Apprentices or Trainees to Journeymen. The Secretary of Labor has determined that the applicable ratios of apprentices and trainees to journeymen in any occupation shall be as follows: a. In any occupation the applicable ratio of apprentices and trainees to journeymen shall be equal to the predominant ratio for the occupation in the area where the construction is to be undertaken, set forth in collective bargaining agreements or other employment agreements, and available through the Regional Manager for the Bureau of Apprenticeship and Training for the applicable area. For any occupation for which no such ratio is found the ratio of apprentices and trainees to journeymen shall be determined by the Contractor in accordance with the recommendations set forth in the standards of the National Joint Apprentice Committee for the occupation, which are filed with the United States Department of Labor's Bureau of Apprenticeship and Training. C. For any occupation for which no such recommendations are found, the ratio of apprentices and trainees to journeymen shall be at least one apprentice or trainee for every five journeymen. 7. Variations, Tolerances, and Exemptions. Variations, tolerances, and exemptions from any requirement of this Part with respect to any Contract or Subcontract may be granted when such action is necessary and proper in the public interest, or to prevent injustice, or undue hardship. A request for a variation, tolerance, or exemption may be made in writing by any interested person to the Secretary, United States Department of Labor, Washington, D.C. 20210. 8. Enforcement. a. The FAA shall insure that the Contract clauses required by Subdivision 4 a. of this Paragraph are inserted in every Federal or Federally assisted construction contract subject thereto. For assistance programs for construction work for which it does not contract directly, the FAA shall promulgate regulations and procedures necessary to insure that contracts for the construction work subject to Subdivision 4 of this Paragraph D will contain the clauses required thereby. b. Enforcement activities, including the investigation of complaints of violations, to assure compliance with the requirements of this Part, shall be the primary duty of the FAA. The Department of Labor will coordinate its efforts with the FAA, as may be necessary to assure consistent enforcement of the requirements of this Part. Enforcement of these provisions shall be in accordance with 29 CFR 5.6. E. COMPLIANCE WITH COPELAND REGULATIONS. The Contractor shall comply with the Copeland Regulations (29 CFR Part 3) of the Secretary of Labor which are herein incorporated by reference (29 CFR 5.5(a)(5)). F. OVERTIME REQUIREMENTS. No Contractor or Subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any laborer or mechanic in any workweek in which he is employed on such work to work in excess of 8 hours in any calendar day or in excess of 40 hours in such workweek unless such laborer or mechanic received compensation at a rate not less than 11/2 times his basic rate of pay for all hours worked in excess of 8 hours in any calendar day or in excess of 40 hours in such workweek, as the case may be (29 CFR 5.5(c)(1)). G. VIOLATIONS; LIABILITY FOR UNPAID WAGES; LIQUIDATED DAMAGES. in the event of any violation of Paragraph F of this provision, the Contractor and any Subcontractor responsible therefore shall be liable to any affected employee for his unpaid wages. In addition, such Contractor and Subcontractor shall be liable to the United States for liquidated damages. Such liquidated damages shall be computed, with respect to each individual laborer or mechanic employed in violation of said Paragraph F of this provision, in the sum of $10 for each calendar day on which such employee was required or permitted to work in excess of 8 hours or in excess of the standard workweek of 40 hours without payment of the overtime wages required by said Paragraph F of this Provision (29 CFR 5.5(c)(2)). H. WITHHOLDING FOR UNPAID WAGES AND LIQUIDATED DAMAGES, AND PRIORITY OF PAYMENT. The FAA may withhold or cause to be withheld, from any monies payable on account of work performed by the Contractor or Subcontractor, such sums as may administratively be determined to be necessary to satisfy any liabilities of such Contractor or Subcontractor for unpaid wages and liquidated damages as provided in Paragraph G of this Provision (29 CFR 5.5(c)(3)). 2. In the event of failure or refusal of the Contractor or any Subcontractor to comply with overtime pay requirements of the Contract Work Hours and Safety Standards Act, if the funds withheld by the FAA for the violations are not sufftc'ttent to pay fully both the unpaid wages due laborers and mechanics and the liquidated damages due the United States, the available funds shall be used first to compensate the laborers and mechanics for the wages to which they are entitled (or an equitable 9.11.91 air\1\21 1\00*agrnnite\ag220.ms H-5 portion thereof when the funds are not adequate for this purpose); and the balance, if any, shall be used for the payment of liquidated damages (29 CFR 5.14(()(2)). 1. WORKING CONDITIONS. No Contractor may require any laborer or mechanic employed in the performance of the contract to work in surroundings or under working conditions that are unsanitary, hazardous, or dangerous to his health or safety as determined under construction safety and health standards (29 CFR Part 1518; 36 F.R. 7340) issued by the Secretary of Labor. J• SUBCONTRACTS. The Contractor will insert in each of his subcontracts the clauses contained in Paragraphs A through K of this provision, and also a clause requiring the Subcontractors to include these provisions in any lower tier subcontracts which they may enter into, together with a clause requiring this insertion in any further subcontracts that may in turn be made (29 CFR 5.5(x)(6), 5.5(c)(4)). K. CONTRACT TERMINATION; DEBARMENT. A breach of Paragraphs A through 7 of this provision may be grounds for termination of the contract. A breach of Paragraphs A through E and I may also be grounds for debarment as provided in 29 CFR 5.6 of the regulations of the Secretary of Labor (29 CFR 5.5(a)(7)). END OF SCHEDULE air\3:\21 tbo4Vgrnn.4g2MJnm 9.11.91 SCHEDULE I LABOR LAW AND NON-DISCREMINATION REQUIREMENTS LABOR LAW REQUIREMENTS. The Consultant Subcontractor specifically agrees, as required by the Labor Law, Section 220, 220-4 and 220-e, as amended, that the execution of this Agreement binds him to the following specific agreements: A. No laborer, worker or mechanic in the employ of the Consultant Subcontractor, Subcontractor or other person doing or contracting to do the whole or part of the work included in this Agreement shall be permitted or required to work more than eight hours in any one calendar day or more than five days in any one week in the performance of work included in this Agreement except in the emergencies set forth in the Labor Law; B. The wages (including supplements) paid for a legal day's work shall not be less than the prevailing rate of wages (including supplements) as defined by Law; C. The minimum hourly rate of wages (including supplements) to be paid shall not be less than that designated by the Industrial Commissioner; D. The minimum hourly supplements to be aid shall be in accordance with the prevailing practices in the locality where the Project is located and shall be not less than those designated by the Industrial Commissioner. Supplements as defined in Section 220 of the Labor Law, as amended, mean all remuneration for employment paid in any medium other than cash or reimbursement for expenses or any payments which are not wages within the meaning of the Law, including but not limited to health, welfare, non- occupational disability, retirement, vacation benefits, holiday pay and life insurance; E. The Labor Law provides that the Agreement may be forfeited and no sum paid for any work done thereunder on a second conviction for willfully paying less than; The stipulated wage scale (including supplements) as provided in the Labor Law, Section 220, Subdivision 3, as amended, or 2. The stipulated minimum hourly scale (including supplements) as provided in the Labor Law, Section 220-4, as amended; F. The Consultant Subcontractor specifically agrees as required by the provisions of Labor Law, Section 220-e, as amended, that: 1. In the hiring of employees for the performance of work under the Agreement of any Subcontract hereunder, no Consultant Subcontractor, Subcontractor or any person acting on behalf of such Consultant Subcontractor or Subcontractor shall, by reason of race, creed, sex, color or national origin discriminate against any citizen of the State of New York who is qualified and available to perform the work to which the employment relates. 2. No Consultant Subcontractor, Subcontractor or any person on his behalf, shall in any manner discriminate or intimidate any employee hired for the performance of work under the Agreement on account of race, creed, sex, color or national origin. 3. There may be deducted from the amount payable to the Consultant Subcontractor by the Consultant under the Agreement a penalty of five dollars for each person for each calendar day during which such person was discriminated against or intimidated in violation of the provisions of the Agreement. 4. The Agreement may be canceled or terminated by the Consultant and all monies due or to become due thereunder may be forfeited for a second or any subsequent violation of the terms or conditions of this Section of the Agreement. Additional Federal Labor Law provisions are contained in the attached Appendix. 9.11.91 .sr\3:mI\000A md.\ag22l.me a I-2 NON-DISCRIMINATION REQUIREMENTS. During the performance of this Contract, the Consultant Subcontractor agrees as follows: A. The Consultant Subcontractor shall not discriminate against any employee or applicant for employment because of race, creed, sex, color or national origin, and shall take affirmative action to insure that they are afforded equal employment opportunities without discrimination because of race, creed, sex, color or national origin. Such action shall be taken with reference to, but not limited to: recruitment, employment, job assignment, promotion, upgrading, demotion, transfer, layoff or termination, rates of pay, or other forms of compensation, and selection for training or retraining, including apprenticeship and on-the-job training. B. The Consultant Subcontractor shall send to each labor union or representative of workers with which he has or is bound by a collective bargaining or other agreement or understanding, a notice to be provided by the State Division of Human Rights, advising such labor union or representative, of the Consultant Subcontractor's Agreement under Clauses A. through G. (hereinafter called "non-discrimination clauses"). If the Consultant Subcontractor was directed to do so by the contracting agency as part of the bid or negotiation of this Agreement, the Consultant Subcontractor shall request such labor union or representative to furnish it with a written statement that such labor union or representative shall not discriminate because of race, creed, sex, color, or national origin and that such labor union or representative shall affirmatively cooperate within the limits of its legal and contractual authority, in the implementation of the policy and provisions of these non-discrimination clauses or that it consents and agrees that recruitment, employment and the terms and conditions of employment under this Agreement shall be in accordance with the purposes and provisions of these non-discrimination clauses. If such labor union or representative fails or refuses to comply with a request that it furnish such a statement, the Consultant Subcontractor shall promptly notify the State Division of Human Rights of such failure or refusal. C. The Consultant Subcontractor shall post and keep posted in conspicuous places, available to employees and applicants for employment, notices to be provided by the State Division of Human Rights setting forth the substance of the provision of clauses (a) and (b) and such provisions of the State's laws against discrimination as the State Commissioner of Human Rights shall determine. D. The Consultant Subcontractor shall state, in all solicitations or advertisements for employees placed by or on behalf of the Consultant Subcontractor, that all qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, sex, color or national origin. E. The Consultant Subcontractor shall comply with the provision of Section 291-299of the Executive Law and Civil Rights Law, shall furnish all information and reports deemed necessary by the State Commissioner of Human Rights under these non-discrimination clauses and such sections of the Executive Law, and shall permit access to its books, records and accounts by the State Commissioner of Human Rights, the attorney General and Industrial Commissioner for the purposes of investigation to ascertain compliance with these non-discrimination clauses and such sections of the Executive Law and the Civil Rights Law. F. This Agreement may be forthwith canceled, terminated or suspended in whole or in part, by the contracting agency upon the basis of a finding made by the State Commissioner of Human Rights that the Consultant Subcontractor has not complied with these non-discrimination clauses, and the Consultant Subcontractor may be declared ineligible for future Agreements made by or on behalf of the State or a public authority or agency of the State, until he satisfies the State Commissioner of Human Rights that he has established and is carrying out a program in conformity with the provision of these non-discrimination clauses. Such findings shall be made by the State Commissioner of Human Rights after conciliation efforts by the State Division of Human Rights have failed to achieve compliance with these non-discrimination clauses and after a verified compliant has been filed with the State Division of Human Rights, notice thereof has been given to the Consultant Subcontractor, and an opportunity has been afforded him to be heard publicly before the State Commissioner of Human Rights or his designee. Such sanctions may be imposed and remedies invoked independently of or in addition to sanctions and remedies otherwise provided by Law. END OF SCHEDULE .ir\3:\21I`A04\sgrnn.\ag22 Jw 9.11.91 i C . a 0 SCHEDULE J "In accordance with Chapter 406 of the Laws of 1981,the Contractor hereby promises, asserts and represents that neither the Contractor nor any substantially owned or affiliated person, firm, partnership or corporation has participated, is participating or shall participate in an international boycott in violation of the provisions of the United States Export Administration Act of 1969, as amended, or the United States Export Administration Act of 1979,or the effective Regulations of the United States Department of Commerce promulgated under either Act. "It is understood further that the Sponsor in awarding a contract does so in material reliance upon the promise and representation made by the Contractor in the foregoing paragraph and that such contract shall be rendered forfeit and void by the State Comptroller if subsequent to the bid execution date, the Contractor or such owned or affiliated person, firm, partnership or corporation has been convicted of a violation of the aforesaid Acts or Regulations or has been found upon final determination of the United States Commerce Department or any other appropriate agency of the United States to have violated such Acts or Regulations. "The Contractor agrees to and shall notify the Comatissioner of Transportation and the Director of the Bureau of Contracts and State Expenditures in the Department of Audit and Control of any such conviction or final determination of violation within five days thereof." END OF SCHEDULE ak\3:\211\W4\Agrmte\rg2' A- 9.11.91 r C Cl ,�4S Galocennos & Spina Engineers, P.C. June 23, 1992 Mr. Dan Vornea Federal Aviation Administration New York Airports District Office 181 South Franklin Avenue Valley Stream, New York 11581 Re: Elizabeth Field/Fisher's Island Airport Airfield Lighting AIP Project No. 3-36-0029-05-92 File: 211.004 Dear Mr. Vornea: A search for a local qualified inspector to staff the above -referenced project was conducted by our firm and is complete. The search consisted of publishing the employment opportunity (see copies attached) in the classified section of the local newspaper and asking for recommendations from both New York and Connecticut Department of Transportation. In addition, the sponsor was asked to provide names of any known available qualified individuals. Four individuals were interested in the position anal three provided resumes (see attached) for our consideration. All four individuals were interviewed by telephone by our Construction Division Manager or Inspection Supervisor. Based upon the background and experience information provided by each, it was our opinion that none of the four possessed all of the following essential qualifications needed for this position. Electrical background with experience in airport series circuit applications or equivalent. 2. Experience maintaining construction records in accordance with NYSDOT Murk requirements. 3. Construction inspection experience as a Resident Engineer or Resident Inspector, or similar responsible position. Since we were unsuccessful in finding a local qualified individual to staff this project, it is our intent to provide a qualified inspector from our Syracuse Office. A draft inspection contract has been prepared in accordance with Alternate No. 2 of our April 15, 1992 letter to your office and a copy is enclosed for your review. 1020 Seventh North Street, Liverpool, NY 13088-8199 (315) 45'7-6711 FAX (315) 457-9803 Mr. Dan Vornea June 23, 1992 Page 2 If you have any questions regarding this matter, please do not hesitate to call me. Very truly yours, CALOCERINOS & SPINA ENGINEERS, P.C. wA Mark F. Petranchuk Managing Engineer MFP:kal Attachments cc: Mr. Scott L. Harris (w/encl) cs ADVERTISEMENT FOR JOB OPENING DATE April 30, 1992 NEWSPAPER THE SUFFOLK TIMES AGENT PHONE FAX 516/298-3287 SIZE In -Column Ad RUN Sunday only, May 3, 1992 1992: Please publish the following in -column ad in the Professional Section on Sunday only, May 3, Calocerinos & Spina Engineers, P.C., is seeking a Sr. Inspector, NICET LEVEL III, to inspect a local airfield lighting project at Elizabeth Field, Fishers Island. Send resume to attention: CALOCERINOS & SPINA ENGINEERS, P.C. Attention: Mr. John Spina 1020 Seventh North Street Liverpool, New York 13088 An Equal Opportunity Employer THE DAY, SUNDAY, MAY 3,.1992 D7 INSPECTOR - SENIOR Cakxednos & Spiro Enainews, P.C, Is seeking a Sr. Inspector, NICET LEVEL, 111, to Inspect a local airfield lighting Protect at Elizabeth Plod, Fishers Is- krW. Send resume to aHen"m CALOCERINOS & SPINA ENGINEERS. P.0 Ahentiom Mr. John Spina 1010 Seventh North Sheet Liverpool, New York 13W eouN opporhmwv wnplover 4L CALOCERPIOS u SPINA MAY 6 8 25 G111 T Mr. John Spina Calocerinos and Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088 To Whom It May Concern: Antonio Spera 8 Oswegatchie Road Waterford, Connecticut 06385 INSPECTOR — ENIOR Calocerinos b Spina Engineers, P.C, Is seekkv a Sr. Inspector, N , LEVEL, III, to inspect a focal airfield Iightino Prolecf at Elizabeth FNW, Fishers Is- land send res�, �.e w attention: b'a4! PR1`a0d a"SPINA ENGINEERS, P.C. Attention: Mr. John spina 1020 Seventh North Street Liverpool, New York 13086 equal opportunity emolo W Through various business contacts I have become familiar with your organization, Calocerinos and Spina Engineers, P.C. I am writing to you in exploration of employment opportunities. Enclosed please find a resume which outlines my work history, technical backround and various projects of performance. I am a highly motivated individual and possess a strong sense of awareness. I enjoy working with people and function well in both supervisory and subordinate capacities. I feel that my personal assets cited above combined with my degree in Business Administration will prove to be extremely beneficial to your company. Please review my qualifications and backround and contact me at your ealiest convenience if an interview appointment is possible. Thank you. Sincerely, 6&2;1w�- Antonio Spera ' 7-03 9q7- 3/9 �r 11Z X220 q#'I A t ANTONIO SPERA 8 Oswegatchie Road Waterford, Connecticut 06385 Telephone #: (203)442-3197 Social Security #: 046-64-1128 EDUCATION: B.S., Business Administration, Eastern Connecticut State University, 1983. Radiation Safety Course, 1986 Nuclear Density Training, 1986 PROFESSIONAL REGISTRATION: NICET Level III NICET Level IV, pending SUMMARY OF EXPERIENCE: GANNET FLEMING ENGINEERS, Harrisburg, PA, 1987 -Present BALDWIN BRIDGE, CT. SENIOR INSPECTOR responsible for construc- tion of the Eastern Approach. Duties include coordinating the activities of inspection personnel and ensuring rigid confor- mance to specifications and methods of procedure; performed quantity take -offs on both roadway and structures for monthly pay estimates. Contract value 11 million dollars. MOSES WHEELER BRIDGE, CT. SENIOR INSPECTOR for the rehabilita- tion of a 3,200 -foot, multigirder bridge over the Housatonic Riv- er for the Connecticut Department of Transportation (CONN DOT). Supervised field inspection staff and inspected concrete deck repairs and improvements, steel superstructures and substructure repairs. Assisted Resident Engineer with project administration. Contract value 15 million dollars. ROUTE 80 WIDENING, CT. CONSTRUCTION INSPECTOR on this 1.1 mile major highway widening project. Duties included inspecting drainage and utility installations, bituminous pavement, rock excavation and traffic signal installation. Contract value 10 million dollars. CONSTRUCTION INSPECTION OF 11 BRIDGE SITES, CT. CONSTRUCTION INSPECTOR on for the Connecticut Department of Transportation Emergency Bridge Program. These projects involved five bridge sites with partial deck patching and six bridge site with full deck replacement. Structures ranged from a 20 -foot simple -span bridge to the 685 -foot multi -girder span bridge on I-395 over the Shetucket River. Responsible for inspection of structural concrete and reinforcement; concrete patching, bituminous pave- ment, painting, excavation, backfill and miscellaneous roadway items. Assisted in the formulation of final papers and project close-out for Project 103-197, checked all computations, review- ed testing and prepared as -built drawings. Contract value 4 million dollars. ANTONIO SPERA EMJ/MACFARLAND JOHNSON ENGINEERS, INC., New Haven, CT, 1986-1987. I-91 REHABILITATION, NEW HAVEN, CT. CONSTRUCTION INSPECTOR res- ponsible for inspection of excavation, partial and full depth patching, pressure release joints, waterproofing, bituminous paving and miscellaneous roadway items. STONE AND WEBSTER ENGINEERING CORPORATION, Boston, MA, 1979-1986. MILLSTONE POINT NUCLEAR STATION UNIT 3, WATERFORD, CT. ANSI LEV- EL II INSPECTOR responsible for inspection, testing and documenta- tion of concrete placement, back -fill, protective coatings and an- chors; attained field samples and performed laboratory testing on concrete, steel and soils specimens; maintained and calibrated field testing equipment; reviewed site drawing stations to assure construction conformance to latest plan revisions and ammended specifications; tracked nonconformance and disposition reports through the Rework/Revise/Accept As Is process. Alan Norris 422 Norwich Avenue Lebanon, CT 06249 CA�CCER!!; PIllq Hir13 8c,�;;'.� 1 Please accept this letter and enclosed resume regarding construction inspection opportunities per an advertisement in the New London Day. As my enclosed resume indicates, I have five years experience on Connecticut DoT projects. While on these projects one of the areas I have been associated with is lighting installation. This experience also includes numerous bridge and road projects. Currently I am working toward a Masters Degree in Environmental Science from the University of New Haven. At this time I am the holder of an NICET 11 certification with plans to obtain Level 111 this summer. These, along with my prior experience would be beneficial in performing the duties this position requires. I Zook forward to hearing from you on this matter and will be available at your convenience for further discussion. Sincerely, �& '517ZIIM� Alan Norris ALAN NORRIS 422 Norwich Avenue Lebanon, CT 06249 203-886-5433 SUMMARY OF QUALIFICATIONS * Background combines extensive academic preparation at the undergraduate and graduate level with more than ten years of success in manufacturing, construction engineering, and industrial safety. * Excellent communication skills, demonstrated by clarity in verbal and written expression, including technical and procedure writing. * Experienced in the handling of highly sensitive, confidential information. Former National Security Council Secret Clearance. Certified in handling radioactive material. * Creative; able to adapt available technology to client and organizational needs. Results -oriented -- record of verifiable bottom- line accomplishment in every area of accountability. PROFESSIONAL EXPERIENCE October 1991 ATLAS LEGAL SYSTEM -- Gales Ferry, CT to Present Environmental Document Analyst This is a temporary position reviewing environmental documentation for the client for compliance with state and federal regulations. Included in this position was a knowledge of RCRA, CERCLA, TSCA, and DOT transporting procedures. Violations were documented for future use in case legal action transpired. May 1989 to MAGUIRE GROUP -- New Britain, CT July 1991 Construction Inspector Supervised and observed construction on site for assigned projects, including bridge and road construction along with utility installation. Ensured that work was proceeding in accordance with state regulations and environmental compliance. Provided engineering and technical support as needed. Prepared daily quality control status reports and performed and documented laboratory testing. May 1988 to MACFARLAND JOHNSON, CONSULTING ENGINEERS May 1989 Binghamton, New York Construction Inspector Performed duties similar to those described above in the Waterford/New London, Connecticut area. Position required the ability to think clearly and respond effectively under deadline pressure. ALAN NORRIS 2 Nov 1986 to MCLAUGHLIN RESEARCH CORPORATION -- Waterford, CT May 1988 Mechanical Engineer Performed on -board submarine alterations. Directed entire process, from initial conceptualizing through installation. Worked with ship captains and draftsmen on original plans. Performed stress calculations to ensure compliance with subsafe criteria. Designed measures to prevent failure after installation. May 1985 to PRATT & WHITNEY -- East Hartford, Connecticut Nov 1986 Manufacturing Engineering Completed assigned projects primarily involved with designing efficient manufacturing methods. Responsible for capital budgeting, equipment justification, method improvements, material and work flow analysis, customized tooling and facility planning. Position required ability to work effectively with individuals at all levels of the organization. Oct 1980 to UNITED NUCLEAR CORP. -- Uncasville, Connecticut May 1985 Engineering Aide Reporting to an Engineer, provided comprehensive design support for this manufacturer of marine nuclear reactors. Provided detailed, step by step documentation of all phases of design and development. Extensive technical procedure and report writing. National Security Commission Security Clearance. EDUCATION UNIVERSITY OF NEW HAVEN -- West Haven, Connecticut M.S., Environmental Science, July 1993 CENTRAL CONNECTICUT STATE UNIVERSITY -- New Britain, Connecticut B.S., Manufacturing Engineering Technology, December, 1984 THAMES VALLEY STATE TECHNICAL COLLEGE -- Norwich, CT A.S., Mechanical Engineering, 1979 NICET Certified References Furnished Upon Receipt CqLOCC ',' SOS '` SPINA Nar � 8 43 ktf 91 To Wlzom It May Concern; r Kevin 0. Sherry 44 Woodlawn Ave. Waterford Ct. 06385 (203) 443 - 0824 Enclosed you will find a resume stating my experience and qualifications in various fields of construction and quality assurance/quality control programs. I am in pursuit of a full time, permanent position with a company or fire. such as yours. You may contact me anytime at (203) 443-.0824. I look forward to hearing from you in the near future. E� Sincerely, Kevin 0. Sherry a,M : i 4111 AlU U4 Kevin 0. Sherry 44 Woodlawn Ave. Waterford, CT. 06385 (203) 443-0824 OBJECTIVE To carry out all inspections and tests applicable to site quality assurance and quality control programs. pp EXPERIENCE 9/87 - Present Gannett Fleming Engineers. Harrisburg, PA. Senior Construction Inspector Responsibilities include coordinating the activities of field inspection personnel. Nuclear testing, and inspection and documentation in the following areas; structural con- crete placement and reinforcement, partial and full depth patching, membrane waterproofing, protective coating, super- structure erection and steel repairs, substructure patching bituminous paving, excavation and backfilling of soils, drainage systems, utility installations, and miscellanious bridge and roadway items. 9/86 - 9/87 EMJ/McFarland-Johnson Engineers Inc. Binghamton, N.Y. �jObA�alf Construction Inspector '(W(f Responsibilities include inspection and documentation in the following areas; structural concrete placement, partial and full depth patching, membrane waterproofing, header repair, bituminous paving, excavation and backfilling of soils, drainage systems, guiderail systems, and miscellanious bridge and roadway items. 2/80 - 9/86 Stone and Webster Engineers. Boston, MA. Quality Control Inspector As a ANSI N45.2.6 certified level II inspector responsibil- ities include inspection and documentation in the following areas; structural concrete placement and curing, backfilling of soils, protective coatings, fire protection systems, and lab testing of concrete, soils, rebar, and cadwelds. FIELD EXPERIENCE 9/87 - Present Inspection of 11 bridge sites in the Norwich, CT -area. Route 80 widening in New Haven and East Haven, CT.. I-95 Moses Wheeler Bridge in Milford, CT.. I-95 Baldwin Bridge projects in Old Lyme, CT. 9/86 - 9/87 Rehabilitation of I- 91 in New Haven, CT. 11/12 - 9/86 Nine Mile Point Nuclear Power Station Unit II. Lycoming, N.Y. 2/80 - 11/82 Millstone Point Nuclear Power Station Unit III. Waterford, C. PROFESSIONAL REGISTRATION NICET Level III, NICET Level I\- (penCin(,) cao U.S. Department 91.. VwA X9.80 of Transportation 181 AA Y ,Aw, 66 + 305 Federal Aviation V &,.,9Z 958& °i Administration .JUN 2 2 1992 Ms. Judith T. Terry RIMM Southold Town Clerk Town of Southold JUN 2 4 Town Hall, 53095 Main Road P. O. Box 1179 iiC�It si�liuii Southold, NY 11971 Dear Ms. Terry: 4�e have advise �- , � • found and d that the exe::a�.Lon of ...: ��....� Agreement for AIP Project No. 3-36-0029-05-92 at Elizabeth Field Airport is satisfactory. Our finding is based on the execution of Part II - Acceptance of the Grant Agreement and your Attorney's certification. Sincerely, Philip Brito Manager, New York Airports District Office 1 -N& U.S. Department of Transportation Federal Aviation Administration J6ii' v --4- Mr. Scott L. Harris Town Supervisor Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Dear Mr. Harris: 181 A. gwAhn A., P^. 305 V.&V &.., ny 12 582 Elizabeth Field Airport, Fishers Island, NY AIP 3-36-0029-05-92 Grant Offer In response to your request for Federal assistance for development at Elizabeth Field Airport, we are pleased to inform you that the Federal Aviation Administration (FAA), offers a Federal Grant allocating the amount of $459,720 (Federal Share) under the terms of the Airport and Airway Safety and Capacity Expansion Act of 1987 (AIP). Enclosed are an original and four (4) copies of a Grant Agreement for the subject project. The execution by this agency of Part I - Offer indicates the intention of the United States to participate in the allowable costs of the project in an amount not to exceed the maximum obligation of the United States and subject to the terms and conditions set forth and described therein. If this offer is acceptable, you should execute Part II - Acceptance, pursuant to FAR Part 152.115, Change 9. Please return to this office the original and three (3) copies of the executed Gran Offer, with a copy of the Project Application attached, to each, all fully executed as duplicate originals (that is, with original signatures thereon) and certification by your attorney that the acceptance complies with applicable law and constitutes a legal and binding obligation. When the executed Grant Agreement has been determined to be legally sufficient, you will be notified accordingly. The obligations assumed under this Grant Agreement shall not be changed or modified except with the written consent of this Administration. Please notify Roseanne Coppola of this office at (718) 553- 1882 as soon as this Grant has been fully executed. This Grant Offer should be executed as soon as possible but no later than June 30, 1992 otherwise the Offer expires and the funds are lost. Sincerely, 2Philip B to Manager Enclosures t AT JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS j MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 18, 1992 Philip Brito, Manager U.S. Dept. of Transportation Federal Aviation Administration New York Airports District Office 1818 S. Franklin Ave., Room 305 Valley Stream, New York 11582 Re: Elizabeth Field Airport, Fishers Island, N.Y. AIP 3-36-0029-05-92 Grant Offer Dear Mr. Brito: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971- Fax 1971Fax (516) 765-1823 Telephone (516) 765-1801 Transmitted herewith are an original and three (3) executed copies of the Grant Agreement for the installation of new medium intensity runway lighting system on Runways 12-30 and 7-25; installation of rotating beacon and wind cone; installation of VAST and REILS on Runways 7, 25, 12, and 30; and installation of electrical vault at Elizabeth Field Airport, Fishers Island, Town of Southold, New York. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (4) cc: Calocerinos & Spina Engineers, P.C. Accounting 8 Finance JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ,��FFOIK��Gy OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JUNE 16, 1992: RESOLVED that the Town Board of the Town of Southold hereby, authorizes and directs Supervisor Scott L. Harris to execute an acceptance of a Grant Offer from the U.S. ' Department of Transportation, Federal Aviation Administration, for $459,720.00 for the installation of a new medium intensity runway lighting system on Runways 12-30 and 7-25; install rotating beacon and wind cone; install VASI and REILS on Runways 7, 25, 12 and 30; and install electrical vault, at Elizabeth Field Airport, Fishers Island, all in accordance with the approval of the Town Attorney. udith T. Terry Southold Town Clerk June 17, 1992 a US. Department of Transportation Federal Aviation Administration GRANT AGREEMENT Part 1 - Offer Date of Offer May 22, 2992 Elizabeth Field Airport/Planning Area Project No. —2-26-0029 05—!92 Contract No. FA—EA 92-035 TO: Town of Southold, Suffolk Co., NY (herein called the "Sponsor' FROM: The United States of America (acting through the Federal Aviation Administration, herein called the "FAA") WHEREAS, the Sponsor has submitted to the FAA a Project Application dated 5/5/92 for a grant of Federal funds for a project at or associated with the Elizabeth Field Airport/Planning Area which Project Application, as approved by the FAA, is hereby incorporated herein and made apart hereof; and WHEREAS, the FAA has approved a project for the Airport or Planning Area (herein called the "Project') consisting of the following: Install new medium intensity runway lighting system on Runways 12-30 and 7-25; Install rotating beacon and wind cone; Install VASI and REILS on Runways 7, 25, 12 and 30; Install Electrical Vault. All as more particularly described on the property map attached as Exhibit "A" to the Project Application and in the Engineering Agreements for this work approved by the New York Airports District Office on April 28, 1992, all of which are incorporated by reference and made a part thereof; all as more particularly described in the Project Application. FAA Form 5100-37 (10-89) Supersedes FAA Form 5100-37 pages 1 thru 4 Page Z� NOW THEREFORE, pursuant to and for the purpose of carrying out the provisions of the Airport and Airway Improvement Act of 1982, as amended by the Airport and Airway Safety and Capacity Expansion Act of 1987, herein called the "Act," and/or the Aviation Safety and Noise Abatement Act of 1979, and in consideration of (a) the Sponsors adoption and ratification of the representations and assurances contained in said Project Application and its acceptance of this Offer as hereinafter provided, and (b) the benefits to accrue to the United States and the public from the accomplishment of the Project and compliance with the assurances and conditions as herein provided, THE FEDERAL AVIATION ADMINISTRATION, FOR AND ON BEHALF OF THE UNITED STATES, HEREBY OFFERS AND AGREES to pay, as the United States share of the allowable costs incurred in accomplishing the Project, 90% of all such costs The Offer is made on and subject to the following terms and conditions: Conditions 1. The maximum obligation of the United States payable under this offer shall be $ 459,720 For the purposes of any future grant amendments which may increase the foregoing maximum obligation of the United States underthe provisions of Section 512(b) of the Act, the following amounts are being specified for this purpose: $ for planning —0— $ for airport development or noise program implementation. $459,720 2. The allowable costs of the project shall not include any costs determined by the FAA to be ineligible for consideration as to allowability under the Act. 3. Payment of the United States share of the allowable project costs will be made pursuant to and in accordance with the provisions of such regulations and procedures as the Secretary shall prescribe. Final determination of the United States share will be based upon the final audit of the total amount of allowable project costs and settlement will be made for any upward or downward adjustments to the Federal share of costs. 4. The sponsor shall carry out and complete the Project without undue delays and in accordance with the terms hereof, and such regulations and procedures as the Secretary shall prescribe, and agrees to comply with the assurances which were made part of the project application. 5. The FAA reserves the right to amend or withdraw this offer at any time prior to its acceptance by the sponsor. 6. This offer shall expire and the United States shall not be obligated to pay any part of the costs of the project unless this offer has been accepted by the sponsor on or before 7 / 15 /92 or such subsequent date as may be prescribed in writing by the FAA. 7. The sponsor shall take all steps, including litigation if necessary, to recover Federal funds spent fraudulently, wastefully, or in violation of Federal antitrust statutes, or misused in any other manner in any project upon which Federal funds have been expended. For the purposes of this grant agreement, the term "Federal funds" means funds however used or disbursed bythe sponsor that were originally paid pursuant to this or any other Federal grant agreement. It shall obtain the approval of the Secretary as to any determination of the amount of the Federal share of such funds. It shall return the recovered Federal share, including funds recovered by settlement, order or judgment, to the Secretary. It shall furnish to the Secretary, upon request, all documents and records pertaining to the determination of the amount of the Federal share or to any settlement, litigation, negotiation, or other efforts taken to recover such funds. All settlements orotherfinal positions of the sponsor, in court or otherwise, involving the recovery of such Federal share shall be approved in advance by the Secretary. 8. The United States shall not be responsible or liable fordamage to property or injury to persons which may a.ise from, or be incident to, compliance with this grant agreement. FAA Form 5100-37 (10-89) Page 2 M Page 2.1 of 3 Special conditions 1. It is understood and agreed by and between the parties hereto that the Sponsor shall complete this project to provide a safe and usable unit. 2. It is understood and agreed by and between the parties hereto that the typewritten description of airport development appearing in Item 11 of the Project Application is hereby deleted and the typewritten description of airport development appearing in the "Whereas" Clause on Page 1 of the Grant Offer is substituted in its place and stead. 3. It is understood and agreed by and between the parties hereto that Federal participation in the project costs will be limited to the costs of that work accomplished after the date of acceptance of the Grant Offer. 4. It is understood and agreed by and between the parties hereto that all references to the Airport Development Aid Program of the FAA in the Title VI of the Civil Rights Act of 1964 Assurances (7 pages) shall be replaced by the Airport and Airway Improvement Act of 1982, as amended by the Airport and Airway Safety and Expansion Act of 1987. 5. The sponsor shall provide for an audit to be made in accordance with Office of Management and Budget Circular A- 128. 6. The Sponsor agrees to comply with the Part V Assurances (dated 3/91) attached to this Offer which replaces the Part V Assurances that accompanied the Project Application. 7. Unless otherwise approved by the FAA, the Sponsor will not acquire or permit any contractor or subcontractor to acquire any steel or manufactured products produced outside the United States to be used for any project for airport development or noise compatibility for which funds are provided under this grant. The sponsor will include in every contract a provision implementing this special condition. r Page 2.2 of 3 8. It is understood and agreed that the sponsor must demonstrate within 30 days of the execution of the Grant that a good faith effort has been made to retain a local qualified inspector. In the event that no local qualified inspector could be found the project inspection fee in the amount of $84,559 remains unaltered, as stipulated in the grant agreement. If the sponsor fails to demonstrate good faith effort, the project inspection fee will be reduced to $67,561. r ;a n:11' nvovi 11x1 ifw'.. O'_., .Illi) illld rights of the United States and the Sponsor with respect to the accomplishment of the Project and compliance with the assurances and conditions as provided herein. Such Grant Agreement shall become effective upon the Sponsor's acceptance of this Offer. UNITED STATES OF AMERICA FEDERAL AY14T4CLN ADMINI N (Name) Philip Brito Manager, New York Jrports District Office (Title) Part 11- Acceptance The Sponsor does hereby ratify and adopt all assurances, statements, representations, warranties, covenants, and agreements contained in the Project Application and incorporated materials referred to in the foregoing Offer and does hereby accept this Offer and by such acceptance agrees to comply with all of the terms and conditions in this Offer and in the Project Application. Executed this 16th day of June 11992 Town of Southold, Suffolk Co., NY (Name of Sponsor) (SEAL) By ( ponsor,s Desig ated Offidiil Representative) Cott Louis Harris Attest: Title Supervisor Judith T. Terry Title: I, Matthew G. Kiernan CERTIFICATE OF SPONSOR'S ATTORNEY , acting as Attorney for the Sponsor do hereby certify: That in my opinion the Sponsor is empowered to enter into the foregoing Grant Agreement under the laws of the State of New York . Further, 1 have examined the foregoing Grant Agreement and the actions taken by said Sponsor and Sponsor's official representative has been duly authorized and that the execution thereof is in all respects due and proper and in accordance with the laws of the said State and the Act. In addition, for grants involving projects to be carried out on property not owned by the Sponsor, there are no legal impediments that will prevent full performance by the Sponsor. Further, it is my opinion that the said Grant Agreement constitutes a legal and binding obligation of the Sponsor in accordance with the terms thereof. Dated at Southold. N.Y. this day of June 19-92_ . of Sponsor's Attorney FAA Form 5100-37 (10-89) Page 3 t_. OMB Approval No. 0348-4043 A.1,O V LILA I IL)N t -UH 2. DATE SUBMITTED Applicant Identmer FEDERAL ASSISTANCE 04/07/92 211 1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Applicant Identifier Application Freapplloation XC1 Construction Construction SAI #41541 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier Non -Construction Non -Construction 5. APPLICANT INFORMATION Legal Name: Organizational Unit: Town of Southold Fishers Island Ferry District Address (give city, county, state, and zip code) Name and telephone number of the person to be contacted on matters involving Suffolk County this application (giwar -do) Town Hall, 53095 Main Road P.O. Box 1179 R. Philip Knauff Southold, New York 11971 (516) 788-7463 6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter In box) LUJ 1 1 -- 6 I 0 0 3 3 0 7 A. State H. Independent School Dist B. County 1. State Controlled Institution of Higher Learning C. Municipal J. Private University 8. TYPE OF APPLICATION: D. Township K. Indian Tribe ® New ❑ Continuation Revision E. Interstate L. Individual F. Intermunicipal M. Profit Organization If Revision, enter appropriate letter(s) in box(es)0 ❑ G. Special District N. Other (Specify) _ A. Increase Award B. Decrease Award C. Increase Duration D. Decrease Duration Other (Specify): 9. NAME OF FEDERAL AGENCY: Federal Aviation Administration New York Airports District Office 10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT: ASSISTANCE NUMBER: 2 O O 1 O 6 TITLE Airport Improvement Program (AIP) AIRFIELD LIGHTING (CONSTRUCTION) 12. AREAS AFFECTED BY PROJECT (cities, counties, states, etc.). Fishers Island i 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a. Applicant b. Project 2nd 2nd 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE a Federal $ .00 459,720 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON SAI #41541 b Applicant $ .00 DATE c State $ .00 38,310 b. NO F-1 PROGRAM IS NOT COVERED BY E.O. 12372 d Local $ .00 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other $ .00 f Program Income $ .00 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? F-1 Yes If "Yes," attach an explanation. ® No �g TOTAL $ .00 510,800 18 TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATIONIPREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a Typed Name of Authorized Representative b Title c Telephol v number Scott L. Harris Town Supervisor I (596) 765-1800 d Signature of Authorized Representative a Date Signed i MAY Previous Editions W Usable 4— Standard Form 424 (REV 4-88) Prescribed by OMB Circular A-102 Authorized for Local Reproduction . ' y DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION PART II PROJECT APPROVAL INFORMATION Item 1. Does this assistance request require State, local, regional, or other priority rating? Yes X No Item 2. Does this assistance request require State, or local advisory, educational or health clearances? Name of Governing Body Priority Rating Name of Agency or Board Yes X No (Attach Documentation) Item 3. Does this assistance request require clearinghouse (Attach Comments) review in accordance with OMB Circular A-95? X Yes No Item 4. Does this assistance request require State, local regional or other planning approval? Yes X No Name of Approving Agency Date Item 5 Is the proposed project covered by an approved Check one: comprehensive plan? X Yes No Location of plan Item 6. Will the assistance requested serve a Federal installation? OMB NO. 43-RO528 State [ ] Long Island Local [X] Regional Planning Regional [ ] Board Name of Federal Installation Yes X No Federal Population benefiting from Project Item 7. Will the assistance requested be on Federal land Name of Federal Installation or installation? Location of Federal Land _ Yes X No Percent of Project Item 8. Will the assistance requested have an impact or effect on the environment? Yes X No Item 9. Will the assistance requested cause the displacement of individuals families, businesses, or farms? Yes X No Item 10. Is there other related Federal assistance on this project previous, pending, or anticipated? Yes X No See instruction for additional information to be provided. Number of Individuals Families Businesses Farms See instruction for additional information to be provided. FAA Form 5100-100 (6-73) Supersedes FAA FORM 5100-10 PAGES 1 THRU 7 Page 2 * r 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: Elizabeth Field is surrounded on three sides by water, thus runway clear zone areas are over water. The community adjacent to the airport property is a residential vacation area with limited commercial activity. 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: NONE 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 Part V of this Application, either by limiting its legal or financial ability or otherwise, except as follows: NONE 4. 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 "All: PARCEL NO. 1 - Fee Simple Title *State 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. Page 3a 211/1/1/91 T t ' t • l .A DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADNINISTRATION OMB NO. 04-RO209 PART II - SECTION C (Continued) 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": NONE (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": NONE 5. 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: NONE *State 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 (4-76) 211/1/1/91 Page 3b OMB Approved No. 0348-0041 BUDGET INFORMATION --Construction Programs NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible for participation. I/such is the case you will be notified. bianaara norm 4z4u t4-asl Authorized for Local Reproduction Prescribed by OMB Circular A-102 COST CLASSIFICATION a. Total Cost b. Costs Not Allowable for Participation c. Total Allowable Costs (Column a -b) 1. Administrative and legal expenses $ $3,820 .00 $ .00 $ $3,820 .00 2. Land, structures, rights-of-way, appraisals, etc. $ .00 $ .00 $ .00 3. Relocation expenses and payments $ .00 $ .00 $ .00 4. Architectural and engineering fees $ .00 $ .00 $ .00 5. Other architectural and engineering fees $ .00 $ .00 $ .00 6. Project inspection fees $ $84,559 .00 $ .00 $ $84,559 .00 7. Site work $ .00 $ .00 $ .00 8. Demolition and removal $ .00 $ .00 $ .00 9. Construction $ $419,421 .00 $ .00 $ $419,421 .00 10. Equipment $ .00 $ .00 $ .00 11. Miscellaneous AUDIT $ $3,000 .00 $ .00 $ $3,000 .00 12. SUBTOTAL $ $510,800 .00 $ .00 $ $510,800 .00 13. Contingencies (sum of lines 1-11) $ .00 $ .00 $ .00 14. SUBTOTAL $ $510,800 .00 $ .00 $ $510,800 .00 15. Project (program) income $ .00 $ .00 $ .00 16. TOTAL PROJECT COSTS (subtract #15 from N14) $ $510,800 .00 $ .00 $ $510,800 .00 FEDERAL FUNDING 17. Federal assistance requested, calculate as follows: Enter eligible costs from line 160 Multiply x 90% (Consult Federal agency for Federal percentage share). AIRFIELD LIGHTING (CONSTRUCTION) Enter the resulting Federal share $ $459,720 o0 bianaara norm 4z4u t4-asl Authorized for Local Reproduction Prescribed by OMB Circular A-102 t DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION OMB NO. 60-RO184 PART III — BUDGET INFORMATION — CONSTRUCTION SECTION A — GENERAL 1. Federal Domestic Assistance Catalog No .................. 20.106 2. Functional or Other Breakout ........................... SECTION B — CALCULATION OF FEDERAL GRANT Cost Classification Use only for revisions Total Amount Required Latest Approved Amount Adjustment + or (-) 1. Administration expense $ $ $ $3,820 2. Preliminary expense 3. Land, structures, right-of-way 4. Architectural engineering basic fees 5. Other architectural engineering fees 6. Project inspection fees $84,559 7. Land development 8. Relocation Expenses 9. Relocation payments to Individuals and Businesses 10. Demolition and removal 11. Construction and project improvement $419,421 12. Equipment 13. Miscellaneous AUDIT $3,000 14. Total (Lines 1 through 13) $510,800 15. Estimated Income (if applicable) 16. Net Project Amount (Line 14 minus 15) $510,800 17. Less: Ineligible Exclusions 18. Add: Contingencies 19. Total Project Amt. (Excluding Rehabilitation Grants) $510,800 20. Federal Share requested of Line 19 $459,720 21. Add Rehabilitation Grants Requested (100 Percent) 22. Total Federal grant requested (Lines 20 & 21) $459,720 23. Grantee share $12,770 24. Other shares 1 $38,310 25. Total project (Lines 22, 23 & 24) $ $ $ $510,800 FAA Form 5100-100 (6-73) SUPERSEDES FAA FORM 5100 -10 PAGES 1 THRU 7 Page 4 I + T + .. C;EFmRTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION O M B N O. 80-R O 184 FAA Form 5100-100 (6-73) SUPERSEDES FAA FORM 5100-10 PAGES 1 THRU 7 Page 5 FAA AC 76-0232 SECTION C — EXCLUSIONS 26 Classification Ineligible for Participation Excluded from Contingency Provision (2) a. $ $ b. C. d. e. f. g. Totals $ Is SECTION D — PROPOSED METHOD OF FINANCING NON—FEDERAL SHARE 27 Grantee Share a. Securities b. Mortgages C. Appropriation (By Applicant) d. Bonds e. Tax Levies I. Non Cash g. Other (Explain) h. TOTAL - Grantee share 2.50% $12,770 28. Other Shares a. State 7.5 $38,310 b. Other c. Total Other Shares 29. TOTAL $51,080 SECTION E — REMARKS PART IV PROGRAM NARRATIVE Attach—See Instructions FAA Form 5100-100 (6-73) SUPERSEDES FAA FORM 5100-10 PAGES 1 THRU 7 Page 5 FAA AC 76-0232 ELIZABETH FIELD AIRPORT ENGINEER'S OPINION OF IFALVEY CONSTRUCTION CORP. IFRUEAN UTILITIES, INC. FISHERS ISLAND, NEW YORK ICONSTRUCTION COST IP.O. BOX 699 118 FRUEAN WAY AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICALOCERINOS 8 SPINA IKILLINGWORTH, CONNECTICUT 0641 IS. YARMOUTH, MASSACHUSETTS 0261 FAA-AIP NO. 3-36-0029-04-91 IENGINEERS, P.C. NYSDOT PROJECT NO. 0913.04 11020 SEVENTH NORTH STREET -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- (LIVERPOOL, NEW YORK 13088 ITEM FAA i I I UNIT UNIT ( UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS I PRICE TOTAL PRICE I TOTAL I PRICE TOTAL sas:■saa:sssxaxxazsaxxsassza:asssaass:sssss:aassxazasasassasasssassassassssssass:ssssaasaassaassasassaasasassssaa:asssass:ssaaasasassssasassaassaasssaassaas::sssaa:saasas 1 P-152 ICONNON EXCAVATION, AREA NO.1 ( 1 LS 52,000.00 $2,000.00 ( $•10,000.00 $10,000.00 52,500.00 52,500.00 2 P-152 IPAVEMENT EXCAVATION (BITUMINOUS CONCRETE) 900 SY 510.00 59,000.00 53.00 $2,700.00 55.95 $5,355.00 3 P-612 IFIELD OFFICE 1 LS $7,000.00 $7,000.00 518,200.00 518,200.00 $5,000.00 55,000.00 4 P-620 IRUNWAY PAINTING 23,000 SF $0.50 511,500.00 $0.50 511,500.00 50.73 ( $16,790.00 5 L-102 JELECTRICAL BUILDING ELECTRICAL SERVICE 1 LS $12,000.00 512,000.00 59,000.00 59,000.00 515,375.00 515,375.00 6 L-106 ISEGMENTED CIRCLE 1 LS $12,000.00 512,000.00 515,300.00 $15,300.00 510,450.00 $10,450.00 7 L-107 ILIGHTED WIND CONE 1 LS 56,000.00 56,000.00 516,700.00 516,700.00 $8,495.00 58,495.00 8 L-108 ICABLE TRENCHING FOR THE INSTALLATION OF I I ( I I UNDERGROUND CABLE 8,600 LF $4.00 534,400.00 52.25 519,350.00 54.35 537,410.00 9 L-108 IND. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT 28,300 LF I SO.60 I 516,980.00 I 50.38 1 $10,754.00 I 50.65 I 518,395.00 I 10 L-108 IND. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR I I I I I I I I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCTI 12,900 LF I 50.70 I 59,030.00 I $0.38 I 54,902.00 I 50.65 ( $8,385.00 11 L-108 IND. 8 AWG, BARE COPPER COUNTERPOISE WIRE I I I ( I I I INSTALLED IN TRENCH INCLUDING GROUNDING RODS I I I I I I I AND EXOTHERMIC CONNECTIONS I 9,500 LF I 50.75 I $7,125.00 I $0.28 I $2,660.00 I 50.80 I $7,600.00 12 L-109 (INSTALLATION OF AIRPORT ELECTRICAL I I I ( I I I I BUILDING EQUIPMENT, IN PLACE I 1 LS I 530,000.00 I 530,000.00 I $30,000.00 I 530,000.00 I $59,250.00 I 559,250.00 13 L-110 I4 -WAY ELECTRICAL DUCT BANK, TYPE I I 700 LF I 550.00 I $35,000.00 I 555.00 I 538,500.00 I $82.50 I $57,750.00 14 L-110 I8 -WAY ELECTRICAL DUCT BANK, TYPE I I 200 LF I $65.00 I 513,000.00 I $70.00 I 514,000.00 i $115.00 ( $23,000.00 15 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I I I I I I I IN PAVEMENT I 3,000 LF I $14.00 I 542,000.00 I 54.00 I $12,000.00 I $12.75 I $38,250.00 16 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I I I I ( I I IN TURF I 270 LF I 512.00 I $3,240.00 I $2.00 I 5540.00 I 57.75 I $2,092.50 17 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT REINSTALLEI I I I I I I I IN TURF I 190 LF I $6.00 I $1,140.00 I $2.00 I $380.00 I $7.85 I $1,491.50 18 L-112 (ELECTRICAL BUILDING I 1 LS I $30,000.00 I 530,000.00 I $40,000.00 I $40,000.00 I $63,780.00 I 563,780.00 19 L-115 (ELECTRICAL MANHOLE NO. 1 I 1 EACH ( S6,000.00 I $6,000.00 I $12,250.00 I $12,250.00 I $7,295.00 I $7,295.00 20 L-115 IPULL BOX REINSTALLATION I 1 EACH I $200.00 I 5200.00 I $500.00 I $500.00 I 51,190.00 51,190.00 page 1 ELIZABETH FIELD AIRPORT ENGINEER'S OPINION OF IFALVEY CONSTRUCTION CORP. IFRUEAN UTILITIES, INC. FISHERS ISLAND, NEW YORK (CONSTRUCTION COST IP.O. BOX 699 118 FRUEAN WAY AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICALOCERINOS Z SPINA IKILLINGWORTH, CONNECTICUT 06415. YARMOUTH, MASSACHUSETTS 026 FAA-AIP NO. 3-36-0029-04-91 IENGINEERS, P.C. NYSDOT PROJECT NO. 0913.04 11020 SEVENTH NORTH STREET LIVERPOOL, NEW YORK 13088 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA I ( I UNIT UNIT I UNIT NO. SPEC NOI DESCRIPTION ( QUANTITY UNITS ( PRICE TOTAL PRICE TOTAL PRICE TOTAL aaasa:riasa::zasaasxzza:aassasoaaasasasasaassass aaassaaaasaasaaaaaa:ataaaatasauuaataauuaaaaauasaaaaaa:■saasaaaaaaa uaaaaanawasaaaas:aasasosaasasaasasaaasaaaa 21 L-125 IMEDIUM INTENSITY RUNWAY EDGE LIGHTS, BASE MOUNTED, IN PAVEMENT 57 EACH $600.00 $34,200.00 $315.00 517,955.00 $565.00 $32,205.00 22 L-125 IRUNWAY 25 THRESHOLD LIGHTS 1 LS 56,000.00 56,000.00 53,800.00 $3,800.00 ( 519,500.00 ( $19,500.00 23 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-5, BASE ( I MOUNTED, IN PAVEMENT ( 1 LS ( 53,000.00 53,000.00 52,655.00 52,655.00 52,450.00 52,450.00 24 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-19, BASE MOUNTED, IN PAVEMENT 1 LS $3,000.00 53,000.00 $2,655.00 52,655.00 $2,450.00 $2,450.00 25 L-125 JAIRPORT GUIDANCE SIGN NO.R-1-3, BASE MOUNTED, IN TURF 1 LS 53,000.00 $3,000.00 52,400.00 $2,400.00 51,875.00 $1,875.00 26 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-19, BASE MOUNTED, IN TURF 1 LS 53,000.00 $3,000.00 $2,400.00 $2,400.00 $1,875.00 $1,875.00 27 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,) .I RUNWAY 7 END 11 LS $6,000.00 $6,000.00 $8,250.00 58,250.00 59,378.00 ( 59,378.00 28 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 25 END ( 1 LS 56,000.00 56,000.00 $8,250.00 $8,250.00 ( 59,378.00 59,378.00 29 L-125 (RUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 12 END I 1 LS 56,000.00 $6,000.00 58,250.00 ( 58,250.00 $9,378.00 59,378.00 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 30 END 1 LS $6,000.00 56,000.00 $8,250.00 58,250.00 59,378.00 59,378.00 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 7 END 1 LS $9,000.00 59,000.00 $9,580.00 59,580.00 $12,850.00 ( $12,850.00 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 25 END 1 LS $9,000.00 $9,000.00 59,580.00 59,580.00 $12,850.00 $12,850.00 33 L-125 (GENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 12 END ( 1 LS $9,000.00 59,000.00 $9,580.00 59,580.00 $12,850.00 $12,850.00 34 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 30 END 1 LS $9,000.00 59,000.00 59,580.00 59,580.00 512,850.00 512,850.00 35 L-125 IREMOVAL OF EXISTING RUNWAY EDGE LIGHTS 1 LS 52,000.00 52,000.00 $7,500.00 $7,500.00 55,000.00 ( $5,000.00 36 M-100 IMAINTENANCE AND PROTECTION OF TRAFFIC 1 LS 53,000.00 ( 53,000.00 523,500.00 523,500.00 53,500.00 53,500.00 page 2 ELIZABETH FIELD AIRPORT (ENGINEER'S OPINION OF IFALVEY CONSTRUCTION CORP. IFRUEAN UTILITIES, INC. FISHERS ISLAND, NEW YORK (CONSTRUCTION COST IP.O. BOX 699 118 FRUEAN WAY AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICALOCERINOS i SPINA IKILLINGWORTH, CONNECTICUT O"1IS. YARMOUTH, MASSACHUSETTS 0261 FAA-AIP NO. 3-36-0029-04-91 IENGINEERS, P.C. NYSDOT PROJECT NO. 0913.04 11020 SEVENTH NORTH STREET LIVERPOOL, NEW YORK 13088 ITEM FAA I --- -•---- -------- - -•--- - ------ I I UNIT -------- UNIT -- - ----- ( UNIT NO. SPEC NOI DESCRIPTION I QUANTITY UNITS PRICE TOTAL PRICE TOTAL PRICE TOTAL zsassz:azszsaszzsazsaaassssszaassaaasssasasazzazzsz::ssssszs:::sa::ssss:s:ssssssstsassessss:s:ssazaszassazsas:ass:ssssssasaasasssasssssassasssssss:ssasss:ssssssss:::ssszz 37 M-200 IMOBILIZATION ------------ ----- ' ----------------------------------------- 1 LS $16,18S.00 516,185.00 ( S16,000.00 X16,000.00 $15,890.00 $15,890.00 I TOTAL BID ---------------- -------------- --------------- !421,000.00 -------------- --------------- 5419,421.00 --------------i---------------I S563,S11.00 IBID SECURITY I I SX BID BOND SX BID BOND �• DENOTES BIDDER'S ERROR, THE CORRECTED VALUE --------------- ------- --------- ------- ---- ---------- ------ IS SHOWN. I ----------•------------------------------------•---------------------------•--------------------•---------- CALOCERINOS AND SPINA ENGINEERS, P.C. JOB NUMBER: 211.004.001 BID TABULATION 1 CERTIi'*,THAT THIS XS A S page 3 TABULATION OF BIDS RECEIVED MARCH 12, 1992. �-�`S DATE: 16 -Her -92 ELIZABETH FIELD AIRPORT 1CARLIN CONTRACTING CO., INC. 1D1CIN ELECTRIC CO., INC. 1J.P. DALY $ SONS, INC. FISHERS ISLAND, NEW YORK 1454 BOSTON POST ROAD 1156 CROSS ROAD 18M BROOK AVENUE AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING 1P.0. BOX 300 1WATERFORD, CONNECTICUT 06385 1DEER PARK, NEW YORK 11729 1 FAA-AIP NO. 3-36-0029-04-91 1WATERFORD, CONNECTICUT 06385 1 1 1 NYSDOT PROJECT NO. 0913.04 1 i 1 I 1 I 1 i ---------------------------------•-----------•---------------------------------------------------------------------------------------------------------------------------- ITEM FAA 1 1 1 UNIT i 1 UNIT i 1 UNIT 1 1 NO. SPEC NO1 DESCRIPTION 1 QUANTITY UNITS 1 PRICE 1 TOTAL 1 PRICE 1 TOTAL 1 PRICE 1 TOTAL 1 asszasssa:s:s:zzzasssazaz:sszszsssssazsszaaaszssasass:ssssaaasaasssa:a:szasssasas:ssaaasssasaaasassaasasas:ssaz::sssasaa:sass:azz:aa:asasaasa:ssasss::saa:aaaaasszas asasss 1 P-152 1COMMON EXCAVATION, AREA N0.1 1 1 LS 1 $4,217.00 i $4,217.00 1 %8,360.00 1 $8,360.00 1 $4,000.00 i $4,000.00 1 2 P-152 1PAVEMENT EXCAVATION (BITUMINOUS CONCRETE) 1 900 SY 1 $35.00 1 $31,500.00 1 $15.89 1 $14,301.00 • $14.00 ( $12,600.00 1 3 P-612 1FIELD OFFICE 1 1 LS 1 $3,650.00 1 %3,650.00 1 $7,000.00 1 $7,000.00 1 $8,000.00 ( $8,000.00 4 P-620 1RUNWAY PAINTING i 23,000 SF 1 $0.25 1 $5,750.00 1 $0.69 1 $15,870.00 • $0.58 i $13,340.00 5 L-102 1ELECTRICAL BUILDING ELECTRICAL SERVICE 1 1 LS 1 $33,000.00 1 %33,000.00 1 $6,520.00 ( $6,520.00 1 $18,100.00 1 $18,100.00 1 6 L-106 1SEGMENTED CIRCLE 1 1 LS 1 $15,296.00 1 $15,296.00 1 $17,297.50 1 $17,297.50 1 $11,700.00 1 $11,700.00 1 7 L-107 1LIGHTED WIND CONE 1 1 LS 1 $5,556.00 1 $5,556.00 ( $9,175.00 1 $9,175.00 1 $8,200.00 1 $8,200.00 1 8 L-108 1CABLE TRENCHING FOR THE INSTALLATION OF 1 UNDERGROUND CABLE 1 8,600 LF 1 $4.55 1 $39,130.00 1 55.80 1 $49,880.00 1 $7.08 ( %60,888.00 1 9 L-108 1NO. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR 1 1 1 1 1 1 1 1 1 UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT1 28,300 LF 1 $0.51 1 %14,433.00 1 $0.67 1 $18,961.00 1 50.82 1 $23,206.00 1 10 L-108 1N0. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR 1 1 1 1 i 1 1 i 1 UNDERGROUND CABLE INSTALLED IN TRENCH OR OUCT1 12,900 LF 1 $0.68 1 $8,772.00 1 $0.74 1 $9,546.00 1 $0.95 1 $12,255.00 1 11 L-108 1NO. 8 AWG, BARE COPPER COUNTERPOISE WIRE 1 i 1 1 ( 1 1 1 I INSTALLED IN TRENCH INCLUDING GROUNDING RODS 1 ( 1 1 1 1 1 1 1 AND EXOTHERMIC CONNECTIONS 1 9,500 LF 1 $0.66 1 $6,270.00 ( $0.68 1 $6,460.00 1 $1.49 1 $14,155.00 1 12 L-109 11NSTALLATION OF AIRPORT ELECTRICAL ( 1 1 1 ( 1 1 1 BUILDING EQUIPMENT, IN PLACE ( 1 LS 1 $35,273.00 1 535,273.00 1 $30,352.00 1 $30,352.00 1 %48,000.00 1 $48,000.00 i 13 L-110 14 -WAY ELECTRICAL DUCT BANK, TYPE 1 1 700 LF 1 $72.00 1 $50,400.00 1 596.00 1 %67,200.00 1 $88.00 1 $61,600.00 1 14 L-110 18 -WAY ELECTRICAL DUCT BANK, TYPE 1 1 200 LF 1 $66.00 ( $13,200.00 1 $100.00 1 %20,000.00 i $165.00 1 $33,000.00 1 15 L-110 12 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED 1 1 1 1 1 1 1 1 1 IN PAVEMENT 1 3,000 LF 1 $28.00 1 $84,000.00 1 $20.68 1 $62,040.00 1 520.50 1 $61,500.00 1 16 L-110 12 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED 1 1 1 1 1 1 1 1 1 IN TURF 1 270 LF 1 %17.00 1 %4,590.00 1 $13.00 1 $3,510.00 1 %14.50 1 $3,915.00 1 17 L-110 12 -INCH DIAMETER RIGID STEEL CONDUIT REINSTALLEI 1 1 1 1 1 1 1 1 IN TURF 1 190 LF 1 $17.00 1 $3,230.00 1 $13.00 1 %2,470.00 1 $14.20 1 $2,698.00 1 18 L-112 (ELECTRICAL BUILDING 1 1 LS 1 %45,000.00 1 $45,000.00 1 %40,000.00 1 540,000.00 1 %33,800.00 1 $33,800.00 1 19 L-115 (ELECTRICAL MANHOLE NO. 1 i 1 EACH 1 $3,566.00 1 %3,566.00 1 %8,000.00 1 $8,000.00 1 $8,600.00 1 $8,600.00 1 20 L-115 1PULL BOX REINSTALLATION 1 1 EACH 1 $1,841.00 1 51,841.00 1 5250.00 i $250.00 i $600.00 1 %600.00 1 page 4 ELIZABETH FIELD AIRPORT ICARLIN CONTRACTING CO., INC. IDICIN ELECTRIC CO., INC. IJ.P. DALY i SONS, INC. FISHERS ISLAND, NEW YORK 1454 BOSTON POST ROAD 1156 CROSS ROAD I88A BROOK AVENUE AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING IP.O. BOX 300 IWATERFORD, CONNECTICUT 06385 IDEER PARK, NEW YORK 11729 FAA-AIP N0. 3-36-0029-04-91 IWATERFORD, CONNECTICUT 06385 I I I NYSDOT PROJECT NO. 0913.04 I i ( I I I I -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA I i I UNIT I ( UNIT I I UNIT I NO. SPEC NOI DESCRIPTION I QUANTITY UNITS I PRICE I TOTAL I PRICE I TOTAL I PRICE I TOTAL I szzzs:szzsassassazszszssczszaazzz:s:asazaszazssa:sasssasss:ass::s:sssasasssasasassassasaaas:assssas:ssaassaasas■::az:sssa::ss:sss:atssaass:sass:ssssssaaasssasssaasa:ass:a 21 L-125 IMEDIUM INTENSITY RUNWAY EDGE LIGHTS, BASE I I I I I I I I I MOUNTED, IN PAVEMENT I 57 EACH ( $600.00 I $34,200.00 I $957.00 I $54,549.00 I $870.00 I $49,590.00 I 22 L-125 IRUNWAY 25 THRESHOLD LIGHTS I 1 LS ( S8,800.00 I $8,800.00 I $8,161.00 I $8,161.00 I $9,000.00 I $9,000.00 23 L-125 (AIRPORT GUIDANCE SIGN NO.R-2-5, BASE I I I I I I I I I MOUNTED, IN PAVEMENT I 1 LS I $2,500.00 I $2,500.00 I 54,160.00 I 54,160.00 I 52,700.00 I $2,700.00 I 24 L-125 (AIRPORT GUIDANCE SIGN NO.R-2-19, BASE I I I I I ( I I I MOUNTED, IN PAVEMENT I 1 LS I $2,500.00 I 52,500.00 I $4,160.00 I $4,160.00 I $2,700.00 I $2,700.00 I 25 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-3, BASE I I I I I I I I MOUNTED, IN TURF I 1 LS I $2,500.00 I $2,500.00 I $4,160.00 I 54,160.00 I $2,700.00 I $2,700.00 26 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-19, BASE I I ( I I I I I MOUNTED, IN TURF ( 1 LS I $2,500.00 I $2,500.00 I $4,160.00 ( $4,160.00 I 52,700.00 I $2,700.00 27 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I I I I I RUNWAY 7 END I 1 LS I 54,500.00 I $4,500.00 I $12,030.00 I $12,030.00 I 58,800.00 I $8,800.00 28 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I I I I I RUNWAY 25 END I 1 LS I $4,500.00 I $4,500.00 I $12,030.00 I $12,030.00 ( $8,800.00 I $8,800.00 29 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I I I I I RUNWAY 12 END I -1 LS I $4,500.00 I 54,500.00 ( $12,030.00 I $12,030.00 ( S8,800.00 I 58,800.00 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I I I ( I I RUNWAY 30 END I 1 LS I $4,500.00 I $4,500.00 I $12,030.00 I $12,030.00 I $8,800.00 ( $8,800.00 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I I I I I I I I SYSTEM, RUNWAY 7 END I 1 LS I $13,000.00 I $13,000.00 i 512,720.00 I $12,720.00 i $9,300.00 I $9,300.00 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I I I ( I I I I SYSTEM, RUNWAY 25 END I 1 LS ( $13,000.00 i $13,000.00 ( S12,720.00 I 512,720.00 i $9,300.00 I 59,300.00 33 L-125 (GENERIC VISUAL APPROACH DESCENT INDICATOR I I I ( I I I I SYSTEM, RUNWAY 12 END I 1 LS I 513,000.00 ( S13,000.00 I $12,720.00 I 512,720.00 I 59,300.00 I $9,300.00 34 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I I I I I I I I SYSTEM, RUNWAY 30 END ( 1 LS I $13,000.00 I $13,000.00 I $12,720.00 I $12,720.00 I $9,300.00 I $9,300.00 35 L-125 IREMOVAL OF EXISTING RUNWAY EDGE LIGHTS I 1 LS I 57,500.00 I $7,500.00 I 52,300.00 I $2,300.00 I 57,700.00 I $7,700.00 36 M-100 IMAINTENANCE AND PROTECTION OF TRAFFIC ( i LS ( S31,000.00 I 531,000.00 ( S18,025.00 i $18,025.00 I 54,100.00 I $4,100.00 page 5 .. ELIZABETH FIELD AIRPORT 1CARLIN CONTRACTING CO., INC. 1DICIN ELECTRIC CO., INC. 1J.P. DALY L SONS, INC. FISHERS ISLAND, NEW YORK 1454 BOSTON POST ROAD 1156 CROSS ROAD 188A BROOK AVENUE AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING 1P.0. BOX 300 1WATERFORD, CONNECTICUT 06385 1DEER PARK, NEW YORK 11729 1 FAA-AIP N0. 3-36-0029-04-91 1WATERFORD, CONNECTICUT 06385 1 NYSDOT PROJECT NO. 0913.04 1 I 1 I 1 I 1 I -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA 1 1 1 UNIT 1 1 UNIT 1 1 UNIT 1 1 NO. SPEC NO1 DESCRIPTION 1 QUANTITY UNITS 1 PRICE 1 TOTAL 1 PRICE 1 TOTAL 1 PRICE 1 TOTAL 1 ssssssscscszxsszssacsazxszsasassssasxszazxxszxxxxszsaassssssssssssasasssczxzsssassaasssasscsssszacasszxassaxaxasassassassssssasssass::szsss:czarssssssssssssasszsssscssasz 37 M-200 1MOBILIZATION 1 1 LS ( $28,826.00 1 !28,826.00 ( $12,000.00 ( $12,000.00 1 523,700.00 1 $23,700.00 ------------1---------------------------------------------- 1TOTAL BID i ----------------1--------------1---------------1-------------- 1 1 1 $599,000.00 i---------------1--------------1---------------1 1 1 $607,867.50 • 1 $617,447.00 1 I 1BID SECURITY I I i 1 1 1 5% BID BOND I I 1 1 5% BID BOND I i 1 i I 5% BID BOND I 1" DENOTES BIDDER'S ERROR, THE CORRECTED VALUE I I I IS SHOWN. ( ( I I I I I I ( I I -------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- CALOCERiNOS AND SPINA ENGINEERS, P.C. I CER Y THAT THI IS A U D CORRECT TABULATION OF BIDS RECEIVED MARCH 12, 1992. JOB NUMBER: 211.004.001 BID TABULATION NED: DATE: 16 -Mar -92 page 6 ELIZABETH FIELD AIRPORT (POWER LINE CONSTRUCTORS, INC. (FIREBIRD CONSTRUCTION CORP. FISHERS ISLAND, NEW YORK 124 ROBINSON ROAD, P.O. BOX 3851329 MIDDLE COUNTRY ROAD AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING 1CLINTON, NEW YORK 13323-0385 1SMITHTOWN, NY 11787 1 1 FAA-AIP NO. 3-36-0029-04-91 ( 1 1 1 NYSDOT PROJECT NO. 0913.04 1 I 1 I 1 1 I I -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA 1 1 1 UNIT 1 1 UNIT 1 1 . UNIT 1 NO. SPEC NO1 DESCRIPTION 1 QUANTITY UNITS 1 PRICE 1 TOTAL 1 PRICE 1 TOTAL i PRICE ( TOTAL 1 is.as ■a... iaslf..iia!l..ii.ff 1 P-152 1COMMON EXCAVATION, AREA NO.1 1 1 LS 1 $5,000.00 1 $5,000.00 1 $34,500.00 1 534,500.00 ( 1 1 2 P-152 1PAVEMENT EXCAVATION (BITUMINOUS CONCRETE) 1 900 SY ( $9.00 1 $8,100.00 1 $6.00 1 $5,400.00 3 P-612 1FIELD OFFICE ( 1 LS i $4,000.00 1 $4,000.00 ( $5,000.00 1 $5,000.00 1 1 1 4 P-620 1RUNWAY PAINTING i 23,000 SF 1 $0.53 1 $12,190.00 i $0.80 1 $18,400.00 1 1 1 5 L-102 (ELECTRICAL BUILDING ELECTRICAL SERVICE 1 1 LS 1 $14,000.00 ( $14,000.00 1 $10,200.00 1 $10,200.00 1 1 1 6 L-106 1SEGMENTED CIRCLE 1 1 LS 1 $19,000.00 1 $19,000.00 1 $20,000.00 1 $20,000.00 1 1 1 7 L-107 1LIGHTED WIND CONE 1 1 LS 1 $4,800.00 1 $4,800.00 1 $5,100.00 ( • $5,100.00 1 1 8 L-108 1CABLE TRENCHING FOR THE INSTALLATION OF 1 1 1 1 1 ( 1 I UNDERGROUND CABLE 1 8,600 LF 1 $5.50 1 $47,300.00 1 $10.00 1 $86,000.00 i 1 9 L-108 1N0. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR 1 1 1 1 1 1 1 1 UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT1 28,300 LF I $0.70 1 $19,810.00 i $1.10 1 $31,130.00 1 1 10 L-108 IND. 8 AWG, SKV, TYPE C SINGLE CONDUCTOR i 1 1 1 1 1 1 1 UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT1 12,900 LF 1 $0.90 1 $11,610.00 1 $1.30 1 $16,770.00 1 1 11 L-108 (N0. 8 AWG, BARE COPPER COUNTERPOISE WIRE INSTALLED IN TRENCH INCLUDING GROUNDING RODS 1 AND EXOTHERMIC CONNECTIONS 1 9,500 LF 1 $0.60 1 $5,700.00 1 $1.50 1 $14,250.00 1 i 12 L-109 11NSTALLATION OF AIRPORT ELECTRICAL 1 1 1 1 ( 1 1 1 BUILDING EQUIPMENT, IN PLACE 1 1 LS 1 $41,500.00 1 $41,500.00 1 $23,500.00 i $23,500.00 1 1 13 L-110 14 -WAY ELECTRICAL DUCT BANK, TYPE I 1 700 LF 1 $109.00 1 $76,300.00 1 $100.00 1 $70,000.00 1 1 14 L-110 18 -WAY ELECTRICAL DUCT BANK, TYPE 1 1 200 LF 1 $106.00 1 $21,200.00 1 $110.00 1 $22,000.00 1 1 15 L-110 12 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED 1 1 1 1 1 1 1 1 IN PAVEMENT 1 3,000 LF 1 $30.00 1 $90,000.00 1 $30.00 1 $90,000.00 1 1 16 L-110 12 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED 1 1 1 1 1 1 1 1 IN TURF 1 270 LF i $10.00 ( $2,700.00 1 $32.00 1 $8,640.00 1 1 17 L-110 12 -INCH DIAMETER RIGID STEEL CONDUIT REINSTALLEI 1 1 1 1 1 1 1 IN TURF 1 190 LF 1 $9.00 1 $1,710.00 1 $18.00 1 $3,420.00 1 1 18 L-112 1ELECTRICAL BUILDING 1 1 LS 1 $60,000.00 1 $60,000.00 i $50,000.00 1 $50,000.00 1 19 L-115 1ELECTRICAL MANHOLE NO. 1 1 1 EACH 1 $7,200.00 1 $7,200.00 1 54,500.00 1 $4,500.00 1 1 20 L-115 1PULL BOX REINSTALLATION 1 1 EACH 1 $900.00 1 5900.00 1 $800.00 1 $800.00 1 page 7 ELIZABETH FIELD AIRPORT IPOWER LINE CONSTRUCTORS, INC. IFIREBIRD CONSTRUCTION CORP. FISHERS ISLAND, NEW YORK 124 ROBINSON ROAD, P.O. BOX 385329 MIDDLE COUNTRY ROAD AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICLINTON, NEW YORK 13323-0385 ISMITHTOWN, NY 11787 FAA-AIP N0. 3-36-0029-04-91 NYSOOT PROJECT NO. 0913.04 I -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA NO. SPEC NOI DESCRIPTION QUANTITY UNITS aza:sxszsszsaz■zasstszasszseasazzzzsss:szzsaasasassss:ssazsszzassszszsssaasst TOTAL PRICE I 21 L-125 IMEDIUM INTENSITY RUNWAY EDGE LIGHTS, BASE $900.00 ' $565.00 532,205.00 MOUNTED, IN PAVEMENT $15,000.00 57 EACH 22 L-125 IRUNWAY 25 THRESHOLD LIGHTS I 1 LS 23 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-5, BASE 54,800.00 $4,800.00 $2,300.00 52,300.00 MOUNTED, IN PAVEMENT I 1 LS 24 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-19, BASE $7,500.00 $7,500.00 $12,000.00 $12,000.00 MOUNTED, IN PAVEMENT $7,500.00 1 LS 25 L-125 JAIRPORT GUIDANCE SIGN NO.R-1-3, BASE 510,000.00 510,000.00 512,500.00 $12,500.00 MOUNTED, 1N TURF 510,000.00 1 LS 26 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-19, BASE $10,000.00 510,000.00 $1,500.00 51,500.00 MOUNTED, IN TURF 52,000.00 i LS 27 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,. RUNWAY 7 END 1 1 LS 28 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 25 END 1 1 LS 29 L-125 (RUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 12 END 1 1 LS 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 30 END 1 LS 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 7 END 1 LS 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 25 END 1 LS 33 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 12 END 1 LS 34 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 30 END 1 LS 35 L-125 IREMOVAL OF EXISTING RUNWAY EDGE LIGHTS 1 LS 36 M-100 IMAINTENANCE AND PROTECTION OF TRAFFIC 1 LS UNIT ( UNIT I I UNIT PRICE TOTAL PRICE I TOTAL PRICE TOTAL az■ssasazzasz■aasszss:ss:assaaaa:::sazzzsaa:aaasa:zasaasssssz:s:ssaaazzsxs:seas:sssszzs:sxsaa $900.00 $51,300.00 $565.00 532,205.00 $15,000.00 $15,000.00 $15,000.00 $15,000.00 $2,600.00 52,600.00 $4,800.00 54,800.00 52,600.00 $2,600.00 $4,800.00 54,800.00 $2,300.00 $2,300.00 54,800.00 $4,800.00 $2,300.00 52,300.00 54,800.00 54,800.00 512,000.00 512,000.00 57,500.00 57,500.00 $12,000.00 512,000.00 $7,500.00 $7,500.00 $12,000.00 $12,000.00 $7,500.00 $7,500.00 514,000.00 514,000.00 $7,500.00 57,500.00 512,500.00 512,500.00 510,000.00 510,000.00 512,500.00 $12,500.00 $10,000.00 510,000.00 512,500.00 $12,500.00 $10,000.00 510,000.00 512,500.00 $12,500.00 $10,000.00 510,000.00 $1,500.00 51,500.00 52,000.00 52,000.00 $6,500.00 $6,500.00 $15,000.00 $15,000.00 page 8 ELIZABETH FIELD AIRPORT IPOWER LINE CONSTRUCTORS, INC. IFIREBIRD CONSTRUCTION CORP. FISHERS ISLAND, NEW YORK 124 ROBINSON ROAD, P.O. BOX 385329 MIDDLE COUNTRY ROAD AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICLINTON, NEW YORK 13323-0385 ISMITHTOWN, NY 11787 FAA-AIP NO. 3-36-0029-04-91 NYSDOT PROJECT NO. 0913.04 I I I ITEM FAA I I UNIT UNIT UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS PRICE TOTAL ( PRICE TOTAL PRICE TOTAL sasesa:::aaasssa:asa:ssassssaasssssssasaszsassassaaasaas:assesa:■tsosasoasaoaauaaaaaaasaaasssaaaaoevsaaaaaaasaauaswa■sassstsasaass 37 M-200 IMOBILIZATION ( 1 LS $25,000.00 :25,000.00 $26,000.00 $26,000.00 ------------ I-------------------------------------------------------------- -------------- ----------------------------- ----------------------------- --------------- TOTAL BID 5662,120.00 $699,015.00 BID SECURITY 5% BID BOND ( 5% BID BOND �* DENOTES BIDDER'S ERROR, THE CORRECTED VALUE IS SHOWN. I I ------------------------------------------------------------------------------------ ----------------�- \------------------------------------------------------------- CALOCERINOS AND SPINA ENGINEERS, P.C. JOB NUMBER: 211.004.001 BIO TABULATION I CERTIFY 'IMT THIS 1S X T page 9 CT TABULATION OF BIDS RECEIVED MARCH 12, 1992. DATE: 16 -Mar -92 OMB Approved No. 0348-0042 " ASSURANCES — CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in the application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instruction from the awarding agency. Will record the Federal interest in the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure nondiscrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifica- tions and will furnish progress reports and such other information as may be required by the assistance awarding agency or State. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§ 4728- 4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.R.F. 900, Subpart F). Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statues relating to non-discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S. C. §§ 1681-1683, and 1685-1686) which prohibits discrimination on the basis of sex (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794) which prohibit discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101-6107) which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 93-255), as amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§ 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality to alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any other non- discrimination provisions in the specific statute(s) under which application for Federal assistance is being made, and 0) the requirements on any other non-discrimination Statute(s) which may apply to the application. Standard Form 424D (4-88) . Ab 11. Will comply, or has already compiled, with the Y requirements of Titles II and III of the Uniform Relocation Assistance and Real property Acquisitions Policies Act of 1970 (P.L. 91-646) which provides for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§ 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. §§ 276a to 276a-7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. § 874), the Contract Work Hours and Safety Standards Act (40 U.S. §§ 327-333) regarding labor standards for federally assisted construction subagreements. 14. Will comply with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance is the total cost of insurance construction and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P. L. 91-190) and Executive Order (EO) 11514; (b) Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplain in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S. C. § § 1451 et. seq.); (f) conformity of Federal action to State (Clean Air) Implementation Plan under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. § 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§ 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and preservation of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.) 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 19. Will comply with all applicable requirements of all other Federal laws, Executive Orders, regulations and policies governing this program. SIGNATURE OF AUMOMED CERTIFYING OFFICIAL TITLE n Town Supervisor i APPLICANT ORGANrzATiA DATE SUBMnTED Town of Southold 04/07/92 Fishers Island Ferry District SF 424D (4-88) Back 3/1/91 CHECKLIST FOR ENVIRONMENTAL IMPACTS AIRPORT IMPROVEMENT PROGRAM AIRPORT: Fisher Island Airport PROJECT DESCRIPTION: Airfield Lighting (Construction) V-19 In order for the FAA to determine the appropriate course of action, it is necessary that the proposed action is not likely to: a. Have an effect that is not minimal on properties protected under Section 106 of the Historic Preservation Act of 1966, as amended, or Section 4(f); b. Be controversial on environmental grounds. A proposed Federal action is considered highly controversial when the action is opposed by a Federal, state or local government agency or by a substantial number of persons affected by such action on environmental grounds; C. Have a significant 'impact on natural, ecological, cultural, or scenic resources of national, state, or local significance, including endangered species, wetlands, floodplains, coastal zones, prime or unique farmland, energy supply and natural resources, or resources protected by the Fish and Wildlife Coordination Act; d. Be highly controversial with respect to the availability of adequate relocation housing. In an action involving relocation of persons or businesses, a controversy over the amount of the acquisition or relocation payments is not considered to be controversy with respect to the availability of adequate relocation housing. e. Cause substantial division or disruption of an established community, or disrupt orderly, planned development, or is likely to be not reasonably consistent with plans or goals that have been adopted by the community in which the project is located; f. Cause a significant increase in surface traffic congestion; g. Have a signification impact on noise levels of noise sensitive areas; h. Have a significant impact on water quality or contaminate a public water supply system; 3/1/91 V-20 i. Have a significant impact on air quality or violate the local, state or Federal standards of air quality; j. Be consistent with a Federal, state, or local law or administrative determination relating to the environment. 9, 'Al Scott Harris Town Supervisor Town of Southold Fishers Island Ferry District MAY 19g? Date . , I f 3/1/91 V-31 STANDARD DOT T= VI ASSURANCES Town of Southold (hereinafter referred to as the Sponsor) hereby agrees that as a condition to receiving Federal financial assistance from the Department of Transportation (DOT), it will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.) and all requirements imposed by 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of Transportation — Effectuation of Title VI of the Civil Rights Act of 1964 (hereinafter referred to as the "Regulations") to the end that no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the applicant receives Federal financial assistance and will immediately take any measures necessary to effectuate this agreement. Without limiting the above general assurance, the Sponsor agrees concerning this grant that: 1. Each "program" and "facility" (as defined in Sections 21.23(e) and 21.23(b)) will be conducted or operated in compliance with all requirements of the Regulations. 2. It will insert the clauses of Attachment 1 of this assurance in every contract subject to the Act and the Regulations. 3. Where Federal financial assistance is received to construct a facility, or part of a facility, the assurance shall extend to the entire facility and facilities operated in connection therewith. 4. Where Federal financial assistance is in the form or for the acquisition of real property or an interest in real property, the assurance shall extend to rights to space on, over, or under such property. 5. It will include the appropriate clauses set forth in Attachment 2 of this assurance, as a covenant running with the land, in any future deeds, leases, permits, licenses, and similar agreements entered into by the Sponsor with other parties: (a) for the subsequent transfer of real property acquired or improved with Federal financial assistance under this Project; and (b) for the construction or use of or access to space on, over, or under real property acquired or improved with Federal financial assistance under this Project. 6. This assurance obligates the Sponsor for the period during which Federal financial assistance is extended to the program, except where the Federal financial assistance is to provide, or is in the form of personal property or real property or interest therein or structures or improvements thereon, in which case the assurance obligates the sponsor or any transferee for the longer of the following periods: (a) the period during which the property is used for a purpose for which Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefits; or (b) the period during which the Sponsor retains ownership or possession of the property. 7. It will provide for such methods of administration for the program as are found by the Secretary of Transportation or the official to whom he delegates specific authority to give reasonable guarantee that it, other sponsors, subgrantees, contractors, subcontractors, transferees, successors in interest, and other participants of Federal financial assistance under such program will comply with all requirements imposed or pursuant to the Act, the Regulations, and this assurance. -1- 4 y 3/1/91 V-32 8. It agrees that the United States has a right to seek judicial enforcement with regard to any matter arising under the Act, the Regulations, and this assurance. THIS ASSURANCE is given in consideration of and for the purpose of obtaining Federal financial assistance for this Project and is binding on its contractors, the sponsor, subcontractors, transferees, successors in interest and other participants in the Project. The person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Sponsor. DATED: April 7, 1992 -2- Scott L. Harris Town Supervis r Town of Southold STATE CLEARINGHOUSE NYS Division of the Budget State Capitol, Albany, NY 12224 (518) 474-1605 SAW 41541 -Airport Improvement Program Pavement Evaluation Study, Airfield Lighting (Design) Airfield Lighting (Construction) Fishers Island Airport, Southold, Suffolk County JAN 17 1991 Sheila M. Farley Calogerinos & Spina 1020 Seventh North Street Liverpool, NY 13088-6199 Dear Applicant: The State Clearinghouse has submitted a summary of your proposed federal funding application, identified above, to the State & local review agencies participating in the New York Intergovernmental Review Process. No review agency has objected to, or commented on, your proposed project as described. The review, therefore, is complete; and you may submit this clearance letter to the federal grantor agency as evidence that you have complied with the procedures set up under Presidential Executive Order 12372. If a substantial change is made in the nature or magnitude of the project, kindly submit a revised project notification to us and to the appropriate areawide clearinghouse. Please be advised, however, that this clearance letter has an effective duration of one year -from the date stamped on the upper right. If federal funding, or .actual construction, or any other plementation occurs beyond that time, a fresh review is required. CONTRACTOR CONTRACTUAL REQUIREMENTS ATTACHMENT 1 V-33 During the performance of this contract, the contractor, for itself, its assignees and successors in interest (hereinafter referred to as the "contractor") agrees as follows: 1. Compliance with Regulations. The contractor shall comply with the Regulations relative to nondis- crimination in federally assisted programs of the Department of Transportation (hereinafter, "DOT") Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time (hereinafter referred to as the Regulations), which are herein incorporated by reference and made a part of this contract. 2. Nondiscrimination. The contractor, with regard to the work performed by it during the contract, shall not discriminate on the grounds of race, color, or national origin in the selection and retention of sub- contractors, including procurements of materials and leases of equipment. The contractor shall not partici- pate either directly or indirectly in the discrimination prohibited by section 21.5 of the Regulations, includ- ing employment practices when the contract covers a program set forth in Appendix B of the Regulations. 3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment. In all solicita- tions either by competitive bidding or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the contractor of the contractor's obligations under this contract and the Regu- lations relative to nondiscrimination on the grounds of race, color, or national origin. 4. Information and Reports. The contractor shall provide all information and reports required by the Regulations or directives issued pursuant thereto and shall permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the Sponsor or the Federal Aviation .Administration (FAA) to be pertinent to ascertain compliance with such Regulations, orders, and instruc- tions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish this information, the contractor shall so certify to the sponsor or the FAA, as appropriate, and shall set forth what efforts it has made to obtain the information. 5. Sanctions for Noncompliance. In the event of the contractor's noncompliance with the nondiscrim- ination provisions of this contract, the sponsor shall impose such contract sanctions as it or the FAA may determine to be appropriate, including, but not limited to: a. Withholding of payments to the contractor under the contract until the contractor complies, and/or b. Cancellation, termination, or suspension of the contract, in whole or in part. 6. Incorporation of Provisions. The contractor shall include the provisions of paragraphs 1 through 5 in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Regulations or directives issued pursuant thereto. The contractor shall take such action with respect to any subcontract or procurement as the sponsor or the FAA may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or supplier as a result of such direction, the contrac- tor may request the Sponsor to enter into such litigation to protect the interests of the sponsor and, in addi- tion, ,he contractor may request the United States to enter into such litigation to protect the interests of the United States. -3- 3/1/91 V-34 a CLAUSES FOR DEEDS, LICENSES, LEASES, PERMITS OR SIMILAR INSTRUMENTS ATTACHMENT 2 The following clauses shall be included in deeds, licenses, leases, permits, or similar instruments entered into by the Sponsor pursuant to the provisions of Assurances 5(a) and 5(b). 1. The (grantee, licensee, lessee, permitee, etc., as appropriate) for himself, his heirs, personal repre- sentatives, successors in interest, and assigns, as a part of the. consideration hereof, does hereby covenant and agree (in the case of deeds and leases add "as a covenant running with the land") that in the event facilities are constructed, maintained, or otherwise operated on the said property described in this (deed, license, lease, permit, etc.) for a purpose for which a DOT program or activity is extended or for another purpose involving the provision of similar services or benefits, the (grantee, licensee, lessee, permitee, etc.) shall maintain and operate such facilities and services in compliance with all other requirements imposed pursuant to 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of Transportation, and as said Regulations may be amended 2. The (grantee, licensee, lessee, permitee, etc., as appropriate) for himself, his personal representa- tives, successors in interest, and assigns, as a part of the consideration hereof, does hereby covenant and agree (in the case of deeds and leases add "as a covenant running with the land") that: 0) no person on the grounds of race, color, or national origin shall be excluded from participation in, denied the benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2) that in the construction of any im- provements on, over, or under such land and the furnishing of services thereon, no person on the grounds of race, color, or national origin shall be excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination, (3) that the (grantee, licensee, lessee, permitee, etc.). shall use the premises in compliance with all other requirements imposed by or pursuant to 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of Transportation, and as said Regulations may be amended. —4— ASSURANCES Airport Sponsors A. General V-35 1. These assurances shall be complied with in the performance of grant agreements for airport development, airport planning, and noise compatibility program grants to airport sponsors. 2. These assurances are required to be submitted as part of the project application by sponsors requesting funds under the provisions of the Airport and Airway Improvement Act of 1982, as amended by the Airport and Airway Safety and Capacity Expansion Act of 1987, or the Aviation Safety and Noise Abatement Act of 1979. As used herein the term 'public agency sponsor• means a public agency with control of a public -use airport; the term •private sponsor• means a private owner of a public -use airport; and the term •sponsor' includes public agency sponsors and private sponsors. 3. Upon acceptance of the grant offer by the sponsor, these assurances are incorporated in and become part of the grant agreement. H. Duration and Applicability 1. Airport Development or Noise Compatibility Program Projects Undertaken by a Public Agency Sponsor. The terms, conditions and assurances of the grant agreement shall remain in full force and effect throughout the useful life of the facilities developed or equipment acquired nor an airport development or noise compatibility program project, or throughout the useful life of the project items installed within a facility under a noise compatibility program project, but in any event not to Exceed twenty (20) years from the date of acceptance of a grant offer of Federal funds for the project. However, there shall be no limit on the duration of the assurance against exclusive rights or the terms, conditions, and assurances with respect to real property acquired with Federal funds. Furthermore, the duration of the Civil Rights assurance shall be as specified in the assurance. 2. Airport Development or Noise Compatibility Program Projects Undertaken by a Private Sponsor. The preceding paragraph 1 also applies to a private sponsor except that the useful life of project items installed within a facility or the useful --life of facilities developed or equipment acquired under an airport development or noise compatibility program project shall be no less than 10 years from the date of the acceptance of Federal aid for the project. 3. Airport Planning Undertaken by a Sponsor. Unless otherwise specified in the grant agreement, only Assurences 1, 2, 3, 5, 6, 13, 18, 30, 32, 33, 34, and 36 in Section C apply to planning projects. The terms, conditions, and assurances of the grant agreement shall remain in full force and effect during the life of the project. C. Sponsor Certification. The sponsor hereby assures and certifies, with respect to this grant that: 3/1/91 V-36 ' . --- 1. General Federal Requirements. It will comply with all applicable Federal laws, regulations, executive orders, policies, guidelines and requirements as they relate to the application, acceptance and use of Federal funds for this project including but not limited to the following: Federal Legislation a. Federal Aviation Act of 1958 - 49 U.S.C. 1301, et seq. b. Davis -Bacon Act - 40 U.S.C. 276(x), et seq. 1/ c. Federal Fair Labor Standards Act - 29 U.S.C. 201, et seq. d. Hatch Act - 5 U.S.C. 1501, et seq. 2/ e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 - 42 U.S.C. 4601, et seq. 1/ 2/ f. National Historic Preservation Act of 1966 - Section 106 - 16 U.S.C. 470(f). 1/ g. Archeological and Historic Preservation Act of 1974 - 16 U.S.C. 469 through 469c. 1/ h. Flood Disaster Protection Act of 1973 - Section 102(a) - 42 U.S.C. 4012x. I/ i. Rehabilitation Act of 1973 - 29 U.S.C. 794. J. Civil Rights Act of 1964 - Title VI - 42 U.S.C. 2000d through d-4 k. Aviation Safety and Noise Abatement Act of 1979, 49 U.S.C. 2101, et seq. 1. Age Discrimination Act of 1975 - 42 U.S.C. 6101, et seq. M. Architectural Barriers Act of 1968 - 42 U.S.C. 4151, et seq. 1/ n. Airport and Airway Improvement Act of 1982, as amended 49 U.S.C. 2201, et seq. o. Powerplant and Industrial Fuel Use Act of 1978 - Section 403 - 2 U.S.C. 8373. 1/ p. Contract Mork Hours and Safety Standards Act - 40 U.S.C. 327, et seq. 1/ q. Copeland Antikickback Act - 18 U.S.C. 874. 1/ r. National Environmental Policy Act of 1969 - 42 U.S.C. 4321, et seq. 1/ S. Endangered Species Act - 16 U.S.C. 668(a), et seq. 1/ t. Single Audit Act of 1984 - 31 U.S.C. 7501, et seq. 2/ U. Drug -Free Workplace Act of 1988 - 41 U.S.C. 702 through 706. Executive Orders Executive Order 12372 - Intergovernmental Review of Federal Programs Executive Order 11246 - Equal Employment Opportunity 1/ Federal Regulations a. 49 CFR Part 18 - Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments. 3/ b. 49 CFR Part 21 - Nondiscrimination in Federally -Assisted Programs of the Department of Transportation - Effectuation of Title VI of the Civil Rights Act of 1964. 3%1%91 V-37 c. 49 CFR Part 23 - Participation by Minority Business Enterprise in Department of Transportation Programs. d. 49 CFR Part 24 - Uniform Relocation Assistance and Real Property Acquisition Regulation for Federal and Federally Assisted Programs. 1/ 2/ e. 49 CFR Part 27 - Hon -Discrimination on the Basis of Handicap in Programs and Activities Receiving or Benefiting from Federal Financial Assistance. 1/ f. 49 CFR Part 29 - Debarments, Suspensions, and Voluntary Exclusions. g. 49 CFR Part 30 - Denial of Public Works Contracts to Suppliers of Goods and Services of Countries That Deny Procurement Market Access to U.S. Contractors. h. 29 CFR Part 1 - Procedures for Predetermination of Wage Rates. 1/ 1. 29 CFR Part 3-- Contractors or Subcontractors on Public Buildings or Public Works Financed in Whole or Part by Loans or Grants from U.S. 1/ J. 29 CFR Part 5 - Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction. 1/ k. 41 CFR Part 60 - Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor (Federal and Federally -assisted Contracting Requirements). i/ 1. 14 CFR Part 150 - Airport Noise Compatibility Planning. Office of Management and Budget Circulars a. A-87 - Cost Principles Applicable to Grants and Contracts with State ,and Local Governments. 3/ b. A-128 - Audits of State and Local Governments. 2/ l/ These laws do not apply to airport planning sponsors. 2/ These laws do not apply to private sponsors. 3/- 49 CFR Part 18 and OMB Circular A-87 contain requirements for State and local governments receiving Federal assistance. Any requirement levied upon State and local governments by this regulation and circular shall also be applicable to private sponsors receiving Federal assistance under the Airport and Airway Improvement Act of 1982, as amended. Specific assurances required to be included in grant agreements by any of the above laws, regulations or circulars are incorporated by reference in the grant agreement. 2. Responsibility and Authority of the Sponsor. a. Public Agency Sponsor: It has legal authority to -pply for the grant, and to finance and carry out the proposed project; that a resolution, motion or similar, action has been duly adopted or passed as an official act of the applicant's governing body authorizing the filing of the application, including all understandings and as::urances contained therein, and directing and authorizing the person identified as the official representative of the applicant to act in connection with the application and to provide such additional information as may be required. 3/1/91 V-38 b. Private Sponsor. It has legal authority to apply for the grant and to finance and carry out the proposed project and comply with all the terms, conditions, and assurances of this grant agreement. It shall .designate an official representative and shall in writing direct and authorize that person to file this application, including all understandings and assurances contained therein; to act in connection with the application; and to provide such additional information as may be required. 3. Sponsor Fund Availability. It has sufficient funds available for that portion of the project costs which are not to be paid by the United States. It has sufficient funds available to assure operation and maintenance of items funded under the grant agreement which it will own or control. 4. Good Title. a. It holds good title, satisfactory to the Secretary, to the landing area of the airport or site thereof, or will give assurance satisfactory to the Secretary that good title will be acquired. b. For noise compatibility program projects to be carried out on the property of the sponsor, it holds good title satisfactory to the Secretary to that portion of the property upon which Federal funds will be expended or will give assurance to the Secretary that good title will be obtained. 5. Preserving Rights and Powers. a. It will not take or ptrmit any action which would operate to deprive it of any of the rights and powers necessary to perform any or all of the terms, conditions, and assurances in the grant agreement without the written approval of the Secretary, and will act promptly to acquire, extinguish or modify any outstanding rights or claims of right of others which would interfere with such performance by the sponsor. This shall be done in a manner acceptable to the Secretary. b. It will not sell, lease, encumber or otherwise transfer or dispose of any part of its title or other interests in the property shown on Exhibit A to this application or, for a noise compatibility program project, that portion of the property upon which Federal funds have been expended, for the duration of the terms, conditions, and assurances in the grant agreement without approval by the Secretary. If the transferee is found by the Secretary to be eligible under the Airport and Airway Improvement Act of 1982 to assume the obligations of the grant agreement and to have the power, authority, and financial resources to carry out all such obligations, the sponsor shall insert in the contract or document transferring or disposing of the sponsor's interest, and make binding upon the transferee, all of the terms, conditions and assurances contained in this grant agreement. C. For all noise compatibility program projects which are to be carried out by another unit of local government or are on property owned by a unit of local government other than the sponsor, it _will enter into an agreement with that government. Except as otherwise specified by the Secretary, that agreement 3/1/91 V-39 shall obligate that government to the same terms, conditions, and assurances that would be applicable to it if it applied directly to the FAA for a grant to undertake the noise compatibility program project. That agreement and changes thereto must be satisfactory to the Secretary. It will take steps to enforce this agreement against the local government if there is substantial non- compliance with the terms of the agreement. d. For noise compatibility program projects to be carried out on privately owned property, it will enter into an agreement with the owner of that property which includes provisions specified by the Secretary. It will take steps to enforce this agreement against the property owner whenever there is substantial non-compliance with the terms of the agreement. e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to ensure that the airport will continue to function as a public - use airport in accordance with these assurances for the duration of these assurances. f. If an arrangement is made for management and operation of the airport by any agency or person other than the sponsor or an employee of the sponsor, the sponsor will reserve sufficient rights and authority to insure that the airport will be operated and maintained in accordance with the Airport and Airway Improvement Act of 1982, the regulations and the terms, conditions and assurances in the grant agreement and shall insure that such arrangement also requires compliance therewith. 6. 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. For noise compatibility program projects, other than land acquisition, tb be carried out on property not owned by the airport and over which property another public agency has land use control or authority, the sponsor shall obtain from each such agency a written declaration that such agency supports that project and the project is reasonably consistent with the agency's plans regarding' the property. 7. Consideration of Local Interest. It has given fair consideration to the interest of communities in or near which the project may be located. 8. Consultation with Users. In making a decision to undertake any airport development project under the Airport and Airway Improvement Act of 1982, it has undertaken reasonable consultations with affected parties using the airport at which the project is proposed. 9. 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. It shall, when requested by the Secretary, submit a copy of the transcript of such hearings to the Secretary. 3/1/91 V-40 . 10. 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 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. 11. Local Approval. In projects involving the construction or extension of any runway at any general aviation airport located astride a line separating two counties within a single state, it has received approval for the project from the governing body of all villages incorporated under the laws of that state which are located entirely within five miles of the nearest boundary of the airport. 12. Terminal Development Prerequisites. For projects which include terminal development at a public airport, it has, on the date of submittal of the project grant application, all the safety equipment required for certification, of such airport under section 612 of the Federal Aviation Act of 1958 and all the security equipment required by rule or regulation, and has provided for access to the passenger enplaning and deplaning area of such airport to passengers enplaning or deplaning from aircraft other than air carrier aircraft. 13. Accounting System, Audit, and Recordkeeping Requiremen•.s. a. It shall keep all project accounts and records which fully disclose the amount and disposition by the recipient of the proceeds of the grant, the total cost of the project in connection with which the grant is given or used, and the amount and nature of that portion of the cost of the project supplied by other sources, and such other financial records pertinent to the project. The accounts and records shall be kept in accordance with an accounting system that will facilitate an effective audit in accordance with the Single Audit 9ct of 1984. b. It shall make available to the Secretary and the Comptroller General of the United States, or any of their duly authorized representatives, for the purpose of audit and examination, any books, documents, papers, and records of the recipient that are pertinent to the grant. The Secretary may require that an appropriate audit be conducted by a recipient. In any case in which an independent audit is made of the accounts of a sponsor relating to the disposition of the proceeds of a grant or relating to the project in connection with which the grant was given or -use,., it shall file a certified copy of such audit with the Comptroller General of the United States not laser than 6 months following the close of the fiscal year for which the audit was made. 14. Minimum Wage Rates. It shall -include, in all contracts in excess of $2,000 for work on any projects funded under the grant agreement which involve labor, provisions establishing minimum rates of wages, to be predetermined by the 3/1/91 V-41 Secretary of Labor, in accordance with the Davis -Bacon Act, as amended (40 U.S.C. 276a --276a-5), which contractors shall pay to skilled and unskilled labor, and such minimum rates shall be stated in the invitation for bids and shall be included in proposals or bids for the work. 15. Veteran's Preference. It shall include, in all contracts for work on any projects funded under the grant agreement which involve labor, such provisions as are necessary to insure that, in the employment of labor (except in executive, administrative, and supervisory positions), preference shall be given to veterans of the Vietnam era and disabled veterans as defined in Section 515(c)(1) and (2) of the Airport and Airway Improvement Act of 1982. However, this preference shall apply only where the individuals are available and qualified to perform the work to which the employment relates. 16. Conformity to Plans and Specifications. It will execute the project subject to plans, specifications, and schedules approved by the Secretary. Such plans, specifications, and schedules shall be submitted to the Secretary prior to commencement of site preparation, construction, or other performance under this grant agreement, and, upon approval by the -Secretary, shall be incorporated into this grant agreement. Any modifications to the approved plans, specifications, and schedules shall also be 'subject to approval by the Secretary and incorporation into the grant agreement. 17. Construction Inspection and Approval. It will provide and maintain competent technical supervision at the construction site throughout the project to assure that the work conforms with the plans, specifications, and schedules approved by the Secretary for the project. It shall subject the construction work on any project contained in an approved project application to inspection and approval by the Secretary and such work shall be in accordance with regulations and procedures prescribed by the Secretary. Such regulations and procedures shall require such cost and progress reporting by the sponsor or sponsors of such project as the Secretary shall deem necessary. 18. Planning Projects. In carrying out planning projects: a. It will execute the project in accordance with the approved program narrative contained in the project application or with modifications similarly approved. b. It will furnish the Secretary with such periodic reports as required pertaining to the planning project and planning work activities. C. It will include in all published material prepared in connection with the }lanning project a notice that the material was prepared under a grant riovided by the United States. d. It will make such material available for examination by the public, and agrees that no material prepared with funds under this project shall be subject to copyright in the United States or any other country. 3/1/91 V-42 e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and otherwise use any of the material prepared in connection with this grant. f. It will grant the Secretary the right to disapprove the Sponsor's employment of specific consultants and their subcontractors to do all or.any part of this project as well as the right to disapprove the proposed scope and cost of professional services. g. It will grant the Secretary the right to disapprove the use of the sponsor's employees to do all or any part of the project. h. It understands and agrees that the Secretary's approval of this project grant or the Secretary's approval of any planning material developed as part of this grant does not constitute or imply any assurance or commitment on the part of the Secretary to approve any pending or future application for a Federal airport grant. 19. Operation and Maintenance. a. It will suitably operate and maintain the airport and all facilities thereon or connected therewith, with due regard to climatic and flood conditions. Any proposal to temporarily close the airport for nonaeronautical purposes must first be approved by the Secretary. The airport and all facilities which are necessary to serve the aeronautical users of the airport, other than facilities owned or controlled by the United States, shall be operated at all times in a safe and serviceable condition and in accordance with the minimum standards as may be required or prescribed by applicable Federal, state and local agencies for maintenance and operation. It will not cause or permit any activity or action thereon which would interfere with its use for airport purposes. In furtherance of this assurance, the sponsor will have in effect at all times arrangements for -- (1) Operating the airport's aeronautical facilities whenever required; (2) Promptly marking and lighting hazards resulting from airport conditions, including temporary conditions; and (3) Promptly notifying airmen of any condition affecting aeronautical use of the airport. Nothing contained herein shall be construed to require that -he airport be operated for aeronautical use during temporary periods when snow, flood or other climatic conditions interfere with such operation and maintenance. Further, nothing herein shall be construed as requiring the maintenance, repair, restoration, or replacement of any structure or facility which is substantially damaged or destroyed due to an act of God or other condition or circumstance beyond the control of the sponsor. .. .•111.1 .,.... :.....:.......:,u. ,,o.. n.,o,..,a.,. n:uw,.,.,..,.,.,.,.,.,n.,,,.,a o,,,,. ,:. .... 1....,.....,........� , . 1 1 1111. 1111.,. e.. 1111. a.>.i., ,.. Al.�.e. 1. , _. ............. .. 1111 . �, � , . .. , 1111 .� ,,� . -. , , 3/1/91 V-43 b. It will suitably operate and maintain noise compatibility program items that it owns or controls upon which Federal funds have been expended. 20. Hazard Removal and Mitigation. It will take appropriate action to assure that such terminal airspace as is required to protect instrument and visual operations to the airport (including established minimum flight altitudes) will be adequately cleared and protected by removing, lowering, relocating, marking, or lighting or otherwise mitigating existing airport hazards and by preventing the establishment or creation of future airport hazards. 21. Compatible Land Use. It will take appropriate action, including the adoption of zoning lave, to the extent reasonable, to restrict the use of land adjacent to or in the immediate vicinity of the airport to activities and purposes compatible with normal airport operations, including landing and takeoff of aircraft. In addition, if the project is for noise compatibility program implementation, itwill not cause or permit any change in land use, within its jurisdiction, that will reduce the compatibility, with respect to the airport, of the noise compatibility program measures upon which Federal funds have been expended. 22. Economic Nondiscrimination. a. It will make its airport available as an airport for public use on fair and reasonable terms and without unjust discrimination, to all types, kinds, and classes of aeronautical uses. b. In any agreement, contract, lease or other arrangement under which a right or privilege at the airport is granted to any person, firm, or corporation to conduct or engage in any aeronautical activity for furnishing services to the public at the airport, the sponsor will insert and enforce provisions requiring the contractor to -- (1) furnish said services on a fair, equal, and not unjustly discriminatory basis to all users thereof, and (2) charge fair, reasonable, and not unjustly discriminatory prices for each unit or service, provided, that the contractor may be allowed to make reasonable and nondiscriminatory discounts, rebates, or other similar types of price reductions to volume purchasers. c. Each fixed -based operator at any airport owned by the sponsor shall be subject to the same rates, fees, rentals, and other charges as are uniformly applicable to all other fixed -based operators making the same or similar uses of such airport and utilizing the same or similar facilities. d. Each air carrier using such airport shall have the right to service itself or to use any fixed -based operator that is authorized or permitted by the airport to serve any air carrier at such airport. e. Each air carrier using such airport (whether as a tenant, nontenant, or subtenant of another air carrier tenant) shall be subject to such 3/1/91 V-44 nondiscriminatory and substantially comparable rules, regulations, conditions, rates, fees, rentals, and other charges with respect to facilities directly and substantially related to providing air transportation as are applicable to all such air carriers which make similar use of such airport and which utilize similar facilities, subject to reasonable classifications such as tenants or nontenants and signatory carriers and nonsignatory carriers. Classification or status as tenant or signatory shall not be unreasonably withheld by any airport provided an air carrier assumes obligations substantially similar to those already imposed on air carriers in such classifications or status. f. It will not exercise or grant any right or privilege which operates to prevent any person, firm, or corporation operating aircraft on the airport from performing any services on its own aircraft with its own employees (including, but not limited to maintenance, repair, and fueling) that it may choose to perform. g. In the event the sponsor itself exercises any of the rights and privileges referred to in this assurance, the services involved will be provided on the same conditions as would apply to the furnishing of such services by contractors or concessionaires of the sponsor under these provisions. h. The 'sponsor may, establish such fair, equal, and not unjustly discriminatory conditions to be met by all users of the airport as may be necessary for the safe and efficient operation of the airport. i. The sponsor may prohibit or limit any given type, kind, or class of aercaautical use of the airport if such action is necessary for the safe operation of the airport or necessary to serve the civil aviation needs of the public. 23. Exclusive Rights. It will permit no exclusive right for the use of the airport by any persons providing, or intending to provide, aeronautical services to the public. For purposes of this paragraph, the providing of services at an airport by a single fixed -based operator shall not be construed as an exclusive right if both of the following apply: a. It would be unreasonably costly, burdensome, or impractical for more than one fixed -based operator to provide such services, and - b. If allowing more than one fixed -based operator to provide such services would require the reduction of space leased pursuant to an existing agreement between such single fixed -based operator and such airport. It further agrees that it will not, either directly or indirectly, grant or permit any person, firm or corporation the exclusive right at the airport, or at any other airport now owned or controlled by it, to conduct any aeronautical activities, including, but not limited to charter flights, pilot training, aircraft rental and sightseeing, aerial photography, crop dusting, aerial advertising and surveying, air carrier operations, aircraft sales and services, sale of aviation petroleum products whether or not conducted in conjunction with other aeronautical activity, repair and maintenance of aircraft, sale of V-45 aircraft parts, and any other activities which because of their direct relationship to the operation of aircraft can be regarded as an aeronautical activity, and that it will terminate any exclusive right to conduct an aeronautical activity now existing at such an airport before the _grant of any assistance under the Airport and Airway Improvement Act of 1982. 24. Fee and Rental Structure. It will maintain a fee and rental structure consistent with Assurance 22 and 23, for the facilities and services being provided the airport users which will make the airport as self-sustaining as possible under the circumstances existing at the particular airport, taking into account such factors as the volume of traffic and economy of collection. Ho part of the Federal share of an airport development, airport planning or noise compatibility project for which a grant is made under the Airport and Airway Improvement Act of 1982, the Federal Airport Act or the Airport Airway Development Act of 1970 shall be included in the rate base in establishing fees, rates, and charges for users of that airport. 25. Airport Revenue. If the airport is under the control of a public agency, all revenues generated by the airport and any local taxes on aviation fuel established after December 30, 1987, will be expended by it for the capital or operating costs of the airport; the local airport system; or other local facilities which are owned or operated by the owner or operator of the airport and directly and substantially related to the actual air transportation of passengers or property; or for noise mitigation purposes on or off the airport. Provided, however, that if covenants or assurances in'debt obligations before September 3, 1982, by the owner or operator of the airport, or provisions enacted before September 3, 1982, in governing statutes controlling the owner or operator's financing, provide for the use of the revenues from any of the airport owner or operator's facilities, including the airport, to support not only the airport but also the airport owner or operator's general debt obligations or other facilities, then this limitation on the use of all revenues generated by the airport (and, in the case of a public airport, local taxes on aviation fuel) shall not apply. 26. Reports and Inspections. It will submit to the Secretary such annual or special financial and operations reports as the Secretary may reasonably request. For airport development projects, it will also make the airport and all airport records and documents affecting the airport, including deeds, leases, operation and use agreements, regulations and other instruments, available for inspection by any duly authorized agent of the Secretary upon reasonable request. For noise compatibility program projects, it will also make records and documents relating to the projects and continued compliance with the terms, conditions, and assurances of the grant agreement including deeds, leases, agreements, regulations, and other instruments, available for inspection by any duly authorized agent of the Secretary upon reasonable request. 27. Use of Government Aircraft. It will make available all of the facilities of the airport developed with Federal financial assistance and all those usable for landing and takeoff of aircraft to the United States for use by Government aircraft in common with other aircraft at all times without charge, except, if 3/1/91 V-46 - the use by Government aircraft is substantial, charge may be made for a reasonable share, proportional to such use, for the cost of operating and maintaining the facilities used. Unless otherwise determined by the Secretary, or otherwise agreed to by the sponsor and the using agency, substantial use of an airport by Government aircraft will be considered to exist when operations of such aircraft are in excess of those which, in the opinion of the Secretary, would unduly interfere with use of the landing areas by other authorized aircraft, or during any calendar month that -- a. Five (5) or more Government aircraft are regularly based at the airport or on land adjacent thereto; or b. The total number of movements (counting each landing as a movement) of Government aircraft is 300 or more, or the gross accumulative weight of Government aircraft using the airport (the total movements of Government aircraft multiplied by -gross weights of such aircraft) is in excess of five million pounds. 28. Land for Federal Facilities. It will furnish without cost to the Federal Government for use in connection with any air traffic control or air navigation activities, or weather -reporting and communication activities related to air traffic control, any areas of land or water, or estate therein, or rights in buildings of the sponsor as the Secretary considers necessary or desirable for construction, operation, and maintenance at Federal expense of space or facilities for such purposes. Such areas or any portion thereof will be made available as provided herein within four months after receipt of a written request from the Secretary. 29. Airport Layout Plan. a. It will keep up to date at all times an airport layout plan of the airport showing (1) boundaries of the airport and all proposed additions thereto, together with the boundaries of all offsite areas owned or controlled by the sponsor for airport purposes and proposed additions thereto; (2) the location and nature of all existing and proposed airport facilities and structures (such as runways, taxiways, aprons, terminal buildings, hangars and roads), including all proposed extensions and reductions of existing airport facilities; and (3) the location of all existing and proposed nonaviation areas and of all existing improvements thereon. Such airport layout plan and each amendment, revision, or modification thereof, shall be subject to the approval of the Secretary which approval shall be evidenced by the signature of a duly authorized representative of the Secretary on the face of the airport layout plan. The sponsor will not make or permit any changes or alterations in the airport or in any of its facilities which are not in conformity with the airport lavr,ut plan as approved by the Secretary and which might, in the opinion of the Secretary, adversely affect the safety, utility, or efficiency of the airport. b. If a change or alteration in the airport or its facilities is made which the Secretary determines adversely affects the safety, utility, or efficiency of any federally owned, leased, or funded property on or off the 3/1/91 V-47 airport and which is not in conformity with the airport layout plan as approved by the Secretary, the owner or operator will, if requested by the Secretary (1) eliminate such adverse effect in a manner approved by the Secretary; or (2) bear all costs of relocating such property (or replacement thereof) to a site acceptable to the Secretary and all costs of restoring such property (or replacement thereof) to the level of safety, utility, efficiency, and cost of operation existing before the unapproved change in the airport or its facilities. 30. Civil Rights. It will comply with such rules as are promulgated to assure that no person shall, on the grounds of race, creed, color, national origin, sex, age, or handicap be excluded from participating in any activity conducted with or benefiting from funds received from this grant. This assurance obligates the sponsor for the period during which Federal financial assistance is extended to the program, except where Federal financial assistance is to provide, or is in the form of personal property or real property or interest therein or structures or improvements thereon, in which case the assurance obligates the sponsor or any transferee for the longer of the following periods: (a) the period during which the property is used for a purpose for which Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefits or (b) the period during which the sponsor retains owrership or possession of the property. 31. Disposal of Land. a. For land purchased under a grant for airport noise compatibility purposes, it will, when the land is no longer needed for such purposes, dispose of such land at fair market value at the earliest practicable time. That portion of the proceeds of such disposition which is proportionate to the United States share of the cost of acquisition of such land will, at the discretion of the Secretary, (1) be paid to the Secretary for deposit in the Trust Fund, or (2) be reinvested in an approved noise compatibility project as prescribed by the Secretary. b. (1) For land purchased under a grant for airport development (other than noise compatibility) purposes, it will, when the land is no longer needed for airport purposes, dispose of such land at fair market value or make available to the Secretary an amount equal to the United States proportionate share of the fair market value of the land. That portion of the proceeds of such disposition which is proportionate to the United States share of the cost of acquisition of such land will, (a) upon application to the Secretary, be reinvested in another eligible airport improvement project or projects approved by the Secretary at that airport or within the national airport system, or (b) be paid to the Secretary for deposit in the Trust Fund if no such eligible project exists. (2) Land shall be considered to be needed for airport purposes under this assurance if (a) it may be needed for aeronautical purposes (including runway protection zone) or serves as noise buffer land, and (b) the revenue from interim uses of such land contributes to the financial self-sufficiency of the airport. Further, land purchased with a grant received by an airport operator ... _.. ... ...... ...................�......._........ �... ...... �. .: ,. .. •. .. .... ..�.. �.:.i.�.•.•. �... �.:.�...t.a..>:a.tYJt.J.:...t.t.t:.:tYYYifl.xtJtlt• µ.{ytJtassYlt.MJaY:t..t.•"•.:+J.JY.it:.l.:.�. t T� 3/1/91 V-48 or owner before December 31, 1987, will be considered to be needed for airport purposes if the Secretary or the Federal agency making such grant before December 31, 1987, was notified by the operator or owner of the use of such land, did not object to such use, and the land continues to be used for that purpose, such use having commenced not later than December 15, 1989. (c) Disposition of such land under (a) or (b) will be subject to the retention or reservation of any interest or right therein necessary to ensure that such land will only be used for purposes which are compatible with noise levels associated with operation of the airport. 32. Engineering and Design Services. It will award each contract, or sub- contract for program management, construction management, planning studies, feasibility studies, architectural surveying, mapping, or related services with respect to the project in the same manner as a contract for architectural and engineering services is negotiated under Title IX of the Federal Prpperty and Administrative Services Act of 1949 or an equivalent qualifications -based requirement prescribed for or by the sponsor of the airport. 33. Foreign Market Restrictions. It will not allow funds provided under this grant to be used to fund any project which uses any product or service of a foreign country during the period in which such foreign country is listed by the United States Trade Representative as denying fair and equitable market opportunities for products and suppliers of the United States in procurement and construction. 34. Policies, Standards, and Specifications. It will carry out the project in accordance with policies, standards, and specifications approved by the Secretary including but not limited to the advisory circulars listed in the 'Current FAA Advisory Circulars for AIP Projects," dated _ 4f 11/9.1 and included in this grant, and in accordance with applicable state policies, standards, and specifications approved by the Secretary. 35. Relocation and Real Property Acquisition. (1) It will be guided in acquiring real property, to the greatest extent practicable under State law, by the land acquisition policies in Subpart B of 49 CFR Part 24 and will pay or reimburse property owners for necessary expenses as specified in Subpart B. (2) It will provide a relocation assistance program offering the services described in Subpart C and fair and reasonable relocation payments and assistance to displaced persons as required in Subparts D and E of 49 CFR Part 24. (3) It. will make available within a reasonable period of time prior to displacement comparable replacement dwellings to displaced persons in accordance with Subpart E of 49 CFR Part 24. 36. Drug -Free Workplace. It will privide a drug-free workplace at the site of work specified in the grant application in accordance with 49 CFR Part 29 by (1) publishing a statement notifying its 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 that will be taken against its employees for violation of such prohibition; (2) establishing a drug-free awareness program to inform its employees about the dangers of drug ,. ..... ..... .. .....uu•i•........ ....... . . ... . . ... �. i.». .•..�.. ...� .....i.]..•...5....1.1.].].].]•]u�1.. •. �1w. %if 91 V-49 abuse in the workplace and any available drug counseling, rehabilitation, and employees assistance programs; (3) notifying the FAA within ten days after receiving notice of an employee criminal drug statute conviction for a violation occurring in the workplace; and (4) making a good faith effort to maintain a drug-free workplace. P'1AP1 l" 92 1 4: — FP.Uf`1 P i P'Pleir' I D 1',) AEA F..I10 — TO fd r —AL10 CURRENT FAA ADVISORY CIRCULARS FOR AIP PROJECTS Ef7ective Date: 2-26-92 NUMBER 7017460-1 H CHG 1 1-906100-148 CHG 1 150/5200 -WA 150/521448 f 5Q/5210-78 150/6210-14. 15W220 -AA, 15015220atOA I NY5220-11 . 130/5224-12 150/3224-138 15OM220-14A 115 15(7/5220`16 I SM220 -17A 150/5300-15 CHO 1 A 2 164r5120--68 ISO S20 -®C C14G1&2 1501W20-128 150f6320-14 150532t> -4A CHG 1 15015340-1 F CHG 1 16005340"C CHG 1 4 2 150¢58 C14G 1 150=40-148 CHG 1&2 15US140-179 1501S'340• -18C CHG 1 150/!i`'t40-19 150/5340-21 160MA4Q-238 150/5340-24 CHG 1 I6a5340-27A 150f5345-30 1505346 -SA 15015345--7p CIG 1 1505345•-1 Oc 14.C/5345-120 SUt.JECT Obstruction Mad(ing mid Lighting Archaec wal. Engineoing, and Ptrannvny Consultant Sorviives for Airport Grant Airport Winer Safety and Operations Painting. 'Marking and Ughtirtg of Vehides Used on an Airport AW aft Fire and Rescue Communications Airport Fire and Rectae Personnel Protective Cbthing AkPort Rescue 4 Firafg"840wo air DM' W' . Water Supply Syatvroc for Aircraft Fin and aesouo:Proliction Quide Sped6midion W Watef/p em. -TYPO Ai %raft fuse,. and Rnefipfr6AQ vow" " Airport S mbi*wer' Spedita6ort Guide AkW Srtawswq*W SWW MaaW4 Quids - Runway Sudsos Cortckon 9erta)OP Spedficadon Qvi e Awpod Am and FWWW Vehaio SpoafiOWN Qtdefe !2-r Storage artd MWntera m of Ahpart Show PAMWW and tae Genre( Equipawl; A Guide. AutonmaWd Wearer Observfttq Syswms for Non-Paderai ApOWAorts Design Standvds for Aaarsft Remm rasp -Chong TraF" (=adrt(mm Akpwt Design Aipot2 Dra<rtage /Iepon Pe"mact ego &W Evak pmt mrtd Maialsttanoa of Sm RosiaA t Airpart LandsmPkV for NOW t.a W PIMPO a Runway Lance Regain(( vfft far AfrW DeW k%fVing of Paved Areas an Airports IneWation Detach for Runway tiernl duo Tovoftdowrt Zone Lighting Systems Sagmentted Code Airport Mtwimr Syseem Coonomy AppmachUp" AM$ Standby Power for Non -FAA Aapart LiO t>o S"tM3 S ndards fvr A kport *n Systems Ta*AW Cenetline Lighfng System Airport WkC cotarwx us Light}ng Yeual Aids Supplemental Wind Cones Runway and Taxiway Edge Whtfno Systwn A-a--to-43mured Rado Cant -o{ of Airpon Lighting a`yatems Specificatpon to L-821 Panels for Remote Centra( of Airport Lght nQ Cirocat Selector Swttch Specification for L-824 Under7wnd Moo icaf Cab+e'or Ai-pa.t Ligfidng Circcits Speoftoa ion for Constant Curran, Resulauxs Firqutator mormt= SPva atrvri tvr AU fluid fie{lpo,1 Beaooz, PAGE 002/004 MAR 10 ' 9c 14:39 FROM AIRPORTS DIU AEG 600 TO NY -ADO PAGE . A0'_::/004 i CURRFNT i+•AA ADVISORY CIRCULARS FOR AIP PROJECT'S (continucd) Effective Date: 2-26-92 NUMBER SUBJECT ISCV6345-13A Spoaficafion for L-441 Auxiiwy Rotxy Winet Assembly is Not Corium of Airport Lighting Ckctft 1 SOf8s45�-265 Speaffi=KoA for L-423 Phm and PeoepWe. Gable Oonnecdora CHGIA2 ISCYSS45-27C Specifwation for Wald Oo* A"*mblies 15015345-280 Pmdsi Approcidl Palk tr0kal or (PAPQ Systems CHH 1 t50f634S-fto FAA Specht &Wn L-961. Rurwav and Taxiway Oongtfino ReVoreftcove Mafmrs CHO 1 160(5945-420 Gpvfiastioa kw A.kp*d Upf1t' , Tram(cm 1.m ffoasings; J006m. Goxes.ard . 150r334S-4.30 Spedffic4on lex Obahuctan L4hdng Equ4gner4 ISCYS345-44E Spec" ion for Tames ww Rama Siva 160%345-4SA 1ial ftelgh! Apotoacft Lift St ucWm 1GOM46-4t3A fiirt fir 4Y zitld Tiudtray U*4.Rxbx" ISOMS48 M lsdidod Transfi aWr. tion Airport L*" syW •t50f634&-49A SpeaTroetion L-es4. Ratio CcnW Ewjpmsnt 150/5345-60 Spadficafon for Patabb tray flatus ctla 1 15CY5345-61 Spodfiwfoa for OieamVe--Type Pastw Equonml CHO 1 160 S,'1 &62 t3anerie VrueT t3frdexfotte btdica4ors (CiYGi} 15015960.13 Pian t 6.4 0009n of Airport Te Maui FWWO 0 Nan- Hvb Lombons I SOMMO-12 A'spart bip*q at tiraptm 15018580-18 PiawiV and DedW Ouiderroa t?arAtrpott T«: *W FacgiSes iSW5370-4r, CperilWd S*W as ATrpoft t uft C IM"on t 5015370-6'6 0&�uc8on Progress and MaPsedw Pon Gtr ppm ISOM70-10A tar Spoc" OwvWxSon of Aire" CHO i, 2, 8 l EaS370-11 U" of Nondestuftw :Tas6rt8 t rmw 91 ft FYAKNOon of Airport Pavemw is CHCS 1 160f5870-12 GuaUr ConW of CWaEn+otiort for Airport Grans P"ft 150(539" HelipoR 0"vn 1905398-3 VNiipM Desgn I 0.U4.w ►J4.IYV �4ANv tSTnAw M NOTES - (D NEW YORK STATE PLANE COORDINATE VALUES NORTH EAST 7 X CaSTDC RMAY PROTECTION ARP (LTINIATE) 30OK 25 20W 04 PL►»m 00AW 254M156 RW 12 END PAWT. 380262.534 2539T42.680 RN 30 END PATT. 3T9T94.076 2542512.384 RW 07 END PAWT. 3796IL274 2540199.670 RW 25 END PAV T. 380653.373 2541990.057 © GRID IS BASED ON NEW YORK STATE PLANE COORDINATE SYSTEY.LONG ISLAND ZONE © AREA = 85 ACRES (TITLE IN FEE) A = _ LEGEND____ s-- PAVED RDAD 1 DINT ROAD 6unDINO COAST LINI —(�— PROPEATY LbE ROAD 60>CAAY 1. REVISIONS 1084 OF SOUTHaO FISHERS ISL►hD %EA YORK .rE CHANCE ELIZABETH FIELD AIRPORT AIRPORT PROPERTY MAP DESIGNED: DE ORARN; :[i SHEET I OF CFECKED: CE DATE: FE6HCAa �, •99i PNC ECT FILE NO-21LO03.001 JCA03 FILE NO.: Ai PV.01 2 Cabcerinos & Spina E+:0�+. P G R- R 02W U.S. Department of Transportation Federal Aviation Administration Mr. Scott L. Harris Superintendent, Town of Southold Main Road Southold, New York 11971 Dear Mr. Harris: Elizabeth Field -Fishers Island Airfield Lighting, Visual Aids Building - inspe::tion Agreement AIP 3-36-0029-05-92 New York Alr,yis D .rct Office. ROOM 305 181 South Franklin Ave. Va[l* Stream, NY 11581 ql� l5@ ff 0 U R !!11 t .� APR 3 0197 Airport & Electrical Reference is made to a letter from your consultant, Calocerinos and Spina (C & S), (copy sent to you), dated April 15, 1992, requesting our concurrence in their proposed inspection fees for the subject project. Their analysis for the two fee schedule alternatives was based on the fact that the airport is remotely situated and a qualified inspector, with airport experience, may not be locally available. We have reviewed both alternatives and subsequent information provided by C & S with their letter of April 21, 1992, and concur in the fee schedule. However, it must be clearly understood that if the estimated eligible fee of $84,559 (Alternative 2) will be funded, you must demonstrate that a good faith effort has been made to find a local qualified inspector so that the fee will be only $67,561, and all your efforts failed. We would also like to remind you that we did not received your application for the project until now, thus allowing us to accelerate the issuance of :� grunt agreement. Please expedite this application. If you have any questions, please call me at 516-295-9343. Sincerely, Dan Vornea Airport Engineer C] Calocerinos & Spina Engineers, P.C. April 15, 1992 tL APR 2 ... 992 Mr. Philip Brito, Manager Federal Aviation Administration New York Airports District Office 181 South Franklin Avenue Room 305 Valley Stream, New York 11581 Re: Elizabeth Field - Fisher's Island Airfield Lighting, Visual Aids, and Electrical Building Engineering Design and Inspection Agreements File: 211.004 Dear Mr. Brito: Enclosed are engineering cost and work summaries for inspection services on the above referenced project. Two alternative summaries have been developed and are provided for your information. Alternate No. 1 assumes that we can recruit and employ a qualified local inspector for the project. Alternate No. 2 provides for a C&S inspector who would travel to the job site from Syracuse, New York each week. The proposed inspection fees for Alternate No. 1 and Alternate No. 2 are $67,561.00 and $84,559.00, respectively. The inspection fees as a percentage of the construction cost ($419,421.00) are higher than what would normally be considered reasonable. However, considering the average bid amount for construction of the project and the unique location of the Airport, the proposed inspection fees in our opinion are reasonable. Elizabeth Field is located on Fishers Island. The only scheduled ferry service available to the Island is provided by the Fisher's Island Ferry District out of New London, Connecticut. A one-way trip takes approximately 45 minutes. Since the Island contains no hotels, motels, or similar housing facilities, the inspector will be required to travel between New London and the Island each day. Seven contractors submitted bids (see attached bid tabulation sheet) for construction of the referenced project. Bid amounts ranged from a low of $419,421.00 to a high of $699,015.00, with an average bid amount of $595,483.00. Compared to the average bid amount, the total engineering fee (design plus inspection) as a percent of construction is approximately 21 % if a qualified local inspector is employed or 24% if a local inspector cannot be found and it is necessary for the firm to provide an inspector from the Syracuse office. In the past these percentage amounts have been considered reasonable. 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 X% Mr. Philip Brito Page 2 April 15, 1992 We will keep you informed of our progress in recruiting a qualified local inspector. A Cost Plus Fixed Fee Agreement for Inspection Services for this project will be forwarded to your office upon completion of the recruiting process. If you need additional information or have any questions, please contact our office. JWL:kal Enclosures cc: Mr. Scott L. Harris Very truly yours, ERINOS PINA ENGINEERS, P.C. TOTAL ESTIMATED DIRECT SALARY COST 11. OVERHEAD EXPENSES & PAYROLL BURDEN PER SCHEDULE "C" - (AUDITABLE, ESTIMATED AND EXPRESSED AS A PERCENTAGE OF DIRECT SALARY COST): A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: B. N.Y.S.D.O.T. ELIGIBLE FACTOR: ELIZABETH FIELD - AIRFIELD LIGHTING Page 1 $20,401.00 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST -------------- ---------------- 140% 528,561.00 100% $20,401.00 ---------------------------- ---------------------------- * ARCHITECTURAL/ENGINEERING * COST SUMMARY * SCHEDULE "B" * INSPECTION PHASE ****w•w**,ew*****,rw*www*****ww***ww,r PROJECT: ELIZABETH FIELD - AIRFIELD LIGHTING DATE: 03 -Apr -92 PROJ DESCRIPTION: INSTALLATION OF R/W EDGE LIGHTS, VISUAL & MISC. AIDS, ELEC. BLDG. A/E: CALOCERINOS & SPINA PROJECT NO: 211.004 CLIENT: TOWN OF SOUTHOLD C&S CONTACT: CERRETANI/PETRANCHUK CLIENT MANAGER: MR. R. PHILIP KNAUFF I. DIRECT SALARY COSTS: MAXIMUM AVERAGE RATE OF PAY RATE OF PAY ----------------------------------------- TITLE (S/HR) ($/HR) a HOURS COST A. DIVISION MANAGER ----------- 547.30 ----------- 537.80 ------- X 0 ---------------- = $0.00 B. MANAGING ENGINEER $36.00 $33.50 X 4 = $134.00 C. SEN PROJ ENGINEER $30.30 526.50 X 0 = $0.00 D. PROJECT ENGINEER 524.00 $22.20 X 64 = S1,421.00 E. SEN GEOLOGIST (SOILS ENG) 525.00 $23.50 X 0 = 50.00 F. HYDROGEOLOGIST 518.90 517.70 X 0 = 50.00 G. ENGINEER $21.40 $18.70 X 0 = 50.00 H. ASST ENGINEER 518.50 $16.30 X 68 = S1,108.00 I. DESIGNER $17.10 $15.00 X 0 = $0.00 J. SEN DRAFTSMAN 513.50 $12.50 X 16 = $200.00 K. DRAFTSMAN 511.60 $10.50 X 0 It $0.00 L. TECHNICAL TYPIST $13.50 $11.50 X 60 = 5690.00 M. GRANT ADMINISTRATOR $18.00 $17.00 X 60 = $1,020.00 N. INSPECTION SUPERVISOR 526.50 $24.10 X 136 = $3,278.00 0. RESIDENT ENGINEER $26.00 $23.60 X 0 = $0.00 P. CHIEF INSPECTOR 524.90 $23.20 X 0 = $0.00 G. SEN INSPECTOR $21.60 518.90 X 664 = $12,550.00 R. INSPECTOR $17.30 515.20 X 0 = $0.00 S. JR INSPECTOR 516.60 $14.60 X 0 = $0.00 T. PARTY CHIEF $27.80 526.50 X 0 = $0.00 U. INSTRUMENT MAN $24.70 $23.50 X 0 = 50.00 V. RODMAN 522.60 521.50 X 0 = -------------- -------------- 50.00 TOTAL ESTIMATED DIRECT SALARY COST 11. OVERHEAD EXPENSES & PAYROLL BURDEN PER SCHEDULE "C" - (AUDITABLE, ESTIMATED AND EXPRESSED AS A PERCENTAGE OF DIRECT SALARY COST): A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: B. N.Y.S.D.O.T. ELIGIBLE FACTOR: ELIZABETH FIELD - AIRFIELD LIGHTING Page 1 $20,401.00 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST -------------- ---------------- 140% 528,561.00 100% $20,401.00 ---------------------------- ---------------------------- III. SUBTOTAL OF ITEMS I & II: A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE: B. N.Y.S.D.O.T. ELIGIBLE: NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST -------------- ---------------- -6,962.00 540,602.00 IV. ESTIMATE OF DIRECT EXPENSES: A. TRAVEL, TO SITE, BY AUTO: 70 DAYS 8 120 MILES/DAY 8 $0.23 = $1,932.00 B. TRAVEL, ON SITE, BY AUTO: 70 DAYS 8 20 MILES/DAY 8 $0.23 = $322.00 C. TRAVEL, BY AIR: 10 TRIPS 8 1 PERSONS 8 $350.00 = $3,500.00 D. PER DIEM: 5 DAYS a') 1 PERSONS 8 $151.00 = $755.00 E. REPRODUCTION - 1. DRAWINGS: 10 SETS 8 10 SHEETS/SET 8 $1.00 = $100.00 2. MYLARS: 20 SHEETS 8 $5.00 = $100.00 F. COMPUTER TIME: 0 HOURS 8 $12.00 = $0.00 G. OPL PROJECT INSURANCE PREMIUM: = $250.00 H. MISCELLANEOUS: = 5141.00 TOTAL ESTIMATE OF DIRECT EXPENSES $7,100.00 $7,100.00 V. FIXED FEE (PROFIT, LUMP SUM): A. LABOR PLUS OVERHEAD: 1 AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: 15% (OF III.A.) $7,344.00 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: 15% (OF III.B.) $6,120.00 B. DIRECT EXPENSES: 1 AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: 15% (OF IV.) 51,065.00 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: 3.0% (OF IV.) -------------- -------------- $213.00 -------------- -------------- TOTAL FIXED FEE $6,333.00 $B,409.00 ELIZABETH FIELD - AIRFIELD LIGHTING Page 2 VI. SUBCONTRACTS: A. ESTIMATE OF CONSTRUCTION TESTING SERVICES: 1 ASPHALT TECHNICIAN (PLANT): 0 DAYS a $250.00 = $500.00 2 SOILS/CONCRETE TECHNICIAN: 8 DAYS a $200.00 = $1,600.00 3 ADDITIONAL PAVEMENT CORES: 0 EACH a $50.00 = $0.00 4 TRIP CHARGE: 0 EACH a $60.00 = $0.00 5 MECHANICAL ANALYSIS: 10 EACH a $35.00 = $350.00 6 HYDROMETER ANALYSIS: 0 EACH a $60.00 = $0.00 7 ATTERBERG LIMITS: 0 EACH a $55.00 = $0.00 8 LABORATORY PROCTORS: 4 EACH a $100.00 = $400.00 9 CONCRETE COMPRESSIVE STRENG 40 EACH a $6.00 = $240.00 10 CONCRETE FLEXURAL STRENGTH: 0 EACH a $6.00 = $0.00 11 TOPSOIL (pH): 0 EACH a $40.00 = $0.00 12 LA ABRASION: 0 EACH a $180.00 = $0.00 13 MAGNESIUM SULFATE SOUNDNESS 0 EACH a $185.00 = $0.00 14 NATURAL MOISTURE CONTENT: 0 EACH a $6.00 = $0.00 TOTAL ESTIMATED CONSTRUCTION TESTING SERVICES: NYSDOT ELIGIBLE COST -------------- AGREEMENT AMOUNT 8 FAA ELIGIBLE COST ---------------- $3,090.00 53,090.00 VII. TOTALS: A. ESTIMATE OF MAXIMUM TOTAL COST FOR INSPECTION SERVICES, NYSDOT ELIGIBLE: $57,325.00 B. ESTIMATE OF MAXIMUM TOTAL COST FOR INSPECTION SERVICES, AGREEMENT TOTAL 8 FAA ELIGIBLE: ELIZABETH FIELD - AIRFIELD LIGHTING Page 3 $67,561.00 rt+rrttt+++trrt++++++++rt+f++tft++++++ f ARCHITECTURAL/ENGINEERING + + WORK SUMMARY + r + :4'1JECT: ELIZABETH FIELD - AIRFIELD LIGHTING SERVICES: CONSTRUCTION ADMIN & INSPECTION CLIENT: TOWN OF SOUTHOLD CLIENT MANAGER: MR. R. PHILIP KNPOF DATE: 03 -Apr -92 A;E: CALOCERINOS B SPINA PRCJELT NO.: 211.004 DIVISION MANAGER: WAGNER/PECKHAM MANAGING ENGINEER: CERRETANIiPETRANCHUN, PROJECT MANAGER: CERRETANI/LEANA t ELIZABETH FIELD - AIRFIELD LIGHTING Page --1 04/03/92, MANHOURS -------------- —----------------------------------------- --------------------------------------------------------------------- SERVICES CONTRACT PHASE TECH GRANT SEN ASST GEOL- SEN PROJ S PROJ MMI DIV INSP RES CHIEF SEN JR PARTY INST ROD DIRECT BY NO, NO. TASK TYP ADM DRAFT DRAFT DES ENG ENG DGIST GEOL ENG ENG ENG MGR SIP ENG INSP INSP INSP INSP CHIEF MAN MAN C05TS OTHERS TOTRLS 002 1 I I I I I I I I I I I I I I I I I I I I 1 I it 400 PROJECT MGMT/GENERAL SUPERVISION I I I I 1 1 24 1 1 1 1 24 1 1 4 1 1 1 1 1 1 I I I I I 1 II $2,920 401 GRANTS ADMINISTRATION I 1 60 1 1 1 1 1 1 1 1 I _. - I I I 1 I I I I I I I I it $2,815 402 CLERICAL 1 60 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 $1,904 403 PRECON MTG/FINAL INSPECTION I I I I I I I I 1 1 24 1 1 1 1 32 1 1 1 1 1 1 1 1 1 1 11 $3,599 404 SHOP DRAWING REVIEWS I 1 I I I 1 40 1 1 1 I 16 I 1 I I I I I I I i I I I 1 11 12,779 407 RECORD DRAWINGS I I I 1 16 1 1 4 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 11 $731 509 PRE -CONSTRUCTION INSPECTION 1 I I I I I I I I I 1 I I I 8 I 1 1 24 1 1 1 1 1 1 1 II $1,783 510 INSPECTION I I I I I I I I I I I I I 1 80 1 1 1 600 I I I I 1 $36,620 511 POST -CONSTRUCTION INSPECTION I I I I I I I I I I I I 1 1 16 1 1 1 40 1 1 i I I II 1'3,15[ 609 DIRECT EXPENSES (ALL) I I I I I I I I I I I I I I I I I 1 1 $7,100.00 1 ;I $8,165 780 SBO - CONSTRUCTION TESTING I I I f i I I I i I I I I I I I I I I 1 I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I 1 I I 1 I I I I I I I i I I I i i I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I 1 t I I I I I I i I I I 1 I I I I I I I 1 I i_ I I I I I I I I I I I 1 I I t I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I 1 I I I I I 1 I I I I I 1 I I i I I 1 I I I I I I I I I I I I I I I I I I I I I I i $3,090.00 11 II II !I it II II II II It II II $3,090 I I I I 1 I I i I I I I I i 1 I I I 60 I I I I I I i I I 60 1 I I I I I t I I I I i I I 1 1 I I 0 16 I I I I I I I I I I I I i I I I I I I I I 1 I I I I I I i I I I I I I I i I I I I I I I I 0 68 e e 6.> I I I I I I I I I I� i I I I I 1 I 1 I_ I I I I 1 I I I 64 ! 4 8 I I I I I I I I I 1 I I I I I I I I 136 0 I I I I I I I I 1 I I I I 1 I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I 1 I I I I I I 0 664 0 0 0 I I I I i I I I i I I I ! I I I I I I I I I I I I I I 8 0 $7,100 II II II II II II II I I II $3,090 $67,558 ELIZABETH FIELD - AIRFIELD LIGHTING Page --1 04/03/92, E TOTAL ESTIMATED DIRECT SALARY COST II. OVERHEAD EXPENSES & PAYROLL BURDEN PER SCHEDULE "Cu - (AUDITABLE, ESTIMATED AND EXPRESSED AS A PERCENTAGE OF DIRECT SALARY COST): A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: B. N.Y.S.D.O.T. ELIGIBLE FACTOR: ELIZABETH FIELD - AIRFIELD LIGHTING Page 1 140% 100% NYSDOT ELIGIBLE COST -------------- $19,768.00 -------------- -------------- $19,768.00 AGREEMENT AMOUNT & FAA ELIGIBLE COST ---------------- $27,675.00 * ARCHITECTURAL/ENGINEERING * COST SUMMARY * SCHEDULE "8" * INSPECTION PHASE PROJECT: ELIZABETH FIELD - AIRFIELD LIGHTING DATE: 02 -Apr -92 PROJ DESCRIPTION: INSTALLATION OF R/W EDGE LIGHTS, VISUAL & MISC. AIDS, ELEC. BLDG. A/E: CALOCERINOS & SPINA PROJECT NO: 211.004 CLIENT: TOWN OF SOUTHOLD C&S CONTACT: CERRETANI/PETRANCHUK CLIENT MANAGER: MR. R. PHILIP KNAUFF I. DIRECT SALARY COSTS: MAXIMUM AVERAGE RATE OF PAY RATE OF PAY ----------------------------------------- TITLE (S/HR) ($/HR) a HOURS COST A. DIVISION MANAGER ----------- $47.30 ----------- $37.80 X ------- 0 ---------------- = SO.00 B. MANAGING ENGINEER $36.00 $33.50 X 4 $134.00 C. SEN PROJ ENGINEER $30.30 526.50 X 0 = $0.00 D. PROJECT ENGINEER $24.00 $22.20 X 64 = $1,421.00 E. SEN GEOLOGIST (SOILS ENG) 525.00 $23.50 X 0 = $0.00 F. HYDROGEOLOGIST $18.90 $17.70 X 0 $0.00 G. ENGINEER $21.40 $18.70 X 0 = $0.00 H. ASST ENGINEER $18.50 $16.30 X 68 $1,108.00 I. DESIGNER $17.10 $15.00 X 0 = $0.00 J. SEN DRAFTSMAN $13.50 $12.50 X 16 = $200.00 K. DRAFTSMAN $11.60 $10.50 X 0 = $0.00 L. TECHNICAL TYPIST $13.50 $11.50 X 60 = $690.00 M. GRANT ADMINISTRATOR $18.00 $17.00 X 60 = $1,020.00 N. INSPECTION SUPERVISOR $26.50 $24.10 X 136 = $3,278.00 0. RESIDENT ENGINEER $26.00 523.60 X 0 = $0.00 P. CHIEF INSPECTOR $24.90 $23.20 X 0 = $0.00 C. SEN INSPECTOR $21.60 $18.90 X 0 = 50.00 R. INSPECTOR $17.30 $15.20 X 784 = $11,917.00 S. JR INSPECTOR $16.60 $14.60 X 0 = $0.00 T. PARTY CHIEF 527.80 526.50 X 0 = $0.00 U. INSTRUMENT MAN $24.70 $23.50 X 0 = $0.00 V. RODMAN $22.60 $21.50 X 0 = -------------- $0.00 TOTAL ESTIMATED DIRECT SALARY COST II. OVERHEAD EXPENSES & PAYROLL BURDEN PER SCHEDULE "Cu - (AUDITABLE, ESTIMATED AND EXPRESSED AS A PERCENTAGE OF DIRECT SALARY COST): A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: B. N.Y.S.D.O.T. ELIGIBLE FACTOR: ELIZABETH FIELD - AIRFIELD LIGHTING Page 1 140% 100% NYSDOT ELIGIBLE COST -------------- $19,768.00 -------------- -------------- $19,768.00 AGREEMENT AMOUNT & FAA ELIGIBLE COST ---------------- $27,675.00 t III. SUBTOTAL OF ITEMS I & II: A. AGREEMENT AMOUNT & F.A.A. ELIGIBLE: B. N.Y.S.D.O.T. ELIGIBLE: IV. ESTIMATE OF DIRECT EXPENSES: A. CAR RENTAL 70 DAYS 2 B. TRAVEL, ON SITE, BY AUTO: DAYS 2 C. TRAVEL, BY AIR: 25 TRIPS B D. PER DIEM: 70 DAYS 2 E. REPRODUCTION - 1. DRAWINGS: 10 SETS 2 2. MYLARS: F. COMPUTER TIME: G. OPL PROJECT INSURANCE PREMIUM: H. MISCELLANEOUS: 1 CAR 2 $50.00 = $3,500.00 MILES/DAY 9 $0.23 = $0.00 1 PERSONS 2 $350.00 = $8,750.00 1 PERSONS 2 $151.00 = $10,570.00 10 SHEETS/SET 2 $1.00 = $100.00 20 SHEETS 2 $5.00 = $100.00 0 HOURS 2 $12.00 = $0.00 = $250.00 $130.00 TOTAL ESTIMATE OF DIRECT EXPENSES V. FIXED FEE (PROFIT, LUMP SUM): A. LABOR PLUS OVERHEAD: 1 AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: B. DIRECT EXPENSES: 1 AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: TOTAL FIXED FEE ELIZABETH FIELD - AIRFIELD LIGHTING Page 2 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST -------------- ---------------- $47,443.00 $39,536.00 $23,400.00 $23,400.00 15% (OF III.A.) $7,116.00 15% (OF III.B.) $5,930.00 15% (OF IV.) $3,510.00 0.0% (OF IV.) $0.00 $5,930.00 $10,626.00 VI. SUBCONTRACTS: A. ESTIMATE OF CONSTRUCTION TESTING SERVICES: 1 ASPHALT TECHNICIAN (PLANT): 0 DAYS 2 $250.00 = 2 SOILS/CONCRETE TECHNICIAN: 8 DAYS 2 5200.00 = 3 ADDITIONAL PAVEMENT CORES: 0 EACH 2 $50.00 = 4 TRIP CHARGE: 0 EACH 2 $60.00 = 5 MECHANICAL ANALYSIS: 10 EACH 2 $35.00 = 6 HYDROMETER ANALYSIS: 0 EACH 2 $60.00 = 7 ATTERBERG LIMITS: 0 EACH 2 $55.00 = 8 LABORATORY PROCTORS: 4 EACH 2 $100.00 = 9 CONCRETE COMPRESSIVE STRENG 40 EACH 2 $6.00 = 10 CONCRETE FLEXURAL STRENGTH: 0 EACH 2 $6.00 = 11 TOPSOIL (pH): 0 EACH 9 $40.00 = 12 LA ABRASION: 0 EACH 2 $180.00 = 13 MAGNESIUM SULFATE SOUNDNESS 0 EACH B $185.00 = 14 NATURAL MOISTURE CONTENT: 0 EACH 2 $6.00 = TOTAL ESTIMATED CONSTRUCTION TESTING SERVICES: $500.00 $1,600.00 $0.00 $0.00 $350.00 $0.00 $0.00 $400.00 $240.00 $0.00 $0.00 50.00 $0.00 $0.00 NYSDOT ELIGIBLE COST -------------- AGREEMENT AMOUNT & FAA ELIGIBLE COST ---------------- $3,090.00 53,090.00 VII. TOTALS: A. ESTIMATE OF MAXIMUM TOTAL COST FOR INSPECTION SERVICES, NYSDOT ELIGIBLE: $71,956.00 B. ESTIMATE OF MAXIMUM TOTAL COST FOR INSPECTION SERVICES, AGREEMENT TOTAL & FAA ELIGIBLE: ELIZABETH FIELD - AIRFIELD LIGHTING Page 3 $84,559.00 r 1 ELIZABETH FIELD - AIRFIELD LIGHTING Pape 1 04 O�/9` a++a+a++++++++++t+$$stat+++ttttt++++tt � a t t ARCHITECTURAL/E146INEERING ► t WORK SllM(i1RY r r ++rrrtrttrtrtttrtttrrtrtrttttrtrrrrttt DATE: 02 -Apr -92 A/E: CALOCERINOS 8 SPINA PROJECT: ELIZABETH FIELD - AIRFIELD LIGHTING PROJECT NO.: 211.004 SERVICES: CONSTRUCTION ADMIN i INSPECTION DIVISION MANAGER: WAGNER/PECKHAM CLIENT: TOM OF SOIITHOLD __ _ -____. MANAGING ENGINEER: CERRETANI/PETRPNCHLK CLIENT MANAGER: MR. R. PHILIP KNAIFF 116 PROJECT MANAGER: CERRETANI/LEANA ----------------------------------------=- ==--- -----W-. --- ---------- — --------------------------- SERVICES CONTRACT PHASE TECH GRANT SEN ASST GEOL- SEN PROJ S PRDJ MAN DIV INSP RES CHIEF SEN JR PARTY INST ROD DIRECT BY NO. °===z=zxzzzzz—='-"—'�"------zzmzzo_ N0. TASK TYP ----�zmz=-�zs��zzzes=�zs-��'•'�-xaz--�=--••-••--� ADM DRAFT DRAFT DES ENS ENS OGIST GEOL 176 ENS ENS MGR SUP ENS INSP INSP 'z-r�=zz-=moi===a�aa=-_s=c—:===e_ INSP INSP e=====' CHIEF MAN MAN COSTS ===v='==='_=====v'====_'__=====cvvz=—==eoc=v=' OTHERS TOTALS 002 I I 1 1 1 1 1 --- 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II c=ev 400 PROJECT MGMT/IGNERAL SUPERVISION I I I I 1 1 24 1 1 1 1 24 1 1 4 1 1 1 1 1 1 1 1 1 1 1 1 II $2,920 401 GRANTS ADMINISTRATION 1 1 60 1 1 I 1 1 1 1 1-. _--1`-`" 1 I I I I I I I I I I I I If $2,815 402 CLERICAL I 60 I I I I I 1 I I I I I I I I I I I I I I I 1 II $1,904 403 PRECO1 MTG/FINAL INSPECTION I I I I I I I I 1 1 24 1 1 1 1 32 1 1 1 1 1 1 1 1 I 1 II $3,599 404 SHIP DRAWING REVIEWS I I I I 1 1 46 1 1 1"_ fIFT--"-1 I I I I I I I I I I I 1 11 $2,779 407 RECORD DRAWINGS I I I 1 16 1 1 4 1 1 1 I ( 1 1 1 1 1 1 1 1 1 1 1 1 1 11 $731 509 PRE -CONSTRUCTION INSPECTION I I I I I I I I I i !" I I 1 B 1 1 1 1 24 1 1 1 1 1 1 11 $1,540 510 INSPECTION I I I I I l I I I i� --I "- I I I 80 I I 1 1 720 1 1 1 1 1 1 If 535, 527 _ 511 POST -CONSTRUCTION INSPECTION I 1 I I I I I I I I I I 1 1 16 1 I 1 1 40 1 1 1 1 1 1 it $2,743 609 DIRECT EXPENSES (ALL) I I I I I I I I I I I I I I I I I I I I 1 1 1$23,400.00 1 ;I $26,910 780 SBO - CONSTRUCTION TESTING I I I I I L_._ I 1 I - I —I - $3,090.00 11 $3,090 I I I I I I I i I T i I I I f 1 I I I I i I I II C3 I I I I I I I I I I I t I I I I I I I i I 1 1 I I I I 1 I I I I I I ! II I I I I I I I I I I I I II I I! I I I I i I I I I II I 1 I I 1 I I I 1 i i i f I I II C: I I I I I 1 I 1 I I I I I I I I 1 I I 1 I I I I 1 I I I I I 1 I I I I I I i I I I I I I I I i I II it I I I I ( I I I I I I I I I I 1 I I 1 I I i I 1 I i I I I I I f I I I I I I I I I I I I I I 11 it . I L ..__ -1 1 I I I I I I I I I I I I I f: I I I I I I I t 1 I I I I I I I I I I i I I I II 60 60 0 16 0 68 0 0 0 64 0 4 0 136 0 0 0 784 0 0 0 0 $23,400 $3,090 s84,558 1 ELIZABETH FIELD - AIRFIELD LIGHTING Pape 1 04 O�/9` ELIZABETH FIELD AIRPORT IENGINEERIS OPINION OF IFALVEY CONSTRUCTION CORP. IFRUEAN UTILITIES, INC. I FISHERS ISLAND, NEW YORK (CONSTRUCTION COST 1P.0. BOX 699 118 FRUEAN WAY 1 AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICALOCERINOS & SPINA 1KILLINGWORTH, CONNECTICUT 06411S. YARMOUTH, MASSACHUSETTS 0261 FAA-AIP NO. 3-36-0029-04-91 (ENGINEERS, P.C. 1 I I NYSDOT PROJECT NO. 0913.04 11020 SEVENTH NORTH STREET I 1 1 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ILIVERPOOL, NEW YORK 13088 1 ITEM FAA I I I UNIT 1 i UNIT 1 I UNIT 1 I NO. SPEC NOI DESCRIPTION I QUANTITY UNITS 1 PRICE i TOTAL I PRICE 1 TOTAL I PRICE 1 TOTAL 1 ________________________x__________ ------------------------ ----------- -------- �sssssssxsssss____--__assxxsaaxssasssx---------ssxxxssaxxsss-.x----�__ _____r- sax:xsaaxxxs�_xnsxaa-.xasssaxxssaz:xxsxsssxxx s z 1 P-152 (COMMON EXCAVATION, AREA NO.1 1 1 LS I $2,000.00 1 52,000.00 1 $10,000.00 1 $10,000.00 1 $2,500.00 1 $2,500.00 1 2 P-152 (PAVEMENT EXCAVATION (BITUMINOUS CONCRETE) 1 900 SY 1 $10.00 1 $9,000.00 ( $3.00 1 $2,700.00 I $5.95 1 $5,355.00 1 3 P-612 (FIELD OFFICE 1 1 LS 1 $7,000.00 ( $7,000.00 1 $18,200.00 1 $18,200.00 I $5,000.00 1 $5,000.00 1 4 P-620 IRUNWAY PAINTING 1 23,000 SF I 50.50 1 $11,500.00 1 $0.50 1 $11,500.00 i $0.73 1 $16,790.00 1 5 L-102 (ELECTRICAL BUILDING ELECTRICAL SERVICE 1 1 LS 1 512,000.00 1 $12,000.00 1 $9,000.00 1 $9,000.00 I $15,375.00 1 $15,375.00 1 6 L-106 (SEGMENTED CIRCLE 1 1 LS I $12,000.00 1 $12,000.00 1 $15,300.00 1 $15,300.00 1 $10,450.00 1 $10,450.00 1 7 L-107 (LIGHTED WIND CONE i 1 LS 1 $6,000.00 I $6,000.00 I $16,700.00 1 516,700.00 1 $8,495.00 1 $8,495.00 1 8 L-108 (CABLE TRENCHING FOR THE INSTALLATION OF ( I I I I I I I I UNDERGROUND CABLE 1 8,600 LF I $4.00 1 $34,400.00 I $2.25 1 $19,350.00 1 $4.35 1 $37,410.00 1 9 L-108 IND. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR I I I ( 1 I I I I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCTI 28,300 LF 1 $0.60 1 $16,980.00 1 $0.38 ( S10,754.00 1 $0.65 1 $18,395.00 1 10 L-108 IND. 8 AWG, SKV, TYPE C SINGLE CONDUCTOR I I I I 1 I I I I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCTI 12,900 LF 1 $0.70 1 $9,030.00 1 $0.38 i 54,902.00 1 $0.65 1 58,385.00 1 11 L-108 IND. 8 AWG, BARE COPPER COUNTERPOISE WIRE I ( I I ( I I I I INSTALLED IN TRENCH INCLUDING GROUNDING RODS I I I I I I I I AND EXOTHERMIC CONNECTIONS 1 9,500 LF 1 $0.75 1 $7,125.00 1 $0.28 1 $2,660.00 1 50.80 1 $7,600.00 12 L-109 11NSTALLATION OF AIRPORT ELECTRICAL I I I I I I I I BUILDING EQUIPMENT, IN PLACE 1 1 LS 1 $30,000.00 1 530,000.00 1 $30,000.00 1 530,000.00 1 $59,250.00 1 $59,250.00 13 L-110 14-WAY ELECTRICAL DUCT BANK, TYPE 1 1 700 LF 1 $50.00 1 $35,000.00 1 $55.00 1 $38,500.00 1 $82.50 I 557,750.00 14 L-110 18-WAY ELECTRICAL DUCT BANK, TYPE 1 1 200 LF I $65.00 1 $13,000.00 I $70.00 1 $14,000.00 I $115.00 ( $23,000.00 15 L-110 12-INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I I I I I I I IN PAVEMENT 1 3,000 LF 1 $14.00 1 $42,000.00 1 $4.00 1 $12,000.00 1 $12.75 I $38,250.00 16 L-110 12-INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I ( I I ( I I IN TURF 1 270 LF 1 $12.00 I $3,240.00 i $2.00 1 $540.00 I 57.75 ( S2,092.50 17 L-110 12-INCH DIAMETER RIGID STEEL CONDUIT REINSTALLE1 I I I I I I IN TURF 1 190 LF I $6.00 1 $1,140.00 1 $2.00 1 $380.00 ( $7.85 1 $1,491.50 18 L-112 1ELECTRICAL BUILDING 1 1 LS 1 $30,000.00 I $30,000.00 I $40,000.00 1 $40,000.00 1 $63,780.00 1 $63,780.00 19 L-115 (ELECTRICAL MANHOLE NO. 1 I 1 EACH 1 $6,000.00 1 $6,000.00 1 512,250.00 1 512,250.00 I $7,295.00 1 57,295.00 20 L-115 (PULL BOX REINSTALLATION I 1 EACH I $200.00 1 $200.00 1 $500.00 1 $500.00 I $1,190.00 1 $1,190.00 page 1 ELIZABETH FIELD AIRPORT (ENGINEER'S OPINION OF IFALVEY CONSTRUCTION CORP. IFRUEAN UTILITIES, INC. I FISHERS ISLAND, NEW YORK lCONSTRUCTION COST IP.O. BOX 699 118 FRUEAN WAY I AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICALOCERINOS & SPINA IKILLINGWORTH, CONNECTICUT 0641IS. YARMOUTH, MASSACHUSETTS 0261 FAA-AIP NO. 3-36-0029-04-91 JENGINEERS, P.C. NYSDOT PROJECT NO. 0913.04 11020 SEVENTH NORTH STREET -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- (LIVERPOOL, NEW YORK 13088 ITEM FAA I I I UNIT UNIT UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS PRICE TOTAL PRICE TOTAL PRICE TOTAL xxxxzsxxxz_- ____________________xsxxxzxssxxsxxxzzxxxxxxszxxxxxxzxxxxssxxxxxxzxssxxxxxzxz_____xxxzxxxxsxxazzxsxxzxxxxzaxssxxxxxxszaxxxxxxxxxxxx ___ 21 L-125 IMEDIUM INTENSITY RUNWAY EDGE LIGHTS, BASE I MOUNTED, IN PAVEMENT I 57 EACH I $600.00 I $34,200.00 I $315.00 $17,955.00 $565.00 I $32,205.00 I 22 L-125 IRUNWAY 25 THRESHOLD LIGHTS I 1 LS $6,000.00 I $6,000.00 I $3,800.00 I $3,800.00 I 519,500.00 I $19,500.00 23 L-125 (AIRPORT GUIDANCE SIGN NO.R-2-5, BASE I MOUNTED, IN PAVEMENT I 1 LS I $3,000.00 I $3,000.00 I $2,655.00 I $2,655.00 $2,450.00 I $2,450.00 24 L-125 (AIRPORT GUIDANCE SIGN NO.R-2-19, BASE I I I I I I I I MOUNTED, IN PAVEMENT I 1 LS I $3,000.00 I $3,000.00 I $2,655.00 I $2,655.00 I $2,450.00 I $2,450.00 I 25 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-3, BASE I MOUNTED, IN TURF I 1 LS I $3,000.00 I $3,000.00 I $2,400.00 i $2,400.00 I $1,875.00 I $1,875.00 I 26 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-19, BASE I MOUNTED, IN TURF I 1 LS I $3,000.00 I $3,000.00 I $2,400.00 I $2,400.00 I $1,875.00 I $1,875.00 I 27 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I RUNWAY 7 END I 1 LS I $6,000.00 I $6,000.00 I $8,250.00 I $8,250.00 I $9,378.00 I $9,378.00 I 28 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I I I I I I I RUNWAY 25 END I 1 LS I $6,000.00 I $6,000.00 I $8,250.00 I $8,250.00 ( $9,378.00 ( $9,378.00 29 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I I I I I I I RUNWAY 12 END I 1 LS I $6,000.00 I $6,000.00 I $8,250.00 I 58,250.00 I $9,378.00 I $9,378.00 I 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I RUNWAY 30 END I 1 LS I $6,000.00 I $6,000.00 I $8,250.00 I $8,250.00 I $9,378.00 I $9,378.00 I 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 7 END ( 1 LS I $9,000.00 I $9,000.00 I $9,580.00 I $9,580.00 I 512,850.00 I 512,850.00 I 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I I I I I I SYSTEM, RUNWAY 25 END I 1 LS I $9,000.00 I $9,000.00 I $9,580.00 I $9,580.00 I $12,850.00 I $12,850.00 I 33 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I I I I SYSTEM, RUNWAY 12 END I 1 LS I $9,000.00 I $9,000.00 I $9,580.00 I $9,580.00 I $12,850.00 I $12,850.00 I 34 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 30 END I 1 LS I $9,000.00 I 59,000.00 I $9,580.00 ( $9,580.00 I $12,850.00 I $12,850.00 I 35 L-125 IREMOVAL OF EXISTING RUNWAY EDGE LIGHTS ( 1 LS I $2,000.00 I $2,000.00 I 57,500.00 i $7,500.00 I $5,000.00 ( $5,000.00 I 36 M-100 (MAINTENANCE AND PROTECTION OF TRAFFIC I 1 LS I $3,000.00 I $3,000.00 I $23,500.00 ( $23,500.00 I $3,500.00 I $3,500.00 I page 2 ELIZABETH FIELD AIRPORT IENGINEERIS OPINION OF IFALVEY CONSTRUCTION CORP. IFRUEAN UTILITIES, INC. FISHERS ISLAND, NEW YORK lCONSTRUCTION COST IP.0. BOX 699 118 FRUEAN WAY AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICALOCERINOS & SPINA IKILLINGWORTH, CONNECTICUT 0641IS. YARMOUTH, MASSACHUSETTS 0261 FAA-AIP NO. 3-36-0029-04-91 (ENGINEERS, P.C. NYSDOT PROJECT NO. 0913.04 11020 SEVENTH NORTH STREET --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- LIVERPOOL, NEW YORK 13088 ITEM FAA I I i UNIT UNIT UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS PRICE I TOTAL PRICE I TOTAL PRICE TOTAL xxxaxxxaaaxaaxsazsxzxasaxxszaxszzxxxzzxxaaaxxxozaaszxxaaxsaaaxxasxxxaaaxxaaazsaxssaaaaasaasxsaaazxxxxxaax�=aaxsxazs:saazzsaxaaaaazxasaaazasaazaszxaaxaasaaaaaassasxxxaxzz 37 M-200 (MOBILIZATION ------------ I 1 LS I $16,185.00 I $16,185.00 ( $16,000.00 I $16,000.00 I $15,890.00 I $15,890.00 I I ---------------------------------------------- ITOTAL BID I ---------------- I I--------------I---------------I--------------I---------------I--------------I--------------- I I I $421,000.00 I I $419,421.00 I i I $563,511.00 I (BID SECURITY I I I I I I I I I I 5% BID BOND I I I i I 5% BID BOND I I I* DENOTES BIDDER'S ERROR, THE CORRECTED VALUE ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ I I I IS SHOWN. I ( I I I I I I I I I I CALOCERINOS AND SPINA ENGINEERS, P.C. I CERTII,THAT THIS A UE`1 ORRECT TABULATION OF BIDS RECEIVED MARCH 12, 1992. JOB NUMBER: 211.004.001 BID TABULATION S DATE: 16 -Mar -92 page 3 ELIZABETH FIELD AIRPORT ICARLIN CONTRACTING CO., INC. IDICIN ELECTRIC CO., INC. IJ.P. DALY & SONS, INC. FISHERS ISLAND, NEW YORK 1454 BOSTON POST ROAD 1156 CROSS ROAD IBM BROOK AVENUE AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING IP.0. BOX 300 IWATERFORD, CONNECTICUT 06385 IDEER PARK, NEW YORK 11729 FAA-AIP NO. 3-36-0029-04-91 IWATERFORD, CONNECTICUT 06385 NYSDOT PROJECT NO. 0913.04 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA i I I UNIT UNIT UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS PRICE TOTAL PRICE ( TOTAL PRICE TOTAL 1 P-152 (COMMON EXCAVATION, AREA NO.1 1 LS $4,217.00 $4,217.00 ( $8,360.00 $8,360.00 $4,000.00 $4,000.00 2 P-152 IPAVEMENT EXCAVATION (BITUMINOUS CONCRETE) 900 SY $35.00 $31,500.00 $15.89 514,301.00 * $14.00 $12,600.00 3 P-612 IFIELD OFFICE 1 LS $3,650.00 $3,650.00 $7,000.00 ( $7,000.00 $8,000.00 $8,000.00 4 P-620 IRUNWAY PAINTING 23,000 SF $0.25 ( $5,750.00 ( $0.69 $15,870.00 * $0.58 $13,340.00 5 L-102 JELECTRICAL BUILDING ELECTRICAL SERVICE 1 LS $33,000.00 ( $33,000.00 $6,520.00 $6,520.00 $18,100.00 $18,100.00 6 L-106 ISEGMENTED CIRCLE 1 LS $15,296.00 $15,296.00 $17,297.50 $17,297.50 $11,700.00 $11,700.00 7 L-107 ILIGHTED WIND CONE 1 LS $5,556.00 $5,556.00 $9,175.00 $9,175.00 $8,200.00 $8,200.00 8 L-108 ICABLE TRENCHING FOR THE INSTALLATION OF I UNDERGROUND CABLE 8,600 LF $4.55 $39,130.00 ( $5.80 $49,880.00 $7.08 $60,888.00 9 L-108 IND. 8 AWG, 600V, TYPE C SINGLE CONDUCTOR I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT 28,300 LF I $0.51 I $14,433.00 I $0.67 I $18,961.00 I 50.82 I $23,206.00 10 L-108 IND. 8 AWG, SKV, TYPE C SINGLE CONDUCTOR I I I I I I I I I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCTI 12,900 LF I $0.68 I $8,772.00 ( $0.74 I $9,546.00 ( $0.95 I $12,255.00 I 11 L-108 IND. 8 AWG, BARE COPPER COUNTERPOISE WIRE I ( I INSTALLED IN TRENCH INCLUDING GROUNDING RODS I ( I I I I AND EXOTHERMIC CONNECTIONS I 9,500 LF I $0.66 ( $6,270.00 I $0.68 I $6,460.00 I $1.49 I $14,155.00 12 L-109 (INSTALLATION OF AIRPORT ELECTRICAL I BUILDING EQUIPMENT, IN PLACE I 1 LS I $35,273.00 I $35,273.00 I $30,352.00 I $30,352.00 I $48,000.00 I $48,000.00 13 L-110 I4 -WAY ELECTRICAL DUCT BANK, TYPE I I 700 LF I $72.00 I $50,400.00 I $96.00 I $67,200.00 I $88.00 I $61,600.00 14 L-110 I8 -WAY ELECTRICAL DUCT BANK, TYPE 1 I 200 LF I $66.00 ( $13,200.00 I $100.00 I $20,000.00 I $165.00 ( $33,000.00 15 L-110 12 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I I I I I I IN PAVEMENT I 3,000 LF I $28.00 i $84,000.00 I $20.68 I $62,040.00 ( $20.50 I $61,500.00 16 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I IN TURF I 270 LF ( $17.00 ( $4,590.00 I $13.00 I $3,510.00 I $14.50 I $3,915.00 17 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT REINSTALLEI I I I I I I I IN TURF I 190 LF I $17.00 I $3,230.00 I $13.00 I $2,470.00 I $14.20 I $2,698.00 18 L-112 (ELECTRICAL BUILDING I 1 LS I $45,000.00 I $45,000.00 I $40,000.00 I $40,000.00 I $33,800.00 I $33,800.00 19 L-115 (ELECTRICAL MANHOLE NO. 1 I 1 EACH I $3,566.00 I $3,566.00 I $8,000.00 I $8,000.00 ( $8,600.00 I $8,600.00 20 L-115 IPULL BOX REINSTALLATION I 1 EACH I $1,841.00 I $1,841.00 I $250.00 I $250.00 I $600.00 i $600.00 page 4 ELIZABETH FIELD AIRPORT ICARLIN CONTRACTING CO., INC. IDICIN ELECTRIC CO., INC. IJ.P. DALY 8 SONS, INC. FISHERS ISLAND, NEW YORK 1454 BOSTON POST ROAD 1156 CROSS ROAD I88A BROOK AVENUE AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING IP.O. BOX 300 IWATERFORD, CONNECTICUT 06385 IDEER PARK, NEW YORK 11729 FAA-AIP NO. 3-36-0029-04-91 IWATERFORD, CONNECTICUT 06385 NYSDOT PROJECT NO. 0913.04 I -----------------------------------------------------------------------------------------------------------------------------------------------------------•-------------- ITEM FAA I I I UNIT ( UNIT UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS PRICE ( TOTAL PRICE TOTAL ( PRICE TOTAL xxssssxssxsssssxssxssxsssssxxsxsaxxsss� �_ sssxsssssssxsxsassxasxxs--=�_zsaxasaxsazasasssazaaxzszazsxxssxsaxxxsxsxaszaxxsxxxsssaxszsxxxxxaaxzsszxaxxxsxsasxasxassaaxssasss 21 L-125 IMEDIUM INTENSITY RUNWAY EDGE LIGHTS, BASE I MOUNTED, IN PAVEMENT 57 EACH $600.00 $34,200.00 5957.00 $54,549.00 $870.00 $49,590.00 22 L-125 IRUNWAY 25 THRESHOLD LIGHTS 1 LS $8,800.00 $8,800.00 $8,161.00 ( $8,161.00 $9,000.00 ( $9,000.00 23 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-5, BASE I MOUNTED, IN PAVEMENT 1 LS $2,500.00 $2,500.00 $4,160.00 $4,160.00 $2,700.00 $2,700.00 24 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-19, BASE I MOUNTED, IN PAVEMENT 1 LS $2,500.00 $2,500.00 54,160.00 $4,160.00 $2,700.00 ( $2,700.00 25 L-125 JAIRPORT GUIDANCE SIGN NO.R-1-3, BASE I MOUNTED, IN TURF 1 LS $2,500.00 $2,500.00 $4,160.00 $4,160.00 $2,700.00 $2,700.00 26 L-125 JAIRPORT GUIDANCE SIGN NO.R-1-19, BASE I MOUNTED, IN TURF 1 LS $2,500.00 ( $2,500.00 $4,160.00 $4,160.00 ( $2,700.00 $2,700.00 27 L-125 1RUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I RUNWAY 7 END I 1 LS $4,500.00 $4,500.00 I $12,030.00 $12,030.00 58,800.00 $8,800.00 28 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( ( I ( I I RUNWAY 25 END I 1 LS I 54,500.00 I $4,500.00 I $12,030.00 I $12,030.00 I 58,800.00 ( $8,800.00 29 L-125 (RUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I ( I I RUNWAY 12 END I -1 LS ( $4,500.00 I $4,500.00 I $12,030.00 ( $12,030.00 I $8,800.00 I $8,800.00 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I I I I I I RUNWAY 30 END I 1 LS I $4,500.00 I $4,500.00 I $12,030.00 ( $12,030.00 I 58,800.00 I $8,800.00 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 7 END I 1 LS I $13,000.00 I $13,000.00 i $12,720.00 I $12,720.00 I $9,300.00 I $9,300.00 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I I I I I I SYSTEM, RUNWAY 25 END I 1 LS I $13,000.00 I $13,000.00 I $12,720.00 I $12,720.00 I $9,300.00 I $9,300.00 33 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I I ( I I I I SYSTEM, RUNWAY 12 END I 1 LS I $13,000.00 I $13,000.00 I $12,720.00 I $12,720.00 I $9,300.00 I $9,300.00 34 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 30 END I 1 LS I $13,000.00 I $13,000.00 I $12,720.00 i $12,720.00 I $9,300.00 I $9,300.00 35 L-125 IREMOVAL OF EXISTING RUNWAY EDGE LIGHTS I 1 LS I $7,500.00 I $7,500.00 I $2,300.00 I $2,300.00 I $7,700.00 ( $7,700.00 36 M-100 IMAINTENANCE AND PROTECTION OF TRAFFIC I 1 LS ( $31,000.00 I $31,000.00 i $18,025.00 I $18,025.00 I $4,100.00 I $4,100.00 page 5 ELIZABETH FIELD AIRPORT ICARLIN CONTRACTING CO., INC. IDICIN ELECTRIC CO., INC. 1J.P. DALY & SONS, INC. FISHERS ISLAND, NEW YORK 1454 BOSTON POST ROAD 1156 CROSS ROAD I88A BROOK AVENUE AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING IP.0. BOX 300 (WATERFORD, CONNECTICUT 06385 IDEER PARK, NEW YORK 11729 FAA-AIP NO. 3-36-0029-04-91 IWATERFORD, CONNECTICUT 06385 NYSDOT PROJECT NO. 0913.04 I I I I -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA I I I UNIT UNIT UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS PRICE TOTAL PRICE TOTAL PRICE TOTAL I xssxxxxsxxsxxxxsxxxxsxxxxsxs-------------x.xxxsxxxxsxssxxsaxsxxs__�__-__-____ x-sax-xszss-xs--��_____�_xxxxxxssxxssx=sssc:xxsssxsaxxsxxxsxxssxxsaxsxsssaazaxxsxxxxxxxx 37 M-200 IMOBILIZATION 1 LS $28,826.00 $28,826.00 $12,000.00 $12,000.00 $23,700.00 ( 523,700.00 ------------ I ---------------------------------------------- TOTAL BID ---------------- ----------------------------- $599,000.00 -------------- --------------- $607,867.50 -------------- I---------------� * 5617,447.00 (BID SECURITY 5% BID BOND 5% BID BOND 5% BID BOND �* DENOTES BIDDER'S ERROR, THE CORRECTED VALUE IS SHOWN. -------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- CALOCERINOS AND SPINA ENGINEERS, P.C. 1 CER Y THAT THI IS A U D CORRECT TABULATION OF BIDS RECEIVED MARCH 12, 1992. JOB NUMBER: 211.004.001 BID TABULATIONGNED: ` �� DATE: 16 -Mar -92 page 6 ELIZABETH FIELD AIRPORT IPOWER LINE CONSTRUCTORS, INC. IFIREBIRD CONSTRUCTION CORP. FISHERS ISLAND, NEW YORK 124 ROBINSON ROAD, P.O. BOX 3851329 MIDDLE COUNTRY ROAD AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICLINTON, NEW YORK 13323-0385 ISMITHTOWN, NY 11787 FAA-AIP NO. 3-36-0029-04-91 NYSDOT PROJECT NO. 0913.04 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA NO. SPEC NOI DESCRIPTION QUANTITY UNITS aassaaaasaxaasaxaxasaaassaassassa:sasaaaasaasaaaazx asssas� assasasaasaasasa as 1 P-152 lCOMMON EXCAVATION, AREA NO.1 1 LS 2 P-152 IPAVEMENT EXCAVATION (BITUMINOUS CONCRETE) 900 SY 3 P-612 IFIELD OFFICE 1 LS 4 P-620 IRUNWAY PAINTING 23,000 SF I 5 L-102 JELECTRICAL BUILDING ELECTRICAL SERVICE 1 LS 6 L-106 ISEGMENTED CIRCLE 1 LS 7 L-107 ILIGHTED WIND CONE 1 LS 8 L-108 ICABLE TRENCHING FOR THE INSTALLATION OF $0.70 $19,810.00 $1.10 $31,130.00 I UNDERGROUND CABLE 8,600 LF 9 L-108 IND. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR $1.50 $14,250.00 $41,500.00 $41,500.00 I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT 28,300 LF 10 L-108 IND. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR I $106.00 $21,200.00 $110.00 $22,000.00 I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT 12,900 LF 11 L-108 IND. 8 AWG, BARE COPPER COUNTERPOISE WIRE $32.00 $8,640.00 I I $9.00 I I $1,710.00 I INSTALLED IN TRENCH INCLUDING GROUNDING RODS I $3,420.00 I I $60,000.00 I $60,000.00 I $50,000.00 I AND EXOTHERMIC CONNECTIONS 9,500 LF 12 L-109 1INSTALLATION OF AIRPORT ELECTRICAL $900.00 I $800.00 $800.00 I BUILDING EQUIPMENT, IN PLACE 1 LS 13 L-110 I4 -WAY ELECTRICAL DUCT BANK, TYPE I 700 LF 14 L-110 I8 -WAY ELECTRICAL DUCT BANK, TYPE I 200 LF 15 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I IN PAVEMENT 3,000 LF 16 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED IN TURF 270 LF 17 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT REINSTALLEI I IN TURF I 190 LF 18 L-112 (ELECTRICAL BUILDING I 1 LS 19 L-115 (ELECTRICAL MANHOLE NO. 1 I 1 EACH 20 L-115 IPULL BOX REINSTALLATION I 1 EACH UNIT UNIT UNIT PRICE TOTAL PRICE TOTAL PRICE TOTAL aszazssazsz::aazasszazzazassaasxasssassaxasxasazsasaaaaszassaa:zaa:asaaxaassaszzzzsaxxzaxasaa $5,000.00 $5,000.00 $34,500.00 $34,500.00 $9.00 $8,100.00 $6.00 $5,400.00 $4,000.00 $4,000.00 $5,000.00 $5,000.00 $0.53 $12,190.00 $0.80 $18,400.00 $14,000.00 $14,000.00 $10,200.00 ( $10,200.00 $19,000.00 $19,000.00 $20,000.00 $20,000.00 $4,800.00 $4,800.00 $5,100.00 $5,100.00 $5.50 $47,300.00 $10.00 $86,000.00 $0.70 $19,810.00 $1.10 $31,130.00 $0.90 $11,610.00 $1.30 $16,770.00 $0.60 $5,700.00 ( $1.50 $14,250.00 $41,500.00 $41,500.00 $23,500.00 $23,500.00 $109.00 $76,300.00 $100.00 $70,000.00 $106.00 $21,200.00 $110.00 $22,000.00 $30.00 $90,000.00 $30.00 $90,000.00 $10.00 $2,700.00 $32.00 $8,640.00 I I $9.00 I I $1,710.00 I I $18.00 I I $3,420.00 I I $60,000.00 I $60,000.00 I $50,000.00 I $50,000.00 I $7,200.00 ( $7,200.00 I $4,500.00 I $4,500.00 I I $900.00 I $900.00 I $800.00 $800.00 page 7 ELIZABETH FIELD AIRPORT 1POWER LINE CONSTRUCTORS, INC. IFIREBIRD CONSTRUCTION CORP. FISHERS ISLAND, NEW YORK 124 ROBINSON ROAD, P.O. BOX 3851329 MIDDLE COUNTRY ROAD AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICLINTON, NEW YORK 13323-0385 ISMITHTOWN, NY 11787 I FAA-AIP NO. 3-36-0029-04-91 NYSDOT PROJECT NO. 0913.04 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA I I I UNIT I UNIT I UNIT NO. SPEC NOI DESCRIPTION I QUANTITY UNITS I PRICE TOTAL I PRICE I TOTAL PRICE I TOTAL I ss.sssssxxxsxxsssssxxsssxsssss___�_____�___��___ �__xxssss------s_x---�__xxxsz---a:s:sa:xszxs--s-------�_____ssxxsxzxx--x---------xss----sxsxxxxaxsssxssaasssxssssxssxssx 21 L-125 IMEDIUM INTENSITY RUNWAY EDGE LIGHTS, BASE I MOUNTED, IN PAVEMENT I 57 EACH I $900.00 I $51,300.00 I $565.00 I $32,205.00 I I 22 L-125 IRUNWAY 25 THRESHOLD LIGHTS i 1 LS I $15,000.00 I $15,000.00 I $15,000.00 I $15,000.00 23 L-125 (AIRPORT GUIDANCE SIGN NO.R-2-5, BASE I MOUNTED, IN PAVEMENT I 1 LS I $2,600.00 I $2,600.00 I $4,800.00 I $4,800.00 24 L-125 (AIRPORT GUIDANCE SIGN NO.R-2-19, BASE I MOUNTED, IN PAVEMENT I 1 LS I $2,600.00 I $2,600.00 I $4,800.00 ( $4,800.00 25 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-3, BASE I I MOUNTED, IN TURF I 1 LS I $2,300.00 I $2,300.00 ( $4,800.00 I $4,800.00 26 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-19, BASE I MOUNTED, IN TURF I 1 LS I $2,300.00 I $2,300.00 I $4,800.00 I $4,800.00 27 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I RUNWAY 7 END I 1 LS I $12,000.00 I $12,000.00 I $7,500.00 I $7,500.00 28 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I RUNWAY 25 END I 1 LS I $12,000.00 I $12,000.00 I $7,500.00 I $7,500.00 29 L-125 (RUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I RUNWAY 12 END I 1 LS I $12,000.00 I $12,000.00 I $7,500.00 I $7,500.00 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I RUNWAY 30 END I 1 LS I $14,000.00 I $14,000.00 i $7,500.00 I 57,500.00 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 7 END I 1 LS I 512,500.00 I $12,500.00 I $10,000.00 I $10,000.00 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 25 END I 1 LS I $12,500.00 I $12,500.00 I $10,000.00 I $10,000.00 I 33 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 12 END I 1 LS I $12,500.00 I $12,500.00 I $10,000.00 I $10,000.00 34 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 30 END I 1 LS I $12,500.00 I 512,500.00 I $10,000.00 I $10,000.00 35 L-125 IREMOVAL OF EXISTING RUNWAY EDGE LIGHTS I 1 LS I 51,500.00 I $1,500.00 I 52,000.00 I $2,000.00 36 M-100 IMAINTENANCE AND PROTECTION OF TRAFFIC I 1 LS I $6,500.00 I $6,500.00 I $15,000.00 I $15,000.00 page 8 ELIZABETH FIELD AIRPORT IPOWER LINE CONSTRUCTORS, INC. IFIREBIRD CONSTRUCTION CORP. FISHERS ISLAND, NEW YORK 124 ROBINSON ROAD, P.O. BOX 385329 MIDDLE COUNTRY ROAD AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICLINTON, NEW YORK 13323-0385 ISMITHTOWN, NY 11787 FAA-AIP NO. 3-36-0029-04-91 NYSDOT PROJECT NO. 0913.04 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA I I I UNIT UNIT UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS PRICE TOTAL PRICE TOTAL PRICE TOTAL xsxxsxxsxsxxxxsxxxssxsxsxxxsxxaxxaaxsxxxsxssxssxsxxaxxxsxasxaxx:xsxssxxxxsxxxxsxxxxzxaaazssazzaaxaxxsxxsaxxaaxxsxxaxaxxxazxzxzaxaxxsasaxaxxz:azxxsxxxzss:aazazxxsxzxxxxsax 37 M-200 IMOBILIZATION 1 LS $25,000.00 $25,000.00 $26,000.00 $26,000.00 ------------ I---------------------------------------------- ---------------- TOTAL BID -------------- ----------------------------- 5662,120.00 ----------------------------- --------------- $699,015.00 BID SECURITY 5% BID BOND 5% BID BOND �*-DENOTES -BIDDER'S-ERROR,-THE -CORRECTED VALUE -IS -SHOWN. ------------- ------------------- ------------------------------------------------------------------------------------- CALOCERINOS AND SPINA ENGINEERS, P.C. JOB NUMBER: 211.004.001 BID TABULATION • I CERTIFY SI TABULATION OF BIDS RECEIVED MARCH 12, 1992. page 9 DATE: 16 -Mar -92 A aa/pt" e z FidN+d Ammon ; AW 2 8 AUGxSt Mr. Scott L. Harris supervisor, Town of Southold Town Hall 53095 Main Road Southhold, New York 12953 Dear Mr. Harris: Elizabeth Field Airport AIP 3-36-0029-05-92 Tentative Allocation In response to your request for financial aid, we are pleased to inform you that he Federal Aviation Administration (FAA) has allocated the sum $603,900 of FY -92 funds under the terms of the Airport and Airway Improvement Act of 1987 (AIP), to accomplish the following items of development at Elizabeth Field Airport, Fishers Island, New York: "INSTALL MEDIUM INTENSITY LIGHTING SYSTEM ON RUNWAYS 12-30 AND 7- 25; INSTALL ROTATING BEACON AND WIND CONE; INSTALL VAST AND RFILS ON RUNWAY 7, 25, 12 AND 30; INSTALL ELECTRICAL VAULT." This allocation is made within the amounts authorized under the terms of the Act, and the issuance of a Grant Offer is subject to the approval of the project as finally formulated and meeting the requirements set forth under the Act. Funding for this project will become available after October 1, 1991 and will be subject to FAA authorization legislation. In addition, this allocation may be used only for the programmed items listed above. Except for necessary project formulations costs, such as planning/engineering and acquisition of interests in land, no costs incurred prior to your execution of this grant agreement will be considered eligible for federal participation. Your engineering consultant should be selected in accordance with Advisory Circular 150/5100-14B, "Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects". In order to assist you, we are enclosing a typical certification format that a sponsor may use to certify this to our office. In order for this office to issue a grant early in FY 92, please submit a schedule for this project with. the following date 1. Advertise for Bids 2. Receive Bids 3• Grant Acceptance 2. You are also required 'to submit the Project Application (See enclosed Application Checklist with new Part V Assurances) to both the'FAA.and New York State Department of Transportation (NYS DOT`) no later than one ( 1 ) month before the date you have 'r indicated to accept the Grant from the FAA. i I By letter, you should transmit one copy of the application to the NYS DOT Regional Office, with one copy to Mr, Robert Michaud, NYS DOT in Albany and sic copies to .our office. j This Allocation was approved 'in o-ons`ideration of your representations of, local funding availability and your ability to proceed promptly with the project. Vailurei= to proceed with the project tinder an acceptable aahedule may result in withdrawal of this allocation. Sincerely, y Manag+ar ,- Enclosdxre= ?, Y' r 1 ". 44.�i" s y J i JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FAX TRANSMITTAL TO: SHEILA FARLEY, Calocerinos 6 Spina FROM: JUDITH TERRY, Town Clerk DATE: September 3, 1991 Number of Pages (including cover) : 3 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 If total transmittal is not received, please call (516)765-1801. COMMENTS: Along with this letter is a packet containing Guidelines for the Preparation of an Application for an AIP Grant, Application for Federal Assistance, Instructions for the SF424, and numerous other forms, standards, assurances, etc. 1 believe this should be completed by C&S. If so, please give me a call at your earliest convenience and I will then immediately send this packet to you. Thank you very much for your assistance. l Mr. Scott L. Harris supervisor, Town of Town Hall 53095 Main Road Southhold, New York Dear Mr. Harris: Elizabeth Field Airport AIP 3-36-0029-05-92 Tentative Allocation AUb � Southold 12953 AUG 2 81991 1 SFr CE In response to your request for financial aid, we are pleased to inform you that he Federal Aviation Administration (FAA) has allocated the sum $603,900 of FY -92 funds under the terms of the U.S. Department of Transportation the following items of development at Elizabeth Field Airport, Federal Aviation Administration zs r "INSTALL MEDIUM INTENSITY LIGHTING SYSTEM ON RUNWAYS 12-30 AND 7- i Mr. Scott L. Harris supervisor, Town of Town Hall 53095 Main Road Southhold, New York Dear Mr. Harris: Elizabeth Field Airport AIP 3-36-0029-05-92 Tentative Allocation AUb � Southold 12953 AUG 2 81991 1 SFr CE In response to your request for financial aid, we are pleased to inform you that he Federal Aviation Administration (FAA) has allocated the sum $603,900 of FY -92 funds under the terms of the Airport and Airway Improvement Act of 1907 (AIP), to accomplish the following items of development at Elizabeth Field Airport, Fishers Island, New York: "INSTALL MEDIUM INTENSITY LIGHTING SYSTEM ON RUNWAYS 12-30 AND 7- 25, INSTALL ROTATING BEACON AND WIND CONE; INSTALL VASI AND REILS ON RUI-TWAY 7, 25, 12 AND 30; INSTALL ELECTRICAL VAULT." r This allocation is made within the amounts authorized under the .,rterms of the Act, and the issuance of a Grant Offer is subject to , the approval of the project as finally formulated and meeting the . -requirements set forth under the Act. Funding for this project -. y will become available after October 1, 1991 and will be subject r, to FAA authorization legislation. fY; In addition, this allocation may be used only for the programmed Y� . .:items listed above. Except for necessary project formulations a �: costs, such as planning/engineering and acquisition of interests' in land, no costs incurred prior to your execution of this grant agreement will be considered eligible for federal participation. Your engineering consultant should be selected in accordance with Advisory Circular 150/5100-111B, "Architectural, Engineering, ander Planning Consultant Services for Airport Grant Projects". -In order to assist you, we are enclosing a typical certification formatthat a sponsor may use to certify this to our office. In order for this office to issue a grant early in FY 92, please ,Fv submit a schedule for this project with the following date k 1. Advertise for Bids 2. Receive Bids_ 1 3. Grant Acceptance 4 �'�•r,_, 3 5 � .,rYou are also required to submit the Project Application (See kenclosed Application Checklist with new Part V Assurances) to a",both the FAA and New York State Department of Transportation (NYS +, + OT) no later than one (1) month before the date you have Nri indicated to accept the Grant from the FAA. y letter, you should transmit one copy of the application to the ':NYS DOT Regional Office, with one copy to Mr. Robert Michaud, NYS DOT in Albany and six copies to our office. • allocation was approved in consideration of your ,,,,,,...This ,.,,,..,,.,,,,,,,representations of local funding availability and your ability to ,proceed promptly with the project. Failure to proceed with the .'project under an acceptable schedule may result in withdrawal of M. �> this allocation. '.Sincerely, r Philip Brito .Manager rye ` EnclosurezY ���, w+s� ry4 N _. 3/1/91 V-2 GUIDELINES FOR THE PREPARATION OF AN APPLICATION FOR AN AIP GRANT The following provides guidance: on the preparation and submittal of an AIP Project Application: PART I: APPLICATION FORMS Standard Form SF 424 (marked "Application") Standard Form SF 424A Budget Info.:Non-construction projects ( 2 pages) Standard Form SF 424B Assurances:Non-construction Programs (2 pages) Standard Form 424 C Budget Info.:Construction Programs (2 pages) Standard Form 424 D Assurances:Construction Programs ( 2 pages) Checklist for Environmental Impacts -Airport Developemnt Projects Do not include instruction forms. PART II: PROJECT APPROVAL INFORMATION Standard Form 5100-100, Page 2: Section A Project Approval Information Standard Form 5100-100, Page 3a/3b, Section C: Land Interest, Exclusive Rights PART III: BUDGET INFORMATION Standard Form 5100-100, Page 4: Budget Information - Calculation of Federal Grant Standard Form 5100-100, Page 5: Budget Information - Exclusions, Financing the Non -Federal Share PART IV: PROGRAM NARRATIVE Provide a brief description of the work identified on SF 424. Standard DOT Title VI Civil Rights Assurances including Attachments 1 and 2. PART V: ASSURANCES Include the Assurances appropriate to the type of sponsor: Airport Sponsors System Planning Agency Sponsors Noise Compatibility Program Projects Undertaken by Non - Airport Sponsors 3/1/91 EXHIBIT "A" V-3 Include a current property map which clearly identifies all land owned by the sponsor which is to be developed or used as part of or in connection with the airport. Land to be acquired by the sponsor should be identified on the map by parcel or tract according to existing/prior ownership. The map should be drawn to scale. Show the perimeter of airport site, and include a legend which identifies each parcel or tract, current /prior owner, acreage, and degree of property interest/encumberance. In addition, the Exhibit "A" should: a) delineate the existing and future runways and runway protection zones; b) identify clearly all land or interests, such as avigation, drainage, utility easements, permits, etc., held or to be acquired for the airport; c) show and clearly mark property interests now held or to be acquired as part of the project for which federal aid is requested, and which are for current aeronautical use, noise abatement, and future land to be acquired under the project; d) show the location of all easements or other encumberances which, are tangible with a brief descriptive note e) show any approved land release or consent to use land for non -aeronautical purposes. INTERGOVERNMENTAL REVIEW Include a copy of the final response letter from the State Single Point of Contact. OPINION OF SPONSOR'S ATTORNEY (for first time sponsors only) The legal counsel representing the sponsor shall complete the attached certificate. If a Preapplication of the project identified in the Application was not submitted, the following documentation must also be included in the Application: Project Narrative Statement The project narrative statement should be brief and describe the need, objectives, methods of attainment, the geographical location of the project, along with the justification and the benefits expected to be obtained from the assistance. IL 3/1/91 V-4 Consistency with ALP/FAA Standards (not required for airport planning or equipment procurement projects) All airport development work must be in accordance with the Airport Layout Plan (ALP) approved by the FAA. A statement must be submitted addressing the proposed project's conformity with the ALP or identifying whether a revision to the ALP will be required. If necessary a "pen and ink" change to the ALP should be submitted as soon as possible. Likewise, the airport sponsor should review the project's conformity to FAA airport design criteria and identify if any modifications to standards are required. Environmental Issues (not required for airport planning or equipment procurement projects) Environmental impacts resulting from the proposed project could significantly affect the environment with respect to noise, land, air and water quality, wetlands, coastal zones, historic sites, endangered species, national parks, etc. Potential impacts must be evaluated and addressed. Approval of one of the following findings is the responsibility of the FAA: Categorical Exclusion Finding of No Significant Impact (FONSI) Environmental Impact Statement (EIS) Written Reevaluation of a Previous Finding Supplement to a Previous Finding The sponsor is responsible for supplying the analysis in the form of an Environmental Assessment. Obviously, not all projects will require an in-depth analysis and many projects will be categorically excluded. Applications will not be acted upon without an environmental determination by the FAA. To assist you in developing an analysis of the environmental needs, FAA Order 5050.4A, Airport Environmental Handbook, will provide the guidance for the steps to be taken to prepare an acceptable analysis. An Environmental Assessment Report (EAR), signed by an authorized representative of the sponsor, must be submitted reflecting the basis of the decision that the proposed development will not have a significant effect on the environment. The "Checklist for Environmental Impacts for the Airport Improvement Program" must be part of this EAR submittal. It is incumbent upon the sponsor to initiate planning and environmental action at the earliest possible 3/1/91 V-5 time to assure sufficient time for FAA processing of the project. Consultation With Users (not required for airport planning or equipment procurement projects) Sponsors are responsible for consultation with the principal users of the airport concerning the proposed project. Therefore, you should submit a written statement of certification with your application that such consultation has taken place with the fixed base operators, air carrier operators, and other principal users of the airport. Primary airport sponsors are encouraged to coordinate the proposed project with the Air Transport Association (ATA). Displaced Persons Statement (not required for airport planning or equipment procurement projects) A statement to the effect that the proposed airport project in the application does or does not involve land acquisition requiring the displacement or relocation of persons is required. Specific Opposition Statement (not required for airport planning or equipment procurement projects) Since airport development must be compatible with local urban planning, the interests of nearby communities and State Aviation System plans, no project may be approved unless fair consideration has been given to the interests of communities in or near which the project may be located. The sponsor is required to submit with the project preapplication, a statement of consideration given to the interests of such communities and the substance of any objections to or approvals of the project made known to it by any local individual, group, or community. The procedure on consistency with area plans will, in many instances, provide information reflecting community reaction to a project. The FAA does not require the sponsor to make a special solicitation of local communities solely for the purpose of determining whether or not there are objections to the proposed project. Any airport development project involving airport location, a new runway or the extension of an existing runway cannot be approved unless the opportunity for a public hearing has been offered. 3/1/91 V-6 Local Public Hearing Requirements Development of a new airport, new runway or a major runway extension cannot be approved by FAA until an opportunity for public hearing has been afforded for the purposes of considering the economic, social and environmental effects of the airport or runway location and its consistency with the goals and objectives of such planning as has been carried out by the community. The sponsor is responsible for assuring that the public hearing requirements are met. This is accomplished through the environmental analysis process and guidance can be found in FAA Order 5050.4A, Airport Environmental Handbook. If a public hearing has been held, a summary of the issues raised, alternatives considered and conclusions reached must be provided in the application. Force Account Should the sponsor intend to use his own personnel to accomplish any element of this project, it should be identified when the application is submitted. The sponsor must submit a "Force Account Agreement" in accordance with Advisory Circular 150/5100-14B, paragraph '13 for FAA approval before the Grant is issued. Multi -Year Funding _, The sponsor of a primary airport (those entitled to enplanement funds) desiring to use the Multi -Year funding provisions Section 512, Paragraph (a) of the Airport and Airway Improvement Act to fund a major project over more than one fiscal year should make his request at the time the application is submitted for consideration. First Time Sponsor The legal counsel of a first-time sponsor must certify that the sponsor has the legal authority to enter into a Grant Agreement with the Federal Government. The sponsor must also assure that he will have available the non -Federal share of the project cost at the time the Grant is offered, together with how such funds will be generated. 3/1/91 V-7 OMB Approval No. 0348-0043 AV VLit.A 1 IUN t -UH 2. DATE SUBMITTED Applicant Identifier FEDERAL ASSISTANCE 1. TYPE OF SUBMISSION: 2. DATE RECEIVED BY STATE State Application Identifier Application Preapplication E] Construction ❑ Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier ❑ Non -Construction Non -Construction S. APPLICANT INFORMATION Legal Name: Organizational Unit: Address (give city, county, state, and zip code): Name and telephone number of the person to be contacted on matters involving this application (give area code) 6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in box) Li m — A. State H. Independent School Dist. B. County 1. State Controlled Institution of Higher Learning C. Municipal J. Private University t. TYPE Of APPLICATION: O. Township K. Indian Tribe ❑ New ❑ Continuation ❑ Revision E. interstate L. Individual F. Intermunicipal M. Profit Organization H Revision, enter appropriate letter(s) in box(es): 11 G. Special District N. Other (Specify): A. Increase Award B. Decrease Award C. Increase Duration O. Decrease Duration Other (specify). t. NAME OF FEDERAL AGENCY: 10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: ASSISTANCE NUMBER: e TITLE- ITLE12. 12.AREAS AFFECTED BY PROJECT (cities, counties, states. etc.): 12. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a. Applicant : b. Project 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE a. Federal S .00 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON b. Applicant $ .00 DATE c. State S .00 b NO. [] PROGRAM IS NOT COVERED BY E O 12372 d. Local S .00 C] OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e. Other S .00 I. Program Income $ .00 17. IS THE APPLICANT DELINOUENT ON ANY FEDERAL DEBT? F] Yes • If -Yes.- attach an explanation. No g TOTAL S .00 It. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATIONiPREAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a. Typed Name of Authorized Representative b Title c Telephone number d. Signature of Authorized Representative a Date Signed a1anaar0 roan 4[4 1Kty pmol Prescribed by OMB Grcjjar ^,. to? Authorized for Local Reproduction 3/1/91 INSTRUCTIONS FOR THE SF 424 ►TZ:1 This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item: Entry: Item: Entry: 1. Self-explanatory. 12_ List only the largest political entities affected (e.g., State, counties, cities). 2. Date application submitted to Federal agency (or State if applicable) & applicant's control number 13. Self-explanatory. (if applicable). 3. State use only (if applicable). 14. List the applicant's Congressional District and any District(s) affected by the program or project. 4. If this application is to continue or revise an existing award, enter present Federal identifier 15. Amount requested or to be contributed- during number. If for a new project, leave blank. the first funding/budget period by each 5. Legal name of applicant, name of primary contributor. Value of in-kind contributions organizational unit which will undertake the should be included on appropriate lines as assistance activity, complete address of the applicable. If the action will result in a dollar applicant, and name and telephone number of the change to an existing award, indicate only the person to contact on matters related to this amount of the change. For decreases, enclose the application. amounts in parentheses. If both basic and 6. Enter Employer Identification Number (EIN) as supplemental amounts are included, show breakdown on an attached sheet. For multiple assigned by the Internal Revenue Service. program funding, use totals and show breakdown 7. Enter the appropriate letter in the space using same categories as item 15. provided. ( 16. Applicants should contact the State Single Point 8. Check appropriate box and enter appropriate of Contact (SPDC) for Federal Executive Order letter(s) in the space(s) provided: 12372 to determine whether the application is —"New" means a new assistance award. subject to the State intergovernmental review —"Continuation" means an extension for an process. additional funding/budget period for a project with a projected completion date. 17. This question applies to the applicant organi- -"Revision" means any change in the Federal zation, not the person who signs as the Government's financial obligation or authorized representative. Categories of debt contingent liability from an existing include delinquent audit disallowances, loans obligation. and taxes. K. Name of Federal agency from which assistance is 18. To be signed by the authorized representative of being requested with this application. the applicant. A copy of the governing body's 10. Use the Catalog of Federal Domestic Assistance authorization for you to sign this application as number and title of the program under which official representative must be on file in the assistance is requested. applicant's office. (Certain Federal agencies may 11. Enter a brief descriptive title of the project. if require that this authorization be submitted as more than one program is involved, you should part of the application.) append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. OMB Approval No. 0348-0044 BUDGET INFORMATION -- Non -Construction Programs SECTION A -BUDGET SUMMARY Grant Program Function or Activity (a) Catalog of Federal Domestic Assistance Number, (b) Estimated Unobligated Funds New or Revised Budget Federal (c) Non -Federal (d) Federal (e) Non -Federal (f) Total (g) t S S S $ S 2. 3. 4. S. TOTALS S S $ S S SECTION B - BUDGET CATEGORIES 6 Object Class Categories GRANT PROGRAM, FUNCTION OR ACTIVITY Total S (I) (2) (3) (4) a. , Personnel S S S S S b. Fringe Benefits c. Travel d. Equipment e. Supplies L Contractual g. Construction h. ' Other I. Total Direct Charges (sum of 6a - 6h) J. Indirect Charges k. TOTALS (sum of 6i and 6j) ). Program Income S S S S S S S S S $ Standard Form 424A (4.88) Authorized for Local Reproduction Prescobod by OMB arculer n.loz d* SECTION C - NON-FEDERAL RESOURCES a Grant Program b Applicant c State d Other Sources a TOTALS 8. S $ S $ 9. 10. 11. 12. TOTALS (sum of Imes 8 and 11) S $ S S SECTION D - FORECASTED CASH NEEDS 13. Federal Total for tat Year til Ouarter 2nd Ouarter 3rd Ouarter 41h Ouarter S _ S $ S S 14. NonFederal i S. TOTAL (sum of lines 13 and 14) S S $ S S SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) Grant Program FUTURE FUNDING PERIODS (YNr1) b Pint c Second d Third a Fourth 16. S S $ S 17, 18. ., 19. 20. TOTALS (sum of lines 16.19) S $ $ S SECTION F - OTHER BUDGET INFORMATION (Attach additional Sheets if Necessary) 21. Direct Charges: 22. Indirect Charges: 23. Remarks SF 424A (4.881 Page 2 Prescribed by OMB Circular A•102 Authorized for Local Reproduction G I 0 3/1/91 V-11 INSTRUCTIONS FOR THE SF -424A General Instructions This form is designed so that application can be made for funds from one or more grant programs. In pre- paring the budget, adhere to any existing Federal grantor agency guidelines which prescribe how and whether budgeted amounts should be separately shown for different functions or activities within the program. For some programs, grantor agencies may require budgets to be separately shown by function or activity. For other programs, grantor agencies may require a breakdown by function or activity. Sections A,B,C, and D should include budget estimates for the whole project except when applying for assistance which requires Federal authorization in annual or other funding period increments. In the latter case, Sections A,B, C, and D should provide the budget for the first budget period (usually a year) and Section E should present the need for Federal assistance in the subsequent budget periods. All applications should contain a breakdown by the object class categories shown in Lines a -k of Section B. Section A. Budget Summary Lines 1-4, Columns (a) and (b) For applications pertaining to a single Federal grant program (Federal Domestic Assistance Catalog number) and not requiring a functional or activity breakdown, enter on Line 1 under Column (a) the catalog program title and the catalog number in Column M. For applications pertaining to a single program requiring budget amounts by multiple functions or activities, enter the name of each activity or function on each line in Column (a), and enter the catalog num- ber in Column (b). For applications pertaining to mul- tiple programs where none of the programs require a breakdown by function or activity, enter the catalog program title on each line in Column (a) and the respective catalog number on each lire in Column (b). For applications pertaining to multiple programs where one or more programs require a breakdown by function or activity, prepare a separate sheet for each program requiring the breakdown. Additional sheets should be used when one form does not provide adequate space for all breakdown of data required. However, when more than one sheet is used, the first page should provide the summary totals by programs. Lines 1-4, Columns (c) through (g.) For new applications, leave Columns (c) and (d) blank. For each line entry in Columns (a) and (b), enter in Columns (e), (f), and (g) the appropriate amounts of funds needed to support the project for the first funding period (usually a year). Lines 1-4, Columns (c) through (g.) ( continued) For continuing grant program applications, submit these forms before the end of each funding period as required by the grantor agency. Enter in Columns (c) and (d) the estimated amounts of funds which will remain unobligated at the end of the grant funding period only if the Federal grantor agency instructions provide for this. Otherwise, leave these columns blank. Enter in columns (e) and (f) the amounts of funds needed for the upcoming period. The amount(s) in Column (g) should be the sum of amounts in Columns (e) and M. For supplemental grants and changes to existing grants, do not use Columns (c) and W. Enter in Column (e) the amount of the increase or decrease of Federal funds and enter in Column (f) the amount of the increase or decrease of non -Federal funds. In Column (g) enter the new total budgeted amount (Federal and non -Federal) which includes the total previous authorized budgeted amounts plus or minus, as appropriate, the amounts shown in Columns (e) and M. The amount(s) in Column (g) should not equal the sum of amounts in Columns (e) and M. Line 5 — Show the totals for all columns used. Section B Budget Categories In the column headings (1) through (4), enter the titles of the same programs, functions, and activities shown on Lines 1-4, Column (a), Section A. When additional sheets are prepared for Section A, provide similar column headingF, on each sheet. For each program, function or activity, fill in the total requirements for funds (both Federal and non -Federal) by object class categories. Lines 6a -i — Show the totals of Lines 6a to 6h in each column. Line 6j - Show the amount of indirect cost. Line 6k - Enter the total of amounts on Lines 6i and 6j. For all applications for new grants and continuation grants the total amount in column (5), Line 6k, should be the same as the total amount shown in Section A, Column (g), Line 5. For supplemental grants and changes to grants, the total amount of the increase or decrease as shown in Columns (1)-(4), Line 6k should be the same as the sum of the amounts in Section A, Columns (e) and (f) on Line 5. SF 424A (4-88) page3 3/1/91 V-12 INSTRUCTIONS FOR THE SF -424A (continued) Line 7 - Enter the estimated amount of income, if any, expected to be generated from this project. Do not add or subtract this amount from the total project amount. Show under the program narrative statement the nature and source of income. The estimated amount of program income may be considered by the federal grantor agency in determining the total amount of the grant. Section C. Non -Federal -Resources Lines &11- Enter amounts of non -Federal resources that will be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet. Column (a) - Enter the program titles identical to Column (a), Section A. A breakdown by function or activity is not necessary. Column (b) - Enter the contribution to be made by the applicant. Column (c) - Enter the amount of the State's cash and in-kind contribution if the applicant is not a State or State agency. Applicants which are a State or State agencies should leave this column blank. Column (d) - Enter the amount of cash and in- kind contributions to be made from all other sources. Column (e) - Enter totals of Columns (b), (c), and (d). Line 12 — Enter the total for each of Columns (b) -(e). The amount in Column (e) should be equal to the amount on Line 5, Column (f), Section A. Section D. Forecasted Cash Needs Line 13 - Enter the amount of cash needed by quarter from the grantor agency during the first year. Line 14 - Enter the amount of cash from all other sources needed by quarter during the first year. Line 15 - Enter the totals of amounts on Lines 13 and 14. Section E. Budget Estimates of Federal Funds Needed for Balance of the Project Lines 16 - 19 - Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by function or activity is not necessary. For new applications and continuation grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This section need not be completed for revisions (amendments, changes, or supplements) to funds for the current year of existing grants. If more than four lines are needed to list the program titles, submit additional schedules as necessary. Line 20 - Enter the total for each of the Columns (b) - (e). When additional schedules are prepared for this Section, annotate accordingly and show the overall totals on this line. Section F. Other Budget Information Line 21 - Use this space to explain amounts for individual direct object -class cost categories that may appear to be out of the ordinary or to explain the details as required by the Federal grantor agency. Line 22 - Enter the type of indirect rate (provisional, predetermined, final or fixed) that will be in effect during the funding period, the estimated amount of the base to which the rate is applied, and the total indirect expense. Line 23 - Provide any other explanations or comments deemed necessarv. S�: 424A (4-88) nage 3/1/91 ASSURANCES — NON -CONSTRUCTION PROGRAMS V-13 OMB Approval No. 0348-0040 Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: F 3 Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and com- pletion of the project described in this application. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award - and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. f Will initiate and complete the work within the 7 \ applicable time frame after receipt of approval of the awarding agency. 5 Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§ 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex - (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794), which prohibits dis- crimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C.§§ 6101-6107), which prohibits discrim- ination on the basis of age; 0 E (e) the Drug Abuse Office and Treatment -Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§ 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to non- discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made, and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide Tor fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. Will comply with the provisions of the Hatch Act (5 U.S.C. H 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. §§ 276a to 276a- 7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. H 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§ 327-333), regarding labor standards for federally assisted construction subagreements. Standard Form 4218 (4 88) Prescribed by OMD Grcular A. 102 Authorized for Local Reproduction 3/1/91 V-14 10. Will comply, if applicable, with flood insurance 13. Will assist the awarding agency in assuring purchase requirements of Section 102(a) of the compliance with Section 106 of the National Flood Disaster Protection Act of 1973 (P.L. 93-234) Historic Preservation Act of 1966, as amended (16 which requires recipients in a special flood hazard U.S.C. 470), EO 11593 (identification and area to participate in the program andto purchase protection of historic properties), and the flood insurance if the total cost of insurable Archaeological and Historic Preservation Act of construction and acquisition is $10,000 or more. 1974 (16 U_S.C. 469a-1 et seq.). 11. Will comply with environmental standards which 14. Will comply with P.L. 93-348 regarding the may be prescribed pursuant to the following: (a) protection of human subjects involved in research, institution of environmental quality control development, and related activities supported by measures under the National Environmental this award of assistance. Policy Act of 1969 (P.L. 91-190) and Executive 15. Will comply with the Laboratory Animal Welfare Order (EO) 11514; (b) notification of violating Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. facilities pursuant to EO 11738; (c) protection of 2131 et seq.) pertaining to the care, handling, and wetlands pursuant to EO 11990; (d) evaluation of treatment of warm blooded animals held for flood hazards in floodplains in accordance with EO research, teaching, or other activities supported by 11988; (e) assurance of project consistency with this award of assistance. the approved State management program developed under the Coastal Zone Management 16. Will comply with the Lead -Based Paint Poisoning Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) Prevention Act (42 U.S.C. §§ 4801 et seq.) which conformity of Federal actions to State (Clear Air) prohibits the use of lead based paint in Implementation Plans under Section 176(c) of the construction or rehabilitation of residence Clear Air Act of 1955, as amended (42 U.S.C. § structures. 7401 et seq.); (g) protection of underground sources 17. Will cause to be performed the required financial of drinking water under the Safe Drinking Water and compliance audits in accordance with the Act of 1974, as amended, (P.L. 93-523); and (h) Single Audit Act of 1984. protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 18. Will comply with all applicable requirements of all 93-205). other Federal laws, executive orders, regulations 12. Will comply with the Wild and Scenic Rivers Act and policies governing this program. of 1968 (16 U.S.C. §§ 1271 et seq.) related to - protecting components or potential components of the national wild and scenic rivers system. :IGNATURE OF AUTHORIZED CERTIFYING OFFICIAL APPLICANT ORGANIZATION TITLE DATE SUBMITTED OMB Approved No, 0348-0041 BUDGET INFORMATION -Construction Programs NOTE: Certain federal assistance programs require additional computations to arrive at the federal share ofproject costs eligible for participation. if such is the case you will be notified. Authorized for Local Reproduction Standard Form 424C ( 4.88) Proscnbod by OMB Circular A-102 C U1 COST CLASSIFICATION a. Total Cost b. Costs Not Allowable for Participation c. Total Allowable Costs (Column a -b) 1. Administrative and legal expenses S .00 $ .00 S .00 2. Land, structures, rights-of-way, appraisals, etc $ .00 $ .00 $ .00 3. Relocation expenses and payments $ .00 $ .00 $ .00 4. Architectural and engineering fees $ .00 $ .00 $ .00 5. Other architectural and engineering fees $ .00 S 00 $ .00 6. Project Inspection fees S .00 $ .00 S .00 7. Site work S .00 $ .00 $ .00 8. Demolition and removal $ .00 $ .00 $ .00 9. Construction $ .00 $ .00 S 00 10. Equipment $ .00 $ .00 S 00 11. Miscellaneous $ .00 S .00 S .00 12. SUBTOTAL $ .00 $ 00 S .00 13. Contingencies (sum of lines 1-11) $ .00 $ 0o $ .00 14. SUBTOTAL $ .00 $ .00 $ .00 15. Project (program) income $ .00 $ .00 $ .00 16. TOTAL PROJECT COSTS (subtract N15 from N 14) $ .00 $ .00 S .00 FEDERAL FUNDING 17. Federal assistance requested, calculate as follows: Enter eligible costs from line 16c Multiply X (Consult Federal agency for Federal percentage share). Enter the resulting Federal share. % S .00 Authorized for Local Reproduction Standard Form 424C ( 4.88) Proscnbod by OMB Circular A-102 C U1 This sheet is to be used for the following types of applications: (1) "New" (means a new [previously unfunded] assistance award); (2) "Continuation" (means funding in a succeeding budget period which stemmed from a prior agreement to fund); and (3) "Revised" (means any changes in the Federal government's financial obligations or contingent liability from an existing obligation). If there is no change in the award amount there is no need to complete this form. Certain Federal agencies may require only an explanatory letter to effect minor (no cost) changes. If you have questions please contact the Federal agency. Column a. — If this is an application for a "New" Line 4 — Enter estimated basic engineering fees project, enter the total estimated cost of each of the related to construction (this includes start-up items listed on lines 1 through 16 (as applicable) services and preparation of project performance under "COST CLASSIFICATIONS." work plan). If this application entails a change to an existing award, enter the eligible amounts approved under the previous award for the items under "COST CLASSIFICATION." Column b. —If this is an application for a "New" project, enter that portion of the cost of each item in Column a. which is not allowable for Federal assis- tance. Contact the Federal agency for assistance in determining the allowability of specific costs. If this application entails a change to an existing award, enter the adjustment [+ or (-)] to the previously approved costs (from column a.) reflected in this application. Column c. — This is the net of lines 1 through 16 in columns "a." and "b." Line I — Enter estimated amounts needed to cover administrative expenses. Do not include costs which are related to the normal functions of government. Allowable legal costs are generally only those associated with the purchase of land which is allowable for Federal participation and certain services in support of construction of the project. Line 2 — Enter estimated site and right(s)-of-way acquisition costs (this includes purchase, lease, and/or easements). Line 3 — Enter estimated costs related to relocation advisory assistance, replacement housing, relocation payments to displaced persons and businesses, etc. Line 5 — Enter estimated engineering costs, such as surveys, tests, soil borings, etc. Line 6 — Enter estimated engineering inspection costs. Line 7 — Enter estimated costs of site preparation and restoration which are not included in the basic construction contract. Line 9 — Enter estimated cost of the construction contract. Line 10 — Enter estimated cost of office, shop, laboratory, safety equipment, etc. to be used at the facility, if such costs are not included in the construction contract. Line 11— Enter estimated miscellaneous costs. Line 12 —Total cf items 1 though 11. Line 13 — Enter estimated contingency costs. (Consult the Federal agency for the percentage of the estimated construction cost to use.) Lire 14 — Enter the total of lines : 2 and 13. Line 15 — Enter estimated program income to be earned during the grant period, c.g_ salvaged materials, etc. Line 16 —Subtract line 15 from line 14. Item. 17 — This block is for the computation of the Federal share. Multiply the total allowable project costs from line 16, column "c." by the Federal percentage share (this may be up to 100 percent; consult Federal agency for Federal percentage share) and enter the product on line 17. SF 424C (4-85; crack V-17 3/1/91 OMB Approved No. 0348-0042 ASSURANCES — CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program, If you have questions, please contact the Awarding Agency. Further, certain federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified_ As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal interest in the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure nondiscrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifica- tions and will furnish progress reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. H 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statues relating to non-discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. H 1681-1683, and 1685- 1686) which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794) which prohibit discrimination of the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. H 61011-6107) which prohibits discrimi- nation on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 93-255), as amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimi- nation on the basis of alcohol abuse or alcoholism; (g) H 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 cc -3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i.) any other non-discrimination provisions in the specific statute(s) under which application for Federal assistance is being made, and Q) the requirements on any other non-discrimination Statute(s) which may apply to the application. Standard Form 4240 0 88) Prescribed by OMB Circular A-102 Authorized for Local Reproduction 3/1/91 V-18 11. Will comply, or has already complied, with the Environmental Policy Act of 1969 (P.L. 91-190) requirements of Titles II and III of the Uniform and Executive Order (EO) 11514; (b) notification Relocation Assistance and Real Property of violating facilities pursuant to EO 11738; (c) Acquisition Policies Act of 1970 (P.L. 91-646) protection of wetlands pursuant to EO 11990; (d) which provides for fair and equitable treatment evaluation of flood hazards in floodplains in of persons displaced or whose property is accordance with EO 11988; (e) assurance of acquired as a result of Federal and federally project consistency with the approved State assisted programs. These requirements apply to management program developed under the all interests in real property acquired for project Coastal Zone Management Act of 1972 (16 U.S.C. purposes regardless of Federal participation in §§ 1451 et seq.); (f) conformity of Federal actions purchases. to State (Clean Air) Implementation Plans under 12. Will comply with the provisions of the Hatch Act Section 176(c) of the Clean Air Act of 1955, as (5 U.S.C. §§ 1501-1508 and 7324-7328) which amended (42 U.S.C. § 7401 et seq.); (g) protection limit the political activities of employees whose of underground sources of drinking water under principal employment activities are funded in the Safe Drinking Water Act of 1974, as whole or in part with Federal funds. amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered 13. Will comply, as applicable, with the provisions of Species Act of 1973, as amended, (P.L. 93-205). the Davis -Bacon Act (40 U.S.C. §§ 276a to 276a- 16. Will comply with the Wild and Scenic Rivers Act 7), the Copeland Act (40 U.S.C. § 276c and 18 of 1968 (16 U.S.C. §§ 1271 et seq.) related to U.S.C. § 874), the Contract Work Hours and protecting components or potential components Safety Standards Act (40 U.S. §§ 327-333) of the national wild and scenic rivers system. regarding labor standards for federally assisted construction subagreements. 17. Will assist the awarding agency in assuring 14. Will comply with the flood insurance purchase compliance with Section 106 of the National requirements of Section 102(a) of the Flood Historic Preservation .Act of 1966, as amended Disaster Protection Act of 1973 (P.L. 93-234) (16 U.S.C. 470), EO 11593 (identification and which requires recipients in a special flood preservation of historic properties), and the hazard area to participate in the program and to Archaeological and Historic Preservation Act of purchase flood insurance if the total cost of 1974 (16 U.S.C. 469a-1 et seq.). insurable construction and acquisition is $10,000 18. Will cause to be performed the required financial or more. and compliance audits in accordance with the 15. Will comply with environmental standards Single Audit Act of 1984. which may be prescribed pursuant to the 19. Will comply with all applicable requirements of following: (a) institution of environmental all other Federal laws, Executive Orders, quality control measures under the National regulations and policies governing this program. Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL APPLICANT ORGANIZATION TITLE DATE SUBMITTED 3/1/91 AIRPORT: CHECKLIST FOR ENVIRONMENTAL IMPACTS AIRPORT IMPROVEMENT PROGRAM PROJECT DESCRIPTION: V-19 In order for the FAA to determine the appropriate course of action, it is necessary to certify that the proposed action is not likely to: a. Have an effect that is not minimal on properties protected under Section 106 of the Historic Preservation Act of 1966, as amended, or Section 4(f); b. Be controversial on environmental grounds. A proposed Federal action is considered highly controversial when the action is opposed by a Federal, state or local government agency or by a substantial number of persons affected by such action on environmental grounds; C. Have a significant impact on natural, ecological, cultural, or scenic resources of national, state, or local -. significance, including endangered species, wetlands. floodplains, coastal zones, prime or unique farmland, energy supply and natural resources, or resources protected by the Fish and Wildlife Coordination Act; r d. Be highly controversial with respect to the availability of adequate relocation housing. In an action involving relocation of persons or businesses, a controversy over the amount of the acquisition or relocation payments is rtoi; coilsi(i -L-ec) to be controversy "pith respect to the availability of adequate relocation housing; e. C ause subsLai-ILial division or disruption of an established community, or disrupt orderly, planned development, or is likely to be not reasonably consistent with plans or goals that have been adopted by the community in which the project is located; f. Cause a significant increase in surface traffic congestion; g. Have a significant impact on noise levels of noise sensitive areas; h. Have a significant impact on water quality or contaminate a public: water supply system; 3/1/91 V-20 i. Have a significant impact on air quality or violate the local, state or Federal standards of air quality; j. Be inconsistent with a Federal, state, or local law or administrative determination relating to the environment. Signature of Airport Sponsor r Date DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION PART 11 3/1/91 V-21 PROJECT APPROVAL INFORMATION SECTION A Item I. Does this assistance request require State, local, Name of Governing Body regional, or o.her priority rating? Priority Rating Yes __ No Item 2. Does this assistance request require State, or local Name of Agency or advisory, educational or health clearances?. Board Yes No (Attach Documentation) Item 3. Does this assistance request require clearinghouse review (Attach Comments) in accordance with OMB Circular A-95? Yes No Item 4. Does this assistance request require State, local, Name of Approving Agency regional or other planning approval? Date Yes No Item 5. is the proposed project covered by an approved cora^-ehensive plan? Yes Check one: State Local Regional No Location of plan :tem 6. Will the assistance requested serve a Federal Name of Federal Insto4ot4on installation? Yes No Federal Population benefiting from Project Item 7. Will the assistance requested be on Federal land Name of Federal Installation or installation, Location of Federai __Yes No Percent of Project item 8. Will the assistance requested hove on impact or effect See instruction for additional information to be on the environment? provided. Yes No Item 9. Number of: Will the assistance requested cause the displacement of Individuals individuals families, businesses, or farr.s? Families Businesses _1"es No Farms Item 10. Is there other related Federol ossistance on "tits See instructions for additional information to be project previous, pending, or anti,ipated? provided_ Yes No FA. om $top -1g0 `•'�' -. pa•. 510G- 10 PAG -5, t THRU 7 Page 2 ti r.y r �T 4. s•'�t : r 3/1/91 V=22 INSTRUCTIONS PART It —SECTION A scope of the plan. Give the location where the approved - plan is available fore examination and state whether this Negative answers will not require an explanation unless the project is in conformance with the plan. Federal agency requests more information at a later date. Provide supplementary data for all "Yes" answers in the space provided in accordance with the following instruc- tions. Item 1 — Provide the name of the governinglbody establish- ing stablishing the priority system and the priority rating assigned to this project. Item 2 — Provide the name of the agency or board which issued the clearance and attach the documentation of status or approval. Item 3 — Attach the clearinghouse comments for the apple-' cation in accordance with the instructions contained in Of- fice of Management and Budget Circular No. A-95. 1f com- ments were submitted previously with a preapplication, do--- not submit them again but any additional comments re- ceived from the clearinghouse should be submitted with this application. Item 4 — Furnish the name of the approving agency and the approval date. Item5 — Show whether the approved comprehensive plan is State, local or regional, or if none of these, explain the Item 6 — Show the Federal population residing or working on the federal installation who will benefit from - this project. Item'7 -- Show thepercentage.of the project work that will be conducted 'on federally=owned .or leased land. Give the name of the Federal installation and its location. Item8 "Briefly describe the possible beneficial and/or harmful impact on the environment because of the pro- posed project. If an adverse environmental impact is antici- pated -'explain' what action will be' taken to minimize the impact. Federal agencies- wil!Vprovide separate`instructions' if additional data is needed. - Item 9 -State the number of individuals, 'families, busi- nesses, or farms this project will "displace. Federal agencies will provide separate instructions if additional data is needed. Item 10 —Show the Federal Domestic Assistance Catalog number, the program name, the type of assistance, the sta- tus and amount of each project where there is related pre- vious, pending, or anticipated assistance. Use additional sheets, if needed. r V-23 3/1/91 DEPARTMENT Of TRANSPORTATION — FEDERAL Av1ATMW AD"fW1TRAT1004 Or/aN0.aa�eZpy PART II - SECTION C Tbt Sponsor bemby repreecats and certZ"* as Follows: 1. Compatiblc Land Use.—The Sponsor bas takea the fogowing actions to amwe compatible u&W of Imid adjacent to or in tine vicinity of the airport: 2. Defaults. -The Sponsor is not in default on any obligation td the United Stats or any agency of the United States Goran - Went relative to the development, operation, or au"tenance of any airport, except as stated herewith: / 3. Poesible Disabilities. -There are no facts or eimuntsiaitces (including the existence of effective or propoped leases, we ment6 or other legal instruments affecting use of the Airport or the existence of pending litigation or other legalproeeadinp) i►ruch in rYasonable probability might make it impossible for the Sponsor to carry out and complete the Project a carry art the !ro'i�nt of Part V of this Application, either by limiting its legal or financial ability or otherwise, except as follow6: r <. Land -4s) The Sponsor holdf the Wd owing property interest in the following arena of land' which are to be developed or used of, part of or in connection with the Airport, subject to the following exceptions, encumbrances, and adverse intervals. all of which areas are identified on the aforementioned property map designated as Exhibit "A": 0$tate cAar+cty o1 property aalereut in each arvw awd lute" idrati y for each sU exceptions., eAcsoniwaAcas, and odrarw iftsw, is of nary find 4^d .start, ancladim Lagos, esac~wts, i~ etc 1 -e sepwwie arra of Amd mood awls k idrat;fi beer L+y tle 01 -tam berg sAo wm on tot pcopert y mwp- FAA Form 6100-1t0 !4rat rove U 3/1/91 V-24 DEPARTMENT OF TRANSPORTATION — FEDERAL AVIATION ADMINISTRATION OMB NO. 04-RO209 PART II - SECTION C (Continued) 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": (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": S. Exclusive Rights --There is no °rant of an exclusive right for the conduct of any aeronautical activity at any airport owned or controlled by the §ponsor except as follows: *State character of property interest in each area and list and identify for each all exceptions, encumbrances, and adverse interests of ever) 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 proper) v map. FAA Form 5100-100 (4-76) Page 3b 3/1/91 V-25 Instructions for FAA Form 5100-100 Part II, Section C (There is no Section B) 1. Compatible Land Use - Section 511(a) (5) of the "Airport and Airway Improvement Act of 1982" states that as a condition precedent to approval of an airport development project under the Act, the Secretary of Transportation shall receive satisfactory assurances in writing that appropriate action, including the adoption of zoning laws, has been or will be taken, to the extent reasonable, to restrict the use of land adjacent to or in the immediate vicinity of the airport to activities and purposes compatible with normal airport operations, including landing and takeoff of aircraft. The sponsor should state what past action, if any, has been taken to restrict the use of land adjacent to or in the vicinity of the airport to activities and purposes compatible with normal airport operations. This does not include action taken to protect clear zones. It should include a brief description of the extent and effectiveness of zoning laws achieved through the sponsor's efforts or efforts of other agencies, which have jurisdiction over pertinent areas. If the sponsor has not taken any action and does not believe that any action is desirable or appropriate, it should so state along with its reasons for such a determination. Appendix I, Advisory Circular 150/5020-1., describes land uses normally compatible with various noi$e levels. Other incompatible uses include activities which produce smoke, electronic interference, or attract birds. While the responsibility for determining acceptable and permissible land uses falls upon upon local authorities, the Airport and Airway Improvement Act of 1982 requires the appropriate action be taken by the sponsor to restrict the use of land in the vicinity of the airport to compatible uses. As a result, many questions have arisen as to what actions constitute "appropriate actions" to satisfy the Section 511 (a)(5) assurance. Some types of appropriate action include: a. A Part 150 Airport Noise Compatibility Planning Program for the airport. b. An off -airport land use plan as an element of a master plan project. c. Actions taken to implement a previously adopted land use plan. d. Zoning ordinances restricting not only height of 3/1/91 V-26 structures, but also restricting land use in affected areas to uses and activities compatible with airport operations. e. Proposing and promoting such coning ordinances by other political jurisdiction. f. Encouraging legislation to provide zoning authority where no local government agency has such authority. g. Urging authorized public agencies to undertake appropriate area planning studies. h. Encouraging and attempting to persuade developers to develop areas adjacent to the airport for uses that are compatible with the airport. This will require sponsors to keep advised of proposals for public and private building construction in the vicinity of the airport. i. Locating sponsor -owned or controlled compatible activities in area adjacent to the airport. 2. Defaults - leave blank unless you marked "Yes" on the SF - 424 face sheet. If answered "Yes", give explanation here. 3. Possible Disabilities - Include here any factors or circumstances of the nature referred to in this block which have not been brought to the attention of the FAA. 4. Land a. This section should be used to describe the property interest held in the existing airport. The declaration of property interest should be based upon title examination by a qualified attorney. The declaration of property interest held should be identified using the same parcel numbers as used to identify the property on the Exhibit "A". b. This secion is used only for thise cases that construction work is included in the project on property that is not currently owned but will be acquired before the start of construction. In these cases the property interest to be acquired should be identified by parcel number corresponding to the Exhibit "A". c. This section should be used to identify the property by parcel number that is being acquired under the projectand before the coimpletion of all construction. If the property is currently owned and reimbursement is included in the project, the project should be identified in block (a) rather than in this block. 5. Exclusive Rights. Self-explanatory DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION OM6 NO_'00-RO1Bd'. ' V-27 - PART III — BUDGET INFORMATION — CONSTRUCTION SECTION A — GENERAL 1. Federal Domestic Assistance Cotalog No.............. . 2. Functional or Other Breakout .................... SECTION B - CALCULATION OF FEDERAL GRANT Cost Classification Use only for revisions Total Amount Required Latest Approved Amount Adjustment + or (-) 1. Administration expense $ $ $ 2. Preliminary expense 3.. Lanlstructures, right-of-way 4. Architectural engineering basic fees 5. Other architectural engineering fees G. 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 I 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 21. Add Rehabilitation Grants Requested (100 Percent) 22. Total Federal grant requested (Lines 20 & 21) 23_ Grantee share 24. Other shares 25_ Total project (Lines 22. 23 & 24) S S S FAA Form 5100-100 (6 73) SUPERSEOES FAA FORM 5100 -10 PAGES 1 TNRU 7 Page 4 h (1D I.DTtI CwIT CIF TDANCPnRTATIC)tJ _ FFnFQ.1 A VIA TIn" AnlllulCTDA TI/�wt VM 13 110, h0-12019< 3/1/91 SECTION C - EXCLUSIONS V-28 1 Clas zif'canon 26 Incligib 1< rot Participation 1 F.clud<d from Contingency P—inion 2 s s b. c� d- e. p. Totols S S SECTION D — PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE 27. Grantee Share S a_ Securities b. Mortgages c. Appropriations (By Applicant) d. Bonds e. Tax Levies f. Non Cash g. Other (Explain) h. TOTAL -Grantee share 28. Other Shares a. State b. Other c. Total Other Shares 29. TOTAL S SECTION E - REMARKS PART (V PROGRAM NARRATIVE AAttoch - See Instructions _ I FAA Font 5100-100 (s-73) sunenseocs FAA FORM 5100-10 PAG; -S 1 Tlinu 7 FAA AC :�-0 3' x/1/91 V 29 INSTRUCTIONS PART III Section A. General 1. Show the Federal Domestic Assistance Catalog Num- ber from which the assistance is requested. When more than one program or Catalog Number is in- volved and the amount cannot be distributed to the Federal grant program or catalog number on an over- all percentage basis, prepare a separate set of Part I I I forms for each program or Catalog Number. However, show the total amounts for all programs in Section B of the basic application form. 2. Show the functional or other categorical breakouts, if required by the .Federal grantor agency. Prepare a separate set of Part 11 I forms for each category. _ Section B. Calculation of Federal Grant When applying for a new grant, use the Total Amount Column only. When requesting revisions of previously awarded amounts, use all columns. Line 1 — Enter amounts needed for administration ex- penses including such items as travel, legal fees, rental of vehicles and any other expense items expected to be in- curred to administer the grant. Include,the amount of in- terest expense when authorized by program legislation and also show this amount under Section E Remarks. Line 2 — Enter amounts pertaining to the work of locating and designing, making surveys and maps, sinking test holes, and all other work required prior to actual construction. Line 3 — Enter amounts directly associated with the acqui- sition of land, existing structures, and related right-of-way. Line 4 — Enter basic fees for architectural engineering services. Line 5 — Enter amounts for other architectural engineering services, such as surveys, tests, and borings. Line 6 — Enter fees for inspection and audit of construc- tion 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 relo- cation advisory assistance, and the net amounts for replace- ment (last resort) housing- Do not include relocation ad- ministration expenses on this Line; include them on Line 1. Line 9 — Enter the estimated amount of relocation pay- ments to be made to displaced persons, business concerns and non-profit organizations for moving expenses and re- placement housing. Line 10 — Enter the gross salaries and wages of employees of the grantee who will be directly engaged in performing demolition or removal of structures from developed land. This line should show also the cost of demolition or re- moval of improvements on developed land under a third party contract. Reduce the costs on this line by the amount of expectec. proceeds from the sale of salvage. if so in- structed 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. Also include in this category the amounts of project improvements such as sewers, streets, landscaping and lighting. Line 12 — Enter amounts for equipment both fixed and movable exclusive of equipment used for construction. For example, include amounts for permanently attached lab= " oratory tables, built-in audio visual systems; movable desks, chairs, and laboratory equipment- Line quipment Line 13 --Enter amounts for,. items not, specifically men-_- tioned above. Line14 — 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. Line 16 —Enter the difference between: the amount on Line 14 and the estimated income shown on Line 15. Line 17 — Enter amounts for those items which are part of the project but not subject to Federal participation (See Section C, Line 26g, Column (1) ). Line 18 — Enter the estimated amount for contingencies. Compute this amount as -follows. Subtract from the net project amount shown on Line 16 the ineligible project exclusions shown on Line 17 and the amount which is excluded trom the contingency provisions shown in Section C, Line 26g, Column (2). Multiply the computed amount by the percentage factor allowed by the grantor agency in ac- cordance with the Federal program guidance. For those grants which provide for a fixed dollar allowance in lieu of a percentage allowance, enter the dollar amount of this allowance. Line 19 — Show the total amount of Lines 16, 17, and 18. (This is the amount to which the matching share ratio pre- scribed in program legislation is applied.) Line 20 — Show the amount of Federal funds requested exclusive of funds for rehabilitation purposes. Line 21 — Enter the estimated amounts needed for rehabili- tation expense if rehabilitation grants to individuals are made for which grantees are reimbursed 100 percent by the Federal grantor agency in accordance with program legisla- tion. If the grantee shares in part of this expense show the total amount on Line 13 instead of on Line 21 and explain in Section E. Line 22 — Show the total amount of the Federal grant re- quested. Line 23 — Show the amount from Section D, Line 27h. Line 24 — Show the amount from Section D- Line 28c. Line 25 — Self-explanatory. GPO 865-460 PART III Section C. Exclusions Line 26 a -g— Identify and list those costs. in Column (1) which are part of the project cost.but are not subject to Federal participation because of program legislation or Fed- eral grantor agency instructions. The total amount on Line q should agree with the amount shown on Line 17 of Sec- tion B. Show in Column (2) those project costs that are subject to Federal participation but are not eligible for in- clusion in the amount used to compute contingency amounts as provided in the Federal grantor agency instruc- tions. Section D. Proposed Method of Financing Non -Federal Share Line 27 a•g — Show the source of the grantee's share. If cash is not immediately available, specify the actions com- pleted 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 noncash con• tribution, explain what this contribution will consist of. Line 27 h — Show the total of Lines 27 a -g. This amount must equal the amount shown in Section B, Line 23. Line 28 a — 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 noncash contribution, explain what the contribution will consist of under Section E Re- marks, Line 28 b — Show the amount that will be contributed from other sources. If there is a noncash contribution, ex- plain what this contribution will consist of under Section E Remarks. Line 28 c — Show the total of Lines 28a and 28b. This amount must be the same as the amount shown in Section B, line 24. Line 29 — Enter the totals of Line 27h and Line 28c. 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. w INSTRUCTIONS PART IV PROGRAM NARRATIVE Prepare the program narrativestatement 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. Pinpoint any relevant physical, economic, social, financial, institutional, or other problems requiring a solution. Demonstrate the need for assistance and state the principal and "subordinate objectives of the project. Supporting docu- mentation or other testimonies from concerned interests other than the applicant may be used.Any relevant data based on planning studies should be inclVded or footnoted. 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 proposed work will be accom• plished for each grant program. Cite factors which might accelerate or decelerate the work and your rea• son for taking this approach as opposed to others. Describe any unusual features of the project such as design or technological innovations, reductions in cost or time, or extraordinary social and community involvements. b. Provide for each grant program monthly or quarterly quantitative projections of the accomplishments to be achieved, if possible. When accomplishments cannot be quantified, list the activities in chronological order to show the schedule of accomplishments and their target dates. c. Identify the kinds of data to be collected and main• tained, and discuss the criteria to be used to evaluate the results and success of the project. Explain the methodology that will be used to determine if the IM needs identified and discussed are being met and if the results and benefits identified in Item 2 are being achieved. d. List each organization, cooperator, consultant, or other key individuals who will work on the project along with a short description of the nature of their effort or contribution. 4. GEOGRAPHIC LOCATION. Give a precise location of the project and area to be served by the proposed project, Maps or other graphic aids may be attached. 5. IF APPLICABLE, PROVIDE THE FOLLOWING IN- FORMATION: 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 10. b. Explain the reason for all requests for supplemental assistance and justify the need for additional funding. c. Discuss accomplishments to date and list in chrono• logical order a schedule of accomplishments, progress or milestones anticipated with the nes% funding re- quest. 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 or objectives have changed or an extension of time is necessary, explain the circumstances and justify. If the total budget has been exceeded or if individual budget items have changed more than the prescribed limits contained in Attachment K, Office of Management and Budget Circular No. A 102, ex• plain and justify the change and its effect on the project. c_ w 0 3/1/91 STANDARD DOT TITLE VI ASSURANCES V-31 (Name of Sponsor) (hereinafter referred to as the Sponsor) hereby agrees that as a condition to receiving Federal financial assistance from the Department of Transportation (DOT), it will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.) and all requirements imposed by 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of Transportation — Effectuation of Title VI of the Civil Rights Act of 1964 (hereinafter referred to as the "Regulations") to the end that no .person in the United States shall, on the ground of race, color, or national. origin, be ex- cluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the applicant receives Federal financial assistance and will immediately take any measures necessary to effectuate this agreement. Without limiting the above general assurance, the Sponsor agrees concerning this grant that: 1. Each "program" and "facility" (as defined in Sections 21.23(e) and 21.23(b)) will be conducted or oper- ated in compliance with all requirements of the Regulations. 2. It will insert the clauses of Attachment I of this assurance in every contract subject to the Act and the Regulations. 3. Where Federal financial assistance is received to construct a facility, or part of a facility, the assurance shall extend to the entire facility and facilities operated in connection therewith. 4. Where Federal financial assistance is in the form or for the acquisition of real property or an interest in real property, the assurance shall extend to rights to space on, over, or under such property. 5. It will include the appropriate clauses set forth in Attachment 2 of this assurance, as a covenant running with the land, in any future deeds, leases, permits, licenses, and similar agreements entered into by the Spon- sor with other parties: (a) for the subsequent transfer of real property acquired or improved with Federal financial assistance under this Project; and (b) for the construction or use of or access to space on, over, or under real property acquired or im- proved with Federal financial assistance under this Project. 6. This assurance obligates the Sponsor for the period during which Federal financial assistance is extended to the program, except where the Federal financial assistance is to provide, or is in the form of personal property or real property or interest therein or structures or improvements thereon, in which case the assur- ance obligates the sponsor or any transferee for the longer of the following periods: (a) the period during which the property is used for a purpose for which Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefits; or (b) the period during which the Sponsor retains ownership or possession of the property. 7. It will provide for such methods of administration for the program as are found by the Secretary of Transportation or the official to whom he delegates specific authority to give reasonable guarantee that it, other sponsors, subgrantees, contractors, subcontractors, transferees, successors in interest, and other partici- pants of Federal financial assistance under such program will comply with all requirements imposed or pur- suai t to the Act, the Regulations, and this assurance. 8. It agrees that the United States has a right to seek judicial enforcement with regard to any matter aris- ing under the Act, the Regulations, and this assurance. -1- 3/1/91 V-32 THIS ASSURANCE is given in consideration of and for the purpose of obtaining Federal financial assist- ance for this Project and is binding on its contractors, the sponsor, subcontractors, transferees, successors in interest and other participants in the Project. The person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Sponsor. DATED: (Sponsor) BY (Signature of Authorized Official) -2- 1 3/1/91 V-33 CONTRACTOR CONTRACTUAL REQUIREMENTS ATTACHMENTI During the performance of this contract, the contractor, for itself, its assignees and successors in interest (hereinafter referred to as the "contractor") agrees as follows: 1. Compliance with Regulations. The contractor shall comply with the Regulations relative to nondis- crimination in federally assisted programs of the Department of Transportation (hereinafter, "DOT"') Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time (hereinafter referred to as the Regulations), which are herein incorporated by reference and made a part of this contract. 2. Nondiscrimination. The contractor, with regard to the work performed by it during the contract, shall not discriminate on the grounds of race, color, or national origin in the selection and retention of sub- contractors, including procurements of materials and leases of equipment. The contractor shall not partici- pate either directly or indirectly in the discrimination prohibited by section 21.5 of the Regulations, includ- ing employment practices when the contract covers a program set forth in Appendix B of the Regulations. 3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment. In all solicita- tions either by competitive bidding or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the contractor of the contractor's obligations under this contract and the Regu- lations relative to nondiscrimination on the grounds of race, color, or national origin. 4. Information and Reports. The contractor shall provide all information and reports required by the Regulations or directives issued pursuant thereto and shall permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the Sponsor or the Federal Aviation Administration (FAA) to be pertinent to ascertain compliance with such Regulations, orders, and instruc- tions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish this information, the contractor shall so certify to the sponsor or the FAA, as appropriate, and shall set forth what efforts it has made to obtain the information. 5. Sanctions for Noncompliance. In the event of the contractor's noncompliance with the nondiscrim- ination provisions of this contract, the sponsor shall impose such contract sanctions as it or the FAA may determine to be appropriate, including, but not limited to: a. Withholding of payments to the contractor under the contract until the contractor complies, and/or b. Cancellation, termination, or suspension of the contract, in whole or in part. 6. Incorporation of Provisions. The contractor shall include the provisions of paragraphs 1 through 5 in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Regulations or directives issued pursuant thereto. The contractor shall take such action with respect to any subcontract or procurement as the sponsor or the FAA may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or supplier as a result of such direction, the contrac- tor may request the Sponsor to enter into such litigation to protect the interests of the sponsor and, in addi- tion, the contractor may request the United States to enter into such litigation to protect the interests of the United States. -3- J W1/91 V-34 CLAUSES FOR DEEDS, LICENSES, LEASES, PERMITS OR SIMILAR INSTRUMENTS ATTACHMENT 2 The following clauses shall be included in deeds, licenses, leases, permits, or similar instruments entered into by the Sponsor pursuant to the provisions of Assurances 5(a) and 5(b). 2. The (grantee, licensee, lessee, permitee, etc., as appropriate) for himself, his heirs, personal repre- sentatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby covenant and agree (in the case of deeds and leases add "as a covenant running with the land") that in the event facilities are constructed, maintained, or otherwise operated on the said property described in this (deed, license, lease, permit, etc.) for a purpose for which a DOT program or activity is extended or for another purpose involving the provision of similar services or benefits, the (grantee, licensee, lessee, permitee, etc.) shall maintain and operate such facilities and services in compliance with all other requirements imposed pursuant to 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of Transportation, and as said Regulations may be amended. 2. The (grantee, licensee, lessee, permitee, etc., as appropriate) for himself, his personal representa- tives, successors- in interest, and assigns, as a part of the consideration hereof, does hereby covenant and agree (in the case of deeds and leases add "as a covenant running with the land") that: 0) no person on the grounds of race, color, or national origin shall be excluded from participation in, denied the benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2) that in the construction of any im- provements on, over, or under such land and the furnishing of services thereon, no person on the grounds of race, color, or national origin shall be excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination, (3f that the (grantee, licensee, lessee, permitee, etc.) shall use the premises in compliance with all other requirements imposed by or pursuant to 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of Transportation, and as said Regulations may be amended. M ASSURANCES Airport Sponsors A. General V-35 1. These assurances shall be complied with in the performance of grant agreements for airport development, airport planning, and noise compatibility program grants to airport sponsors. 2. These assurances are required to be submitted as part of the project application by sponsors requesting funds under the provisions of the Airport and Airway Improvement Act of 1982, as amended by the Airport and Airway Safety and Capacity Expansion Act of 1987, or the Aviation Safety and Noise Abatement Act of 1979. As used herein the term "public agency sponsor" means a public agency with control of a public -use airport; the term "private sponsor" means a private owner of a public -use airport; and the term "sponsor" includes public agency sponsors and private sponsors. 3. Upon acceptance of the grant offer by the sponsor, these assurances are incorporated in and become part of the grant agreement. B. Duration and Applic&bility 1. Airport Development or Noise Compatibility Program Projects Undertaken by a Public Agency Sponsor. The terms, conditions and assurances of the grant agreement shall remain in full force and effect throughout the useful life of the facilities developed or equipment acquired for an airport development or noise compatibility program project, or throughout the useful life of the project items installed within a facility under a noise compatibility program project, but in any event not to exceed twenty (20) years from the date of acceptance of a grant offer of Federal funds for the project. However, there shall be no limit on the duration of the assurance against exclusive rights or the terms, conditions, and assurances with respect to real property acquired with Federal funds. Furthermore, the duration of the Civil Rights assurance shall be as specified in the assurance. 2. Airport Development or Noise Compatibility Program Projects Undertaken by a Private Sponsor. The preceding paragraph 1 also applies to a private sponsor except that the useful life of project items installed within a facility or the useful life of facilities developed or equipment acquired under an airport development or noise.compatibility program project shall be no less than 10 years from the date of the acceptance of Federal aid for the project. 3. Airport Planning Undertaken by a Sponsor. Unless otherwise specified in the grant agreement, only Assurances 1, 2, 3, 5, 6, 13, 18, 30, 32, 33, 34, and 36 in Section C apply to planning projects. The terms, conditions, and assurances of the grant agreement shall remain in full force and effect during the life of the project. C. Sponsor Certification. The sponsor hereby assures and certifies, with J) respect to this grant that: 3/1/91 V-36 1. General Federal Requirements. It will comply with all applicable Federal laws, regulations, executive orders, policies, guidelines and requirements as they relate to the application, acceptance and use of Federal funds for this project including but not limited to the following: Federal Legislation a. Federal Aviation Act of 1958 - 49 U.S.C. 1301, et seq. b. Davis -Bacon Act - 40 U.S.C. 276(a), et seq. 1/ c. Federal Fair Labor Standards Act - 29 U.S.C. 201, et seq. d. Hatch Act - 5 U.S.C. 1501, et seq. 2/ e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 - 42 U.S.C. 4601, et seq. 1/ 2/ f. National Historic Preservation Act of 1966 - Section 106 - 16 U.S.C. 470(f). I/ g. Archeological and Historic Preservation Act of 1974 - 16 U.S.C. 469 through 469c. I/ h. Flood Disaster Protection Act of 1973 - Section 102(a) - 42 U.S.C. 4012a. 1/ i. Rehabilitation Act of 1973 - 29 U.S.C. 794. J. Civil Rights Act of 1964 - Title VI - 42 U.S.C. 2000d through d-4 0 k. Aviation Safety and Noise Abatement Act of 1979, 49 U.S.C. 2101, et seq. 1. Age Discrimination Act of 1975 - 42 U.S.C. 6101, et seq. m. Architectural Barriers Act of 1968 - 42 U.S.C. 4151, et seq. 1/ n. Airport and Airway Improvement Act of 1982, as amended 49 U.S.C. 2201, et seq. o. Powerplant and Industrial Fuel Use Act of 1978 - Section 403 - 2 U.S.C. 8373. 1/ p. Contract Work Hours and Safety Standards Act - 40 U.S.C. 327, et seq. 1/ q. Copeland Antikickback Act - 18 U.S.C. 874. 1/ r. National Environmental Policy Act of 1969 - 42 U.S.C. 4321, et seq. 1/ s. Endangered Species Act - 16 U.S.C. 668(a), et seq. I/ t. Single Audit Act of 1984 - 31 U.S.C. 7501, et seq. 2/ u. Drug -Free Workplace Act of 1988 - 41 U.S.C. 702 through 706. Executive Orders Executive Order 12372 - Intergovernmental Review of Federal Programs Executive Order 11246 - Equal Employment Opportunity 1/ Federal Regulations a. 49 CFR Part 18 - Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments. 3/ b. 49 CFR Part 21 - Nondiscrirination in Federally -Assisted Programs of the Department of Transportation - Effectuation of Title VI of the ,1 Civil Rights Act of 1964. t V-37 c. 49 CFR Part 23 - Participation by Minority Business Enterprise in Department of Transportation Programs. d. 49 CFR Part 24 - Uniform Relocation Assistance and Real Property Acquisition Regulation for Federal and Federally Assisted Programs. 1/ 2/ e. 49 CFR Part 27 - Hon -Discrimination on the Basis of Handicap in Programs and Activities Receiving or Benefiting from Federal Financial Assistance. l/ f. 49 CFR Part 29 - Debarments, Suspensions, and Voluntary Exclusions. g. 49 CFR Part 30 - Denial of Public Works Contracts to Suppliers of Goods and Services of Countries That Deny Procurement Market Access to U.S. Contractors. h. 29 CFR Part 1 - Procedures for Predetermination of Wage Rates. 1/ 1. 29 CFR Part 3 - Contractors or Subcontractors on Public Buildings or Public Works Financed in Whole or Part by Loans or Grants from U.S. 1/ J. 29 CFR Part 5 - Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction. 1/ k. 41 CFR Part 60 - Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor (Federal and Federally -assisted Contracting Requirements). 1/ 1. 14 CFR Part 150 - Airport Noise Compatibility Planning. 1 - Office of Management and Budget Circulars a. A-87 - Cost Principles Applicable to Grants and Contracts with State and Local Governments. 3/ b. A-128 - Audits of State and Local Governments. 2/ 1/ These laws do not apply to airport planning sponsors. 2/ These laws do not apply to private sponsors. 3/ 49 CFR Part 18 and OMB Circular A-87 contain requirements for State and local governments receiving Federal assistance. Any requirement levied upon State and local governments by this regulation and circular shall also be applicable to private sponsors receiving Federal assistance under the Airport and Airway Improvement Act of 1982, as amended. Specific assurances required to be included in grant agreements by any of the above laws, regulations or circulars are incorporated by reference in the grant agreement. 2. Responsibility and Authority of the Sponsor. a. Public Agency Sponsor: It has legal authority to apply for the grant, and to finance and carry out the proposed project; that a resolution, motion or similar action has been duly adopted or passed as an official act of the applicant's governing body authorizing the filing of the application, including all understandings and assurances contained therein, and directing and authorizing the person identified as the official representative of the applicant to act in connection with the application and to provide such additional information as may be required. 3/ 1/91 U-38 b. Private Sponsor. It has legal authority to apply for the grant and to finance and carry out the proposed project and comply with all the terms, conditions, and assurances of this grant agreement. It shall designate an official representative and shall in writing direct and authorize that person to file this application, including all understandings and assurances contained therein; to act in connection with the application; and to provide such additional information as may be required. 3. Sponsor Fund Availability. It has sufficient funds available for that portion of the project costs which are not to be paid by the United States. It has sufficient funds available to assure operation and maintenance of items funded under the grant agreement which it will own or control. 4. Good Title. a. It holds good title, satisfactory to the Secretary, to the landing area of the airport or site thereof, or will give assurance satisfactory to the Secretary that good title,will be acquired. b. For noise compatibility program projects to be carried out on the property of the sponsor, it holds good title satisfactory to the Secretary to that portion of the property upon which Federal funds will be expended or will give assurance to the Secretary that good title will be obtained. 5. Preserving Rights and Powers. a. It will not take or permit any action which would operate to deprive it of any of the rights and powers necessary to perform any or all of the terms, conditions, and assurances in the grant agreement without the written approval of the Secretary, and will act promptly to acquire, extinguish or modify any outstanding rights or claims of right of others which would interfere with such performance by the sponsor. This shall be done in a manner acceptable to the Secretary. b. It will not sell, lease, encumber or otherwise transfer or dispose of any part of its title or other interests in the property shown on Exhibit A to this application or, for a noise compatibility program project, that portion of the property upon which Federal funds have been expended, for the duration of the terms, conditions, and assurances in the grant agreement without approval by the Secretary. If the transferee is found by the Secretary to be eligible under the Airport and Airway Improvement Act of 1982 to assume the obligations of the grant agreement and to have the power, authority, and financial resources to carry out all such obligations, the sponsor shall insert in the contract or document transferring or disposing of the sponsor's interest, and make binding upon the transferee, all of the terms, conditions and assurances contained in this grant agreement. C. For all noise compatibility program projects which are to be carried out by another unit of local government or are on property owned by a unit of local government other than the sponsor, it will enter into an agreement with that government. Except as otherwise specified by the Secretary, that agreement 3/1/91 V-39 shall obligate that government to the same terms, conditions, and assurances that would be applicable to it if it applied directly to the FAA for a grant to undertake the noise compatibility program project. That agreement and changes thereto must be satisfactory to the Secretary. It will take steps to enforce this agreement against the local government if there is substantial non- compliance with the terms of the agreement. d. For noise compatibility program projects to be carried out on privately owned property, it will enter into an agreement with the owner of that property which includes provisions specified by the Secretary. It will take steps to enforce this agreement against the property owner whenever there is substantial non-compliance with the terms of the agreement. e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to ensure that the airport will continue to function as a public - use airport in accordance with these assurances for the duration of these assurances. f. If an arrangement is made for management and operation of the airport by any agency or person other than the sponsor or an employee of the sponsor, the sponsor will reserve sufficient rights and authority to insure that the airport will be operated and maifitained in accordance with the Airport and Airway Improvement Act of 1982, the regulations and the terms, conditions and assurances in the grant agreement and shall insure that such arrangement also requires compliance -therewith. 6. ' 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. For noise compatibility program projects, other than land acquisition, to be carried out on property not owned by the airport and over which property another public agency has land use control or authority, the sponsor shall obtain from each such agency a written declaration that such agency supports that project and the project is reasonably consistent with the agency's plans regarding the property. 7. Consideration of Local Interest. It has given fair consideration to the interest of communities in or near which the project may be located. 8. Consultation with Users. In making a decision to undertake any airport development project under the Airport and Airway Improvement Act of 1982, it has undertaken reasonable consultations with affected parties using the airport at which the project is proposed. 9. 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. It shall, when requested by the Secretary, submit a copy of the transcript of such hearings to the Secretary. 3/1/91 V-40 10. 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 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. Hotice of certification or refusal to certify shall be provided within sixty days after the project application has been received by the Secretary. 11. Local Approval. In projects involving the construction or extension of any runway at any general aviation airport located astride a line separating two counties within a single state, it has received approval for the project from the governing body of all villages incorporated under the laws of that state which are located entirely within five miles of the nearest boundary of the airport. 12. Terminal Development Prerequisites. For projects which include terminal development at a public airport, it has, on the date of submittal of the project grant application, all the safety equipment required for certification, of such airport under section: 612 of the Federal Aviation Act of 1958 and all the security equipment required by rule or regulation, and has provided for access to the passenger enplaning and deplaning area of such airport to passengers enplaning or deplaning from aircraft other than air carrier aircraft. 13. Accounting System, Audit, and Recordkeeping Requirements. a. It shall keep all project accounts and records which fully disclose the amount and disposition by the recipient of the proceeds of the grant, the total cost of the project in connection with which the grant is given or used, and the amount and nature of that portion of the cost of the project supplied by other sources, and such other financial records pertinent to the project. The accounts and records shall be kept in accordance with an accounting system that will facilitate an effective audit in accordance with the Single Audit Act of 1984. b. It shall make available to the Secretary and the Comptroller General of the United States, or any of their duly authorized representatives, for the purpose of audit and examination, any books, documents, papers, and records of the recipient that are pertinent to the grant. The Secretary may require that an appropriate audit be conducted by a recipient. In any case in which an independent audit is made of the accounts of a sponsor relating to the disposition of the proceeds of a grant or relating to the project in connection with which the grant was given or used, it shall file a certified copy of such audit with the Comptroller General of the United States not later than 6 months following the close of the fiscal year for which the audit was made. 14. Minimum Wage Rates. It shall include, in all contracts in excess of $2,000 for work on any projects funded under the grant agreement which involve labor, provisions establishing minimum rates of wages, to be predetermined by the 3/1/91 V-41 Secretary of Labor, in accordance with the Davis -Bacon Act, as amended (40 U.S.C. 276a --276a-5), which contractors shall pay to skilled and unskilled labor, and such minimum rates shall be stated in the invitation for bids and shall be included in proposals or bids for the work. 15. Veteran's Preference. It shall include, in all contracts for work on any projects funded under the grant agreement which involve labor, such provisions as are necessary to insure that, in the employment of labor (except in executive, administrative, and supervisory positions), preference shall be given to veterans of the Vietnam era and disabled veterans as defined in Section 515(c)(1) and (2) of the Airport and Airway Improvement Act of 1982. However, this preference shall apply only where the individuals are available and qualified to perform the work to which the employment relates. 16. Conformity to Plans and Specifications. It will execute the project subject to plans, specifications, and schedules approved by the Secretary. Such plans, specifications, and schedules shall be submitted to the Secretary prior to commencement of site preparation, construction, or other performance under this grant agreement, and, upon approval by the Secretary, shall be incorporated into this grant agreement. Any modifications to the approved plans, specifications, and schedules shall also be subject to approval by the Secretary and incorporation into the grant agreement. 17. Construction Inspection and Approval. It will provide and maintain competent technical supervision at the construction site throughout the project to assure that the work conforms with the plans, specifications, and schedules approved by 'the Secretary for the project. It shall subject the construction work on any project contained in an approved project application to inspection and approval by the Secretary and such work shall be in accordance with regulations and procedures prescribed by the Secretary. Such regulations and procedures shall require such cost and progress reporting by the sponsor or sponsors of such project as the Secretary shall deem necessary. 18. Planning Projects. In carrying out planning projects: a. It will execute the project in accordance with the approved program narrative contained in the project application or with modifications similarly approved. b. It will furnish the Secretary with such periodic reports as required pertaining to the planning project and planning work activities. C. It will include in all published material prepared in connection with the planning project a notice that the material was prepared under a grant provided by the United States. d. It will make such material available for examination by the public, and agrees that no material prepared with funds under this project shall be subject to copyright in the United States or any other country. 3/1/91 V-42 e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and otherwise use any of the material prepared in connection with this grant. f. It will grant the Secretary the right to disapprove the Sponsor's employment of specific consultants and their subcontractors to do all or.any part of this project as well as the right to disapprove the proposed scope and cost of professional services. g. It will grant the Secretary the right to disapprove the use of the sponsor's employees to do all or• any part of the project. h. It understands and agrees that the Secretary's approval of this project grant or the Secretary's approval of any planning material developed as part of this grant does not constitute or imply any assurance or commitment on the part of the Secretary to approve any pending or future application for a Federal airport grant. 19. Operation and Maintenance. a. It will suitably operate and maintain the airport and all facilities thereon or connected therewith, with due regard to climatic and flood conditions. Any proposal to temporarily close the airport for nonaeronautical purposes must first be approved by the Secretary. The airport and all facilities which are necessary to serve the aeronautical users of the airport, other than facilities owned or controlled by the United States, shall be operated at all times in a safe and serviceable condition and in accordance with the minimum standards as may be required or prescribed by applicable Federal, state and local agencies for maintenance and operation. It will not cause or permit any activity or action thereon which would interfere with its use for airport purposes. In furtherance of this assurance, the sponsor will have in effect at all times arrangements for -- (1) Operating the airport's aeronautical facilities whenever required; (2) Promptly marking and lighting hazards resulting from airport conditions, including temporary conditions; and (3) Promptly notifying airmen of any condition affecting aeronautical use of the airport. Nothing contained herein shall be construed to require that the airport be operated for aeronautical use during temporary periods when snow, flood or other climatic conditions interfere with such operation and maintenance. Further, nothing h?rein shall be construed as requiring the maintenance, repair, restoration, or replacement of any structure or facility which is substantially damaged or destroyed due to an act of God or other condition or circumstance beyond the control of the sponsor. 3/1/91 V-43 b. It will suitably operate and maintain noise compatibility program items that it owns or controls upon which Federal funds have been expended. 20. Hazard Removal and Mitigation. It will take appropriate action to assure that such terminal airspace as is required to protect instrument and visual operations to the airport (including established minimum flight altitudes) will be adequately cleared and protected by removing, lowering, relocating, marking, or lighting or otherwise mitigating existing airport hazards and by preventing the establishment or creation of future airport hazards. 21. Compatible Land Use. It will take appropriate action, including the adoption of zoning laws, to the extent reasonable, to restrict the use of land adjacent to or in the immediate vicinity of the airport to activities and purposes compatible with normal airport operations, including landing and takeoff of aircraft. In addition, if the project is for noise compatibility program implementation, it will not cause or permit any change in land use, within its jurisdiction, that will reduce the compatibility, with respect to the airport, of the noise compatibility program measures upon which Federal funds have been expended. 22. Economic Nondiscrimination. r" a. It will make its airport available as an airport for public use on fair and reasonable terms and without unjust discrimination, to all types, kinds, and classes of aeronautical uses. b. In any agreement, contract, lease or other arrangement under which a right or privilege at the airport is granted to any person, firm, or corporation to conduct or engage in any aeronautical activity for furnishing services to the public at the airport, the sponsor will insert and enforce provisions requiring the contractor to -- (1) furnish said services on a fair, equal, and not unjustly discriminatory basis to all users thereof, and (2) charge fair, reasonable, and not unjustly discriminatory prices for each unit or service, provided, that the contractor may be allowed to make reasonable and nondiscriminatory discounts, rebates, or other similar types of price reductions to volume purchasers. C. Each fixed -based operator at any airport owned by the sponsor shall be subject to the same rates, fees, rentals, and other charges as are uniformly applicable to all other fixed -based operators making the same or similar uses of such airport and utilizing the same or similar facilities. d. Each air carrier using such airport shall have the right to service itself or to use any fixed -based operator that is authorized or permitted by the airport to serve any air carrier at such airport. e. Each air carrier using such airport (whether as a tenant, nontenant, or subtenant of another air carrier tenant) shall be subject to such 3/1/91 V-44 nondiscriminatory and substantially comparable rules, regulations, conditions, rates, fees, rentals, and other charges with respect to facilities directly and substantially related to providing air transportation as are applicable to all such air carriers which make similar use of such airport and which utilize similar facilities, subject to reasonable classifications such as tenants or nontenants and signatory carriers and nonsignatory carriers. Classification or status as tenant or signatory shall not be unreasonably withheld by any airport provided an air carrier assumes obligations substantially similar to those already imposed on air carriers in such classifications or status. f. It will not exercise or grant any right or privilege which operates to prevent any person, firm, or corporation operating aircraft on the airport from performing any services on its own aircraft with its own employees (including, but not limited to maintenance, repair, and fueling) that it may choose to perform. g. In the event the sponsor itself exercises any of the rights and privileges referred to in this assurance, the services involved will be provided on the same conditions as would apply to the furnishing of such services by contractors or concessionaires of the sponsor under these provisions. h. The sponsor 'flay establish such fair, equal, and not unjustly discriminatory conditions to be met by all users of the airport as may be necessary for the safe and efficient operation of the airport. i. The sponsor may prohibit or limit any given type, kind, or class of aeronautical use of the airport if such action is necessary for the safe operation of the airport or necessary to serve the civil aviation needs of the public. 23. Exclusive Rights. It will permit no exclusive right for the use of the airport by any persons providing, or intending to provide, aeronautical services to the public. For purposes of this paragraph, the providing of services at an airport by a single fixed -based operator shall not be construed as an exclusive right if both of the following apply: a. It would be unreasonably costly, burdensome, or impractical for more than one fixed -based operator to provide such services, and b. If allowing more than one fixed -based operator to provide such services would require the reduction of space leased pursuant to an existing agreement between such single fixed -based operator and such airport. It further agrees that it will not, either directly or indirectly, grant or permit any person, firm or corporation the exclusive right at the airport, or at any other airport now owned or controlled by it, to conduct any aeronautical activities, including, but not limited to charter flights, pilot training, aircraft rental and sightseeing, aerial photography, crop dusting, aerial advertising and surveying, air carrier operations, aircraft sales and services, sale of aviation petroleum products whether or not conducted in conjunction with other aeronautical activity, repair and maintenance of aircraft, sale of 3/1/91 V-45 aircraft parts, and any other activities which because of their direct relationship to the operation of aircraft can be regarded as an aeronautical activity, and that it will terminate any exclusive right to conduct an aeronautical activity now existing at such an airport before the _grant of any assistance under the Airport and Airway Improvement Act of 1982. 24. Fee and Rental Structure. It will maintain a fee and rental structure consistent with Assurance 22 and 23, for the facilities and services being provided the airport users which will make the airport as self-sustaining as possible under the circumstances existing at the particular airport, taking into account such factors as the volume of traffic and economy of collection. No part of the Federal share of an airport development, airport planning or noise compatibility project for which a grant is made under the Airport and Airway Improvement Act of 1982, the Federal Airport Act or the Airport Airway Development Act of 1970 shall be included in the rate base in establishing fees, rates, and charges for users of that airport. 25. Airport Revenue. If the airport is under the control of a public agency, all revenues generated by the airport and any local taxes on aviation fuel established after December 30, 1987, will be expended by it for the capital or operating costs of the airport; the local airport system; or other local facilities which are owned or operated by the owner or operator of the airport and directly and substantially related to the actual air transportation of passengers or property; or for noise mitigation purposes on or off the airport. Provided, however, that if covenants or assurances in debt obligations before September 3, 1982, by the owner or operator of the airport, or provisions enacted before September 3, 1982, in governing statutes controlling the owner or operator's financing, provide for the use of the .revenues from any of the airport owner or operator's facilities, including the airport, to support not only the airport but also the airport owner or operator's general debt obligations or other facilities, then this limitation on the use of all revenues generated by the airport (and, in the case of a public airport, local taxes on aviation fuel) shall not apply. 26. Reports and Inspections. It will submit to the Secretary such annual or special financial and operations reports as the Secretary may reasonably request. For airport development projects, it will also make the airport and all airport records and documents affecting the airport, including deeds, leases, operation and use agreements, regulations and other instruments, available for inspection by any duly authorized agent of the Secretary upon reasonable request. For noise compatibility program projects, it will also make records and documents relating to the projects and continued compliance with the terms, conditions, and assurances of the grant agreement including deeds, leases, agreements, regulations, and other instruments, available for inspection by any duly authorized agent of the Secretary upon reasonable request. 27. Use of Government Aircraft. It will make available all of the facilities of the airport developed with Federal financial assistance and all those usable for landing and takeoff of aircraft to the United States for use by Government aircraft in common with other aircraft at all times without charge, except, if 3/1/91 V-46 the use by Government aircraft is substantial, charge may be made for a reasonable share, proportional to such use, for the cost of operating and maintaining the facilities used. Unless otherwise determined by the Secretary, or otherwise agreed to by the sponsor and the using agency, substantial use of an airport by Government aircraft will be considered to exist when operations of such aircraft are in excess of those which, in the opinion of the Secretary, would unduly interfere with use of the landing areas by other authorized aircraft, or during any calendar month that -- a. Five (5) or more Government aircraft are regularly based at the airport or on land adjacent thereto; or b. The total number of movements (counting each landing as a movement) of Government aircraft is 300 or more, or the gross accumulative weight of Government aircraft using the airport (the total movements of Government aircraft multiplied by gross weights of such aircraft) is in excess of five million pounds. 28. Land for Federal Facilities. It will furnish without cost to the Federal Government for use in connection with any air traffic control or air navigation activities, or weather -reporting and communication activities related to air traffic control, any ar'l?as of land or water, or estate therein, or rights in buildings of the sponsor as the Secretary considers necessary or desirable for construction, operation, and maintenance at Federal expense of space or facilities for such purposes. Such areas or any portion thereof will be made available as provided herein within four months after receipt of a written request from the Secretary. 29. Airport Layout Plan. a. It will keep up to date at all times an airport layout plan of the airport shoving (1) boundaries of the airport and all proposed additions thereto, together with the boundaries of all offsite areas owned or controlled by the sponsor for airport purposes and proposed additions thereto; (2) the location and nature of all existing and proposed airport facilities and structures (such as runways, taxiways, aprons, terminal buildings, hangars and roads), including all proposed extensions and reductions of existing airport facilities; and (3) the location of all existing and proposed nonaviation areas and of all existing improvements thereon. Such airport layout plan and each amendment, revision, or modification thereof, shall be subject to the approval of the Secretary which approval shall be evidenced by the signature of a duly authorized representative of the Secretary on the face of the airport layout plan. The sponsor will not make or permit any changes or alterations in the airport or in any of its facilities which are not in conformity with the airport layout plan as approved by the Secretary and which might, in the opinion of the Secretary, adversely affect the safety, utility, or efficiency of the airport. b. If a change or alteration in the airport or its facilities is made which the Secretary determines adversely affects the safety, utility, or efficiency of any federally owned, leased, or funded property on or off the 3/1/91 V-47 airport and which is not in conformity with the airport layout plan as approved by the Secretary, the owner or operator will, if requested by the Secretary (1) eliminate such adverse effect in a manner approved by the Secretary; or (2) bear all costs of relocating such property (or replacement thereof) to a site acceptable to the Secretary and all costs of restoring such property (or replacement thereof) to the level of safety, utility, efficiency, and cost of operation existing before the unapproved change in the airport or its facilities. 30. Civil Rights. It will comply with such rules as are promulgated to assure that no person shall, on the grounds of race, creed, color, national origin, sex, age, or handicap be excluded from participating in any activity conducted with or benefiting from funds received from this grant. This assurance obligates the sponsor for the period during which Federal financial assistance is extended to the program, except where Federal financial assistance is to provide, or is in the form of personal property or real property or interest therein or structures or improvements thereon, in which case the assurance obligates the sponsor or any transferee for the longer of the following periods: (a) the period during which the property is used for a purpose for which Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefits or (b) the period during which the sponsor retains ownership or possfssion of the property. 31. Disposal of Land. a. For land purchased under a grant for airport noise compatibility purposes, it will, when the land is no longer needed for such purposes, dispose of such land at fair market value at the earliest practicable time. That portion of the proceeds of such disposition which is,proportionate to the United States share of the cost of acquisition of such land will, at the discretion of the Secretary, (1) be paid to the Secretary for deposit in the Trust Fund, or (2) be reinvested in an approved noise compatibility project as prescribed by the Secretary. b. (1) For land purchased under a grant for airport development (other than noise compatibility) purposes, it will, when the land is no longer needed for airport purposes, dispose of such land at fair market value or make available to the Secretary an amount equal to the United States proportionate share of the fair market value of the land. That portion of the proceeds of such disposition which is proportionate to the United States share of the cost of acquisition of such land will, (a) upon application to the Secretary, be reinvested in another eligible airport improvement project or projects approved by the Secretary at that airport or within the national airport system, or (b) be paid to the Secretary for deposit in the Trust Fund if no such eligible project exists. (2) Land shall be considered to be needed for airport purposes under this assurance if (a) it may be needed for aeronautical purposes (including runway protection zone) or serves as noise buffer land, and (b) the revenue from interim uses of such land contributes to the financial self-sufficiency of the airport. Further, land purchased with a grant received by an airport operator 4/11/91 V-48 or owner before December 31, 1987, will be considered to be needed for airport purposes if the Secretary or the Federal agency making such grant before December 31, 1987, was notified by the operator or owner of the use of such land, did not object to such use, and the land continues to be used for that purpose, such use having commenced not later than December 15, 1989. (c) Disposition of such land under (a) or (b) will be subject to the retention or reservation of any interest or right therein necessary to ensure that such land will only be used for purposes which are compatible with noise levels associated with operation of the airport. 32. Engineering and Design Services. It will award each contract, or sub- contract for program management,. construction management, planning studies, feasibility studies, architectural surveying, mapping, or related services with respect to the project in the same manner as a contract for architectural and engineering services is negotiated under Title IX of the Federal Prpperty and Administrative Services Act of 1949 or an equivalent qualifications -based requirement prescribed for or by the sponsor of the airport. 33. Foreign Market Restrictions. It will not allow funds provided under this grant to be used to fund any project which uses any product or service of a foreign country during j:he period in which such foreign country is listed by the United States Trade Representative as denying fair and equitable market opportunities for products and suppliers of the United States in procurement and construction. 34. Policies Standards and Specifications. It will carr out the p y project in accordance with policies, standards, and specifications approved by the Secretary including but not limited to the advisory circulars listed in the "Current FAA Advisory Circulars for AIP Projects," dated and included in this grant, and in accordance with applicable state policies, standards, and specifications approved by the Secretary. 35. Relocation and Real Property Acquisition. (1) It will be guided in acquiring real property, to the greatest extent practicable under State law, by the land acquisition policies in Subpart B of 49 CFR Part 24 and will pay or reimburse property owners for necessary expenses as specified in Subpart B. (2) It will provide a relocation assistance program offering the services described in Subpart C and fair and reasonable relocation payments and assistance to displaced persons as required in Subparts D and E of 49 CFR Part 24. (3) It will make available within a reasonable period of time prior to displacement comparable replacement dwellings to displaced persons in accordance with Subpart E of 49 CFR Part 24. 36. Drug -Free Workplace. It will provide a drug-free workplace at the site of work specified in the grant application in accordance with 49 CFR Part 29 by (1) publishing a statement notifying its 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 that will be taken against its employees for violation of such prohibition; (2) establishing a drug-free awareness program to inform its employees about the dangers of drug 3/1/91 V-49 abuse in the workplace and any available drug counseling, rehabilitation, and employees assistance programs; (3) notifying the FAA within ten days after receiving notice of an employee criminal drug statute conviction for a violation occurring in the workplace; and (4) making a good faith effort to maintain a drug-free workplace. CURRENT FAA ADVISORY CIRCULARS FOR AIP PROJECTS Effective Date: 7-15-91 NUMBER SUBJECT 70/7460-1G Obstruction Marking and Lighting 150/5100-14B Architectural, Engineering, and Planning Consultant Services for Airport Grant CHG 1 Projects 150/5200-30 Airport Winter Safety and Operations CHG 1 8 2 150/5210-58 Painting, Marking and Lighting of Vehicles Used on an Airport 150/5210-76 Aircraft Fire and Rescue Communications 150/5210-14 Airport Fire and Rescue Personnel Protective Clothing 150/5210-15 Airport Rescue & Firefighting Station Building Design 150/5220-4A Water Supply Systems for Aircraft Fire and Rescue Protection 150/5220-10A Guide Specification for Water/Foam Type Aircraft Rescue and Firefighting Vehicles 150/5220-11 Airport Snowblower Specification Guide 150/5220-12 Airport Snowsweeper Specification Guide 150/5220-13A Runway Surface Condition Sensor Specification Guide 150/5220-14A Airport Fire and Rescue Vehicle Specification Guide 150/5220-15 Buildings for Storage and Maintenance of Airport Snow Removal and Ice Control ERuipment: A Guide 150/5220-16 Automated Weather Observing Systems for Non -Federal Applications 150/5220-17 Design Standards for Aircraft Rescue Fire -fighting Training Facilities 150/5300-13 Airport Design CHG 1 150/5320-513 Airport Drainage 150/5320-6C Airport Pavement Design and Evaluation CHG 1 8 2 150/5320-12A Measurement, Construction, and Maintenance of Skid Resistant Airport Pavement Surfaces 150/5320-14 Airport Landscaping for Noise Control Purposes 150/5325-4A Runway Length Requirements for Airport Design CHG 1 150/5340-1 F Marking of Paved Areas on Airports 150/5340-4C Installation Details for Runway Centerline Touchdown Zone Lighting Systems CHG 1 8 2 150/5340-58 Segmented Circle Airport Marker System CHG 1 150/5340-14B Economy Approach Lighting Aids CHG 1 8 2 150/5340-17B Standby Power for Non -FAA Airport Lighting Systems 150/5340-18B Standards for Airport Sign Systems 150/5340-19 Taxiway Centerline Lighting System 150/5340-21 Airport Miscellaneous Lighting Visual Aids 150/5340-23B Supplemental Wind Cones 150/5340-24 Runway and Taxiway Edge Lighting System CHG 1 150/5340-27A Air -to -Ground Radio Control of Airport Lighting Systems 150/5345-31) Specification for L-821 Panels for Remote Control of Airport Lighting 150/5345-5A Circuit Selector Switch 150/5345-71) Specification for L-824 Underground Electrical Cable for Airport Lighting Circuits CHG 1 150/5345-10E Specification for Constant Current Regulators Regulator Monitors 150/5345-12C Specification for Airport and Heliport Beacon 150/5345-13A Specification for L-841 Auxiliary Relay Cabinet Assembly for Pilot Control of Airport Lighting Circuits CURRENT FAA ADVISORY CIRCULARS FOR AIP PROJECTS (continued) Effective Date: 7-15-91 NUMBER SUBJECT 150/5345-26B Specification for L-823 Plug and Receptacle, Cable Connectors CHG 1 & 2 150/5345-27C Specification for Wind Cone Assemblies 150/5345-28D Precision Approach Path Indicator (PAPI) Systems 150/5345--39B FAA Specification L-853, Runway and Taxiway Centerline Retroreflective Markers CHG 1 150/5345-42C Specification for Airport Light Bases, Transformer Housings, Junction Boxes and Accessories 150/5345-43D Specification for Obstruction Lighting Equipment 150/5345-44D Specification for Taxiway and Runway Signs 150/5345-45A Lightweight Approach Light Structure 150/5345-46A Specification for Runway and Taxiway Light Fixtures 150/5345-47A Isolation Transformers for Airport Lighting Systems 150/5345-49A Specification L-854, Radio Control Equipment 150/5345-60 Specification for Portable Runway Lights CHG 1 150/5345-51 Specification for Discharge -Type Flasher Equipment CHG 1 150/5345-52 Generic Visual Glideslope Indicators (GVGI) 150/5360-9 Planning and Design of Airport Terminal Facilities at Non -Hub Locations 150/5360-12 Airport Signing & Graphics 150/5360-13 Planning and Design Guidance for Airport Terminal Facilities 150/5370-2C Operational Safety on Airports During Construction 150/5370-68 Construction Progress and Inspection Report—Airport Grant Program 150/5370-10A Standards for Specifying Construction of Airports CHG 1, 2, 3 150/5370-11 Use of Nondestructive Testing Devices in the Evaluation of Airport Pavements CHG 1 150/5370-12 Quality Control of Construction for Airport Grant Projects 150/5390-2 Heliport Design 150/5390-3 Vertiport Design JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 4, 1991 Sheila M. Farley, Grants Administrator Calocerinos 8 Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island Airport Pavement Evaluation Study Airfield Lighting (Design) Airfield Lighting (Const.) Dear Ms. Farley: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Transmitted herewith are the executed applications and agreements concerning Elizabeth Field, as referenced above. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: R.P. Knauff Accounting S Finance JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER �oc��FFOIKc�Gy o OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON DECEMBER 28, 1990: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute the necessary documents with regard to the Fishers Island Airport Pavement Evaluation Study and Airfield Lighting Design and Airport Lighting Construction, as follows: Final Application for Federal Assistance for the proposed Pavement Evaluation Study and Design of Airfield Lighting; Preapplication for Federal Assistance for the proposed Airfield Lighting Construction; Draft Lump Sum Agreement for Design of Airfield Lighting, all in accordance with the approval of the Town Attorney. Judith T. Terry Southold Town Clerk December 31, 1990 C -1--s �,, °oce Inos & To: Mr. Robert Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, New York 06390 Attention: Enclosed please find the following: Re: Fishers Island Airport Pavement Evaluation Study Airfield Lighting (Design) Airfield Lighting (Const) File: 211. Date: 17 -Dec -90 - Ten (10) copies of Final Application for Federal Assistance for the proposed Pavement Evaluation Study and design of Airfield Lighting for review and signatures. Ten (10) copies of Preapplication for Federal Assistance for the proposed Airfield Lighting construction for review and signatures. - Two (2) copies of draft Lump Sum Agreement for design of Airfield Lighting with letter of Managing Engineer attached. Remarks: Please have the Town Supervisor sign each of the pages indicated for his signature. There is one page in each final application which must also be signed by the town's attorney. Return nine copies of the Application and nine copies of the Preapplication to me for further processing. Keep one copy of each for your files. If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Enclosures Sheila M. Farley Grants Administrator 3 !v;'ip(i;'1 [:iv OMB Approval No. 0348-0043 AP PLICATION FOR 2. DATE SUBMITTED Applicant Identifier FEDERAL ASSISTANCE 12/11/90 211 1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Applicant Identifier Application Preappllcat/on Construction [n Construction 4, DATE RECEIVED BY FEDERAL AGENCY Federal Identifier Non -Construction F-1 Non -Construction 5. APPLICANT INFORMATION Legal Name: Organizational Unit: Town of Southold Fishers Island Ferry District Address (give dry, county, state, and zip code) Name and telephone number of the person to be contacted on matters involving Town Hall, 53095 Main Road this application (g" area cods) P.O. Box 1179 Suffolk County R. Philip Knauff Southold, New York 11971 (516) 788-7463 6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in bob I U1 1 1 -- 6 1 0 1 0 1 3 1 3 1 0 1 7 A. State H. Independent School Dist B. County I. State Controlled Institution of Higher Learning C. Municipal J. Private University 8. TYPE OF APPLICATION: D. Township K. Indian Tribe ® New M Continuation F1 Revision E. Interstate L. Individual F. Intermunicipal M. Profit Organization If Revision, enter appropriate letter(s) in box(es)[ G. Special District N. Other (Specify) A. Increase Award B. Decrease Award C. Increase Duration 9. NAME OF FEDERAL. AGENCY: D. Decrease Duration Other (Specify): Federal Aviation Administration New York Airports District Office 10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: ASSISTANCE NUMBER: 2 O O 1 O 6 TITLE Airport Improvement Program (AIP) AIRFIELD LIGHTING (Construction) 12. AREAS AFFECTED BY PROJECT (cities, counties, states, eta): Fishers Island 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a. Applicant b. Project 2nd 2nd 15. ESTIMATED FUNDING: 18. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. YES THIS PREAPPLICATION)APPLICATION WAS MADE AVAILABLE TO THE a Federal $ .00 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON 12/11/90 b Applicant $ .00 DATE c State $ .00 b. NO F] PROGRAM IS NOT COVERED BY E.O. 12372 d Local $ .00 FIOR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other $ .00 f Program Income $ .00 17. IS THE APPLICANT DELINOUENT ON ANY FEDERAL DEBT? D Yes If 'Yes,' attach an explanation. ® No g TOTAL $ .00 18 TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a Typed Name of Authorized Representative b Title c Telephone number Scott L. Harris Town Supervisor (516) 765-1800 d Signature of AuthZRentative a Date Signed /O Previous Editions NoNsable Authorized for Local Reproduction Standard Form 424 (REV 4-88) Prescribed by OMB Circular A-102 December 17, 1990 Mr. Philip Brito, Manager Federal Aviation Administration New York Airports District Office 181 South Franklin Avenue - Room 305 Valley Stream, New York 11581 Re: Fishers Island Airport Airfield Lighting (Construction) Subj: Preapplication Supporting Documentation Dear Mr. Brito: In support of our request for Federal Funding on the above -referenced project, the Town of Southold provides the following statements: Project Narrative Statement Description: The proposed project includes the installation of the following at Fishers Island Airport - Elizabeth Field: 1. Medium Intensity Runway Edge Lighting Systems on Runways 12-30 and 7-25. 2. Rotating Beacon and Lighted Windcone. 3. Generic Visual Approach Descent Indicator and Runway End Identifier Light Systems on Runways 7, 25, 12 and 30. 4. Electrical Vault Building and associated Airfield Lighting Electrical Equipment. Justification: This project will provide for increased aircraft safety during night and periods of low visibility. The existing lighting systems and visual aids are in poor condition and unreliable. Runway Grooving Statement Fishers Island - Elizabeth Field is a general aviation utility airport consisting of two runways. Runway 12-30, the primary runway, is 2,500 feet long and crosswind runway 7-25 is 1,900 feet long. Aircraft currently operating at the airport are primarily single and light multi -engined aircraft. Activity Mr. Brito Page 2 December 17, 1990 by larger aircraft such as the F-27 do exist, however, it is minimal. The runway pavement surfaces are generally in poor condition, however, the Town did apply for an asphalt slurry seal coat in 1985 to protect the surface from further deterioration. The runway pavement surface condition is such that grooving at this time may cause further deterioration and actually risk destroying its present marginal condition. The Town will reconsider grooving of the runway in the future at such time as the pavement surfaces are rehabilitated. Coordination Statement The Town of Southold confirms that Operators at the Fishers Island Airport have been consulted and are aware of the proposed development project. Displaced Persons Statement The airport project proposed in this aid application does not involve the displacement or relocation of persons residing on land needed for such development. Specific Opposition Statement The Town of Southold is not aware of any significant community opposition to the proposed project. Negative Environmental Declaration Statement Construction of the electrical vault, MIRL's and REIL's, rotating beacon and windcone at Fishers Island Airport will require cable trenching equipment as well as trucks to haul materials to and from the job site. The trucks used to haul material to the job site will not significantly interface with normal traffic patterns. The distance between the area of proposed construction and developed residential area(s) is sufficient to dissipate the impact of construction noise. Soil erosion resulting from the construction operation into undisturbed areas is expected to be minimal, however, it will be further limited by requiring the Contractor to comply with contract provisions for environmental protection as well as State and local environmental regulations. On the basis of these, and other pertinent factors associated with the project, the Town of Southold concludes that the proposed development work included in this request for aid for Fishers Island Airport will not be controversial on environmental grounds; will not affect the ambient noise level; will not displace persons residing on land needed for such development; will not have a significant aesthetic or visual effect; will not divide or disrupt an established community or divide existing use areas; will not have any effect on areas of unique interest or scenic beauty; will not destroy or derogate from important recreational areas; will not alter the pattern of behavior of a species; will not interfere with important Mr. Brito Page 3 December 17, 1990 wildlife, breeding, nesting or feeding grounds; will not increase air or water pollution; and will not affect the water table of the area. We are not aware of any objections of Federal agencies or State or local bod- ies in respect to the environmental aspects of this project. The Town of Southold has a long-standing and vital concern for and interest in the protection and enhancement of the quality of the environment in the region, particularly at its facilities and in areas adjacent to its facilities. It is the studied judgement of the Town of Southold that the development work included in this application for aid is fully consistent with the concern for environmental enhancement and protection. Summary The above statements are provided with and form a part of our application for the referenced project. We will promptly answer your questions or provide additional information upon request. Very truly yours, TOWN OF SOUTHOLD Scott L. Harris Town Supervisor SLH:SMF:jmc Unna Approveu No. uwn-uu4 1 BUDGET INFORMATION -Construction Programs NOTE: Certain federal assistance programs require additional computations to arrive at the federal share of project costs eligible for participation. If such is the case you will be notified. Authorized for Local Reproduction 1A.-ind,ia Ivm, 4z 1c ( NN( COST CLASSIFICATION a. Total Cost b. Costs Not Allowable for Participation c. Total Allowable Costs (Column a -b) 1. Administrative and legal expenses f $1,916 .00 S .00 S $1,916 .00 2. Land, structures, rights-of-way, appraisals, etc. S .00 S .00 S .00 3. Relocation expenses and payments S .00 $ .00 S .00 4. Architectural and engineering fees $ .00 S .00 S .00 S. Other architectural and engineering fees S .00 S .00 S .00 6. Project inspection fees S$ 62,000 00 S .00 S $62 000 , 00 7. Site work, S .00 S .00 S .00 B. Demolition and removal S .00 S .00 S .00 9. Construction S $604,084 .00 S .00 S $604,084 .00 10. Equipment $ .00 S .00 S .00 11. Miscellaneous AUnTir S $3,000 00 S .00 S 00 .00 12. SUBTOTAL S $671,000 .00 S .00 S $671,000 .00 13. Contingencies (sum of lines 1-11) S .00 S .00' S .00 14. SUBTOTAL $ $671 .00 $ .00 S 6711,000 .00 15. Project (program) income pann S .00 S .00 S .00 16. TOTAL PROJECT COSTS (subtract N15 from # 14) S .00 S .00 S .00 FEDERAL FUNDING 17. federal assistance requested, calculate as follows: Enter eligible costs from line 16c Multiply X 9096% (Consult Federal agency for Federal percentage share). Enter the resulting federal share. S $603,900 .00 Authorized for Local Reproduction 1A.-ind,ia Ivm, 4z 1c ( NN( Agency Compliance Statement State Environmental Ouality Review In accordance with the rules, regulations and procedures adopted by the Town of Southold (Name of Municipal Corporation) pursuant to the intent of the State Environmental Quality Review Act, the project described below is classified as a: Check One (XX) Project Description Type I Action Type II Action Ministerial Action Exempt Action Not Classified AIRFIELD LIGHTING (Construction) •r Scott L.ifarris` Town Supervisor DEC ( 8 1990 Date CHECKLIST FOR EXTRAORDINARY CIRCUMSTANCES DISCLOSURE Airport Name: Fishers Island Elizabeth Field Location: Fishers Island. New York Project No. (If Applicable): It appears from a cursory review of the proposed action, which consists of AIRFIELD LIGHTING (Construction) , that such action may be categorically excluded from the requirement of a formal federal environmental finding. In order for the FAA to determine the appropriate course of action, it is necessary to certify that none of the following conditions apply to the proposed action. In accordance with the criteria contained in FAA order 5050.4a, this action is not: a. An action that is likely to have an effect that is not minimal on properties protected under Section 106 of the Historic Preservation Act of 1966, as amended, or Section 4 (f) of the Dot Act. b. An action that is likely to be highly controversial on environmental grounds. A proposed Federal action is considered highly controversial when the action is opposed by a Federal, State or local government agency or by a substantial number of the persons affected by such action on environmental grounds. c. An action that is likely to have a significant impact on natural, ecological, cultural, or scenic resources of national, state, or local significance, including endangered species, wetlands, floodplains, coastal zones, prime or unique farmland, energy supply and natural resources, or resources protected by the Fish and wildlife Coordination Act. d. An action that is likely to be highly controversial with respect to the availability of adequate relocation housing. In an action involving relocation of persons or business, a controversy over the amount of the acquisition or relocation payments is not considered to be a controversy with respect to availability of adequate relocation housing. e. An action that is likely to: (1) Cause substantial division or disruption of an established community, or disrupt orderly, planned development, or is likely to be not reasonably consistent with plans or goals that have been adopted by the community in which the project is located; or (2) Cause a significant increase in surface traffic congestion. f. An action that is likely to: (1) Have a significant impact on noise levels of noise sensitive areas; or (2) Have a significant impact on water quality or contaminate a public water supply system; or (3) Have a significant impact on air quality or violate the local, state or Federal standards of air quality; or (4) Be inconsistent with any federal, state, or local law or administrative determination relating to the environment. ,�.!-. M Scott L. H rris Town Supervisor New York ADO August 1987 UT 2 8 ASO Date IW OMB Approved No. 0348-0042 ASSURANCES — CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program, If you have questions, please contact the Awarding Agency. Further, certain federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal interest in the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure nondiscrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifica- tions and will furnish progress reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statues relating to non-discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§ 1681-1683, and 1685- 1686) which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794) which prohibit discrimination of the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101-6107) which prohibits discrimi- nation on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 93-255), as amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimi- nation on the basis of alcohol abuse or alcoholism; (g) §§ 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C: § 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any other non-discrimination provisions in the specific statute(s) under which application for Federal assistance is being made, and (j) the requirements on any other non-discrimination Statutets) which may apply to the application. Slar`Oard F)rm 1240 A 88� ?,escnoea oy CM9 C:rcciar A•102 Authorized for Local Reproduction 11. Will comms, or has already complied, with the requirennents of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provides for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§ 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. §§ 276a to 276a- 7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. § 874), the Contract Work Hours and Safety Standards Act (40 U.S. §§ 327-333) regarding labor standards for federally assisted construction subagreements. 14. Will comply with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act'of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL AR°UCANT ORGANIZATION Town of Southold Fishers Island Ferry District Environmental Policy Act of 1969 (P.L. 91-190) and.Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. § 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523);.and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§ 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and preservation of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 19. Will comply with all applicable requirements of all other Federal laws, Executive Orders, regulations and policies governing this program. TITLE Town Supervisor DATE SUBMITTED 12/11/90 12.J ! 65 �e, . I I I v PRELIMINARY PROJECT COST FISHERS ISLAND - ELIZABETH FIELD FISHERS ISLAND, NEW YORK AIRFIELD LIGHTING 211.000 11/16/90 ITEM FAA UNIT NO. SPEC NO. DESCRIPTION QUANTITY UNITS PRICE TOTAL 1 P-156 SOIL EROSION AND SILTATION CONTROL 1 LS $5,000.00 $5,000.00 2 P-612 FIELD OFFICE 1 LS $10,000.00 $10,000.00 3 P-620 RUNWAY MARKINGS 27,000 SF 51.25 $33,750.00 5 L-101 AIRPORT ROTATING BEACON, IN PLACE 1 LS $30,000.00 $30,000.00 6 L-107 12 -FOOT LIGHTED WIND CONE 1 EACH $10,000.00 $10,000.00 7 L-108 CABLE TRENCHING FOR THE INSTALLATION OF UNDERGROUND CABLE 9,000 LF $6.00 $54,000.00 8 L-108 NO. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR UNDERGROUND CABLE INSTALLED 1N TRENCH 30,000 LF $1.00 $30,000.00 9 L-108 NO. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR UNDERGROUND CABLE INSTALLED IN TRENCH 15,000 LF $1.00 $15,000.00 10 L-108 NO. 8 AWG, BARE COPPER COUNTERPOISE WIRE INSTALLED IN TRENCH INCLUDING GROUNDING RODS AND EXOTHERMIC CONNECTIONS 10,000 LF $1.00 $10,000.00 11 L-109 INSTALLATION OF AIRPORT TRANSFORMER VAULT EQUIPMENT, IN PLACE 1 LS $35,000.00 $35,000.00 12 L-109 INSTALLATION OF AIRPORT TERMINAL BUILDING EQUIPMENT, IN PLACE 1 LS $5,000.00 $5,000.00 13 L-109 INSTALLATION OF TRANSFORMER VAULT SERVICE ENTRANCE 1 LS $10,000.00 $10,000.00 14 L-110 4 -WAY ELECTRICAL DUCT BANK, TYPE I 700 LF $70.00 $49,000.00 15 L-110 2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED IN PAVEMENT 2,800 LF 515.00 $42,000.00 16 L-112 TRANSFORMER VAULT BUILDING CONSTRUCTION 1 LS $50,000.00 $50,000.00 17 L-115 ELECTRICAL MANHOLE NO. 1 1 EACH $5,000.00 $5,000.00 19 L-125 MEDIUM INTENSITY RUNWAY EDGE AND THRESHOLD LIGHTS, BASE MOUNTED, IN PLACE 74 EACH $900.00 $66,600.00 20 L-125 TAXIWAY GUIDANCE SIGN, BASE MOUNTED, IN PLACE 1 EACH $3,500.00 $3,500.00 21 L-125 REMOVAL OF EXISTING RUNWAY EDGE LIGHTS 1 LS $5,000.00 $5,000.00 22 L-125 PRECISION APPROACH PATH INDICATOR (PAPI) SYSTEM 4 LS $15,000.00 $60,000.00 23 L-125 RUNWAY END IDENTIFIER LIGHT (REIL) SYSTEM 4 EACH $10,000.00 $40,000.00 24 M-100 MAINTENANCE AND PROTECTION OF TRAFFIC 1 LS $10,000.00 $10,000.00 25 M-150 PROJECT SURVEY & STAKEOUT 1 LS $2,000.00 $2,000.00 26 ---------------------------------------------------------------------------------------------------- M-200 MOBILIZATION 1 LS $23,234.00 $23,234.00 CONSTRUCTION COST $604,084.00 27 ENGINEERING AND ADMINISTRATION W -20X) $120,916.00 PRELIMINARY PROJECT COST -------------- $725,000.00 FISHLITE.WR! Page 1 11/26/90 4 FISHERS ISLANDso D - ELIZABETH / `30 AHD AIRPORT ND FIELD2D AIRPORT ISLAND �`� 30 so40 so LDND ISLAND EBAARSTA D �:Tz \ o / C5, �ilk AIRPORT PROPERTY LRE J \� / / %) \ �� a GLAND BDuwRY It LOCATION MAP 3s' �''`` � �4 • SCALE. I•-7MILES `j p / `E►a ve" � / +t na nI r ��� i J ,� _ / � Cao / � �� tis A u , o o• o. n6 /r // —/ ` ice/ i i is y �.x �. o.• y nI # 1/1 TREES RLMOVED ,PWLSEI aj �' '� i Y L / S<@�'� � � � � / p,EO � r n/ n. .o I: � • u o -a u In T os ni aI x CLEAJ7 2ow L � eT;IUCT PtIR44LL 4"'. D,67� O \\ / /// n' PHA6E J35 *toe Et - -.: f iLxal>5 a `� —'NTS phgSE Rte► +� \� i / �i Oa t EAE\, y J2 - / \,�- . 4 +y •t nI ao ,,� WAY SAFETY -/,\ //' ' a RUN AREA 0.0 S,c J Zan, / E _- . __ _ 2 •A((1Q•' {{ - - ELxr_6 3 _— OBSERVATION D(IBUILDMG O65TRUCTxO1 / %/ pd i ♦ SEG TO BE LOWERED (!q),PIULSE I - . �- / CL AR AFSKRT PROPERTY LICE / i/ \ // • , L RECAYS� ZONE III sA1D 80U+GRY—�/ - / ` - - E W W— °HLSEE LIOER�M .I _ r COASTAL SH'oA 3 I S 5 COASTAL SHOALS _ 6ARSAPO ►wFLATS INSTALL RELS.THRESHCL BARS AIDMUCFLATS BLOCK ISLAND SOUND REAIGK LXixTS B MIRL " EDGE �. i uwTS, PHASE I UfifiS AT PROPERTY LRE SEA MFISLOeA I GLANDeouoRr LIED, ft"C,L, 70 2 UPN CROSSWIND COVERAGE RUNWAY ALL WFATNER 7 35.5% 25 45.6% 7-25 61.3% 12 27.9% 30 ♦7.6% 2-30 75.5% COMBINED 9325% J \ TO B ✓ALE OBSTRUCTION \6 1D E BE LIGHTED.PHASE J PERM, 1919-1976 (81,680 OBSERVATIONS) AT BRIDGEPORT, CONK SOURCE NATIONAL OCEANIC 6 ATMOSPHERIC ADMINISTRATION NATIONAL CLIMATIC CENTER, ASIEVLLE, NORTH CAROLINA REVISIONS FIGURE A•t ELIZABETH FIELD AIRPORT FISHERS ISLAIO, NEW YORK AIRPORT LAYOUT PLAN FILE NO GESIflED TLK �•'• 1GL SEET 2 3 2,,.MCHEMED FPIL � DATE WY, 1966 ' `+ Cabceri w & Spina E.P..m A.C. RUNWAY DATA LEGEND 0 200 .00Ft AIRPORT DATA 200 zoo ITEMS EXISTING FUTURE ETE]+t5 RUNWAY 7-25 RUNWAY 12-30 AIRPORT PROPERTY LINE iMSL SAAE EXISTING FUTURE EXisnNG FUTURE BULGING RESTRICTION UNE MAGNETIC TRUE TRUE NORTH ELMTIM REFERENCE POWT (ARP) LAT. 41-6' 6•N AI- IS'OB•R EFFECTIVE GJUIDIENT MW 0.107 0 OS 0.068 O. IDS EXISTING BUILDMG NORTH— REFEREMCE POI/R (ARP) LOPE' 72.02'0Dti 72- cm, S4•W PERCENT WIND COVERAGE 02 NPN) $1.3% SAYE 75.5% SAYE FUTURE BULpN6 7 MEAN MUD MUM TEMPERATIAE 76•F SAIL PAVEMENT STNEL6TN (OOOLBS.) N/A 12.S (S) N/A 12.S (S) EDGE OF TREES MAGNETIC VARUTICM (r9B6) M•13'19•W SAME APPROACH SLONFACES 20:1 SAME 20:1 SAME CONTOUR LRE AIRPORT NAVADS ADiE NOME RUNWAY LJGNti MIRL MIRL YIRL MIRL LIGHT UNIT -c--__ Ahvxw VIISUAL RUNWAY MARCNMF BASIC SAME BASIC SAME DIRT ROAD M• 13' N• W (1986) WINDCONE SEGMENTED CIRCLE PHYSICAL I.ElIf.7MB WIDTH 2051'. ISO' (ASPH) 1 2100. 15'(ASPH) 2650'. ISO'(ASNI) 2360'.100 (ASPM) ------ —` EDGE OF ISLAND RUNWAY VISUAN_ At 6 NONE PAPI,REL(7,25) NONE PAPI,REIL(12,30) POND REVISIONS FIGURE A•t ELIZABETH FIELD AIRPORT FISHERS ISLAIO, NEW YORK AIRPORT LAYOUT PLAN FILE NO GESIflED TLK �•'• 1GL SEET 2 3 2,,.MCHEMED FPIL � DATE WY, 1966 ' `+ Cabceri w & Spina E.P..m A.C. OMB Approval No. 0348-0043 At -t -11-11A 11UN 1 -UH 2. DATE SUBMITTED Applicant 1dentifier FEDERAL ASSISTANCE 12/11/90 211 1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Applicant Identifier Application Preapplication rX1 Construction F-1 Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier Non -Construction F-1 Non -Construction 5. APPLICANT INFORMATION Legal Name: Organizational Unit: Town of Southold Fishers Island Ferry District Address (give city, county, state, and zip code) Name and telephone number of the person to be contacted on matters involving Town Hall, 53095 Main Road this application (g/veareacodo) P.O. Box 1179 Suffolk County R. Philip Knauff Southold, New York 11971 (516) 788-7463 6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in bob 1 1 -- 6 1 0 1 0 1 3 1 3 1 0 7 A. State H. Independent School Dist B. County 1. State Controlled Institution of Higher Learning C. Municipal J. Private University 8. TYPE OF APPLICATION: D. Township K. Indian Tribe ® New E] Continuation F-1 Revision E. Interstate L. Individual F. Intermunicipal M. Profit Organization If Revision, enter appropriate letter(s) in box(es)[--] F-1 G. Special District N. Other (Specify) A. Increase Award B. Decrease Award C. Increase Duration D. Decrease Duration Other (Specify): 9. NAME OF FEDERAL. AGENCY: Federal Aviation Administration New York Airports District Office 10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: ASSISTANCE NUMBER: 2 O O 1 O 6 TITLE Airport Improvement Program (AIP) PAVEMENT EVALUATION STUDY AIRFIELD LIGHTING (Engineering Design) 12. AREAS AFFECTED BY PROJECT (cities, counties, states, etc.). Fishers Island 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a. Applicant b. Project 2nd 2nd 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE a Federal $ .00 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON 12/11/90 b Applicant $ .00 DATE c State $ .00 b. NO PROGRAM IS NOT COVERED BY E.O. 12372 d Local $ .00 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other $ .00 I Program Income $ .00 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? F-1 Yes It 'Yes,* attach an explanation. ® No g TOTAL $ .00 18 TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a Typed Name of Authorized Representative b Title c Telephone number Scott L. Harris Town Supervisor (516) 765-1800 d Signature of Authorized Repr ntative a Date Signed D G IIA _. (r. 19 I'feVIOUS rUIIIOnS NOT U�aDle Authorized for Local Reproduction Standard Form 424 (REV 4-88) Prescribed by OMB Circular A-102 I DEFfRTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION PART 11 PROJECT APPROVAL INFORMATION Item 1. Does this assistance request require State, local, regional, or other priority rating? Yes X No Item 2. Does this assistance request require State, or local advisory, educational or health clearances? Name of Governing Body Priority Rating Name of Agency or Board Yes X No (Attach Documentation) Item 3. Does this assistance request require clearinghouse (Attach Comments) review in accordance with OMB Circular A-95? X Yes No Item 4. Does this assistance request require State, local regional or other planning approval? Yes X No Name of Approving Agency Date Item 5. Is the proposed project covered by an approved Check one: comprehensive plan? X Yes No Location of plan Item 6. Will the assistance requested serve a Federal installation? OMB NO. 43-RO528 State [ ] Long Island Local [X] Regional Planning Regional [ ] Board Name of Federal Installation Yes X No Federal Population benefiting from Project Item 7. Will the assistance requested be on Federal land Name of Federal Installation or installation? Location of Federal Land _ Yes X No Percent of Project Item 8. Will the assistance requested have an impact or effect See instruction for additional information to be on the environment? provided. Yes X No Item 9. Number of Will the assistance requested cause the displacement of Individuals individuals families, businesses, or farms? Families Businesses Yes X No Farms Item 10. Is there other related Federal assistance on this See instruction for additional information to be project previous, pending, or anticipated? provided. Yes X No FAA Form 5100-100 (6-73) Supersedes FAA FORM 5100-10 PAGES 1 THRU 7 Page 2 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: Elizabeth Field is surrounded on three sides by water, thus runway clear zone areas are over water. The community adjacent to the airport property is a residential vacation area with limited commercial activity. 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: NONE 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 Part V of this Application, either by limiting its legal or financial ability or otherwise, except as follows: NONE 4. 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": PARCEL NO. 1 - Fee Simple *State 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. Page 3a DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION OMB NO. 04-RO209 PART II - SECTION C (Continued) 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": NONE (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": NONE 5. Exclusive Rights. -There is no grant of an exclusive right for the conduct of any aeronautical activiey at any airport owned or controlled by the Sponsor except as follows: NONE *State 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 (4-76) Page 3b TOWN OF SOUTHOLD OPINION OF SPONSOR'S ATTORNEY I HEREBY CERTIFY that all statements of law made in the Project Application and all legal conclusions upon which the representations and covenants contained herein are based, are in MY oainion true and correct. Attorney for Town of Southold (Title) DEC 2' fW.JO (Date) Page 3c UMd ApploveU NO. UJvtl Uu. ) BUDGET INFORMATION -Construction Programs NOTE: Certain federal assistance programs require additional computations to arrive at the federal share of project costs eligible for participation. If such is the case you will be notified. Authorized for Local Reproduction 1).1.•.1.110 1 IC , ^ N„) P'n• nlu•,1 fry OA411 (.n�Om A )U.' COST CLASSIFICATION a. Total Cost b. Costs Not Allowable for Participation c. Total Allowable Costs (Column a -b) 1. Administrative and legal expenses $ $5,464 .00 S .00 S $5,464 .00 2. Land, structures, rights-of-way, appraisals, etc. S .00 S .00 S .00 3. Relocation expenses and payments S .00 $ .00 S .00 4. Architectural and engineering fees LIGHTING DESIGN S $59,389 . 00 S .00 S $59,389 .00 S. Other architectural and engineering fees PAVEMENT STUDY S $59,147 "0 S .00 S $59,147 .00 6. Project inspection fees S .00 S .00 S .00 7. Site work' S .00 S .00 S .00 B. Demolition and removal S .00 S .00 S .00 9. Construction S .00 S .00 S .00 10. Equipment S .00 S .00 S .00 It. Miscellaneous S .00 S .00 S .00 12. SUBTOTAL S $124,000 .00 S .00 S $124,000 .00 13. Contingencies (sum of Imes 1-1 1) S .00 $ .00' S .00 14. SUBTOTAL S .00 $ .00 S $124,000 .00 15. Project (program) income $ .00 S .00 S 00 16. TOTAL PROJECT COSTS (subtract X15 from M 14) $ $124,000 .00 S .00 S $124,000 .00 FEDERAL FUNDING 17. Federal assistance requested, calculate as follows: Enter eligible costs from line 16c Multiply X 90% y. (Consult Federal agency for Federal percentage share). Enter the resulting Federal share. s $111,600 00 Authorized for Local Reproduction 1).1.•.1.110 1 IC , ^ N„) P'n• nlu•,1 fry OA411 (.n�Om A )U.' DEPAPTMENT OF TRANSPORTATION - FFOFRAI AVIATION ADMINISTRATION VMO NO bo-Ro", FAA Form 5100-100 15-73' SUPERScoE', FAA FOPM 5100-10 PAGES I TNRu 7 FANage FAA 7S -02a^_ t SECTION C — EXCLUSIONS 26 Classilicolion Ineligible log Pwticipwion 1 E.cluded Iron Contingency Pro,ision 2 b c_ d_ e, r. g. Totals 1 1 SECTION D — PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE 27. Grantee Share $3,100 a. Securities b. Mortgages c. Appropriations (By Applicant) d. Bonds e. Tax Levies f. Non Cash g. Other (Explain) h. TOTAL — Grantee share 2.51 3,100 28. Other Shares a. State 7.51 9,300 b. Other c. Total Othet Shares 29. TOTAL S $12,400 SECTION E — REMARKS PART IV PROGRAM NARRATIVE (Attach — See Instructions) i — I FAA Form 5100-100 15-73' SUPERScoE', FAA FOPM 5100-10 PAGES I TNRu 7 FANage FAA 7S -02a^_ Attachment 2 Certification for Contracts. Grants. Loans and Cooperative Agreements (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence 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 undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobby Activities", in accordance with its instructions. ( 3 ) The undersigned shall require that the language of this certification be included in the award documents for all subawards 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. Signed,, DateduE C Sponsor's Prouthorized Representative OMS Approved No. 0348-0042 ASSURANCES — CONSTRUCTION PROGRAMS Note: Celrtain of these assurances may not be applicable to your project or program, If you have questions, plgase contact the Awarding Agency. Further, certain federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly!authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistarice, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal interest in the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure nondiscrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifica- tions and will furnish progress reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7 Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statues relating to non-discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin, (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§ 1681-1683, and 1685- 1686) which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794) which prohibit discrimination of the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101-6107) which prohibits discrimi- nation on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 93-255), as amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimi- nation on the basis of alcohol abuse or alcoholism; (g) H 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any other non-discrimination provisions in the specific statute(s) under which application for Federal assistance is being made, and (j) the requirements on anv other non-discrimination Statute(s) which may apply to the application. $tdr_',yrd Farm 1210 A 88) P,escnoed oy CV8 CacLJar A-102 Authorized for Local Reproduction 11. Will contpijr, or has already complied, with the requirenunts of Titles II and III of the Uniform Reloca.ti:�o,m Assistance and Real Property AcquisitYaa Policies Act of 1970 (P.L. 91-646) which provides for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§ 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. §§ 276a to 276a- 7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. § 874), the Contract Work Hours and Safety Standards Act (40 U.S. §§ 327-333) regarding labor standards for federally assisted construction subagreements. 14. Will comply with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. Environmental Policy. Act of .1969 (P.L. 91-190) and,Executive Order (EO) 11514; (b) notification . of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. § 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 19T.4, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P. L. 93-2p5). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. H 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17 18. 15. Will comply with environmental standards which may be prescribed pursuant to -the 19 following: (a) institution of environmental quality control measures under the National Environmental Policy Act'of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and preservation of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. Will comply with all applicable requirements of all other Federal laws, Executive Orders, regulations and policies governing this program. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Town Supervisor APPLICANT ORGANIZATi N DATE SUBMITTED Town of Southold Fishers Island Ferry District 12/11/90 SPONSORi1/�$�jj�ANCES TO ACCOMPOANY APPLICATION OF AIRPORT DEVELOPMENT AID PRfi IrS iS I an& 1l _ abP&EJJeTT OR IMPROVEIfENT OF PORT The Town of Southold (hereinafter referred to as the (Name of Sponsor) "Sponsor") HEREBY AGREES THAT as a condition to receiving any Federal financial assistance from the Department of Transportation it will comply with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 U.S.C. 2000d, 42 U.S.C. 2000d-4 (hereinafter referred to as the "Act"), and all requirements imposed by or pursuant to Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Nondiscrimination in Federally -Assisted Programs of the Department of Transportation --Effectuation of Title VI of the Civil Rights Act of 1964 (hereinafter referred to as the "Regulations") and other pertinent directives, to the end that in accordance with the Act, Regulations, and other pertinent directives, no person in the United States shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Sponsor receives Federal Financiaassistance from the Department of Transportation, including the ederal Aviation Administration, and HEREBY GIVES ASSURANCE THAT it will promptly take any measures necessary to effectuate this agreement. This assurance is required by subsection 21.7(a7(1) of the Regulations. More specifically and without limiting the above general assurance, the Sponsor hereby gives the following specific assurances with respect to this Project Application: 1. That the Sponsor agrees that each "program" and each "facility" as defined in subsections 21.23(e) and 21.23(b) of the Regulations, will be (with regard to a "program") conducted, or will be (with regard to a "facility") operated in compliance with all requirements imposed by or pursuant to the Regulations. 2. That the Sponsor shall insert the following notification in all solicitations for bids for work or material subject to the Regulations and made in connection with this Project Application and, in adapted form in all proposals for negotiated agreements: - The Town of Southold in accordance with (Name of Sponsor) Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 U.S.C. 2000d to 2000d-4 and Title 49, Code of Federal EA Form 5100-31 (12-72) E W Regulations, Department of:Transportation, Subtitle A, Office of the Secretary, Part 21, Nondiscrimination in Federally -assisted programs of the Department of Transportation, issued pursuant to such Act, hereby notifies all bidders that it will affirmatively insure that in any contract entered into pursuant to this advertisement, minority business enterprises will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award. - 3. That the Sponsor shall insert the clauses of Attachment 1 of this assurance in every contract subject to the Act and the Regulations. 4. That where the Sponsor receives Federal financial assistance to construct a facility, or part of a facility, the assurance shall extend to the entire facility and facilities operated in connection therewith. 5. That where the Sponsor receives Federal financial assistance in the form, or for the acquisition of real property or an interest in real property, the assurance shall extend to rights to space on, over, or under such property. 6. That the Sponsor shall include the appropriate clauses set forth in Attachment 2 of this assurance, as a covenant running with the land, in any future deeds, leases, permits, licenses, and similar agreements entered into by the Sponsor with other parties: (a) for the subsequent transfer of real property acquired or improved under the Airport Development Aid Program of the Federal Aviation Administration, and (b) for the construction or use of or access to space on, over, or under real property acquired, or improved under the said Airport Development Aid Program. 7. That this assurance obligates the Sponsor for the period during which Federal financial assistance is extended to the program, except where the Federal financial assistance is to provide, or is in the form of, personal property, or real property or interest therein or structures or improvements thereon, in which case the assurance obligates the Sponsor or any transferee for the longer of the following periods: (a) the period during which the property is used for a purpose for which the Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefits, or (b) the period during which the Sponsor retains ownership or possession of the property. EA Form 5100-31.1 (12-72) 3 8. The Sponsor shall provide for such methods of administration for the program as are found by the Secretary of Transportation or the official to whom he delegates specific authority to give reasonable guarantee that it, other Sponsors, subgrantees, contractors, sub- contractors, transferees, successors in interest, and other participants -of Federal financial assistance under such program will comply with all requirements imposed or pursuant to the Act, the Regulations, and this assurance. 9. The Sponsor agrees that the United States has a right to seek judicial enforcement with regard to any matter arising under the -Act, the Regulations, and this assurance. THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all Federal grants,loans, contracts, property, discounts, or other Federal financial assistance extended after the date hereof to the Sponsor by the Department of Transportation under the Airport Development Aid Program of the Federal Aviation Administration and is binding on it, contractors, subcontractors, transferees, successors in interest and other participants in this ADAP Project Application. The person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Sponsor. DFC ` n DATED Town of Southold (Sponsor) by (Signa ure of Authorized Official) Scott L. Harris Town Supervisor Attachments 1 and 2 EA Form 5100-31.2 (12-72) ATT?,CF-,MENT 1 During the performance of this contract, the contractor, for itself, its. assignees and successors in interest (hereinafter referred to as the "contractor") agrees as follows: 1. Compliance with Regulations. The contractor shall comply with the Regulations relative to nondiscrimination in Federally -assisted programs of the Department of Transportation (hereinafter, "DOT") Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time, (hereinafter referred to as the Regulations); which are herein incorporated by reference and made a part of this contract. 2. Nondiscrimination. The contractor, with regard to the work performed by it during the contract, shall not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The contractor shall not participate either directly or indirectly in the discrimination prohibited by section 21.5 of the_ Regulations, including employment practices when the contract covers a program set forth in Appendix B of the Regulations. 3. Solicitations for Subcontracts, Includi�n1_Procurements of Materials and Equipment. In all solicitations eitner by competitive bidding or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the contractor of the contractor's obligations under this contract and the Regulations relative to nondiscrimination on the grounds of race, color, or national origin. 4. Information and Reports. The contractor shall provide all information and reports required by the Regulations or directives issued pursuant thereto, and shall permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the,sponsor or the Federal Aviation Administration to be pertinent to ascertain compliance with such Regulations, orders, and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish this information the contractor shall so certify to the sponsor or the Federal Aviation Administration as appropriate, and shall set forth what efforts it has made to obtain the information. EA Form 5100-31.3 (12-72) . it 5. Sanctions for Noncompliance. In the event of the contractor's noncompliance with the nondiscrimination provisions of this contract, the sponsor shall impose such contract sanctions as it or the Federal Aviation Administration may determine to be appropriate, including, but not limited to -- a. withholding of payments to the contractor under the contract until the contractor complies, and/or b. cancellation, termination, or suspension of the contract, in whole or in part. 6. Incorporation of Provisions. The contractor shall include the provisions of paragraphs 1 through 5 in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Regulations or directives issued pursuant thereto. The contractor shall take such action with respect to any subcontract or procurement as the sponsor or the Federal Aviation Administration may direct as a means of enforcing such provisions including sanctions for non- compliance: Provided, however, that, in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or supplier as a result of such direction, the contractor may request the sponsor to enter into such litigation to protect the interests of the sponsor and, in addition, the contractor may request the United States to enter into such litigation to protect the interests of the United States. EA Form 5100-31.4 (12-72) 5 .6 ATTACMILEE NT 2 The following clauses shall be included in all deeds, licenses, leases, permits, or similar instruments entered into by the (Name of sponsor) pursuant to the provisions of Assurance 6(a). The (grantee, licensee, lessee,. permittee, etc., as appropriate) for himself, his heirs, personal representatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby covenant and agree (in the case of deeds and leases add "as a covenant running with the land") that in the event facilities are constructed, maintained, -or otherwise operated on the said property described in this (deed, license, lease, permit, etc.) for a purpose for which a Department of Transportation program or activity is extended or for another purpose involving the provision of similar services or benefits, the (grantee, licensee, lessee, permitee, etc.) shall maintain and operate such facilities and services in compliance with all other requirements imposed pursuant to Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Nondiscrimination in Federally -assisted programs of the Department of Transoortation-Effectuation of Title VI of the Civil Ribhts Act of 1964, and as said ReGulations may be amended. (Include in licenses, leases, permits, etc.)* That in the event of breach of any of the above nondiscrimination covenants, (Name of sponsor) shall have the right to terminate the (license, lease, permit., etc.) and to re-enter and repossess said land and the facilities thereon, and hold the same as if said (licenses, lease, permit, etc.) had never been made or issued. (Include in deeds.)* That in the event of breach of any of the above nondiscrimination covenants, (Name of sponsor) shall have the right to re-enter said lands and facilities thereon, and the above described lands and facilities shall thereupon revert to and vest in and become the absolute property of (Name of sponsor) and its assigns. The following shall be included in all deeds, licenses, leases, permits, or similar agreements entered into by (Name of sponsor) pursuant to the provisions of Assurance 6(b). The (grantee, licensee, lessee, permittee, etc., as appropriate) for himself, his personal representatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby covenant and agree (in the case of deeds and leases add "as a covenant running with the land") that (1) no person on the grounds of race, color, or EA Form 5100-31.5 (12-72) 7 national origin shall be excluded from participation in, denied the benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2) that in the construction of any improvements on, over, or under such land and the furnishing of services thereon, no person on the grounds of race, color, or national origin shall be excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination, (3) that the (grantee, licensee, lessee, permittee, etc.) shall use the premises in compliance with all other requirements imposed by or pursuant to Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Nondiscrimination in Federally -assisted programs of the Department of Transportation -Effectuation of Title VI of the Civil Rights Act of 1964, and as said Regulations may be amended. (Include in licenses, leases, permits, etc.)* That in the event of breach of any of the above nondiscrimination covenants, (Name of sponsor) shall have the right to terminate the (license, lease, permit, etc.) and to re-enter and repossess said land and the facilities thereon, and hold the same as if said (license, lease, permit, etc.) had never been made or issued. 4 (Include in deeds.)* That in the event of breach of any of the above nondiscrimination covenants, (Name of sponsor) shall have the right to re-enter said land and facilities thereon, and the above described lands and facilities shall thereupon revert to and vest in and become the absclute property of (Name of sponsor) and its assigns. * Reverter clause and related language to be used only when it is determined that such a clause is necessary in order to effectuate the purposes of Title VI of the Civil Rights Act of 1964. EA Form 5100-31.6 (12-72) • NYS L';MSion of the Budget Slate Capdoi, Albany, NY 12224 ;S1.8j 474-1605 lL k f// L ✓Lu ll =ter f; �a4 ,; /f�C!'�✓ - SS,J�L' Ic3k. C s` i��Si�Wh A THANK YOU FOR SUBMITTING THE ENCLOSED FEDERAL FUNDING APPLICATION TO THE NEW YORK STATE CLEARINGHOUSE FOR INTERGOVERNMENTAL REVIEW. THE NATURE AND/OR MAGNITUDE OF THIS PROPOSAL IS SUCH THAT IT WILL HAVE TOO LIMITED AN IMPACT TO WARRANT A FULL 30 -DAY REVIEW. YOU MAY, THEREFORE, CONSIDER THIS LETTER OF ACKNOWLEDGEIMENT AND DETERMINATION AS EVIDENCE THAT YOU Hn'v'E CO,IPLIED ;.7ITcr GmaTF_T,E«7. FEVIEW REQUIREMENTS; AND YOU MAY PP.ESENT IT AS SUCH TO THE FEDERAL GRANTOR AGENCY. SHOULD YOU HAVE ANY QUESTIONS, PLEASE CALL THE STATE i CLEARINGHOUSE AT THE TELarnvivE .ru::t,c,.. Llr/1LL 7knn�..+.. -. PART V ASSURANCES Airport Sponsors A. General. - 1. These assurances ::nae be compfied with in the perfoararvoe of grant agreements for airport aevelopmertl. airport planning. and noise Z Thew assurances are teugL*ed b be subatitled as partat the Ar'Ojset appli mi , t by pi m*wsdM funds under ihe provisions of the Airport and Airiany li ptovement Ad at 19f!2, as attended by the Airport and Airway Safety and Capacity Expansion Act of 1987. or On Aviation Sabry and Noise Abatement Act of 11779. As used lim the tenni public agency sponsor means a public age cl with aortnd ata pu bili -use airport; dw term private sponsor mew a pd ace owrwr of a pubic -use airport; and the trirrn sponsor includes Public agency Sponsors and prfirate sporwous 3. Upon acceptance of the grant offer by the sponsor nese anunmwaee are inootporatad in and becoutte Part of the grant agreement. 8. Daradon and Appffcabittty. 1. Airport Development or Noise Counpattblthy Progranh Projects Undertaken by a Pubtk Agency Sponsor. The terms, conditions and sssuranonis of the grant agreemaint shall remain in fie force and effect throughout the useful fife of the facilities developed or equipment acquired for an airport development or noose compamlAW program project, or ttmughwut the useful We of the project Marts installed within a facility under a noise compatibility grog atn project. but in any event not b exceed twenty (20) years from the date of aoceptance of a grant otter of Federal hands for the project. However there shall be no limit on the duration of the assurance against exclusive rights or the tan na. conditions, and assurances with respect to real property acquired with Federal hands. Futhetmom. the duration of the Civil Rights assurance shall be as specified in the assurance- 2- Airport Development or Noise Compatibility Program Projects Undertaken by a Private - Sponsor. The preceding paragraph i aiso applies to a private sponsor except that On useful fife of Project Items „stalled within a tadity or the useful tide of facilities developed 4w equo w int acquired under an airport development or noise compat Wiity program project shall be no less Clan 10 years from the date of the acceptance of Federal aid for the project. 3- Alrport Planning Undertaken by a Sponsor. Uniess otherwise specified in the grant agreement„ only Assurances 1. 2. 3. 5. 6. 13. 18.30. 32, 33. 34. and 36 in Section C apply to planning projects- The terms, conditions. and assurances of the grant agreement shall remain in fug kxx* and effect during tt,e life of the Project. C. Sponsor Cardficatfon. The sponsor hereby assures and certifies, with respect to this Tarn that. 1. General Federal Requirements. it will comply with all applicable Federal laws. negutations. executive orders. poticies. guidelines and requirements as they relate to the application. acceptance and use of Federal funds for this project including but not limited to the following: Federal Legislation a. Federal Aviation Act of 1958 - 49 U.S.C. 1301. et seq. b. Davis� Act -40 U.S.C. 276(a). et seq.' C. Federal Fair Labor Standards Act — 29 U.S.C. 201. et seq. d. Hatch Act — s U.S.C. 1501. at Seq. _ e. Uniform Relocation Assistance and Rears Property Acquisition Poici is Act of 1970 - 42 U.S.C. 4601. et seq. r' t. National Historic Preservation Act of 1966 - Section 106 - 16 U.S.C. 470(1). r g. Archeological and Historic Preservation Act of 1974 —16 U.S.G. 469 through 469,---' h. Flood U'rsmier Prowc8on Act of 1973 — Section 102(x) — 42 US.C.4012aa i_ Rehabilitation Act of 1973 - 29 U.S.C. 794. j. Civil Rights Act of 1964 - Tide VI - 42 U.S.C. 2000d through d-4. k Aviation Safety and Noise Abatement Act of 1979. 49 U.&C. 2101. at seq. I. Age Discrimination Act of 1975 - 42 U.S.C. 6101. et seq. M. Archaac'tural Barriers Act of 1968 - 42 U.S.C. 4 15 1. of seq_' n. Airport and Airway Improvement Act of 1982. as amended 49 U.S-C. 2201. of seq. o. Powwe zknt and Industria! Fuel Use Act of 1079 - Section 403 - 2 U.S.C_ 8373. r ,u.a.orr A—urarw. (10--4191 P" 1 d 9 PP -A -i p, Contract Work Hous and Safety Sita wWds Act - 40 U.S.C. 327, et seq. ' q. Copetand Anaicickbadc Act - 18 U.S.C. 874.' r. National Environmental Poficy Act of 1969 - 42 U.S.C. 4321, at seq.' G. Endangered Species Act - 16 U.S.C. 668(a), et seq. 1 t Seigle Audit Ad of 1984 - 31 U.S.C. 7501, et seq. 2 U. Dru -4-tee Wb*plaoe Ad of 1988 - 41 U.S.C. 702 through 706. Executive Orders Executive Order 12372 — as.' V 4wivtnerntai Review of Federal Programs Executive Order 11246 -- Equal Employment Opporta rW r Federal Rwods fort s a. 42 CFR Pat 18 - Unilorin Adminis&vhir a Aequrtemerms for Grants and Cooperative Apreemsrtts a StM and Local Goovernmennts. 3 b. 49 CFR Pat 21- in Federally -Assisted Programs of the Osperunant of Transportations - EffiPm adon of Title VI of the Civil Fbghfa Act of 1964. c 49 CFA Pari 23 - Pi rticipow by Mrionly Buwww Enterprise in Ospare nand of Transportation Programs. d. 49 CFA Part 24 - Uniform Relocation► Assistance and Real Property Acquisition Regulation for Federal and Federally Assisted Programs. 12 e. 49 CFR Part 27 - an the Basic of Handicap in Program and Activities Receiving or Benefiting from Federal Financial Assataunce. I f. 49 CFR Part 29 - Oebarmemi;. Suspensions, and Voluntary Etcdusions. g. 49 CFR Part 30 - Oeniel of Public Works Contracts to Suppliers of Goods and Services of Countries That Oeny Procurement Market Access to U . Contractors_ h. 29 CFR Pat 1- Procedures for Predetermination of Wage Rates.' L 29 CFR Part 3 - Contractors or Subcontractors on Public Buiidngs or Public Works Financed in Whole or Part by Iaans or Grants from U.S. n j. 29 CFR Pat 5 - Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction.' k. 41 CFA Part 60 - Office of Federal Contract Compliance Programs. Equal Employment OpportxxriM. Oepartrr wd of Labra (Federal and Federally-essisted Contracbnp Requirements).' L 14 CFR Part 150 -Airport Noise Compatibility Planning. Office of Hanegemwsnt and Budget Ch=dars a. A-87 - Cost Principles Applicable to Grants and Contacts with State and Local Governments. b. A-128 -Audits of State and Local Governments. 2 These taws do not apply to airport pianninp-sonars- ._- -- 2 These laws do not appy to private sponsors. 1.19 CFR Part 18 and OMS Circular "7 contain requirements for State and local govemments receiving Federal assistance. Any reWmment levied upon State and local governments by this regulation and cinxllat shall also be applicable to private sponsors receiving federal assistance under the Airport and Airway Improvement Art of 1982 as amended. Specific assurance, required to be included in grant agreements by any of the above laws, regulations or ckmiars are incorporated by reference in the grant agreement. 2 Responsibility end Aadwelty of the Sponsor, a. Public Agcy Sponsor: It has legal authority io appy lor the grant, and to fruroe and cant' out the prof wised project that a resolution, motion or sunder action has been duty adopted or passed as • in official act of the appicards governing body ardnorizing the filing of the application, including al understandings and assurances contained therein, and directing and authocuing the person identified as the official representative of the appficarrt to ad in connection with the application and to provide such additional information as may be required. b. Private Sponsor. It has legal authority to apply for the grant and to finance and carry out Shia proposed project and comply with all terms. conditions, and assunmoes of this grant agreement tt shall designate an official representative and shall in writing direct and authorize that person to tie hila appficason, including aff undersran6abgs and assurances contained therein: to act in connection wigs the appkation; and to provide such additional information as may be required. llrgoA Asataar.c..(5489) P.pe 2 ar 9 PP -h-1 2 r-.: t ` 3. Sponsor Fund AveUmbUlty. h has sufficient funds available for that portion of the project costs which are not to be paid by the United States. It has sufficient funds available to assure operation and maintenance of items tended under the grant agreement which it wild own or control. <. Good Title. a. It holds good tide, satisfactory to the Secretary, to the landing area of the airport or site thereof, or will give assurance satistacbry to the Secretary than good title will be acquired. b. For noise compatibility program projects to be carried out on the property of the sponsor, it holds good tide SmWactory to to Secretary to that portion of the property upon which Federal funds wit be exprmded or will give assurance to ria Secretary that good tide will be obtained. s. Preservlrq Rights and Powms. AL it will not take or permit any action which would operate b deprive it of any Of the rights and pisctoossaary to perform try or ad of the terms, conditions. and assurances in the grant agreement without the written approval of the Secretary. and wit aux promptly to aoquire. extinguish or modrly any outstanding rights or claims of right of others which would interfere wM sUdh performance by the sponsor. This snail be doe in a manner aooeptatble to the Secretary b. it will not sed, lease, encumber or otherwise transfer or dispose of any part of Its title or other interests in the property shown on E)6bk A to this application or, for a noise oompambSity program project, that portion of the property upon which Federal funds have been expended, for the duration of the terms. conditions. and assurances in the grant agreement without approval by the Secretary. if the ttartsferse is found by the Secretary to be eligible under the Airport and Airway Improvement Act of 1982 to assume the obligations of the grant agreement and to have the power, autority, and financial resources to carry out all such obligations, the sponsor shall insert in the contract or document transferring or disposing of the sponsor's interest, and make binding upon the transferee, ail of the isms, conditions and assurances contained in this grant agreement. C. For all noise compatibility program projects which are to be carried out by another unit of local government or are on property owned by a unit of local government other than the sponsor, it will enter into an agreement with that gover mem Except as od>,tsrwise specified by the Secretary, Chat agreement chap obligate that government to the same hammer. conditions, and assurances that would be applicable to it d it applied cfrecdy to tie FAA for a grant to undertake tine noise compatibility program project. That agreement and changes thereto must be satisfactory to Cue Secretary. It wig take steps to enforce this agreement against the local government if there is substantial non fiance with the tens of the agreement d. For noise compatibility program projects to be carried out on p rivafefy owned property. it will enter into an agreement with the owner of that property which includes provision's specified by the Secretary. It will take steps to enforce this agreement against the property owner whenever there is substantial non-compliance with the tarns of the agreement. e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary lo ensure that the airport will continue to function as a public -use airport in accordance with these assurances for the duration of these assurances. I. If an arrangement is made for management and operation of the airport by any agency or person other than Che sponsor or an employee of the sponsor. the sponsor will reserve sufficient rights and authority to insure that the airport will be operated and maintained in accordance with the Airport and Airway fmprovemert Act of 1982, the regulations and the terms, conditions and assurances in the grant agreement and shall insure that such arrangement also requires compliance therewith. a. Consistency with Local Ptans. 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 Che project is located 13 plan for the development of the area surrounding the airport For noise compatibility program projects, other than land acquisition. io be carried out on property rat owned by Che airport and over which Property anodes public agency has land use control or authority, the sponsor shall obtain from each such agency a wrimn declaration that such agency supports that project and aha Project is reasonably consistent with the agerr,Ys ptans regarcing the property. 7. Considerstlon of t.,ocat tntereat_ h has given tair consideration ho the interest at communities in or near wbidl the project may be located. Alrport A.sumno"(10-4 9) P.Qe 3 of 9 PP -.A-.1 8. Consuttsdon with Uses in making a decision to undertake any airport development project under the Airport and Airway Improvement Act of 1982, 4 has urxiertaken reasonable consultations with affected parties using the airport at which protect is Proposed. 9. public Hearings. In projects irwoNin9 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. It shaft when requested by the Secretary. submit a copy of the transcript of such hearings to the Secretary. 10. Ak and Water Qudity Standards. In projects involving airport bcs ion, a major runway exlerwk n, or runway location it will provide for the Governor of the state in which the project is located to earthy in wd*V to the Secretary that the project will be located, designed. aonWuelad, and operated so as to coatpiy with applicable si and water quality standards. In any cess where such standards have not been approved and where applicable air and water quality standards have been proamAgated by the Administrator of the Gwironmental Protection Agency. oere6cabort shall be obtained from such Administrator. Notice of certification or refusal to certity.shall be provided within sizly days after the project application has been received by the Secretary. 11. Local ApprovaL In projects involving the construction or exierWm of any runway at any general aviation airport located astride a fine separating two counties within a single stale. it has received approval for the project from the governing body.of all villages incorporated under the laws of that state which are located entirety within five miss of the nearest boundary of the airport 12 Terminal Development Prerequisites. For projects which include terminal development at a public airport, it has, an the data of submitral of the project grant application. of the safety equipment required for certification of such airport under section 612 of the Federal Aviation Act of 1gSS and all the sea" equipment required by rule or regulation, and has provided for aoowm to fie passenger enplaning and deplaning area of such airport b passergets enplanirq or deplaning from a=aft other than air carrier aircraft 13. Accounting Systehn, Audit, and Reeordkeeping Requirements. a. It shall keep of project account and records which fully disclose the amount and disposition by the recipient of the proceeds of the grant, the total Cost of the project in oonnec6on with which the grant is given or used, and the amount and nature of Gnat portion of the coat of Coe project supplied by otter souoes, and such other financial records pettinent to the project The accounts and records shelf be kept in accordance with an accounting system that will facilitate an ef*Ave audit in aooada nce with the Single Ault Act of 1984. b. It shall make available to Che Secretary and the C Krpttoder C.eiieral of the United States, or any of their duty authorized representatives, for the purpose of audit and examination. any books,_.documents, papers, and records of the recipient that are pertinent to the grant The Secretary may require that an appropriala audt be conducted by a recipient. In any case in which an independent audit is made of Cha accounts of a sponsor rotating to Cue disposition of the proceeds of a grant or relating to the projectt in connection with which Coe grant was given or used, it shall file a certified copy of such audit with Che Comptroller General of the United States not later than 6 monnChs following the close of Coe fiscal year for which the audit was made. 14. Minimum Wage Rates. It shell include, in ab contracts in excess of $2,000 for work on any projects funded un ter the grant agreenwU which involve labor, provisions establishing minimum rates of wages, to be predetermined by the Secretary of Labor. in socordance with the Davis4lacon Act, as amended (40 U.S.C. 276x---2763•�. which oontractors shall pay to skilled and uraddled labor. and such minimum rajas shag be sue d in the invitation for bids and dW be included in proposals or bids for the work 15. Veteran'a Prefetrnoe. It shall include, in all contracts for work on any projects funded under the grant agreement which involve labor. such provisions as are neoessary b insure that in Cue employment of labor (except in executive, administrative, and supervisory positions). preference shat be given to veterans of the Vietnam era and disabled veterans as defined in Section 515(c)(1) and (2) of the Airport and Airway knprovemen t Ad of 1982 However, Cris preferen oe shall apply, only, where the individuals are available and qualified io perform the work ti which the employment rotates. Airport A. .r nc-m(10-89) P" 4 of 0 PP -.A-1 4 16. Conformity to Plans and Spacit]cattona. h wig exearte dhe project subject b pians, specifications, and schedules approved by the Secretary. Such pians, specifications. and schedules snail be submitted to the Secretary prior no of site preparation, construction, or other performance under this grant agreement and, upon approval by the Seaetary. sham be incorporated into this grant agreement Any modifications to the approved plans. specifications. and schedules sham also be subject to approval by the Secretary and kyxirpotation kM the grant agreement 17. Construction lnspectfon and Approval it will provide arid maintain competent techi*W supervision at the construction site throughout the project to assure that the work conforms with the plans. speci icadom, and schedules apprared by the Secretary for ttte project; It Shag subject the construction work on any project contained b an approved project appfieadon to inspection at id approval by the Secretary and such watt shag be in aootxda . with tegula5ons and pr a oedtrres prvsarbed by Ute Sectailmy. Sudo regutatioes and prooedurvs shag require arch cost and progress reporting by the sponsor or sponsors uhf such project as the Secretary dhatl dean necessary. is. Ptant"g, Projects. In carrying out plimmitg projects. a. it will erraoute the Ptojeat In accordance with to approved ptogrtsnr narfatiw coremin 3 in the project appfieadw or wish mo6ficadone siniarfy approved b. it will Iurrich the Secretary with such Periotic reports as required partainitg io the plamhg project std planning work activities. c it will include in all published materiel prepared in connection with the planning project a notice that to material was prepared under a grant provided by the United States. d. It will maks such material available for examination by the public, and agrees that no material prepared with finds under this project stroll be subject to copyright it the UnieBd States or arty other country. e. :t will give the Secretary unrestricted authority io pubfish, disclose. distribute, and otherwise use any of the material prepared in connection with this grant I. It will grant the Secretary the right 10 dsapprove the Spon sees employrneat of specific consultants and their subcontractors to do all or any part of this project as well as the right io disapprove the proposed scope and oast of professional services. g. it whit grant the Secretary the right to disapprove the use of the sponsor's employees to do all or any Pat of the Project - h. It understands and agrees that the Secrebuys approval of this project grant or the Secretary's approval of any planning material developed as part of this grant does not constitute or imply any assurance or commmrem on the part of the Secretary ap we an r endvhg or future application for a Federal airport grant 19. Operation and Maintenance. a, it wW suitably operate and maintain the airport and all facilities thereon or connected tfherewith, with due regard to cknabc and flood condtions. Any proposal to temporarily dose the airport for nonaeronautical purposes trust fist be approved by the Secretary. The airport and all taafities which are necessary to serve the aeronautical users of the airport other than !anilides owned or controlled by the United States, shall be operated at all times in a safe and serviceable cortditior and in accordance with the minwmxn standards as may be required or prescribed by applicable Federal, stage and Racal agencies for maintenance and operation. it will not cause or permit any actividj or action thereon which world interfere with its use for airport puipoees. In ftutheranoe of this assurance. the sponsor wiz have in effect ail atm times arrangements for (t) Opera*% the aitpoct s aeronautical 6sdities whenever required; (2) Promptly ma*ing and fighting hazards resulting horn airport conditions, indudng temporary aondtione: and (3) Prompdy notifying aimhen of any condition affecting aeronautical use of the airport Nothing contained herein shall be construed to require that the airport be operated for aeronautical use during temporary periods when snow, flood or other c5matic cor"bons -marfere with such operation and maintenance. Further, nothing herein "I be construed as requiring fie maintenance, repair. restoration, or reptaosment of any structure or tacaity which is substantially damaged or destroyed due to an act of God or other condoon or cir un -stance beyond the control of the sponsor. Airport Assumnc. (10-89) Pampa 5 d 9 PP -A-1 c b- It will suitable operate and maintain noise compatibility program items that it owns or controls upon which Federal funds have been expended - 20- Hazard Removal and YftIgation. It will take appropriab action to asstire that such nd temnai airspace is required 63 prowct instrument and visual oper,U m to the airportas altitudes) will be adequately cleated aProtected by rem. Includinges abed minimum fright otherwise otherwe mitigating eusbng "Port hazarifs and � ° MIc�g. marfcing. or fighting airport hazards. by Preventing the establW neat or crsamon of future 21. Compatible LAnd Uaaa. It oil take reasonable. b restrict the use of � =�` �M � �Oe d � �. b the exlertt and P APases aompaftie with normal adjar�ent b ar in tins innthednata hriV m of the �� b arL"'ks a�dd6on. if dw project is far noise =PO" tea' � rng and takeoA d ain;raft In change in land use. within its tin ,,fi don � Inpmgram g it WN not cause or pence any tenon °O Ay PmWum awasnnss upon which Fedenai 6 m' been e�4gCL of frorndiscrimktsdon. ae Itmaks its airport ia avabis as an akport for public use an fair and reasonable norms and taxhjswt dG=W* don. b ad "ft. kinds. and classes of awanatroeal use& b- in any agmernent Contract, resew a other Wha Vement undw which a dw airport is Ww*pd to any person. *m. acavnY furinshng senrioec b the a corporation b conduct ar engage in any BBronautical Public b the airport, Pithe sponsor will insert and enforce Provisions requiring the eontr� to _ (1) k -x said services on a torr, equal. and not unjustly thereof. and discriminatory basis to all users us (2) charge h r that �• and not urrjusriy dcsa mimicry Pis for each unit or service, ratter may be agowed b make reasonable and nondiscriminatory dacarr %. rebates. or other similar types of price reductions b vokww purchasers. C. Each fixed -based operator at any airport owned by the mor shad be Rtes• I. rentals. and other charges as ars uniformly applicable to a a other fined baste oPerators +Waking the same or similar uses d such facilities. airport and utifang the same a similar d Each err carver using such airport shaft have the right b service itseff or b use arry taper -asci than authorized or Permitted by the airport to serve any air carrier at such ar'� e Eaclh air carrier using such aitport (whether as a tenant, rnontenant or subtenant of another air earner tenant) steal! be subject b such nondrscr natory � �� regulations, oorhdrtions, rates. fees, rentals, and otherY comparable nukes, and substantially related m providing. air as s charges v��rqs ! facilities directly which make similar use Of such are applicable to aG such air carriers airport and wfiich utilize similar facilities. subject to reasonable dass+ficali such as tenants or nontenants and signatory carriers and nonsignatory carriers. Gassihcation or status as tenant or signatory shad not be unreasonably carriers in such provided an "r carWer assumes obligations ons substantiaty similar �d im ��up r classifications or f. ft will not exercise or grant any right or corporation privilege ko which operates to Prevent any Person, firm, or its own employees ee ettua}t on the airpot from perfonhhing any setvicea on its own aircraft with Coosa b pare hg. but not limited b maintenance. repair. and fueling) that it may g. in the event fie sponsor itself exercises any of the rights and assurance. the services involved tePtovxW on the same Conditions��ad 10 a b the furnishing of such services provisions. concessionaires of the sponse under these h• by alThe sponsor may eAirport a � bye equal, and not unjustly dscnmK%" conditions to be met aipousers of the reoe6aary for the safe and efficient operation of the 1- if such The sporha.ar may prohibit - juin arty given type. kind. or class of aeronautical use of the airport action rs necessary kx the safe operation of the acport a reeds of the public. `rY b serve the civil A1rpOrt A... 110-8g) P.Q, a at 9 PP -A-1 23. Exclusive Rights. It will permit no exclusive right for the use of the airport by any persons providing, or intending to provide, aeronautical services to the public. For purposes of this paragraph, the providing of services at an airport by a single fixed -based operator shall not be construed as an exclusive right if both of the following apply: a. It would be unreasonably costly. burdensome, or impractical for more than one fixed -based operator to provide such services, and b. If allowing more than one fixed -based operator to provide such services would require the reduction of space leased pursuant b an existing agreement between such single fixed -based operator and such airport It further agrees that it wit not, either directly or indirectly grant or permit any person, firm or corporation the exclusive fight at the airport, or at any other airport now owned or controlled by it, b conduct any aeronautical activities. inciudng. but not firnited to charter flights, plat ww". aircraft retttd and sightseekV. aerial pWagnaphfl. crop disti+g. &KW advertising and surveying. air cattier operations. aicmft sales and setvioas, sale of aviation petroleum poducta whether or not conducted in conjunction with other aeronautical activity. repair and maintenanos of aircraft; sale of aircratt parte. and any other activities which because of their direct teibioriship b the operation of sirrradi darn be regarded an an aeronautical activity, and that it will w mrwum any exclusive right io corduet an semnaudcal acavrey now existing at such an aipott before the grant of any asseatanoe under the Airport and Airway Improvement Act of 1962 2C F« and Rental Structure. it will maintain a fee and rental structume -. 1 cistent with Assurance 22 and 23, for the tw1fies and services being provided the airport users which wit{ make the airport as wff— sustairi ng as possible under the cirwmstances existing at the particular airport, taking into account such factors as the volume of traffic and economy of collection. No part of the Federal share of an airport development, airport planning or noise compatibility project for which a grant is made under the Airport and Airway improvement Act of 1982. the Federal Airport Act or the Airport and Airway Development Act of 1970 shad be included in the rats base in establishing fees, rates, and charges for users of that airport. 25. Airport Revenue. If the airport is under the control of a public agency, at revenues generated by the airport and any local taxes on aviation fuel established after December 30, 1987, will b3 expended by it for the capital or operating costs of the airport; rte local airport system: or other local facilities which are owned or operated by the owner or operator of the airport and directly and substantially related to the actual air transportation of passengers or property; or for noise mitigation purposes on or off the airport Provided. however, that d covenants or assurances in debt obligations issued before September 3. 19132. by the owner or operator of the airport or provisions enacted before September 3. 1982, in governing statutes controlling the owner or operators financing, provide for the use of the revenues from any of the airport owner or operatoes facilities. including the airport, to support not only the airport but also tfhe airport owner or operator's general debt obligations or other facilities. them this imitation on the use of all revenues generated by the airport (and, in the case of a pubic airport local taxes on aviation fuel) shall not apply. _ 26.- Re�orts and Inspections. It will submit t3—the Secretary such annual or special financial and operations reports as the Secretary may reasonably request For airport development projects, it will also make the airport and ani airport records and documents atfecting tie airport, including deeds, leases, operation and use agreements, regulations and other instruments, available for inspection by any duty authorized agent of the Secretary upon reasonable request- For noise compatibility program projects, it will also make records and documents relating to the project and continued compliance with tthe terms, conditions, and assurances out the grant agreement including deeds, leases, agreements, regulations, and other instruments, available for inspection by any duly authrrized agent of the Secretary upon reasonable request 27. Use of Government Aircrat't It will make available all of the facilities of the airport developed with Federal financial assistance and all those usable for fend6ng and Wwoff of aircraft to the United Stabs for use by Government aircraft in common with other aircraft at all times without charge, except if the use by Government aircraft a substantial, charge may be made for a reasonable share, proportional to such use, for the cost of operating and maintaining the facilities used. Unless otherwise determined by the Secretary. or otherwise agreed io by one spotsor and the using agency, substantial use of an airport by Govemmem aircraft will be considered to exist when operations of such mia are in exomm of those which, in the opinion of the Secretary, would unduty interfere with use of the landing areas by other authorized aircraft, or during any caler>dar month that Alrpat A—urv.c"(10--89) Pope 7 of 9 PP -A -t 7 i_— a. Five (5) or more Government aircraft are regularfy based at the airport or on land adjacent dierew: or b. The total number of movements (counting each landing as a crwvernent) of Government aircraft is 300 or more, or the gross aoaarrwlatnre weight of Government aircraft using the airport (the total movements of Government aitctaft rtudtiplied by gross weights of such aircraft) is in excess of five a0ion pounds. 2& land for Federal FadCdes. ft wS furnish without cost b the Federal Goaemtrnenc for use in Connection with any ail trafic control or air navigation activities„ or weather -reporting and conrnunicabon ScOvities .*fated b air traffic oonmdk any areas of lard or water. or estate therein, or rights in buildings of the sponsor as dw Sammy considem raaeesary or desirable for oorariction, operation. and makdonance at Federal expense of spruce or taoiaies for such purposes. Such areas or arty► portion thereof will be made available as provided herein wilftit four atonnd after tersipt of a wtittenn request frart the Seaeary. 2tt. Airport layout Plan. a. It will keep up b dots at all Burnes an shport tryout pion of the airport stowing (1) bouundarfes of tits airport surd tip proposed additions thsrsto, wgeltrer with the boundaries of all ofisae areas owned or conkoled by ttw sponsor for airport purposes and proposed additions tfte . (2) the location and nasus of ar erasing and proposed airport hwftes and structures (such as runways tamwaya, aprons, terminad buildings. hams and roads). irickidir+g all aid exmettsions and reductions at amoing airport baci&dm-. and (3) the location of all existing and proposed nonaviation areas aid of an existing improvements thereon. Such airport layout plan and each amendment, revision, or Crux icatioru thereot. shall be subject to the approval of the Secretary which approval shall be evidenced by the signature of a duly authorized representative of the Seas>ary an the face of the airport layout plan. The sponsor will not shake or permit any charges or atterations in the airport or in any of its facilities whish ars not in conformity with the airport taymn plan as approved by the Secretary and which might, in the opinion of to Secretary. adversely affect the safety. utility. or efficiency of the airport b. n a change or attaration in the airport or its facilities is made which the Secretary determines adversely affects the safety. utility, or efficiency of any federally owned, leased, or funded property at or off the airport and which is not in confornnity with the airport layout pian as approved by the Secretary, the owner or operator will. if requested by the Secretary (1) eliminate such adverse effect in a manner approved by the Secretary: or (2) bear all costs of relocating such property (or replacement thereof) to a site sooeptabie b the Secretary aid all costs of restoring such property (or replacement thereof) to the level of safety. utility. efftiawxry. and cost of operation existing before the unapproved change in the airport or its facilities. 30_ CIA Right: It will comply with such rules as am promulgated to assure that no person shall, on the grounds of rake, creed, color, national origin, sex, age, or handiicap be excluded from participating in any a trvrry conducted wqh or benefiting from funds received from this grant This assurance obligates the sponsor for the period during which Federal finta nciai assistance is extended to the program, except where Federal financial assistance is to provide. or is in Ute form of personal property or real property or interest therein or structures or improvements thereon, in wtuch case the assurance obligates the sponsor or any transferee for the longer of the following periods: (a) the period during which the property is used for a purpose for which Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefas or (b) the period during which the sponsor retains ownership or possession of the property. 31_ Disposal of land a. For land purchased under a grant before. on. or after December 30. 1987, for airport noise compatibility purposes, it will dispose of the land. when the land a no longer needed for such purposes, at fair market value at the earliest practicable time. That portion of the proceeds of such disposition which K popatiatate to rtte United States share of acquisition of such land will, at the discretion of the Secretary. 1) be paid to the Secretary for deposit in the Taut Fund or 2) be reinvested in an approved noise compatibility project as prescribed by hire Secretary. b. For Land purchased for airport purposes (other than noise compatibility) under a grant before, on, or after December 30, 1987, it will, when the land is no larger needed for airport purposes, dispose of such land at fair manfret value. That portion of the proceeds of such disposition, which is proportionate to the United States share of the cosi of acpuis6on of arca land will be paid to the Sea'etary for drips" in the Tnrst Fund. Airport P" a of 9 PP -A-1 8 t Ori C. Disposition of such land under a_ and b, above wdl be subject to the retention or reservation on arty interest or right therein necessary to ensure that such land wig onty be used for purposes which are compatible with noise levels associated with the operation of the airport 32 Engineering and Dealgn Services. It will award each contract or sub --contract for program managemenk construction management, planning stxAas, feasibility studies, arcfhitemral services, Prefirniriary engineering. design. engineering. surveying. mapping. or related services with respect b the project in the same manner as a contrail for architectural and engineering services is negotiated under tide IX of the Federal Property and Administrative Services Act of 1949 or an equivalent quaifm=dkww_ Based requirement prescribed for a by the sport<sor of the airport 33. Foreign Market Restricdoem It will not allow lords provided under this grant b be used b fluid any project which us" any product or service of a foreign cotmtry dxkV the period in which such foreign oountry Is fisted by to United Status Trade Papnmw adve as denying fair aid equitable marital oppor>Lnit s for products and suppliers d the United States in M=98nwM and oonstrh,cbon. x PoOckM Standards, and SpecMcatbna. It will cern/ out the project In accordance with Follett starhdards. and gvdfhcatiom approved by ttw Seaetwy ihcktdrng but not united lo ttw advisory &culam listed in the Cured FAA Advisory Circulars for AIP Projects. dated --* - aid ihduded In this grant, and in s000nfance wilt applicable state Policies, ssardamds. aid speabcabois approved by the Secretary 35. Relo"don and Heal Prop" Acgcddtfom (1) it wit be guided in acquiring real Map" to rhe greatest exkwd prad cable under State law. by the land aaquhsition poicm in Subpart 8 of 49 CFR Part 24 and win pay a tehmburse property owners for necessary expenses as speafied in Subpart B. (2) it will provide a relocation assistance program offering the services descn'bed In Subpart C and fair and reasonable r+ebcabw payments and assistance to despiaced persons as required in Subparts D and E of 49 CFR Part 24. (3) It wig make available within a reasonable period of time prior to displacement comparable replacement dwellings to displaced persons in accordance with Subpart E of 49 CFR Part 24. 3& Drug -Fres Workplace_ It will provide a dn*-Im workplace at the site of work specified in the grant application in accordance with 49 CFR Part 29 by (1) publishing a statement notifying its employees that the unlawful manufacture, distribution. disperming. possession or use of a controlled substance is prohibited in the sponsor's workplace and specifying the actions that will be taken against its employees for violation of such prohibition; (2) estabfishirg a dui -free awareness program to inform its employees about the dangers of drug abase in the workplace and any available drug counseling. rehabilitation, and employees assisianoe programs; (3) notifying the FAA within ten days after receiving notice of an employee criminal drug statute Motion for a violation ooaMing in ft workplace; and (4) making a good faith effort to maintain a doth¢ -flee workplace. * gated July 18, 1990 Aarvort A oL vr,a..r t 0-991 Pane 9 of 9 - - PLAN sed.: 1"= 200 Ir cH�wu ori rAOE •�� •••••�•�Fm NO ALTERATION PERMITTED HEREON EXCEPT AS PROVIDED UNDER SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW REVISIONS TOWN OF SOUTHOLD FISHERS ISLAND, NY ELIZABETH FIELD AIRPORT EXHIBIT "A" 'I I�4S(:�BbCe(I()OS &Spina Eng.n . P C. DATE: 3UCY 1088 SHEET 40. OF SCALE: AS SHOWN FILE Na 211.001 c 1 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 11, 1988 Francis P. Kulka, Airport Planner Calocerinos S Spina Engineers, P. C . 1020 Seventh North Street Liverpool, New York 13088 Re: Pre -applications for Assistance FY 1989 Dear Mr. Kulka: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TELEPHONE (516) 765-1801 Transmitted herewith are three (3) fully executed pre -applications for assistance for Federal Fiscal Year 1989 for Elizabeth Field. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (3) cc: R. P. Knauff, :FI Ferry Dist. I JUDITH T. TERRY TOWN CLERK REGISTRAR OI VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 9, 1988: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Francis J. Murphy to execute three (3) Pre -applications for Federal Assistance for Federal Fiscal Year 1989 for Elizabeth Field, Fishers Island: (1) Fishers Island Airport Runway 12-30 Reconstruction; (2) Fishers Island Airport Obstruction Lighting and Runway Landing Safety Area; (3) Fishers Island Airport Runway 12-30 Edge Lighting; all in accordance with the approval of Town Attorney Schondebare. Judith T. Terry Southold Town Clerk August 10, 1988 .JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS 7 a ' of THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971 TELEPHONE (516)765-1801 July 28, 1988 117 JAY: O a Please review. Don't we need the usual SEQR resolutions, as well as the one to execute the Pre -applications for Assistance? I � f c Calocerinos & spina Engineers. P.C. Mr. Francis J. Murphy, Supervisor Town of Southold Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 Dear Mr. Murphy: July 15, 1988 06d' - N&& 20 &eww oIJ ' Re: Pre -applications for Assistance FY 1989 File: 211.001 Enclosed are three (3) pre -applications for assistance for Federal Fiscal Year 1989 for Elizabeth Field. The three projects have developed from our discussions with the Fishers Island Ferry District and represented the first series of projects to be implemented upon approval of the Airport Layout Plan by the Town. Please sign all three pre -applications on the clipped pages and return to our office. We will submit them to the Federal Aviation Administration and the New York State Department of Transportation and return a copy to your office for your files. If you have any questions or need any additional information, please let me know. Very truly yours, CALOCERINOS & SPINA ENGINEERS, P.C. Z4A Francis P. Kulka Airport Planner FPK:jmw Enclosure cc: Phil Knauff - Fishers Island Ferry District "20) Seventn Noah. Street, Liverpool, N',' 1 X15) 457-671 July 8, 1988 Mr. Robert Mendez Manager, NY -ADO Federal Aviation Administration Fitzgerald Federal Building J.F.K. International Airport Jamaica, NY 11430 Re: Fishers Island Airport Runway 12-30 Edge Lighting Subj: Preapplication Supporting Documentation Dear Mr. Mendez: In support of our request for Federal Funding on the above -referenced project, the Town of Southold provides the following statements: Protect Narrative Statement Description: The project includes the installation of a medium intensity runway edge lighting system on Runway 12-30. Also included is the installation of a rotating beacon, illuminated wind cone, airfield lighting pilot control system and electrical vault. Justification: The project will define the edge of pavement to allow safe and efficient operations during night and periods of low visibility. The existing lighting system is in poor condition and is unreliable. Runway Grooving Statement Fishers Island - Elizabeth Field is a general aviation utility airport consisting of two runways. Runway 12-30, the primary runway, is 2,500 feet long and crosswind runway 7-25 is 1,900 feet long. Aircraft currently operating at the airport are primarily single and light multi -engined aircraft. Activity by larger aircraft such as the F-27 do exist, however, it is minimal. The runway pavement surfaces are generally in poor condition, however, the Town did apply an asphalt slurry seal coat in 1985 to protect the surface from further deterioration. The runway pavement surface condition is such that grooving at this time may cause further deterioration and actually risk destroying its present marginal condition. The Town will reconsider grooving of the runway in the future at such time as the pavement surfaces are rehabilitated. Mr. Robert Mendez July 8, 1988 Page 2 Coordination Statement The Town of Southold confirms that Operators at the Fishers Island Airport have been consulted and are aware of the proposed development project. Displaced Persons Statement The airport project proposed in this aid application does not involve the displacement or relocation of persons residing on land needed for such development. Specific Opposition Statement The Town of Southold is not aware of any significant community opposition to the proposed project. Negative Environmental Declaration Statement Re -construction of the Runway 12-30 edge lighting at Elizabeth Field will require cable trenching equipment as well as trucks to haul materials to and from the job site. The trucks used to haul material to the job site will not significantly interface with normal traffic patterns. The distance between the area of proposed construction and developed residential area(s) is sufficient to dissipate the impact of construction noise. Soil erosion resulting from the construction operation into undisturbed areas is expected to be minimal, however, it will be further limited by requiring the Contractor to comply with contract provisions for environmental protection as well as State and local environmental regulations. On the basis of these, the other pertinent factors associated with the project, the Town of Southold concludes that the proposed development work included in this request for aid for Fishers Island Airport will not be controversial on environmental grounds; will not affect the ambient noise level; will not displace persons residing on land needed for such development; will not have a significant aesthetic or visual effect; will not divide or disrupt an established community or divide existing use areas; will not have any effect on areas of unique interest or scenic beauty; will not destroy or derogate from important recreational areas; will not alter the pattern of behavior of a species; will not interfere with important wildlife, breeding, nesting or feeding grounds; will not increase air or water pollution; and will not affect the water table of the area. We are not aware of any objections of Federal agencies or State or local bodies in respect to the environmental aspects of this project. Mr. Robert Mendez July 8, 1988 Page 3 The Town of Southold has a long-standing and vital concern for and interest in the protection and enhancement of the quality of the environment in the region, particularly at its facilities and in areas adjacent to its facilities. It is the studied judgement of the Town of Southold that the development work included in this application for aid is fully consistent with the concern for environmental enhancement and protection. Summary The above statements are provided with and form a part of our application for the referenced project. We will promptly answer your questions or provide additional information upon request. FJM:FPK:jmw A� FEDERAL ASSISTANCE Z �s 1. TYPE C a x APPLI. CATKNr ❑NOTICE OF OdTEIYT (OPTIONAL IDE SUBMISSKIH LL LOCAL FFIER� A(awA ay. e PREAPPLICATION /r.F+rr ❑ APPLICATION L.Yar �Ak a NUMBER 3 STATE a NUMBER APPLI- CATION DENT). FIER 0. DATE rw 00" NOI - TG nI D• DATE ASSIGNED SSIGNED 1s 88 8 1 1 5Y9TAT2 u raw ahead Vj t. LEGAL 0ftJCANT/RECIPIENT S EMPLOYER IDENTIFICATION NUMBER (EIN) aAoow*Nsew . . Town of Southold 11-600-3307 f.orparm>bnur4 • Fishers Island Ferry Distirct Q C. SVWVP.a BoxXH PRO- a NUMBER 2 0 4L Coy • Fishers Island ' aCounw . Suffolk GRAM ( ( 1- 11 1 0[2 `S`m . New York azPcoe< 06390 ffmmCF" MuLT1PLE0 "Cor aaPsm (Now tL im Airport Improvement ArekpAaaeNa) . Mr. Robert P. Knauff (516) 788-7463 Program AIP 7. TrLE OF APPLICANrs PROJECT Ww secoon IV of on form 10 Prow" a ounwnrr Of ew F`Y OF APPLICANT/RECIPIENT Runway 12-30 Edge Lighting g Town A AREA OF PROJECT IMPACT X. aWaraes 10. ESTIMATED NUMBER 11. TYPE OF ASSISTANCE OF PERSONS BENEFrnNG awe amm 0_0=0� Fishers Island, New York aww a-com y,wraa,m. PUN 12 PROPOSED FUNDING 113. CONGRESSIONAL DISTRICT'S OF. u TYPE OF APPLICATION L FEDERAL i .00 - a APPLICANT 0. PROJECT e. APPLMj1NT o0 2nd - 2nd c STATE .00 1& PROJECT START I& PROJECT. I LOCAL .00 DATE raw .woad day DURATION ,e 89 4 1 6 V. OTHER .001 I& DATE DUE TO raw aweaaA day I. TOW (s AO FEDERAL AGENCY . 1$ 88 8 1 . 12. FEDERAL AGENCY TO RECEIVE REOUEST Federal Aviation Administration a "W-1-7AT UNIT PF APPRTE) 0. Ar INISTRAT CONT F 6-40""O•diwaan . �► �e raw 17. TYPE OF CNANW /fir 1*arW �aeromr Comm r -on. of sco* ►.a+� Comm N / A arm..ane. • r+n.+ra.w New YorK Airports �i strict Of_f ice tir. Robert Mendez C_ADCAESS Fitzgerald Federal ui Ing, Koom JjZ JFK International Airport Jamaica, New York 11430 22. To ew Cea of nrr lu,w�lwp. ano DoW. a YES. THIS NOTICE OF INTE rAPPL THE assn in Im is presopscaooWavoicaoon EXECUTIVE ORDER Vj2 pgjjjjQCESS FOR REVIEW C t AFPLr_Amr am vw aha ooffem en aoaxrwm has DATE � CERTIFIES been dup arJ homed M 111E W�TMq THAT► Door of er Womm and era aooucsnt ed =Wd u lh Va astaulaa asoxanoas 0. NO. PROGRAM IS NOT COVE BY EO. 12272 ❑ Y ew asewance is approved OR PROGRAM HAS NOT BEEN SELECTED TE.F 23. a TYPED NAME AND TITLE D, CEPRE. 4G REPREFrancis P. Murphy, Supervisor ' SENTATIVE Town of Southold1 _�44' 24. TION rawew+A irr 25. FEDERAL APPLICATION DENTIF / C L WffHDRAWN I L TOTAL 13 I row alum* 4f 129. -ACTION DATE► 11 S .00 31. CCKTAGT FOR ADDITIONAL INFO .00 T1014 (N&nw aW rigArr .umber/ .00 .00 .00 ir�• 20. EXISTING FEDERAL GRANT IDENTIFICATION NUMBER N/A V. REMARKS ADDED ElYes X No AVAILABLE TO THE STATE �MIFICJI7KIN 30. STARTING r er .o.aiA Ire DATE y UN0ING Er..r an*" Ier DATE It 33. REMARKS ADDED ❑ Yea ❑ NO %SN ?SAO -41-0011-4162 - - - 424-103 STANDARD FORM ata PA3E I lAw 4.041 P"EVIOUS EDITION IArnsoy h OMI Cresam► w_/y S NOT USABLE 27. ACTION TAKEN 21L F C a x O a AWARDED O IL REJECTED (3 c. RETURNED RA AMENDMENT O t RETURNED FOR E.O. 12372 SUBMISSION BY APPLICANT TO STATE C e DEFERRED a FEDERAL p. APPLICANT C. STATE LL LOCAL •. OTHER C L WffHDRAWN I L TOTAL 13 I row alum* 4f 129. -ACTION DATE► 11 S .00 31. CCKTAGT FOR ADDITIONAL INFO .00 T1014 (N&nw aW rigArr .umber/ .00 .00 .00 ir�• 20. EXISTING FEDERAL GRANT IDENTIFICATION NUMBER N/A V. REMARKS ADDED ElYes X No AVAILABLE TO THE STATE �MIFICJI7KIN 30. STARTING r er .o.aiA Ire DATE y UN0ING Er..r an*" Ier DATE It 33. REMARKS ADDED ❑ Yea ❑ NO %SN ?SAO -41-0011-4162 - - - 424-103 STANDARD FORM ata PA3E I lAw 4.041 P"EVIOUS EDITION IArnsoy h OMI Cresam► w_/y S NOT USABLE DEPARTMENT OF TRANSPORTATION • FEDERAL AVIATION ADMINISTRATION PREAPPLICATION FOR FEDERAL ASSISTANCE PART II 1. Does this assistance recuest require State, local, regional or other priority rating' Yes X No 2. Does this assistance require State or local advisory, educational or health clearances Yes X No 3. Does this assistance request require Clearinghouse review? ' X Yes No 4. Does this assistance revuest ieSulre State, local, regional or other planning approvals Yes X No 5. Is the proposed project covered by an approved comprehensive plan? X Yes No 6. Will the assistance requested serve a Federal installations Yes X No 7. Will the assistance reouested be on Federal land or installations Yes X NO E. Will the assistance recuested have an effect on the environment? Yes X 'Jo 9. Will the assistance recuestec cacse the' spiace le7i; cf (ndividuais. fa -;hes. businesses. Yes X 10. Is there other related assistance for this project prev!ous, pending, or anticlpated0 Yes x— No PART 111 — PROJECT BUDGET 0" a FE0E'4AL _A-ALOZ; NUMBER toy TNPE OF ASSISTANCE LOAN GRANT, ETC. (b! FIRST 9UDGET PERIOD (c' 3A_ANCE OF PROJECT id) TOTI e 1' 20.102 Grant $379,000 $379,000 2. i 3. 4. 5. ( ;,.Total Federal Contribution i S 341,100 S IS 341 ,I OC i 7. State Contribution I 2.8,425 Z8 42� I 9. Applicant Contribution 9,475 I� I f 9,47 9. Other Contributions i I 10. Totals S + S , S 379,000 379,OC PART IV — PROGRAM NARRATIVE SOfATEMENT (Anoch per insrfwctson) FAA Form 51DO-0 16-73 SUPERSEDES FAA FORw $130.3 ' PRELIMINARY COST ESTIMATE ELIZABETH FIELD AIRPORT 211.001. FISHERS ISLAND, NEW YORK -------- RUNWAY 12-30 EDGE LIGHTING 06/30/88 ITEM FAA UNIT NO. SPEC NO. DESCPIPTION QUANTITY UNITS PRICE TOTAL 1 P-612 FIELD OFFICE I LS $10,000.00 $10,000.00 2 L-101 AIRPORT ROTATING BEACON, IN PLACE 1 LS 545,000.00 $45,000.00 3 L-107 12 -FOOT WIND CONE I EACH $7,500.00 $7,500.00 4 L-108 CABLE TRENCHING FOR THE INSTALLATION OF UNDERGROUND CABLE 9,500 LF $6.00 $57,000.00 5 L-108 NO. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR UNDERGROUND CABLE INSTALLED IN TRENCH 11,700 LF $1.00 $11,700.00 6 L-1_08 NO. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR UNDERGROUND CABLE INSTALLED IN DUCT 1,200 LF $1.00 $1,200.00 7 L-108 NO. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR UNDERGROUND CABLE INSTALLED IN TRENCH 9,500 LF $1.00 $9,500.00 8 L-108 NO. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR UNDERGROUND CABLE INSTALLED IN DUCT 3,100 LF $1.00 $3,100.00 9 L-1:08 NO. 8 AWG, BARE COPPER COUNTERPOISE WIRE INSTALLED IN TRENCH INCLUDING GROUNDING RODS AND EXOTHERMIC CONNECTIONS 9,500 LF $1.00 $9,500.00 10 L-109 INSTALLATION OF AIRPORT TRANSFORMER VAULT EQUIPMENT, IN PLACE 1 LS $25,000.00 525,000.00 11 L-109 INSTALLATION OF TRANSFORMER VAULT SERVICE rftTRANCE 1 LS $$,000.00 .5,000.00 12 L-112 TRANSFORMER VAULT 1 LS $50,000.00 $50,000.00 13 L-110 2 -INCH DIAMETER RIGID STEEL CONDUIT. INSTALLED IN PAVEMENT 1,600 LF $15.00 $24,000.00 14 L-125 !E-DIUM INTENSITY RUNWAY EDGE LIGHTS, STAKE MOUNTED, IN PLACE 43 EACH $500.00 521,500.00 15 L-125 F' DIUM INTENSITY RUNWAY EDGE LIGHTS, BASE MOUNTED, IN PLACE 4 EACH $800.00 $3,200.00 16 L-125 REMOVAL OF EXISTING RUNWAY EDGE LIGHTS 25 EACH $100.00 $2,500.00 17 L-125 RUNWAY END IDENTIFIER LIGHT (REIL) SYSTEM 1 LS 520,000.00 $20,000.00 18 L-125 I.D. TAGS FOR LIGHT UNITS 47 EACH $20.00 $940.00 19 M-100 MOBILIZATION 1 LS $9,199.20 $9,199.20 ------------------------------------------------------------------------------------------------------- TOTAL ESTIMATED CONSTRUCTION COST $315,839.20 20 ENGINEERING AND ADMINISTRATION (+/-20X) $63,160.80 TOTAL ESTIMATED PROJECT COST -------------- $379,000.00 FISH3.WRI Page 1 A- 07/14/88 [BZM-TA'P RQU RSV AQUnT»T CTitCbMS"M DLS(Zm� `{ Airport Name: Fishers Island/Elizabeth Field Location: Fishers Island, New York Project No. (If Applicable): It appears from a cursory review of the proposed action, which consists of providing runway edge lightina (MTRI 1 , that such action may be categorically excluded from the requirement of a formal federal environmental finding. In order for FAA to determine the appropriate course of action, it is necessary to certify that none of the following conditions apply to the proposed action. In accordance with the criteria contained in FAA Order 5050.4a, this action is not: a. An action that is likely to have an effect that is not minimal on properties protected under Section 106 of the Historic Preservation Act of 1966, as amended, or Section 4 (f) of the DOT Act. b. An action that is likely to be highly controversial on environmental grounds. A proposed Federal action is considered highly controversial when the action is opposed by a Federal, state or local government agency or by a substantial number of the persons affected by such action on environmental grounds. c. An action that is likely to have a significant impact on natural, ecological, cultural, or scenic resources of national, state, or local significance, including endangered species, wetlands, floodplains, coastal zones, prime or unique farmland, energy supply and natural resources, or resources protected by the Fish and wildlife Coordination Act. d. An action that is likely to be highly controversial with respect to the availability of adequate relocation housing. In an action involving relocation of persons or business, a controversy over the amount of the acquisition or relocation payments is not considered to be a controversy with respect to availability of adequate relocation housing. A� 2. e. An action that is likely to: (1) Cause substantial division or disruption of an established community, or disrupt orderly, planned development, or is likely to be not reasonably consistent with plans or goals that have been adopted by the community in which the project is located; or (2) Cause of significant increase in surface traffic congestion. f. An action that is likely to: (1) Have a significant impact on noise levels of noise sensitive areas; (2) Have a significant impact on water quality or contaminate a public water supply system; or (3) Have a significant impact on air quality or violate the local, state or Federal standards of air quality; (4) Be inconsistent with any federal, state, or local law or administrative determination relating to the environment. FIX rport Operator Town of Southold By: Supervisor Francis J. Murphy New York ADO August 1987 k- 7/15/88 Date ,• F Agency Ccmpliance Statement State Environmental Cuality Review In accordance with the rules, regulations and procedures adopted by the Town of Southold (Nam of bki:cipal Corporation) pursuant to the intent of the State Environmental— QQiality Review Act, the project described below is classified as a: .Qbeck One D Type I Aeti cn Vpe IY Action Ministerial Action Exent Action D Not Classified , Pro3ect Descr;rtic-z Project involves replacing existing runway lights on Runway 12-30. Existing lights are showing signs of corrosion and wear. Title 7/15/88 Date July 8, 1988 Mr. Robert Mendez Manager, NY -ADO Federal Aviation Administration Fitzgerald Federal Building J.F.K. International Airport Jamaica, NY 11430 Re: Fishers Island Airport Runway 12-30 Reconstruction Subj: Preapplication Supporting Documentation Dear Mr. Mendez: In support of our request for Federal Funding on the above -referenced project, the Town of Southold provides the following statements: Project Narrative Statement Description: The project involves the reconstruction of Runway 12-30 2360' x 100' and providing paved runway safety areas of 240' beyond each runway end. Justification: Runway 12-30 serves as the primary runway for Elizabeth Field. The pavement is in poor condition and needs to be reconstructed to ensure the safe operation of the facility. Runway Grooving Statement Fishers Island - Elizabeth Field is a general aviation utility airport consisting of two runways. Runway 12-30, the primary runway, is 2,500 feet long and crosswind runway 7-25 is 1,900 feet long. Aircraft currently operating at the airport are primarily single and light multi -engined aircraft. Activity by larger aircraft such as the F-27 do exist, however, it is minimal. The runway pavement surfaces are generally in poor condition, however, the Town did apply an asphalt slurry seal coat in 1985 to protect the surface from further deterioration. The runway pavement surface condition is such that grooving at this time may cause further deterioration and actually risk destroying its present marginal condition. The Town will reconsider grooving runway 12-30 as part of the project. Mr. Robert Mendez July 8, 1988 Page 2 Coordination Statement The Town of Southold confirms that Operators at the Fishers Island Airport have been consulted and are aware of the proposed development project. Displaced Persons Statement The airport project proposed in this aid application does not involve the displacement or relocation of persons residing on land needed for such development. Specific Opposition Statement The Town of Southold is not aware of any significant community opposition to the proposed project. Negative Environmental Declaration Statement Re -construction of the Runway 12-30 pavement at Elizabeth Field will require excavating and paving equipment as well as trucks to haul materials to and from the job site. The trucks used to haul material to the job site will not significantly interfere with normal traffic patterns. The distance between the area of proposed construction and developed residential area(s) is sufficient to dissipate the impact of construction noise. Soil erosion resulting from the construction operation into undisturbed areas will be limited by requiring the Contractor to comply with contract provisions for environmental protection as well as State and local environmental regulations. On the basis of these, the other pertinent factors associated with the project, the Town of Southold concludes that the proposed development work included in this request for aid for Fishers Island Airport will not be controversial on environmental grounds; will not affect the ambient noise level; will not displace persons residing on land needed for such development; will not have a significant aesthetic or visual effect; will not divide or disrupt an established community or divide existing use areas; will not ha.ve any effect on areas of unique interest or scenic beauty; will not destroy or derogate from important recreational areas; will not alter the pattern of behavior of a species; will not interfere with important wildlife, breeding, nesting or feeding grounds; will not increase air or water pollution; and will not affect the water table of the area. We are not aware of any objections of Federal agencies or State or local bodies in respect to the environmental aspects of this project. Mr. Robert Mendez July 8, 1988 Page 3 The Town of Southold has a long-standing and vital concern for and interest in the protection and enhancement of the quality of the environment in the region, particularly at its facilities and in areas adjacent to its facilities. It is the studied judgement of the Town of Southold that the development work included in this application for aid is fully consistent with the concern for environmental enhancement and protection. Summary The above statements are provided with and form a part of our application for the referenced project. We will promptly answer your questions or provide additional information upon request. Very Ordiy,, y10 u,/s J/19urphy r Southold FJM:FPK:jmw M FEDERAL ASSISTANCE t �S a NUMBER a STATE APPLJ- APPL!• CATION 1. TYPE CATION CENTI. of ❑ NOTICE OF rnva (OPTIONAL) DENT(- n DATE FiER MISStoH ®PREAPPLIC►TiON FiER rear /wse4 'icy � To as '� - ASSIGNED PW10- APPLICATION 19 88 8 1 DIT STATZ a NUMBER Aopro"I No. 0346.0006 raw awwe4 b 19 Loom di.A A. LEGAL APPUC NTIRECIPIENT 0. EMPLOYER IDENTIFICATION NUMBER MN) aApplieArRwme . Town of Southold 11-600-3307 0.OrpwamnUrA . Fishers Island Ferry District a eSWWVP.o.Box • P.O. Box H PRO- a NUMBER (2 101 • 11 ( 012 dG" • Fishers Island a.c mw . Suffolk GRAM t S"ta " . New York a 2ip codc 06390 Wmm CFOA) MULTIPLE 0 ?L Comma P*'°" ffir~e. T� Airport Improvemen ' Arekp we N&) Mr. Robert P. Knauff (516) 788-7463 Program AIP 7. TME APPLICANT'S PROJECT Nw &.coon N of Un form 10 provide a IKmrrry 06m"01 of VW `TY OF APPL "M/REC3P1ENT r `ft." � Runway 12-30 Pavement Reconstruction �� �taMe.Wa,�.., . OMWO *-*` Town 9. AREA OF PROJECT IMPACT Wan= e%eLan awat+a swim mj 10. ESTIMATED NUMBER 11. TYPE OF ASSISTANCE PERFishers Island, New York °F�BENEFm"G�� a 12. PROPOSED FUNDING 13. CONGRESSIONAL DISTRICTS OF. 14. TYPE OF APPLICATION PEPRE F- Francis J. Murphy, Supervisor SENTATIVE Town of Southold 24. AI L1C1• rem s.o.d eWJ 25. FEDERAL A F5U RECEIVED 19 DATE 27. ACTION TAKEN 120. FLU i - 0 a AWARDED I FEDERAL s .00 -& APPLICANT 0. PROJECT ►� .el oma..... ���` Law e#.Irwer law► D. APPLICANT .00 2nd - 2nd 17. TYPE OF wiwGE Ire. He er Ma c- STATE .00 1S. PROJECT START I& PROJECT. ~� oar f-Orw [SPWOk a Local goo GATE row Motu* day DURATION � �� N / A s. OTHER 00 19,91 q I 1 19 4bnaNs i6. DATE DUE TOr, /wae4 dayp,..WMTS1 am, L TOW Is .00 FEDERAL AGENCY 0-19 1. 19. FEDERAL. AGENCY TO RECEIVE REQUEST Federal Aviation Administration 20• EXISTING FEDERAL GRANT L G+iGAatN2AT UNIT IIF APPR TO New York Ai �i strict Office 0. AOaatWISTRA7IVE CONTACT (IF KNOWN) IDENTIFICATION MUi48ER rports rir. Robert Mendez N/A "DEu Fitzgerald Federal ui Ing, Room JFK International Airport 21, REMARKS ADDED Jamaica, New York 11430 22- To the Oast W eny Iu+owMoga and oalNl. a YES. THIS NOTICE OF WTE /P EAPL PL ION/APP yetX No M TION WAS ADE AVAILABLE TO THE STATE THE oats in lha presopacaoon/avowsoon EXECUTiVE �QE�}�72 PROCESS FOR REVIEW C#k em 4Ua and cog. VW eocvrwtt naa DATE YAFPLK-ANr CERTIFIES been " stloror>rad by Cta gvvwr q c THATO, body oI era apobwa and o» aopwam rt `( w+a oorroly wool yr artacnad assuranws V 9>t is 0. NO. PROGRAM IS NOT COVERED BY E.O. 12372 O asentanoa moved OR PROGRAM HIS NOT BEEN SELECTED BY STATE R 27. I a TYPED NAME AND TITLE 0. SIGNATU PEPRE F- Francis J. Murphy, Supervisor SENTATIVE Town of Southold 24. AI L1C1• rem s.o.d eWJ 25. FEDERAL A F5U VON 754o-0,-0064162 DEVIOUS EDITION S NOT USABLE rew aoaasA ri 129. ACTION DATEa+ 19 31.CONTACT FOR ADDITIONAL WFC 0o TION Nsew ea arkphew **m6rr) AO .00 .00 424-103 )ENWICATiON 30. STARTING RECEIVED 19 DATE 27. ACTION TAKEN 120. FLU i - 0 a AWARDED EENNDING a a REJECTED DATE C t RETURNED FOR a FEDERAL : = AMENDMENT p. APPLICANT i C d RETURNED FOR EO. 12372 SUBMISSION Q STATE Z5 BY APPLICANT TO d LOCAL D STATE C a DEFERRED a. OTHER C L WITHDRAWN t TOTAL f VON 754o-0,-0064162 DEVIOUS EDITION S NOT USABLE rew aoaasA ri 129. ACTION DATEa+ 19 31.CONTACT FOR ADDITIONAL WFC 0o TION Nsew ea arkphew **m6rr) AO .00 .00 424-103 )ENWICATiON 30. STARTING rear /WAWA dam DATE t9 Wer anaeA 4er EENNDING DATE 19 33. REMARKS ADDED ❑ Yee ❑ No fiTANOARO FORM 424 PAaE I IRay. 4r4i J" 1" ti OAI1I C&Vb4r w_/0} DEPARTMENT OF TRANSPORTATION . FEDERAL AVIATION ADMINISTRATION o„re •.c PREAPPLICATION FOR FEDERAL ASSISTANCE PART 11 1. Does this assistance recuest recurre State, local, regional or other priority ratrng7 Yes X No 2. Does this assistance require State or local advisory, educational or health clearance? Yes X No 3. Does this assistance recuest require Cleannghouse review? Yes No 4. Does this assistance recuest recurre State, local, regional or other planning approval? Yes X No 5. Is the proposed project covered by an approved comprehensive plan? X Yes No 6. will the assistance recuested serve a Federal Installation? X Yes No 1. Will the assistance revuested be on Federal land or rnstallatron7 Yes X No A. Will the assistance recuested have an effect on the environment? Yes X Flo 9. Will the ass st-'"'e rerueste cause the C''splace-,e of rndivrdua�s. fa� I(es. businesses. c. `ar.a7 Yes X NV - 10. Is there other related assistance for this project previous, pending, or anticipated? Yes X No DADT III _ Pg?() IFCT BUDGET FAA Forth 5I00-30 16-73 SJPER5EOE5 FAA ►V"< I— FIRST 9uDGET oERIOO (C) 3A_ANCE OF PROJECT (d) TOT' FE')Eq4L _A -ALO:, Nt1M BER l0) Tr PE OF ASSISTANCE LOAN GRA NT, ETC. 1' 20.102 Grant 1,586,000 1,586,00 7 3. a. I 15• S. Total Federal Contribution I S 1 ,427,400 S Sl ,427,40 �. State Contribution 118,950 I I 9. Applicant Contribution 39,650 r 9. Other Contributions i 10. Totals S 1 ,586,000 S PART IV — PROGRAM NARRATIVE STATEMENT (Atloch per r.+srrw000n) 118,95 39,65 S1 ,586,0( FAA Forth 5I00-30 16-73 SJPER5EOE5 FAA ►V"< I— ?RELIMINARY COST ESTIMATE ELIZABETH FIELD AIRPORT FISHERS ISLAND, NEW YORK RUNWAY 12-30 RECONSTRUCTION (100' WOE) 211.001 07/05/88 ITEM FAA UNIT NO. ------------------------------------------------------------------------------------------------------ SPEC NO. DESCFIPTION QUANTITY UNITS PRICE TOTAL 1 P-152 PAVEMENT EXCAVATION (BITUMINOUS CONCRETE) 50,000 SY $21.00 $1001000.00 2 P-200 RESHAPE EXISTING GRANULAR BASE 32,000 SY $4.00 $128,000.00 3 P-209 CRUSHED STONE BASE COURSE 4,200 CY $35.00 $147,000.00 4 P-400 PREPARATION OF EXISTING PAVEMENT, TYPE I 32,000 SY $1.00 $32,000.00 5 P-404 PROTECTIVE MEMBRANE 32,000 SY $2.00 $64,000.00 6 P-409 BITUMINOUS CONCRETE, TYPE 7F, TOP 2,700 TON $80.00 $216,000.00 7 P-409 BITUMINOUS CONCRETE, TYPE 3, BINDER 4,500 TON $80.00 $360,000.00 8 P-603 BITUMINOUS TACK COAT 5,000 GAL $2.50 $12,500.00 9 P-612 FIELD OFFICE 1 LS $20,000.00 $20,000.00 10 P-620 RUNWAY & TAXIWAY FAINTING 6,500 SF $2.00 $13,000.00 11 P-630 DRAINAGE "'PROVE'aENTS 1 LS $50,000.00 $50,C00.00 12 T-901 TO?SOILING (OBTAINED OFF-SITE) 16,500 SY $4.00 $66,000.00 13 L-128 MAINTENANCE AND PROTECTION OF TRAFFIC 1 LS $50,000.00 $50,000.00 14 S-126 PROJECT SURVEY & STAKEOUT 1 LS $25,000.00 $25,000.00 15 ------------------------------------------------------------------------------------------------------ M-100 wvOBILIZATION 1 LS $38,505.00 $38,505.00 TOTAL ESTIMATED CONSTRUCTION COST $1,322,005.00 15 ENGINEERING AND ADMINISTRATION (+/-20X) $263,995.00 TOTAL ESTIMATED PROJECT COST -------------- $1,586,000.00 FISI12.WR1 Paqe 1 07/05/88 Airport Name: Fishers Island Elizabeth Field Location: Fishers Island, New York Project No. (If Applicable) : It appears f rom a cursory review of the proposed action, which consists of reconstruction of xisting Runway 12_30 , that such action may be categorically excluded from the requirement of a formal federal environmental finding. In order for FAA to determine the appropriate course of action, it is necessary to certify that none of the following conditions apply to the proposed action. In accordance with the criteria contained in FAA Order 5050.4a, this action is not: a. An action that is likely to have an effect that is not minimal on properties protected under Section 106 of the Historic Preservation Act of 1966, as amended, or Section 4 (f) of the DOT Act. b. An action that is likely to be highly controversial on environmental grounds. A proposed Federal action is considered highly controversial when the action is opposed by a Federal, state or local government agency or by a substantial number of the persons affected by such action on environmental grounds. C. An action that is likely to have a significant impact on natural, ecological, cultural, or scenic resources of national, state, or local significance, including endangered species, wetlands, floodplains, coastal zones, prime or unique farmland, energy supply and natural resources, or resources protected by the Fish and wildlife Coordination Act. d. An action that is likely to be highly controversial with respect to the availability of adequate relocation housing. In an action involving relocation of persons or business, a controversy over the amount of the acquisition or relocation payments is not considered to be a controversy with respect to availability of adequate relocation housing. 2. e. An action that is likely to: (1) Cause substantial division or disruption of an established community, or disrupt orderly, planned development, or is likely to be not reasonably consistent with plans or goals that have been adopted by the community in which the project is located; or (2) Cause of significant increase in surface traffic congestion. f. An action that is likely to: (1) Have a significant impact on noise levels of noise sensitive areas; (2) Have a significant impact on water quality or contaminate a public water supply system; or (3) Have a significant impact on air quality or violate the local, state or Federal standards of air q ual i ty ; (4) Be inconsistent with any federal, state, or local law or administrative determination relating to the environment. =Pert eratoSouthold By: Supervisor Francis J. Murphy New York ADO August 1987 7/15/88 Date Agency Ccccpliance Statement $tate Env onn _ntal Cuali tv Revie�r In accordance with the rules, regulations and procedures adopted by the Town of Southold (Nam of b:=*cipal Corporation) pursuant to the intent of the State Environmental CUality Review Act, the project described bele is classified as a: heck Q= 0 Type I Action A7 Type Ii Action Ministerial Action Exert Action D Not Classified , Pro.iect Description Projection involves the reconstruction of existing Runway 12-30 to improve condition of existing landing and take -off surface. Ti tle 7/15/88 Date July 7, 1988 Mr. Robert Mendez Manager, NY -ADO Federal Aviation Administration Fitzgerald Federal Building J.F.K. International Airport Jamaica, NY 11430 Re: Fishers Island Airport Obstruction Lighting and Runway Landing Safety Area Subj: Preapplication Supporting Documentation Dear Mr. Mendez: In support of our request for Federal Funding on the above -referenced project, the Town of Southold provides the following statements: Project Narrative Statement Description: The project will entail evaluating the proper treatment of the extended safety area that lies in the approach and transitional surfaces for Runway 12-30 and 7-25. In particular, there exists an old military fortication bunker constructed to guard the U.S. coast line which lies in the approach surface to Runway 7. The bunker should be lighted or if possible lowered or demolished. Justification: Because the existing runways are so short it is critical to ensure all close in distractions are removed for the safe operation of aircraft. Located on an island, the airport has 3 approaches directly over water and aircraft are exposed to sudden shifts in wind speed and direction requires the extended runway safety areas to be clear of any Part 77 obstructions. I Mr. Robert Mendez July 7, 1988 Page 2 Runway Grooving Statement Fishers Island - Elizabeth Field is a general aviation utility airport consisting of two runways. Runway 12-30, the primary runway, is 2,500 feet long and crosswind runway 7-25 is 1,900 feet long. Aircraft currently operating at the airport are primarily single and light multi-enginer aircraft. Activity by larger aircraft such as the F-27 do exist, however, it is minimal. The runway pavement surfaces are generally in poor condition, however, the Town did apply an asphalt slurry seal coat in 1985 to protect the surface from further deterioration. The runway pavement surface condition is such that grooving at this time may cause further deterioration and actually risk destroying its present marginal condition. The Town will reconsider grooving of the runway in the future at such time as the pavement surfaces are rehabilitated. Coordination Statement The Town of Southold confirms that Operators at the Fishers Island Airport have been consulted and are aware of the proposed development project. Displaced Persons Statement The airport project proposed in this aid application does not involve the displacement or relocation of persons residing on land needed for such development. Specific Opposition Statement The Town of Southold is not aware of any significant community opposition to the proposed project. Negative Environmental Declaration Statement Construction of the obstruction lights at Elizabeth Field will require cable trenching equipment as well as trucks to haul materials to and from the job site. The trucks used to haul material to the job site will not significantly interface with normal traffic patterns. The distance between the area of proposed construction and developed residential area(s) is sufficient to dissipate the impact of construction noise. Soil erosion resulting from the construction operation into undisturbed area is expected to be minimal, however, it will be further limited by requiring the Contractor to comply with contract provisions for environmental protection as well as State and local environmental regulations. Mr. Robert Mendez July 7, 1988 Page 3 On the basis of these, the other pertinent factors associated with the project, the Town of Southold concludes that the proposed development work included in this request for aid for Fishers Island Airport will not be controversial on environmental grounds; will not affect the ambient noise level; will not displace persons residing on land needed for such development; will not have a significant aesthetic or visual effect; will not divide or disrupt an established community or divide existing use areas; will not have any effect on areas of unique interest or scenic beauty; will not destroy or derogate from important recreational areas; will not alter the pattern of behavior of a species; will not interfere with important wildlife, breeding, nesting or feeding grounds; will not increase air or water pollution; and will not affect the water table of the area. We are not aware of any objections of Federal agencies or State or local bodies in respect to the environmental aspects of this project. The Town of Southold has a long-standing and vital concern for and interest in the protection and enhancement of the quality of the environment in the region, particularly at its facilities and in areas adjacent to its facilities. It is the studied judgement of the Town of Southold that the development work included in this application for aid is fully consistent with the concern for environmental enhancement and protection. Summary The above statements are provided with and form a part of our application for the referenced project. We will promptly answer your questions or provide additional information upon request. Very �ty-Oylkoos, rphy rzSroouthold o FJM:FPK:jmw M FEDERAL ASSISTANCE 1. TYPE OF SUBMLSSiOfi ❑ NOTICE OF onva (OPTIONAL) (Mw* r PREAPPUC.ATION PM ❑ APPLICATION 2. APPLI- a NUMBER 3. STATE (,'ANT'S 12e. FUI APPLI• APPLE rev AMR" 4WW CATION CATION 0' APPLICANT DENTI- DENTI• FIER FIER Jll�rs TO sf( b. DATE year ereatll -ASSIGNED is 88 7 15 3T VrATs �K J91awA OMB Approve a. NUMBER DATE ASSIGNED Yaw awmA Avs is 4. LEGAL APPLICANT/RECIPIENT - - - S EMPLOYER IDENTIFICATION NUMBER (EIM •. Awkam N— Town of Southold 11-600-3307 sorr>arnawnUnit Fishers Island Ferry Distirct a C. Su"VIO.O. Bot P.O. Box H PRO- a. NUMBER 12 10 I • 1 1 10 13 I DIG" Fishers Island acotmw . Suffolk GRAM LSIM New York a21PCoea 06390 t'7owCF'" WXTIPLED � • N`� Mr. Robert P. Knauff (516) 788-7463. b. TITLE Airport Improvemen- Program AIP 7. TITLE OF APPLICANTS PROJECT (Use section N of va form m prprde a amnary desepoon of re al TYPE OF APPLICANT/RECIPIENT Obstruction lighting and grading runway safety area `;-.,,�---•--� Town aw.v.yPr.Jw�aq le.a.—� >L AREA OF PROJECT IMPACT (N.W.. Z. mus Bial 10. ESTIMATED NUMBER 11. TYPE OF ASSISTANCE ! Fishers Island, New York �2 PERSONS � 12. PROPOSED FUNDING 13. CONGRESSXXtQ- I TRICTS OF. tc TYPE OF APPLICATION s a APPLICANT o. PROJECT 1LWW "W P..r 6m. .00 2nd - 2nd .00 15. PROJECT START 1Q PROJECT. DATE row awash 4r DURATION is 89 4 1 12 JI(oneu 17. TNPE OF f WP4E fFi /4 w )4I w-..� 081" e -08w Q..rib.t s -o.... D.... N/A e. OTHER 1 .0011& DATE DUE TO rearalewiA Iey 1. TOW Is . — .001 FEDERAL AGENCY . 19 88 8 1- 12. FEDERAL AGENCY TO RECEIVE REQUEST Federal Aviation Administration a. CRGAN12JAT UNIT (IF APPR f;1 M b. ADMINISTRATIVE CONTACT (IF KNOWI New York .sports Ti strict Office fir. Robert Mendez r- ADDRESS Fitzgerald Federal ui ing, Room 332 JFK International Airport Jamaica, New York 11430 tt u, To &a beat o1 ny Iuwmeoge wo b . a. YES. THIS NOTICE OF INE /P /APPL 4I THE aea s1 the presapresoorvaooacason EXECUTIVE OR>3Ep/1 7- OCESS FOR RE'11EW Ott AFPL!CANT en true anti 00r1ect VW OOCU"Wd naa DATE CERTIFIES 1 dib sudlm.ed by to sovWWQ aTHAT► boor of If" acplocam and 91e apprs7M wd compq wrtn Ane atacned assurances b. NO. PROGRAM IS NOT COVERED BY EO. 12372 ❑ It Ole asewtanas is approved OR PROGRAM IMS NOT BEEN SELECTED BY ST 23. a. TYPED NAME AND TITLE 0. CERTIFYING Francis J. Murphy, Supervisor SENTATNE 124. APPUCGA- row ^MGM &f 12L FEDERAL APPLICATION IDENTIF C L WITHDRAWN I t TOTAL I S TSN 7SAOO1-00"1L2 PREVIOUS EDITION S NOT USABLE W re" rw 4 4dy 129. ACTION DATE- 19 31. CCWTACT FOR ADO(T)ONAL INF( AO TION fNsrwr od 4rigwa A.eawh►I nn I 00 424- baler AQWW Awa resrlat 20. EXISTING FEDERAL GRAM DEmn!' r1T1oN NUMBER N/A 30. RECENED 19 1 STARTING 27. ACTION TAKEN 12e. FUI i (� O a. AWARDED O b. REJECTED O c. RETURNED FOR AMENDMENT rev AMR" 4WW S. FEDERAL _ 0' APPLICANT 1 X O d RETURNED FOR E.O. 12372 SUBMISSION BY APPLICANT TO STATE C e DEFERRED c' STATE tL LOCAL 4. OTHEp C L WITHDRAWN I t TOTAL I S TSN 7SAOO1-00"1L2 PREVIOUS EDITION S NOT USABLE W re" rw 4 4dy 129. ACTION DATE- 19 31. CCWTACT FOR ADO(T)ONAL INF( AO TION fNsrwr od 4rigwa A.eawh►I nn I 00 424- baler AQWW Awa resrlat 20. EXISTING FEDERAL GRAM DEmn!' r1T1oN NUMBER N/A 30. year a.eea do" STARTING DATE 11 32. rev AMR" 4WW ENDING DATE It 33. REMARKS ADDED ❑ Yes ❑ Ne LTANDARD FORM 424 PA3E 1 (RF. 4.+4) rpurnaey er 0MA CaRwler w- /W DEPARTMENT OF TRANSPORTATION- FEDERAL AVIATION ADMINISTRATION ' oMe PREAPPLICATION FOR FEDERAL ASSISTANCE PART II 1. Does this assistance recuest reculre State, local, regional or other priority rating? Yes X No 2. Does this assistance renurre State or local advisory, educational or health clearance? Yes X No 3. Does this assistance recuest require Clearinghouse revlew7 X Yes No 4. Does this assistance reouest require State, local, regional or other planning approval? Yes X No 5. Is the proposed project covered by an approved comprehensive plan? X Yes No 6. Will the assistance recuested serve a Federal installation? Yes X No 7. 17;11 the assistance reouested be on Federal land or Installation? Yes X No 8. Will the assistance reeuested have an effect on the environment? Yes X_'Jo 0. ':III the asSlsta^Ce renlestes cause t''e c-splace-e-t of Incivldu' s. fa' ,lies. businesses. `ar, .5' Yes X 10. Is there other related assistance for this project previous, pending. or anticlpated7 Yes __X� No I PART III — PROJECT BUDGET FE')EvAL :A -ALO:, NUMBER ai T,PE OF ASSISTANCE LOAN GRANT.ETC. W FIRST BUDGET PERIOD lcr BA_A4CE OF PROJECT (d) TOT e 1 20.102 Grant ' 145,000 145 000 i 3. ( IS � i F.Total Federal Contribution S 130,500 I I S S 130,50C 7. State Contribution 10,875 { 10,87E �. Applicant Contribution 3,625 - I I 3,62! 9. Other Contributions ' { 10. Totals S 145,000 S IS 145,00 PART IV — PROGRAM NARRATIVE STATEMENT !� (Anoch per #nsl.vclion) l FAA Form 5100-0 16.73 SUPERSEDES FAA FOPM 5100-3 • PRELIMINARY COST ESTIMATE ELIZABETH FIELD AIRPORT 211.001 FISHERS ISLAND, NEW YORK -------- OBSTRUCTION REMOVAL AND LIG.TS 06/30/88 ITEM FAA UNIT NO. SPEC NO. DESCRIPTION QUANTITY UNITS PRICE TOTAL 1 P-151 CLEARING, GRUBBING AND RESTORATION 3 ACRE $6,000.00 $18,000.00 2 P-612 FIELD OFFICE 1 LS $10,000.00 $10,000.00 3 L-108 CABLE TRENCHING FOR THE INSTALLATION OF UNDERGROUND CABLE 6,200 LF $6.00 $37,200.00 4 L-108 NO. 8 AWG, 50, TYPE C SINGLE CONDUCTOR UNDERGROUND CABLE INSTALLED IN TRENCH 12,400 LF $1.00 $12,400.00 5 L-108 NO. 8 ANG, BARE COPPER COUNTERPOISE WIRE INSTALLED IN TRENCH INCLUDING GROUNDING RODS AND EXOTHERMIC CONNECTIONS 6,200 LF $1.00 $6,200.00 6 L-119 6 FOOT OBSTRUCTION LIGHT INSTALLED IN PLACE 1 EACH $3,000.00 $3,000.00 7 L-119 20 FOOT OBSTRUCTION LIGHT INSTALLED IN PLACE 1 EACH $5,400.00 $5,400.00 8 F-100 REMOVAL OF EXISTING OBSERVATION BUILDING 1 LS $25,000.00 $25,000.00 9 ------------------------------------------------------------------------------------------------------ M-100 MOBILIZATION 1 LS $3,516.00 83,516.00 TOTAL ESTIMATED CONSTRUCTION COST $120,716.00 10 ENGINEERING AND ADMINISTRATION (+/-20X) $24,284.00 TOTAL ESTIMATED PROJECT COST -------------- 8145,000.00 FISHI.WR1 Page 1 07/05/88 [HZM-TAT MOR RZTRAORnT'&RZC-TBft3ISB?ANMS DISCL R2E Airport Name: Elizabeth Field Location: Fishers Island, New York Project No. (If Applicable) : It appears f rom a cursory review of the proposed action, which consists of grading extended runway safety areas to remove obstructiops that such action may be categorically excluded from the requirement of a formal federal environmental finding. In order for FAA to determine the appropriate course of action, it is necessary to certify that none of the following conditions apply to the proposed action. In accordance with the criteria contained in FAA Order 5050.4a, this action is not: a. An action that is likely to have an effect that is not minimal on properties protected under Section 106 of the Historic Preservation Act of 1966, as amended, or Section 4 (f) of the DOT Act. b. An action that is likely to be highly controversial on environmental grounds. A proposed Federal action is considered highly controversial when the action is opposed by a Federal, state or local government agency or by a substantial number of the persons affected by such action on environmental grounds. C* An action that is likely to have a significant impact on natural, ecological, cultural, or scenic resources of national, state, or local significance, including endangered species, wetlands, floodplains, coastal zones, prime or unique farmland, energy supply and natural resources, or resources protected by the Fish and Wildlife Coordination Act. d. An action that is likely to be highly controversial with respect to the availability of adequate relocation housing. In an action involving relocation of persons or business, a controversy over the amount of the acquisition or relocation payments is not considered to be a controversy with respect to availability of adequate relocation housing. 2. e. An action that is likely to: (1) Cause substantial division or disruption of an established community, or disrupt orderly, planned development, or is likely to be not reasonably consistent with plans or goals that have been adopted by the community in which the project is located; or (2) Cause of significant increase in surface traffic congestion. f. An action that is likely to: (1) Have a significant impact on noise levels of noise sensitive areas; (2) Have a significant impact on water quality or contaminate a public water supply system; or (3) Have a significant impact on air quality or violate the local, state or Federal standards of air qual ity ; (4) Be inconsistent with any federal, state, or local law or administrative determination relating to the environment. it c Operator To of Southold Y V. Supervisor Francis J. Murphy New York ADO August 1987 July 15, 1988 Date Agency Compliance Statement SAtate Enyirvnmentel Ctiality Reviey; In accordance with the rules, regulations and procedures adopted by the Town of Southold (Nam-- of Mmicipal Corporation) pursuant to the intent of the State Environmental Qiality Review Act, the project described below is classified as a; Check One D Type I Acti cn ,V Type IY Action Ministerial Action Exeat Action Z7 Not Classified , Proiect Descr;Dtic-i Grading extended runway safety area to remove obstructions to Runway 12-30 and 7-25. is Signature F ncis Murphy Supervisor, Town of Southold Title July 15, 1988 Date