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Home My WebLink AboutElizabeth Field - Airfield Lighting (Design) - Pavement Evaluationc r il h� •xceaioa STATE OF NEW YORK .., DEPARTMENT OF TRANSPORTATION VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788 JAMES A. K.UZLOSKI JOHN C. EGAN REGIONAL DIRECTOR COMMISSIONER September 21, 1994 Honorable Thomas H. Wickham Supervisor, Town of Southold Town Hall, Main Road Southold, NY 11971 Dear Mr. Wickham: PIN 091305 Attached for your information and file is one copy of Certification of Municipal Contract for Construction or Equipment Purchases and a copy of the Cost Plus Fixed Fee Inspection Agreement with Calocerinao & Spina Engineers. Very truly yours, CRAIG SIRACUSA Planning & Program Manager Attachments A'C 1552 (Rev. 5/84) CD STATE OF NEW YORK OFFICE OF THE STATE COMPTROLLER Bureau of Contracts and State Expenditures Gov. Smith State Office Building C(�,QJ- Albany, New York 12236 `"'�� TO: d Department of Transportation State Campus Bldg. ,5 Albany, New York 12226 r APPROVED DOCUMENT TRANSMITTAL Date........ ...../��`,,,Y....................................... /.��.................. Agency Code ...... . ........... Contract No.....�.. ��....... . l 0 Enclosed is an approved contract. Refer to this contract number and agency code in all correspondence. Enclosed is an approved (increase) (decrease) on Order No ..................................... in the amount of $............................................... DOT/SPEC No. if applicable .................................................. Location.............................................................�.... ^ .............. 0 Enclosed is an approved (increase) (decrease) on Supplemental Agreement or Amendment No ....................................... •..................... inthe amount of $........................................................ DOT/SPEC No. if applicable .................................................. Location.......................................................... .. ........ Enclosed is (increase) (decrease) on copy of Order on Contract returned with advance approval dated..........................�,�j...... inthe amount of $...................................... DOT No......................................... Location............................................................ 0 Enclosed, approved by this Department, are recommendations for award of contract. Refer to assigned contract number in all correspondence. = Enclosed is approved Lease No ................................................... AGENCY.................................................................................. 0 Extension is approved to .................................................. Amount if applicable $............................................................................ Receipt is acknowledged (increase) (decrease) for Order on Contract in the amount of $........................................................................ DOT/SPEC No. if applicable.............................................................. Other .., �/�16 � ` � '�'�% ` ;,O ..... .............................................................................................................................................................................................. .................................. . .....�, ...;t,..,....�..ova................................... +, �.}f....^,...,...-a.......................................... 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 1. 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 -5S 03CQ 1 Maximum Project Cost $510,800 Maximum tate 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. 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. 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. Attor ey' Signature L ACCE BY N.Y.S/.DD.O.T.: Matthew G. Kiernan _ November 2, 1992 3 �J Date Date Acknowledgement of Attorney's Signature by Notary Public: _NnvPmher 2, 1992 Date Accepted for the State Comptroller: Date AV 20 (10/81) 09/04/92 SMF ,AC 1552 (Rev. 5/84) Cb STATE OF NEW YORK OFFICE OF THE STATE COMPTROLLER Bureau of Contracts and State Expenditures Gov. Smith State Office Building ^ Albany, New York 12236 OC U TO: � a nSa APPROVED DOCUMENT TRANSMITTAL Date .....................flllq ld.�.............................. —� Agency Code .............................................. 3. Contract No. ...... !.1...55 6 Enclosed is an approved contract. Refer to this contract number and agency code in all correspondence. 0 Enclosed is an approved (increase) (decrease) on Order No ..................................... in the amount of $............................................... DOT/SPEC No. if applicable .................................................. Location...............................................................,:......................... = Enclosed is an approved (increase) (decrease) on Supplemental Agreement or Amendment No . ............................ z ... ........... in the amount of $........................................................ DOT/SPEC No. if applicable .................................................. Location...............................................,'............................ 0 Enclosed is (increase) (decrease) on copy of Order on Contract returned with advance approval dated.......I............................................. in the amount of $...................................... DOT No......................................... Location Q = Enclosed, approved by this Department, are recommendations for award of contract. Refer to assigned contract n In all correspondence. = Enclosed is approved Lease No ................................................... AGENCY.................................................................................. = Extension is approved to .................................................. Amount if applicable $............................................................................ 0 Receipt is acknowledged (increase) (decrease) for Order on Contract in the amount of $........................................................................ DOT/SPEC No. if applicable.............................................................. 11 (1 . ..... 20.iO.lJ...dr...SduT#Jk-..0EA6,: P..........................:t l IS �TNItt - .-- Fi�H R.S...xs..SINJ).../j.)9P..QR1.J....A..�! r;Ec-�T1. 1 �.....,�... ......A ......................................................................... ).'p�..f?i.CA4..6J.A6.j.... ................................................. ''5....'!.................................................................................................................................................................................. ................ ...... ..................................................................................................................... ....j.1.....r................ pp 1 Rte.. �+cus STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION ALBANY, N.Y. 12232 JOHN C. EGAN COMMISSIONER Mr. Jerry Lipfeld Chief Auditor of State Contracts Division of Audits and Accounts State Office Building, 7th F1. Albany, NY 12236 Dear Mr. Lipfeld: MARIO M. CUOMO GOVERNOR RE: FISHERS ISLAND AIRPORT - SOUTHOLD PIN # 0913.05 / K550361 (1992) AIRFIELD LIGHTING; VISUAL AIDS, ELEC. BLDG.; COST PLUS FIXED FEE INSPECTION AGREEMENT WITH CALOCERINAO & SPINA, ENGRS. Attached is one copy of the Subject Agreement which we have reviewed and determined meets the terms and conditions of the State Grant Agreement for this project. I am approving this Agreement as eligible for State reimbursement based on FAA's Notice of Approval (currently on file in our office) and subject to the terms, conditions and financial limitations of the State Grant Agreement for this project. If you concur, please indicate your approval on the duplicate copy of this letter and return it to this office. Agreement Amount (TOTAL) State Eligible Amount $84,559.00 $71,956.00 Sincerely, Russell B. Vachon Director Aviation Division ""61) ?wcuv RBV/DEH/MIN Attachment State Share $5,396.70 cc: Regional Planning & Development, Region #10 File: ENGINEERING - SOUTHOLD- 1992 - 0913.05 RECEIVED P;N 2 _ To: Mr. James Kuzloski NYSDOT - Region No. 10 New York State Office Bldg. Veterans Highway Hauppauge, NY 11787 Attention: 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 & Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 Date: 15-,1an-93 Enclosed please find the following: - Three copies of Payment Request No. TWO & FINAL (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 j r cc:Mr. R. Philip Knauff�7 Ms. ,Judith Terry Shei a M. Farley Grants Administrator REC-f NED To: Mr. Philip Brito Manager Federal Aviation Administration N.Y. Airports District Office 181 South Franklin Avenue Valley Stream, NY 11581 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 & Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 Enclosed please find the following: - Three copies of Payment Request No. EIGHT & FINAL (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 Ms. Judith Terry Sheila M. Farley Grants Administrator JUDITH T. TERRY TOWN CLERK j REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ^ +1 P s'� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 12, 1993 Sheila M. Farley Grants Administrator CSS Engineers, Inc. 1020 Seventh North Street Liverpool, New York 13088 Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation 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 Payment Request No. EIGHT S FINAL (Form 271) and four executed copies of Payment Request No. TWO S FINAL (Form FIN -190), all in accordance with your letter of December 22, 1992 to R. Philip Knauff, Manager, Fishers Island Ferry District. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting S 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 JANUARY 5, 1993: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute Outlay Report and Request for Reimbursement for Construction Programs to the Federal Aviation Administration - N.Y.A.D.O., for $2,672.50, the Eighth and Final request under the Fishers Island - Elizabeth Field Airfield Lighting (Design) Pavement Evaluation Program, all in accordance with the recommendation of Calocerinos & Spina P.C., the Town's engineers for the project. Judith T. Terry Southold Town Clerk January 6, 1993 STATUS OF FUNDS - Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. 80-RO181 1 OF 1 PAGES I. TYPE OF REQUEST 2. BASIS OF REQUEST MENT FOR CONSTRUCTION PROGRAMS CLASSIFICATION ® FINAL 11 PARTIAL ® CASH 11 ACCRUAL PAVEMENT 4. FEDERAL GRANT OR OTHER 5. r RTIAL PAYMENT WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY EIGHT & FINAL Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-04-91 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 8/10/92 8/19/92 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check should be sent d different than item 9) Name: TOWN OF SOUTHOLD Name: TOWN HALL, 53095 MAIN ROAD $59,147.00 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 - PROGRAMS - FUNCTIONS - ACTIVITIES (a) (b) (c) CLASSIFICATION AIRFIELD LIGHTING PAVEMENT TOTAL (DESIGN) EVALUATION 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 $59,389.00 $59,147.00 $0.00 $118,536.00 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) $59,389.00 $59,147.00 $0.00 $118,536.00 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $59,389.00 $59,147.00 $0.00 $118,536.00 q. Federal share to date $53,450.10 $53,232.30 $0.00 $106,682.40 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $53,450.10 $53,232.30 $0.00 $106,682.40 I. Federal payments previously re- quested $50,777.60 $53,232.30 $0.00 $104,009.90 u. Amount requested for reimbursement $2,672.50 $0.00 $0.00 $2,672.50 v. Percent of physical completion of project 100.0% 100.0% 0.0% 100.0% SIGNATURE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED 12. CERTIFICATION OFFICIAL 19(�9('�zi�- Jill �I v :J� 1 certify that to the best of my knowledge a. RECIPIENT -/- '& and belief the billed costs or disburse- TYPEErOR PRINTF 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 that an inspection has been performed SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL _ DATE REPORT SUBMITTED and all work is in accordance with the terms of the award. b. Representative certifying to line I L �Z z z// 11v. TYPED OR PRINTED NAME AND TITLE TELE HONE NO. CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR 211-1U2 STANDARD FORM 271 (7-76) Prescribed by Office of Management and Budget CN. No. A-110 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 JANUARY 5, 1993: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute No. Two and Final Payment Request to the New York State Department of Transportation, for $413.13, under the Fishers Island - Elizabeth Field Airfield Lighting (Design) Pavement Evaluation Program, all in accordance with the recommendation of Calocerinos & Spina P.C., the Town's engineers for the project. �.d,.ithT':�er:�y� Southold Town Clerk January 6, 1993 " ELN 19U -lb (10/11) ST'A'TE 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 TWO & FINAL I --------------------------------------------------------------------------------------------------------------------------------------I (PAYEE (Name,Address and Zip Code) I FINANCIAL STATEMENT I ITOWN OF SOUTHOLD ICOST OF WORK PERFORMED TO DATE: 06/25/92 1 ITOWN HALL, 53095 MAIN ROAD I I IP.O. BOX 1179 1 1. Total Expended $110,168.00 1 ISOUTHOLD, NY 11971 1 2. Less non -participating $0.00 1 1-------------------------------------------------------------------1 3. Eligible Cost $110,168.00 1 (Payee -Employer Identification No. I Org. Code 1 4. Less Federal Share $99,151.20 1 1 11-6003307 1 BOO 1 5. Project Cost $11,016.80 1 I-------------------------------------------------------------------1 6. 100% of Project Cost $11,016.80 1 1 GRANT AGREEMENT 1 7. State Share at 75% $8,262.60 f (State Number 0913.04 Max. State Amt. $9,300.00 1 8. Total prior requests $7,849.47 1 (Federal Number 3-36-0029-04-91 Max. Fed. Amt. $111,600.00 1 9. Amount requested $413.13 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 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 1 100% 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---------------1---------------I---------------I-----------------I I EQUIPMENT 1 $0.00 1 i` $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 LAND 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 CONSTRUCTION 1 $0.00 1 $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 ENGINEERING 1 $110,168.00 1 $99,151.20 1 $11,016.80 1 $11,016.80 1 $550.84 1 $0.00 1 $413.13 1 1-------------------I---------------I---------------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 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 f $0.00 1 $0.00 1 $0.00 1 I------------------- I --------------- I --------------- I --------------- I ---------------I--------------- I --------------- I ----------------- I I TOTALS 1 $110,168.00 1 $99,151.20 1 $11,016.80 1 $11,016.80 1 $550.84 1 $0.00 1 $413.13 1 I-------------------------------------------------------------------------------------------------------------------------------------I I *DO NOT USE COLUMN F WHEN REQUESTING FINAL PAYMENT FOR THE PROJECT I I----------------------------------------------------------------------------- CERTIFICATION OF MUNICIPAL CORPORATION I II certify that according to my knowledge and belief all items and amounts shown on the face of this application for payment are I Icorrect, all work has been performed and or all materials supplied; that the contractors who have performed work on this project I (have complied with all of the provisions of Section 220 of the New York State Labor Law and that affidavits to that effect covering I Ithe payroll period through 06/25/92 are in file in my office; that the foregoing is a true and correct statement I lof the project account up to and including the last day of the period covered by this application. I (Date: 194 Signature: .W��4_T Title: TOWN SUPERVISOR i I------------------------------------------------------------------------------------------- INEWi YORK STATE USE Deduct.Ineligible Items per Schedule Attached -$ 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 [just, and is approved for payment i (Date By (Date By ----------------------------------------------------------------------------------------------------------------------------------- --I I I PROJECT NUMBER I REQUEST I PAYMENT I (Dept. of Transp. (State (Number (Interim 1 (Voucher Number (Federal (Date (Semi-final Final I i 1 I D.O.T. I i I I ENCUMBRANCE LIQUIDATION I I PROJECT IDENT. NO. I I I ACCOUNT I EXPENDED (CHAP, I OBJ.1------------ --I-----------------i I--------------------------1 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 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' ' ' ' ' I 1 1 1701 1''' I I ' ' I I I------------------------I-----------------I-----I-----I-----------------I----------------- I ---------- I ----------- I-----I--------I----I 1 I I I I I ' '''' I 1 1 1 1701 1' ' i I'' I I I------------------------I-----------------I-----i-----I-----------------I----------------- I ---------- I-----------I-----I-------- I ----I 1 I I ' ','' I 1 1 1701 1'' ' I I', I[ I------------------------ I----------------- i -----I-----1----------------- 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 l' I 1 I I I ' f ' ' I 1 1 1701 1''' I i ' ' [ I --------------------------------------------------------------------------------------------------------------------------------------- Department Copy RECEIVED DEC 2," 1992 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 (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 & 211.005 Date: 2? -Dec -92 - Five copies of Payment Request No. EIGHT & FINAL (Form 271) for your review and signature. - Five copies of Payment Request No. TWO & FINAL (Form FIN -190) for your review and signature. Remarks: Please sign four copies of Forms 271 and FIN -190 (both pages) and return them to me for further distribution. 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 y cc: Ms. Judith Terry (w/encl) Sheila M. Farley Grants Administrator OUTLAY REPORT AND REQUEST FOR REIMBURSE- MENT 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 city, State and ZIP Code: 11 Approved by Office of Management and PAGE Budget No. 80-RO181 1 OF 1 PAGES 1. TYPE OF REQUEST 2. BASIS OF REQUEST ® FINAL ❑ PARTIAL ® CASH 11 ACCRUAL 4. FEDERAL GRANT RTIAL. IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY EIGHT & FINAL 3-36-0029-04-91 PERIOD COVERED BY THIS REPORT FROM (Month, day, year)(Month, day, year) r 8/10/92 8/19/92 10. PAYEE (Mere check should be sent if different than Item 9) and city, State and ZIP Code: STATUS OF FUNDS JI ANUF%"U FVFIM C/1 ff-fa) Prescribed by Office of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (� (b) (c) CLASSIFICATION AIRFIELD LIGHTING PAVEMENT TOTAL (DESIGN) EVALUATION 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 $59,389.00 $59,147.00 $0.00 $118,536.00 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 $0.00 $0.00 $0.00 i. Relocation payments to individuals and businesses 0. $0.00 $0.00 $0.00 j. Demolition and removal �$-00 $0.00 $0.00 $0.00 k. Construction and prof t I ovement cost ` $ 00 $0.00 $0.00 I. Equipment 00 $0.00 $0.00 $0.00 m. Miscellaneous cost $0.00 $0.00 $0.00 $0.00 n. Total cumulative to date (sum o ines a thru m) $49,389.00 $59,147.00 $0.00 $118,536.00 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $59,389.00 $59,147.00 $0.00 $118,536.00 q. Federal share to date $53,450.10 $53,232.30 $0.00 $106,682.40 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $53,450.10 $53,232.30 $0.00 $106,682.40 I. Federal payments previously re- quested $50,777.60 $53,232.30 $0.00 $104,009.90 u. Amount requested for reimbursement $2,672.50 $0.00 $0.00 $2,672.50 v. Percent of physical completion of proiect I 100.0% 100.00/. 0.00/0 100.0% 12. CERTIFICATION SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL DATE REPORT SUBMITTED I certify that to the best of my knowledge a. RECIPIENT January 5, 199: 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 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 tine G 11v. TYPED OR PRINTED NAME AND TITLE TEL HONE NO. CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR JI ANUF%"U FVFIM C/1 ff-fa) Prescribed by Office of Management and Budget Cir. No. A-110 (Comptroller's I I 61N•190 -ib /10/711 STATE OF NEW YORK I DEPARTMENT OF TRANSPORTATION (Number I K- AC 5033 1---------------I-----------------I (Certificate I 1 Approved State MUNICIPAL CORPORATION APPLICATION FOR PAYMENT (Number I TWO & FINAL I Comptroller ---------------------------------------------------I ------------------------------------------- FINANCIAL STATEMENT (PAYEE (Name,Address and Zip Code)I (COST OF WORK PERFORMED TO DATE: 06/25/92 (TOWN Of SOUTHOLD I 1 (TOWN HALL, 53095 MAIN ROAD 11. Total Expended $110,168.00 I IP.O. BOX 1179$0.00 1 ISOUTHOLD, NY 11971 12. Less non -participating $110,168.00 I - ---------------------------------I 3. Eligible Cost $99,151.20 1 (Payee -Employer Identification No. I Org. Code 1 4. Less Federal Share $11,016.80 1 11-6003307 1 BOO 1 5. Project Cost $11,016.80 1 __ -------------------------------------------------------- -1 6. 100% of Project Cost I 17. State Share at 75% $8,262.60 I 1 GRANT AGREEMENT $7,849.47 1 (State Number 0913.04 Max. State Amt. $9,300.00 1 B. Total prior requests $413.13 1 (Federal Number 3-36-0029-04-91 Max. Fed. Amt. $111,600.00 1 9. Amount requested - - I I--------- ------------------ --- ---- ---------------------------------------------------------------- I In accordance with the provisions of the Grant Agreement, the Municipal Corporation applies for payment as follows- --------------- ---------------- ------------------------------------ I i A I B I C I D I E I F i I ELIGIBLE I FEDERAL I PROJECT I PRIOR I CURRENT I 100% OF I STATE FUNDS I 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 (75% OF F)* ---------------I---------------I---------------I---------------I----------------- I EQUIPMENT 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 LAND I $0.00 I $0.00 I $0.00 I $0.00 1 $0.00 1 $0.00 1I---------------I----_--__________l 1-------------------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 ---I---------------I---------------I---------------I---------------I---------------I-------------- 3 1 I ENGINEERING 1 $110,168.00 1 $99,151.20 1 $11,016.80 1 $11,016.80 1 $550.84 1 $0.00 1 $413.1 ----------------------------I---------------I----------------- $0.00 1 $0.00 1 $0.00 1 I OTHER I $0.00 I $0.00 I S0.00 I I I I---------------I---------------I---------------I---------------I---------------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 ADMINISTRATION 1 $0.00 1 $0.00 1 $0.00 I 1 90.00 I $0.00 I $0.00 I I---------------I---------------I---------------I---------------I-----------------1 I TOTALS I $110,168.00 i $99,151.20 1 $11,016.80 1 $11,016.80 1 $550.84 1 $0.00 1 5413.13 _______ - ------------------------------------------------------- i *DO NOT USE COLUMN F WHEN REQUESTING FINAL PAYMENT FOR THE PROJECT 1 I I ------------------------------------------------------------------------- 1 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 (the payroll period through 06/25/92 are in file in my office; that the foregoing is a true and correct statement lof the project account up to and including the last day of the period covered by this application. I I Title: TOWN SUPERVISOR I (Date: 1 /5/93 Signature: -------------------------- �Q- --- X115 -----r r1�-------------------------------------------------------------------I ------------------------------ I INEW YORK STATE USE Deduct Ineligible Items per Schedule Attached $ Approved Amount --------------I ------------------------------------------------- (AVIATION DIVISION CERTIFICATION - DEPT. OF TRANSPORTATION (APPROVED AS TO FUNDS AVAILABLE ITo the best of my knowledge and belief, this claim is correct and (AUDITS & ACCOUNTS BUREAU - DEPT. OF TRANSPORTATION (just, and is approved for payment 1 (Date By (Date By --------------- ------ ----------------------------------- I I PROJECT NUMBER I REQUEST I PAYMENT (Dept. of Transp. (State (Number Ilnterim (Voucher Number (Federal IDate (Semi-final Final I I I-- D.O.T. -^ 0 T. ! I ! FNCUMBRANCF LIQUIDATION I I PROJECT IDENT. I ACCOUNT I EXPENDED ICHAR I OBJ.( --------------- - I ------------ I NUMBER I AMOUNT I 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 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 l , , , , ' 0 , ' I 1 I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I ' ' 1 1 I------------------------I-----------------I-----I-----I-----------------I----------------- I----------I-----------I-----I--------I ----I 1, ' ' i '''' I I I I I'' ' f I 1 1 1701 I I I I I --I-----I-----I-----------------I----------------- I----------I-----------I-----I--------I ----I I I I I I I I II I I 1701 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 ----------------------------------------------------------- ------------------ - Department Copy Q U.S. Department of Transportation Federal Aviation Administration Mr. Scott L. Harris Superintendent, Town of Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Dear Mr. Harris: % yV, 181 A. 9 , O2n. 305 VAS Uumn, ny 11581 REIL Installation of R/W 30 Elizabeth Field Airport AIP 3-36-0029-04-91 & 3-36-0029-05-92 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 r_ Airport Engineer Enclosure To: Mr. Philip Brito Manager Federal Aviation Administration N.Y. Airports District Office 181 South Franklin Avenue Valley Stream, New York 11581 Attention: Enclosed please find the following: Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.044 & 211.005 Date: 28 -Aug -92 - Three copies of Partial Payment Request No. SEVEN (Form 271) for your review and processing. Remarks: If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Enclosures cc: Mr. R. Philip KnauffL�� Ms. Judith T. Terry Sheila M. Farley Grants Administrator To: Mr. James Kuzloski NYSDOT - Region No. 10 New York State Office Bldg. Veterans Highway Hauppauge, New York 11787 Attention: Enclosed please find the following: fVD Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.044 & 211.005 Date: 28 -Aug -92 - Three copies of Partial Payment Request No. ONE (Form FIN -190) for your review and processing. 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 T. Terry CALOCERINOS & SPINA ENGINEERS, P.C. Sheila M. Farley Grants Administrator JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 24, 1992 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Sheila M. Farley Grants Administrator Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Elizabeth Field, Fishers Island Airfield Lighting (Design) Pavement Evaluation Dear Sheila: Enclosed are four (4) copies of Partial Payment Request No. SEVEN (Form 271), and four (4) copies of Partial Payment Request No. ONE (Form FIN -190) with respect to the above captioned project, all executed by Supervisor Harris. Very truly yours, Judith T. Terry v Southold Town Clerk Enclosures cc: Accounting E Finance cs 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: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 0913.04 File: 211.044 & 211.005 Date: 17 -Aug -92 - Five copies of Partial Payment Request No. SEVEN (Form 271) for your review and signature. - Five copies of Partial Payment Request No. ONE (Form FIN -190) for your review and signature. Remarks: Please have the Town Supervisor sign four copies of Form 271 and four copies of Form FIN -190 (both pages) and return them to me for further processing. Keep one copy of each form with the 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 T. Terry �.._ _ �Y ~��_. /,�'��. s�/ Sheila M. Farley Grants Administrator ' , Approved by Office of Management and PAGE t OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. 80-80181 I 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST ❑ FINAL R PARTIAL R CASH 11 ACCRUAL AGENCY AND ORGANIZATIONAL ELEMENT 4. F IAL G I OR 01 HEM S. PARTIAL P MENT REQUEST NO. 3. FEDERAL SPONSORING WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED SEVEN $0.00 BY FEDERAL. AGENCY Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-04-91 S. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT $0.00 IDENTIFYING NUMBER FROM (Month, day, your) TO (Month, day, year) 11-6003307 N/A 4/27/92 8/10/92 L. RECIPIENT ORGANIZATION 10. PAYEE (Met* check should be sent N different than Item D) Name: TOWN OF SOUTHOLD Name: TOWN HALL, 53095 MAIN ROAD No. and P.O. BOX 1179 No. and Street SOUTHOLD, NY 11971 sweet C 1y, pry State and State and ZIP Code: 11l. ZIP Coda: AC CI ILir1C 271-102 Prescribed by Office of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES ra AIRFIELD LIGHTING (DESIGN) (b) PAVEMENT EVALUATION (°) CLASSIFICATION 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 $56,419.55 $59,147.00 $0.00 $115,566.55 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) $56,419.55 $59,147.00 $0.00 $115,566.55 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $56,419.55 $59,147.00 $0.00 $115,566.55 q. Federal share to date $50,777.60 $53,232.30 $0.00 $104,009.90 r. Rehabilitation grants (100°x6 reim- bursement) s. Total Federal share (sum of lines q and r) $50,777.60 $53,232.30 $0.00 $104,009.90 t. Federal payments previously re- quested $50,777.60 $48,042.15 $0.00 $98,819.75 u. Amount requested for reimbursement $0.00 $5,190.15 $0.00 $5,190.15 v. Percent of physical completion of nrnir+rt 12. CERTIFICATION 87.Oe 100.0% 0.0 SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL 93.2% DATE REPORT SUBMITTED AUG a ' 1992 I certify that to the best of my knowledge and belief the billed costs or disburse- ments are In accordance with the terms of the project and that the reimbursement a. RECIPIENT TYPED OR PRI E EAND SCOTT L HARRIS TOWN SUPERVISOR TELEPHONE NO. (516) 765-1800 represents the Federal share due which has not been previously requested and that an inspection has been performed and all work is in accordance with the terms of the award. b. Representative certifying to line 11v, SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL i .- �- t�- DATE REPORT SUBMITTED + PRINTED NAME AND TITLE k CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY TELEPHONE NO. (315) 455-7981 GRANTS ADMINISTRATOR -n- Cr%PU 171 n-761 271-102 Prescribed by Office of Management and Budget Cir. No. A-110 FISHER ISLAND AIRPORT - ELIZABETH FIELD 08/17/92 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 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 ......................... $5,464.00 $5,464.00 $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........... $59,389.00 $59,389.00 $56,419.55 $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 ■. MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $64,853.00 $64,853.00 $56,419.55 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 08/17/92 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $56,419.55 854,388.00 80.00 ------------------------------------------------------------------------ LESS RETAINAGE: 82,969.45 SUBTOTAL: $59,389.00 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 04/30/91 $1,781.67 $1,631.64 * 07/31/91 833,851.73 831,001.16 80.00 * 10/17/91 85,938.90 $5,438.80 $0.00 * 11/25/91 85,938.90 85,438.80 80.00 * 12/13/91 85,938.90 85,438.80 80.00 * 02/26/92 82,969.45 $2,719.40 80.00 * 03/17/92 82,969.45 82,719.40 $0.00 r. FISHER ISLAND AIRPORT - ELIZABETH FIELD 08/17/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 2 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING a. ADMINISTRATIVE EXPENSE ......................... 80.00 90.00 $0.00 $0.00 b. PRELIMINARY EXPENSE ............................ 90.00 90.00 80.00 90.00 c. LAND, STRUCTURES, RIGHT-OF-WAY ................. 90.00 80.00 90.00 80.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... 959,147.00 859,147.00 859,147.00 80.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... 90.00 90.00 90.00 80.00 f. PROJECT INSPECTION FEES ........................ 80.00 80.00 90.00 80.00 g. LAND DEVELOPMENT ............................... 80.00 90.00 80.00 80.00 h. RELOCATION EXPENSE ............................. 90.00 80.00 80.00 80.00 i. RELOCATION PAYMENTS TO INDIV AND BUSINESSES.... 80.00 80.00 90.00 90.00 j. DEMOLITION AND REMOVAL ......................... 00.00 80.00 90.00 80.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... 90.00 90.00 90.00 80.00 1. EQUIPMENT ...................................... 80.00 90.00 90.00 90.00 m. MISCELLANEOUS COST ............................. 90.00 90.00 90.00 80.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS 959,147.00 959,147.00 959,147.00 80.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 08/17/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 2 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING ------------------------------------------------------------------------ TOTALS: 859,147.00 $55,780.00 80.00 ------------------------------------------------------------------------ RETAINAGE BILLED: 82,957.35 08/10/92 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 09/21/91 $10,054.99 89,482.60 80.00 * 10/24/91 84,731.76 84,462.40 80.00 * 11/25/91 814,786.75 $13,945.00 80.00 * 01/27/92 82,957.35 82,789.00 80.00 * 02/24/92 85,914.70 85,578.00 $0.00 * 03/23/92 88,872.05 $8,367.00 80.00 * 04/27/92 88,872.05 88,367.00 $0.00 05/31/92 81,774.41 $1,673.40 80.00 06/25/92 81,182.94 81,115.60 $0.00 Account Number ............. Invoice #..205 ?7A . . , Date. 19 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Name: Payee Identification or Social Security Number: ............. 16.-....132.1.75... 7 ............. Calocerinos. § Spina, Engineers.,..?: C. Payee Reference: Address: .................................... 102A..$eve.nth. Xg-cth..St .............. Phone No. (.... )....................... Li-verpoio l.> . NY .... 13.0.88 .............. Vendor Contact Cash Discount .................. %......... Days .................................... Item No. Description of Material/Service Quantity Unit Price Amount File N0. 211.005.001 Re: Elizabeth Field Airport R/W Pavement Evaluation Study In accordance with engineering agreement dated May 21, 1991 for engineering service performed from April 17, 1992 though May 15 1992. 1 13,774.4 Less: 5% Retainage - 88.7 Total 1, 6 8 5 .6 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, excep therein stated, and that the balance therein stated is actually due -and owing. Dated ..... MaY . 31.. ................. .19 92 . Signature Calocerinos & Spina E��gmeers. P.C. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 04/17/92 THROUGH 05/15/92 INV. DATE : 05/31/92 INVOICE # : 205274 PROJECT # : 211.005.001 TOTAL FEE AUTHORIZED 59,147.00 PERCENT COMPLETE AS OF 05/15/92 98.007. J T . r FEE EARNED TO DATE * 57,964.06 LESS PREVIOUS BILLINGS * 56,189.65 TOTAL THIS INVOICE ** 1,774.41 ) LESS 5% RETAINAGE 88.72 AMOUNT DUE THIS INVOICE ** 1,685.69 JWL 205274 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 � r Calocerinos & Spina Fndm oois. P C TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 05/15/92 THROUGH 06/12/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 06/12/92 INV. DATE : 06/25/92 INVOICE # : 206202 PROJECT # : 211.005.001 59,147.00 100.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** y_5 59,147.00 ti,' 1 57,964.06 1,182.94 59.15 1,123.79 JWL 206202 1020 Seven!h North Street. Liverpool, NY 13088-6199 (315) 4S7 C71 1 FAX (315) 457 9t303 Account Number ............. Invoice #........... . Date. .8/10/92, , , , ..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: .................................... 102.0 .Se.v.erjtb..Koi't)i. .St ............... Phone No. (....)....................... Lil;e xp p o, , , jv Y, ... 13,0, $ $ ............... Vendor Contact Cash Discount ..................% .........Days.................................... Itern Description of Material/Service Quantity Unit Amount No. Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above name laimant) does hereb gify that the foregoing claim is true and correct and that no part thereof as been paid, except as t ereVn stated, and that the balance therein stated is actually due and ow;ng. Dated... August .1.0 ................ .19 9.? . .........� . Signature c Calocerinos & Spina P C TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR RETAINAGE WITHHELD THROUGH 06/12/92 TOTAL FEE AUTHORIZED PERCENT RETAINAGE WITHHELD INV. DATE : 08/10/92 INVOICE # : 208102 PROJECT # : 211.005.001 59,147.00 5.00% WITHHELD TO DATE * 2,957.35 LESS PREVIOUS PAYMENTS * 234.22 TOTAL THIS INVOICE ** 2,723.14 AMOUNT DUE THIS INVOICE ** 2,723.14 ;1._rtt, . t !_,vt rP0„i. PAY t�,0' ; r; ( , �; t'. i i '1 1 FAQ t 1 i'' _1c303 ` Flh 1S'd-2b (10171) __ ...._ ..- STATE OF NEW 'YORK _ _. _ (Comptroller's AC 5033 DEPARTMENT OF TRANSPORTATION (Number I K- I--------------- Approved State MUNICIPAL CORPORATION APPLICATION FOR PAYMENT (Certificate I ----------------- I Comptroller --------------------------------------------------------------------------------------------------------------- (Number I ONE I (PAYEE (Name,Address and Zip Code) I FINANCIAL STATEMENT ITOWN OF SOUTHOLD (COST OF WORK PERFORMED TO DATE: 08/10/92 ITOWN HALL, 53095 MAIN ROAD I 1 IP.O. BOX 1179 1 1. Total Expended $110,168.00 1 ISOUTHOLD, NY 11971 1 2. Less non -participating $0.00 1 1-------------------------------------------------------------------1 3. Eligible Cost $110,168.00 1 (Payee -Employer Identification No. I Org. Code 1 4. Less Federal Share $99,151.20 1 i 11-6003307 1 BOO 15. Project Cost $11,016.80 1 I-------------------------------------------------------------------1 6. 95% of Project Cost $10,465.96 1 I GRANT AGREEMENT 1 7. State Share at 75% $7,849.47 1 (State Humber 0913.04 Max. State Amt. $9,300.00 1 B. Total prior requests - $0.00 1 (Federal Number 3-36-0029-04-91 Max. Fed. Amt. $111,600.00 i------------------------------------------------------------------------------------------------------------------------------------- 1 9. Amount requested $7,849.47 1 I In accordance with the provisions of the Grant Agreement, i-------------------------------------------------------------------------------------------------------------------------------------I the Municipal Corporation applies for payment as I follows: I I I A I B I C I D I E I F I G I 1 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 1 I INCURRED I I (A -B) I------------------- I --------------- I --------------- I --------------- I COSTS I COSTS (C -D) 1 COSTS* I ---------------I--------------- 1 (75% OF F)* I I EQUIPMENT 1 $0.00 1 $0.00 1 $0.00 I------------------- I --------------- I --------------- I --------------- I --------------- 1 I $0.00 1 $0.00 I ---------------i--------------- I ----------------- I 1 $0.00 1 I LAND 1 $0.00 1 $0.00 1 $0.00 I------------------- I --------------- I --------------- I --------------- I --------------- 1 I $0.00 1 $0.00 I ---------------I--------------- I ----------------- I 1 $0.00 1 I CONSTRUCTION 1 $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 I ----------------- I 1 $0.00 1 I ENGINEERING 1 $110,168.00 1 $99,151.20 1 $11,016.80 I -------------------I--------------- I --------------- I --------------- 1 1 $11,016.80 1 $10,465.96 I ---------------I--------------- 1 $7,849.47 1 I OTHER I $0.00 1 $0.00 1 $0.00 I -------------------I--------------- I --------------- I --------------- I --------------- 1 I $0.00 1 $0.00 I ---------------I--------------- I ----------------- I 1 $0.00 1 I 1 $0.00 1 $0.00 I $0.00 I------------------- I --------------- I --------------- I --------------- I --------------- 1 1 $0.00 1 $0.00 I ---------------I--------------- I ----------------- I 1 $0.00 1 I ADMINISTRATION 1 $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 I ----------------- I 1 $0.00 1 I TOTALS 1 $110,168.00 1 $99,151.20 1 $11,016.80 I------------------------------------------------------------------------------- 1 $0.00 1 $11,016.80 1 $10,465.96 1 $7,849.47 1 1 *DO NOT USE COLUMN F WHEN REQUESTING I-------------------------------------------------------------------------------------------------------------------------------------I FINAL PAYMENT FOR THE PROJECT 1 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 (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 08/10/92 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 d of the period covered by this application. 1 I AUG 2 4 1992 1 (Date: Signature: I------------------------------- - ------------------------- Title: TOWN SUPERVISOR -------------------------------------------------------------------------I INEW YORK STATE USE Deduct Ineligible Items per Schedule Attached $ 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 (just, and is approved for payment I (Date By I---------------------------------------------- [Date By I I PROJECT NUMBER I REQUEST I PAYMENT (Dept. of Transp. IState (Number lInterim (Voucher Number (Federal I (Date [Semi-final Final [ I r w FIN 190-2b (10/71) STATE OF NEW YORK (Comptroller's I I AC 5033 DEPARTMENT OF TRANSPORTATION (Number 1 K- I--------------- I ----------------- Approved State MUNICIPAL CORPORATION APPLICATION FOR PAYMENT (Certificate I I Comptroller (Number I ONE I -------------------------------------------- ------------------------------------------------------------------------------------------I IPAYEE (Name,Address and Zip Code) I FINANCIAL STATEMENT I ITOWN OF SOUTHOLD (COST OF WORK PERFORMED TO DATE: 08/10/92 I ITOWN HALL, 53095 MAIN ROAD I I [P.O. BOX 1179 1 1. Total Expended $110,168.00 1 ISOUTHOLD, NY 11971 1 2. Less nonparticipating $0.00 1 1-------------------------------------------------------------------1 3. Eligible Cost $110,168.00 1 IPayee-Employer Identification No. 1 Org. Code 1 4. Less Federal Share $99,151.20 1 I 11-6003307 1 BOO 15. Project Cost $11,016.80 1 -----------------------------------------1 6. 95% of Project Cost $10,465.96 1 i GRANT AGREEMENT 1 7. State Share at 75% $7,849.47 1 (State Number 0913.04 Max. State Amt. $9,300.00 1 8. Total prior requests $0.00 1 IFederal Number 3-36-0029-04-91 Max. Fed. Amt. $111,600.00 1 9. Amount requested $7,849.47 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 1 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 1-------------------I---------------I--------- I --------------- I --------------- I --------------- I --------------- I ----------------- I I EQUIPMENT 1 $0.00 1 $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 1 LAND 1 $0.00 1 $0.00 1 $0.00 1 1 $0.00 1 $0.00 1 $0.00 1 1-------------------I-----=---------I---------------I---------------I---------------I---------------I---------------1-----------------I 1 CONSTRUCTION 1 $0.00 1 $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 1 ENGINEERING 1 $110,168.00 1 $99,151.20 1 $11,016.80 1 1 $11,016.80 1 $10,465.96 1 $7,849.47 1 1------------------- I --------------- I --------------- t --------------- 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 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 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 $110,168.00 1 $99,151.20 1 $11,016.80 1 $0.00 1 $11,016.80 1 $10,465.96 1 $7,849.47 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 (have complied with all of the provisions4f Section 220 of the New York State Labor Law and that affidavits to that effect covering I ithe payroll period through 08/10/92 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 da of the period covered by this application. I (Date` ignature Title: TOWN SUPERVISOR I I----------------------------------------------- -.fr-----------------------------------------------------------------------------------I INEW YORK STATE USE Deduct Ineligible Items per Schedule Attached $ I I Approved Amount $ I I-------------------------------------------------------------------------------------------------------------------------------------I (AVIATION DIVISION CERTIFICATION - DEPT. OF TRANSPORTATION 1APPROVED AS TO FUNDS AVAILABLE i ITo the best of my knowledge and belief, this claim is correct and 1AUDITS & ACCOUNTS BUREAU - DEPT. OF TRANSPORTATION I (just, and is approved for payment I IDate By (Date By I-------------------------------------------------------------------------------------------------------------------------------------I I I PROJECT NUMBER I REQUEST I PAYMENT I (Dept. of Transp. (State (Number 1Interi■ 1 (Voucher Number IFederal (Date ISemi-final Final f I I D.O.T. I I 1 I ENCUMBRANCE LIQUIDATION I I PROJECT IDENT. NO. I I I ACCOUNT 1 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 I NUMBER I I I I I F 1 I------------------------I-----------------1-----I-----I-----------------I-----------------I----------I-----------------I--------I----1 113 21122 31132 33134 35136 41142 51155 58160 1 65166 68169701 1------------------------I-----------------1-----I-----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-----1-----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--------1----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 ----f I ' ' ' ' ' ' ' ' I 1 I I I ' ' ' ' ' I 1 1 1701 1 ' ' ' 1 1 ' ' I I I------------------------1-----------------I-----1-----I-----------------I-----------------I----------I-----------i-----i--------I----I I ' ' ' ' ' ' ' ' i I ' ' ' ' ' I 1 1 1701 1 ' ' ' I I ' ' I I --------------------------------------------------------------------------------------------------------------------------------------- nanartmPnt Cnnv FISHER ISLAND AIRPORT - ELIZABETH FIELD 08/17/92 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 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 80.00 $0.00 80.00 b. LAND ........................................... 80.00 $0.00 $0.00 $0.00 c. CONSTRUCTION ................................... $0.00 $0.00 80.00 80.00 d. ENGINEERING .................................... $59,389.00 $54,388.00 854,388.00 80.00 e. OTHER .......................................... $0.00 80.00 $0.00 80.00 f. ADMINISTRATION ................................. -------------------------------------------------------------------------------------------------------------------------------------- 85,464.00 $5,464.00 80.00 $0.00 TOTAL STATE COSTS 864,853.00 $59,852.00 854,388.00 80.00 WORK PERFORMED TO: 08/10/92 FISHER ISLAND AIRPORT - ELIZABETH FIELD 08/17/92 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, BY 211.004 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: 856,419.55 854,388.00 $0.00 LESS RETAINAGE: 82,969.45 ---------- SUBTOTAL: 859,389.00 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 04/30/91 81,781.67 81,631.64 07/31/91 833,851.73 831,001.16 80.00 10/17/91 85,938.90 $5,438.80 80.00 11/25/91 85,938.90 85,438.80 80.00 12/13/91 85,938.90 85,438.80 80.00 02/26/92 82,969.45 82,719.40 80.00 03/17/92 82,969.45 82,719.40 80.00 `Account Num ber ............. Invoice # ............. Date Ap r i l 3 0 19 91 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: Calocerinos & Spina Eng . PC or Social Security Number: 1020 Seventh North Street 16-1321757 Liverpool, NY 13088 ""........"""""""""""'" ...................................... Payee Reference: Address: Job #211.004 Contract..011 ...... .... . ............ Phone No. (315.1...4 ST -.6 711.......... . ...................................... Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island Airport Elizabeth Field Airfield Lighting In accordance with Engineering Agreement dated December 28, 1990 for Engineering Services performed through April 19, 1991. 11,781.67 Less: So Retainage 89.08 1,692.59 Total 11,692.59 Discount Net $1,692.591 The undersigned (Claimant) (Acting on behalf of above name aimant) does hereby ce A y that the foregoing claim is true and correct and that no part thereof s 136en paid, a ept as the in tated, and that the balance therein stated is actually due and owing. Dated.. April 30 ...................119 .91. ............ .. .. ...... . Signature Golov IL � 1 �T �J Calocerinicis & Spina Engineers, P.C. To : Town of Southold Town Hall P.O. Box 1179 Southold, NY 11971 Attention: Description of Services Date: File No. April 30, 1991 211.004 Contract 001 INVOICE Re: Fishers Island Airport - Elizabeth Field Airfield Lighting In accordance with Engineering Agreement dated December 28, 1990 for Engineering Services performed through April 19, 1991. 3% Completion x $59,389.00 Less: Previous Billings Less: 5% Retainage TOTAL AMOUNT DUE THIS INVOICE 1020 Seventh North Street, Liverpool, NY 13088 (315) 457-6711 Amount � S $1,781.67 6_4 j< j) 3 C .00 $1,781.67 - 89.08 $1,692.59 $1,692.59 Account Number ............. Invoice #............. Date..7./.31/.9.1 ......1991........ . TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: ...1.6.-132.1.7.57 ....................... Cal.ocQri.rjgs. &..$pzt.a.ngineex.sj,..P.C. Payee Reference: Address: #211.004 Cont. 011 ............................. 102-Q . Seventh. North .St. ............. Phone No. (.315), 45.7-6711 Li.verpool..,...NY 1.3.088 .............. Vendor Contact ......... Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island Airport Elizabeth Field Airfield Lighting In accordance with engineering agreement dated December 28, 1990 for engineering services performed from April 19, 1991 through July 12, 1991. 3,851.7 Less:5% Retaiange 1,692.5 Total 32,159.1 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. (�Z Dated ...July ....3 ................... .19 .91. ..... ... . Signature 1DY Q Calocerinos & Spina Engineers, P.C. To: Town of Southold Town Hall P.O. Box 1179 Southold, NY 11971 Attention: Description of Services Date: File Nc. July 31, 1991 211.004 Contract 001 INVOICE Re: Elizabeth Field Fishers Island Airport Airfield Lighting In accordance with Engineering Agreement dated December 28, 1990 for engineering services performed from April 19, 1991 through July 12, 1991. 60% Complete x $59,389.00 Less: Previous Billings Less: 5% Retainage TOTAL AMOUNT DUE THIS INVOICE Amount �Y 5 $35,633.40 $ 35,633.40$ 1,781.67 $33,851.73 DDS• �� - 1,692.59 $32,159.14 $32,159.14 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 t Account Number ............. Invoice #. 110136, . , .. Date. 10/17191 ,19, 91, , , , , , , TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 .................................... Calocerinos & Spina Engineers, P.C. Payee Reference: Address: , ... 2.11.0 0 4 ....................... 1020 Seventh North St. Phone No. (....1 ....................... ....................... Li,v,erp9p.l , . NY, . ,130,8$ ................ Vendor Contact CashDiscount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island Airport Elizabeth Airfield Lighting In accordance with engineering agreement dated December 28, 1990 for engineering services performed from July 12, 1991 through September 20, 1991. 5,938.90 Less: 5% Retainage 296.95 Total 5,641.95 Discount Net I 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. coer 17, 199............1 , .... , ,19 , , , !��'l . !!"':.�' "'.` .. . Sign ture A Calocerinos & Spina Engineers, P.C. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 AIRFIELD LIGHTING FOR PROFESSIONAL SERVICES RENDERED THROUGH 09/20/91 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 09/20/91 INV. DATE : 10/17/91 INVOICE # : 110136 PROJECT # : 211.004.001 CLIENT REF: 59,389.00 70.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS * 41,572.30 * 35,633.40 TOTAL THIS INVOICE ** LESS RETAINAGE AMOUNT DUE THIS INVOICE ** 1020 Seventh North Street, Liverpool, NY 13088 (315) 457-6711 5,938.90 296.95 5,641.95 JWL 110136 Account Number ............. Invoice #.11118,2 .. , , , Date l l/ 2 ?-/.9.1 19 91 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 .................................... Calocerinos .F,. Spina Engineers, PC payee Reference:..... ..... . . ... .. . . Address: .21,1 , Q04, .Cont.ract 001 1020 Seventh North Street Phone No. (....)....................... Liverpool, ew York 13088 .......... Vendor Contact ..... ... . CashDiscount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount R and Airport Elizabeth Airfield Lighting - Design In accordance with Engineering Agreement dated December 28, 1990 for Engineering Services performed from September 20, 1991 through November 1, 1991. $S.%938.90 Less: 5% Retainage 296.9S 5,641.95 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.. N?ovember. 2S, .19.9.1 19 Si ature 641 -a f �=yY TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 AIRFIELD LIGHTING ELIZABETH FIELD FOR PROFESSIONAL SERVICES RENDERED THROUGH 11/01/91 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 11/01/91 INV. DATE : 11/25/91 INVOICE # : 111182 PROJECT # : 211.004.001 CLIENT REF: 59,389.00 80.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS �v S Z-4 91-9� * 47, 511. 20 * 41,572.30 TOTAL THIS INVOICE ** LESS RETAINAGE AMOUNT DUE THIS INVOICE ** 5,938.90 js,'�-� 296.95 5,641.95 JWL 111182 - r .......Liverpool.' ..........................., N. Y.,.. December ...19.9. TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N. Y., Dr. To .... Calocerinos & Spina Engineers, P: C; ..............Clai mant Address .... J.Q2 Q. Seventh North Street Fed. I. D. No. ............ or Soc. Security No. ........................ The undersigned (Claimant) (Acting on behalf of above named Claimant) does hereby certify that the (Cross out one) 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 ....... De.cember 13, , 19 91 ......................... ........................... .................. Signature L File NO. 211.004 Contract 001 Re: Fishers Island Airport Elizabeth Airfield g ing - De-` In accordance with engineering agreement dated December 28, 1990 for engineering services peformed from November 1, 1991 through November 29, 1991. 5,641-V The undersigned (Claimant) (Acting on behalf of above named Claimant) does hereby certify that the (Cross out one) 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 ....... De.cember 13, , 19 91 ......................... ........................... .................. Signature L Calocorinos &s��ina r,;iir c t, P C TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT AIRFIELD LIGHTING ELIZABETH FIELD DESIGN SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 11/01/91 THROUGH 11/29/91 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 11/29/91 INV. DATE : 12/13/91 INVOICE # : 112149 PROJECT # : 211.004.001 59,389.00 90.00% FEE EARNED TO DATE * 53,450.10 LESS PREVIOUS BILLINGS * 47,511.20 TOTAL THIS INVOICE ** 5,938.90y��'r� LESS 5% RETAINAGE * 296.95 AMOUNT DUE THIS INVOICE ** 5,641.95 Account Number ............. Invoice #.?02.204, , , , , Date.? � ? §�9 4 . . . . . . . 19 . . . . . . . . . . . PAY TO: Payee Name: TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. Payee Identification or Social Security Number: 16-1321757 .................................... Calocerinos S ina gineers, P.C. ............. �......En.. ............... Payee Reference: Address: .................................... 1020 Seventh North Street Phone No. (....)....................... Liverpool, NY 13088 . , , ... _ .. Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island - Elizabeth Field Airpor Airfield Lighting - Design Services In accordance with engineering agreement dated December 28, 1990 for engineering services performed from 11/29/91 through 2/7/92. 2,969.45 Less: 5% Retainage 148.47 Total 8 2 0. 9 8 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 been paid, except as therein stated, and that the balance therein stated is actually due and owing. Dated ..... F e bJJ44 rY.. Z6 .............19 .91. Signature L CIS, caiocerinos & Spina TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND - ELIZABETH FIELD AP AIRFIELD LIGHTING DESIGN SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 11/29/91 THROUGH 02/07/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 02/07/92 INV. DATE : 02/26/92 INVOICE # : 202204 PROJECT # : 211.004.001 CLIENT REF: 59,389.00 95.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 56,419.55 53,450.10 2,969.45 148.41 WNW JWL 202204 N'f 4v,7 F_. , F K r^ ") Account Number.. , ......... Invoice #203:210_ ... , , Date.3/17/92 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: 10.20. Seventh, North Street....... _ . Phone No. (....)....................... Liverpool, , NX .. j.3088 ............ . . Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount File No. 211.004 Contract 001 Re: Fishers Island - Elizabeth Field Airport Airfield Lighting - Designe services For engineering services performed through March 6 1992. 2,969.45 Less: 5% Retainage - 148.47 2,820.98 Total 2,820.98 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 b en paid, except therein stated, and that the balance therein stated is actually due and owing. Dated ... March 17.. ................ 199?.. .�: ........ Signature t c- s Calocerinos & Spina Enq;neers. P C TOWN OF SOUTHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND - ELIZABETH FIELD AIRPORT AIRFIELD LIGHTING DESIGN SERVICES FOR PROFESSIONAL SERVICES RENDERED THROUGH 03/06/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 03/06/92 INV. DATE : 03/17/92 INVOICE # : 203210 PROJECT # : 211.004.001 59,389.00 100.009 FEE EARNED TO DATE * 59,389.00 LESS PREVIOUS BILLINGS * 56,419.55 TOTAL THIS INVOICE ** 2,969.45 LESS 59 RETAINAGE 148.47 AMOUNT DUE THIS INVOICE ** 2,820.98 JWL 203210 COPD 1020 Seventh North If roof- I ivornonl NY lnn R-t;tn4 olrO .ir,z-r�z1I r: AV f Ir,_Ar7 nQnl --- FISHER ISLAND AIRPORT - ELIZABETH FIELD PAVEMENT EVALUATION TOWN OF SOUTHOLD, NY F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF STATE ELIGIBLE PROJECT COSTS PROGRAM NO. 2 --------------------------------------------- 08/17/92 211.005 ESTIMATED TOTAL COST ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE FEDERAL ELIGIBLE STATE ELIGIBLE STATE ELIGIBLE PARTICIPATING a. EQUIPMENT ...................................... 80.00 80.00 80.00 80.00 b. LAND ........................................... 80.00 80.00 80.00 80.00 c. CONSTRUCTION ................................... 80.00 80.00 80.00 80.00 d. ENGINEERING .................................... 859,147.00 855,780.00 855,780.00 80.00 e. OTHER .......................................... 80.00 80.00 80.00 80.00 f. ADMINISTRATION ................................. 80.00 80.00 $0.00 80.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL STATE COSTS 859,147.00 855,780.00 855,780.00 80.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 08/17/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 2 ----------------------------------------------- Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ 859,147.00 $55,780.00 00.00 ------------------------------------------------------------------------ RETAINAGE BILLED: 82,957.35 08/10/92 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 09/21/91 810,054.99 89,482.60 00.00 10/24/91 84,731.76 84,462.40 80.00 11/25/91 014,786.75 813,945.00 00.00 01/27/92 82,957.35 02,789.00 80.00 02/24/92 85,914.70 85,578.00 80.00 03/23/92 88,872.05 88,367.00 80.00 04/27/92 88,872.05 88,367.00 80.00 05/31/92 81,774.41 81,673.40 80.00 06/25/92 81,182.94 01,115.60 00.00 "Account Number ............. Invoice #.....`.. Date September 21, �9 91 i .... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification I Payee Name: Calocerinos & Spina Eng. , PC or Social Security Number: 1020 Seventh North Street 16-132175 Liverpool, NY 13088 """""'."""""' .......I ........................... Payee Reference: Address: Job No....211.. 005. Contract .00.1 .................... I ................. Phone No. (.315 ... 4.5 7:- 6.7.11.......... . ........•.•••.••................... Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fisher's Island Airport Elizabeth Field - Runway Pavement Evaluation Study In accordance with Engineering Agreement da ed May 21, 1991 for Engineering Services performed through August 23 1991. $10,054.9S Less: Sa Retainage - 502.7 $ 9)552.2 Total 9,5S2. 2 Discount Net $1 9,S52. 24 The undersigned (Claimant) (Acting on behalf of above name laimant) does hereby certify that the foregoing claim is true and correct and that no part thereof hs een paid, except as th in stated, and that the balance therein stated is actually due and owing. f Dated. , ,September 21, 19 91. ........ Signature t COPY C Calocerinos & Spina Engineers, P.C. To : Town of Southold Town Hall P.O. Box 1179 Southold, NY 11971 Attention: Description or Services Date: File Nc. September 21, 1991 211.005 Contract 001 INVOICE Re: Fisher's Island Airport Runway Pavement Evaluation Study In accordance with Engineering Agreement dated May 21, 1991 for Engineering Services performed through August 23, 1991. 17% Completion x $59,147.00 = Less: Previous Billings Less: 5% Retainage TOTAL AMOUNT DUE THIS INVOICE Arr cunt �y s $10,054.99 .00 � $10,054.99 '1,- w - 502.75 $ 9,552.24 $ 9,552.24 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 Account Number...... ..... Invoice #..1101 4.... Date.Qctober, 2.3, ,19,91........ f TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. I PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 .................................... Calocerinos & Spina Engineers, P.C. ...................................... Payee Reference: Address: 211.005 — 001 102Q . SevMnth .NQzth .$r .............. Phone No. (....1 ....................... Live rpo.Q 1, . NY ... 1.3 Q 8 8 ............. Vendor Contact CashDiscount ..................% .........Days.................................... I Item No. Description of Material/Service Quantity Unit Price Amount File No. 211.005 In accordance with engineering agreement dated May 21, 1991 for engineering service performed through September 20, 1991. 4,731.76 Less: 5% retainage 236.69 4,495.17 Total 14,495.17 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 n paid, except as er in stated, and that the balance therein stated is actually due and owing. Dated.. . . . October. 23, 1991... , ,,19 .... . _ . j Signature iC�CJ� IL a Calocerinos & Spina Engineers, P.C. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991. FISHER'S ISLAND AIRPORT INV. DATE : 10/24/91 INVOICE : 110164 PROJECT , : 211.005.001 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED THROUGH 09/20/91 TOTAL FEE AUTHORIZED 59,147.00 PERCENT COMPLETE AS OF 09/20/91 25.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS 5 * 14,786.75 * 10,054.99 TOTAL THIS INVOICE ** LESS RETAINAGE AMOUNT DUE THIS INVOICE ** 1020 Seventh North Street, Liverpool, NY 13088 (315) 457-6711 4,731.76'�1�Z�0 2.37 4,729.39 JWL 110164 Account Number ............. Invoice #..111183 _ . , , Date. november 25, 1991 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16.-.1.3..21.75. .7 ......................... Calocerinos Spina Engineers, PC payee Reference: Address: 211. 0 0 5 . 0 01 1020 Seventh North Street Phone No. (....)....................... Liverpool, New York 13088 Vendor Contact Cash Discount ..................% .........Days.................................... "q& F Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers, Island Airport Runway Pavement Evaluation Study In accordance with Engineering Agreement dated May 21, 1991 for Engineering Services performed from September 20, 1991 through November 1, 1991. X14 ;86.7 Less: 5% Retainage Total $14,047.41 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 eels paid, except as therein stated, and that the balance therein stated is actually due and owing. Dated. November 25 ................ .19 .91. Signature 4 L TOWN OF SOUTHHOLD, NEW YORK TOWN OF SOUTHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991. FISHER'S ISLAND AIRPORT INV. DATE : 11/25/91 INVOICE # : 111183 PROJECT # : 211.005.001 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED THROUGH 11/01/91 TOTAL FEE AUTHORIZED 59,147.00 PERCENT COMPLETE AS OF 11/01/91 50.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS RETAINAGE AMOUNT DUE THIS INVOICE ** 65 29,573.50 ez 14,786.75 14,786.75 Af13, 9'�-a 739.34 14,047.41 JWL 111183 G I- ',It Account Number ............. Invoice #.. 2.0.1.25..... Date.JamAzt.2'y..27., ..19.92....... . 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: .211...05. C.ontra.c,t .NP.•..Q0?....... .1.0. 0. S.eventh. Nor.th ,Str.eet.. .... Phone No. {....)....................... . .......... .. ... �.iverpo.Q1,. XQw. X.oixl . �.3.Q88........ Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island Airport Runway Pavement Evaluation Study In accordance with Engineering Agreement Services Performed from November 1, 1991 through December 27, 1991. $ 957.35 So Retainage - 147.87 Total .809 .48 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 .er in stated, and that the balance therein stated is actually due and owing. Dated .,Ian.uarti•..ui , .................19..92 �..�"t . .... - ... Signature 0 L Coov c- s Calocerinos &Spina Engineers. P C TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND—ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED THROUGH 12/27/91 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 12/27/91 INV. DATE : 01/27/92 INVOICE # : 201250 PROJECT # : 211.005.001 CLIENT REF: 59,147.00 55.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 10:0 Sevonth Nurih Street, Liverpool, NY 130380 61 1 r) .157:6711 rFn l5 j 32 530.85�� 29,573.50 r � 2,957.35 O? l 147.87 2,809.48 JWL 201250 Account Number ............. Invoice #, 202171_ , .. . Date.?24/92 19.......... . TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Name: Calocerinos 8 Spina Engineers, P.C. Address: 1020 Seventh North Street ........ L?FeX.pool,,..NY....13088 .................. Payee Identification or Social Security Number: lb ;132177 .................... Payee Reference: 211.005 ................................ Phone No. (.... )...................... . ...................................... Vendor Contact Cash Discount ..................% .........Days.................................... Item Description of Material/Service No. Quantity Unit Amount Price Re: Fishers Island - Elizabeth Field A/P For professional services performed from 12/27/91 through 2/7/92. Less: 5% Retainage 5,914.70 - 295.74 ,618.96 Total Discount Net 5,618.96 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. February 24.. .............. .19 .92. Signature t f TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 12/27/91 THROUGH 02/07/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 02/07/92 INV. DATE : 02/24/92 INVOICE # : 202171 PROJECT # : 211.005.001 CLIENT REF: 59,147.00 65.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE 38,445.55 32,530.85 5,914.70 _ 5� 295.74 AMOUNT DUE THIS INVOICE ** 5,618.96 JWL 202171 Account Number ............. Invoice #.?03347 , , , , , Date. 3/23/92 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. 16-1321757. ...................................... Payee Reference: Address: 1020 Seventh North Street Phone No. (....)....................... L i ve r� o o l, NY r .13088 Vendor Contact Cash Discount .................. %......... Days .................................... Item No. Description of Material/Service Quantity Unit Price Amount File no. 211.005 Contract 001 Fishers Island - Elizabeth Field A/P R/W Pavement Evaluation Study For engineering services performed from 12/27/91 through 3/06/91. 8,872.05 - Less: 5% Retainage - 443.60 8,428.45 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 en paid, except a;tein stated, and that the balance therein stated is actually due and owing. Dated ..... Max.xh . 23.,. ............. 19 ,,�'�e _ Signature C. s , Calocerinos & Spina Engineers. P C. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND;ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 12/27/91 THROUGH 03/06/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 03/06/92 INV. DATE : 03/23/92 INVOICE # : 203347 PROJECT # : 211.005.001 59,147.00 80.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 8,428.45 JWL 203347 1020 Seventh North Street, Liverpool, NY 13038-6199 (315) 457-6711 FAX (315) 457-9803 r 47, 317.60zz -- 38,445.55 8,872.05 443.60 8,428.45 JWL 203347 1020 Seventh North Street, Liverpool, NY 13038-6199 (315) 457-6711 FAX (315) 457-9803 Account Number ............. Invoice *.40419.4 . , . , . Date 4 ?7/9.q .......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: 211.005.001 .................................... 1020 Seventh, North, Street _ . ...... Phone No. {....)....................... U ye.rg p Q 1,,, , NX, ...13 0,8 8 . . ...... . .... Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island - Elizabeth Field Airport R/W Pavement Evaluation Study For engineering services performed from March 6 1992 through April 17, 1992. 8,872.05 Less: 5% Retainage - 443.60 8,428.45 Total 8,428.45 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 ast r in stated, and that the balance therein stated is actually due and owing. n 9 .. Dated .... �pril.27.�............... 19` .. . ....... Signature IL Calocerinos & Spina TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 INV. DATE : 04/27/92 INVOICE # : 204194 PROJECT # : 211.005.001 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED FROM 03/06/92 THROUGH 04/17/92 TOTAL FEE AUTHORIZED 59,147.00 PERCENT COMPLETE AS OF 04/17/92 95.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 56,189.65 47,317.60 8,872.05 ) 443.60 8,428.45 JWL 204194 '� �r? Nollh Strut. bverp,-1c4, N, "I;!Y) (315) 457-6711 FAX (315) 457-9803 Account Number ............. Invoice #. 205 ?7A , , , Date. 5X3 1 /9 2 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: .................................... 102.R .Sev.eritb. XQrth..5t.............. Phone No. (.... )........................ Li.v.e�rpop.L,. . Ny.... 13.0.88 .............. Vendor Contact Cash Discount .................. %......... Days .................................... Item No. Description of Material/Service Quantity Unit Price Amount File N0. 211.005.001 Re: Elizabeth Field Airport R/W Pavement Evaluation Study In accordance with engineering agreement dated May 21, 1991 for engineering service performed from April 17, 1992 though May 15 1992. 1,774.4 Less: 5% Retainage - 88.7 Total 1,685.6S 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 Vd§been paid, exce therein stated, and that the balance therein stated is actually due and owing. - Dated ..... MAY.. 31 .................... 19 92.. Signature L Calocerinos & Spina Engineers. P.C. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 04/17/92 THROUGH 05/15/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 05/15/92 INV. DATE : 05/31/92 INVOICE # : 205274 PROJECT # : 211.005.001 59,147.00 98.009 FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 59 RETAINAGE AMOUNT DUE THIS INVOICE ** 57,964.06 56,189.65 1,774.41 88.72 1,685.69 JWL 205274 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 Calocerinos & Spina Engmeoi s. P_C, TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 05/15/92 THROUGH 06/12/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 06/12/92 INV. DATE : 06/25/92 INVOICE # : 206202 PROJECT # : 211.005.001 59,147.00 100.009 FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 59 RETAINAGE AMOUNT DUE THIS INVOICE ** ti� is 59,147.00 �'" � •f 57,964.06 1,182.94 59.15 1,123.79 JWL -206202 1020 Seventh North Street, Liverpool, NY 13088 6199 (315) 4-57-C711 FAX (31 5) 457 9803 1 Account Number ............. Invoice #............. Date.. 8/.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: 102.0.Severjth..NQrh. .St .............. Phone No. (....)....................... L i ti;e T Qp•J . NY.... 3.R $ $ ............... ....................... Vendor Contact Cash Discount ..................% .........Days.................................... Item Description of Material/Service Quantity Unit Argount No. Price Total Discount Net The undersigned (Claimant) (Acting on behalf of above name laimant) does hereb ify that the foregoing claim is true and correct and that no part thereoLas een paid, except as t erei'n stated, and that the balance therein stated is actually due and owing. Dated... August .1.��................19 9.? . .. Signature N. M W � Calocerinos & Spina PC TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR RETAINAGE WITHHELD THROUGH 06/12/92 TOTAL FEE AUTHORIZED PERCENT RETAINAGE WITHHELD INV. DATE : 08/10/92 INVOICE # : 208102 PROJECT # : 211.005.001 59,147.00 5.00% WITHHELD TO DATE * 2,957.35 LESS PREVIOUS PAYMENTS * 234.22 TOTAL THIS INVOICE ** 2,723.14 AMOUNT DUE THIS INVOICE ** 2,723.14 '� ;J. th t, !-w� r� �,i. t:Y 1:,�tL':i i t �::"•! <� t I FA.\ (� 1 j 1S7 9803 I Calocerinos & Spina Engineers, P.C, RECEIVED AUG 1 �, 1992 Southold T^, Clerk 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: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 0913.04 File: 211.044 & 211.005 Date: 17 -Aug -92 - Five copies of Partial Payment Request No. SEVEN (Form 271) for your review and signature. - Five copies of Partial Payment Request No, ONE (Form FIN -190) for your review and signature. Remarks: Please have the Town Supervisor sign four copies of Form 271 and four copies of Form FIN -190 (both pages) and return them to me for further processing. Keep one copy of each form with the backup documentation for your files. ==a====a=aaa==a==aa====aa=c===a==cc==a=csx=aaaaxmaaaacxaaaaaa==aa=c000caa=sc=a=cccc==c=== 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, � � �`=- JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK - P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER - Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 7, 1992 John A. Falotico, Director Planning S Program Management NYS Department of Transportation Veterans Memorial Highway Hauppauge, New York 11788 Re: Aviation Grant Agreement, PIN 0913.04 Dear Mr. Falotico: Enclosed herewith are six (6) executed Aviation Grant Agreements with regard to the Elizabeth Field Airport, Fishers Island, along with six (6) certified resolutions of the Southold Town Board, and the two (2) SEQRA Agency Compliance Statement Forms DV -21. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting & Finance Calocerinos S Spina Engineers, P.C. JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER �oc��FFOLKc�Gy 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 JUNE 30, 1992: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute a New York State Department of Transportation, Aviation Transportation, Infrastructure Renewal Project Grant Agreement (Study) to conduct pavement evaluation study for Runways 12-30 and 7-25; design engineering services for the installation of an MI RL system on Runway 12-30, rotating airport beacon, lighted electrical vault and airfield pilot control system; as well as an Agency Compliance Statement in accordance with the State Environmental Quality Review Act; all in accordance with the approval of the Town Attorney. J;/a nth T. Terry Southold Town Clerk July 1, 1992 STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788 JAMES A. KLIZLOSKI FRANKLIN E. WHITE REGIONAL DIRECTOR COMMISSIONER June 25, 1992 k T Honorable Scott Lewis Harris Supervisor Southold Town Hall P.O. Box 1179 Southold, NY 11977 Dear Mr. Harris Aviation Grant Agreement, PIN 0913.04 Elizabeth Field Airport Pavement Evaluation Study for RWs 12-30 & 7-25; Design Engineering of MIRR System on RW 12-30; Rotating Airport Beacon, Lighted Electrical Vault & Airfield Pilot Control System The subject project has been approved for State funding. Seven (7) copies Of the State Grant Agreement are being forwarded to you for further processing. Please have these documents signed and notarized and return six (6) signed Grants and six (6) Certified Resolutions from your legislative body authorizing their execution of this office. One copy of a completed SEQR Agency Compliance Statement Form DV -21 should also be completed and forwarded with the executed grant agreements. Very truly yours, t --JOHN A. FALOT I CO Planning & Program Management Director Attachments AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER 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: U 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 Env_ronmental 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). [SCJ Type II Action [_] Ministerial Act L] Exempt Act Project Description DESIGN ENGINEERING SERVICES FOR THE INSTALLATION OF AN MIRL SYSTEM ON RW 12-30, ROTATING AIRPORT BEACON, LIGHTED ELECTRICAL VAULT AND AIRFIELD PILOT CONTROL SYSTEM Applicant Signature Scott Louis Harris Supervisor. Town of Southold Title June 30, 1992 Date 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: L] Type I Action - with possible significant effect (NEPA or SEQR DEIS, FEIS and SEAR 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). 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). [ X] Type II Action [ I Ministerial Act [I Exempt Act Project Description CONDUCT PAVEMENT EVALUATION STUDY FOR RWs 12-30 AND 7-25 n Applicant Signature Scott Louis Harris Supervisor. Town of Southold Title June 30, 1992 Date NEW YORK STATE DEPARTMENT OF TRANSPORTATION AVIATION TRANSPORTATION INFRASTRUCTURE RENEWAL PROJECT GRANT AGREEMENT (STUDY) Project No. Contract No. 0913.04 This Agreement made this lst day of October , 19 90 by and between the people of the State of New York, (hereinafter referred to as the "State") acting by and through its Commissioner of Transportation (hereinafter referred to as the "Commissioner"), whose office is in the Administration and Engineering Building, 1220 Washington Avenue, Governor Harriman State Campus, City and County of Albany, New York, and the Town of Southold with offices at Southold, NY (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 Projects pursuant to an agreement with a Grantee and WHEREAS, the Grantee has made application to the Commissioner for State aid for the accomplishment of a Transportation Infrastructure Project, (hereinafter referred to as the "Project"), which Project is describ- ed 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: Article 1. Purpose of Agreement — The purpose of this Agreement is to provide for the undertaking of an Airport Transportation Infrastructure Renewal Project (herein called the "Project"), with State financial assistance to the Grantee in the form of a grant agreement (herein called the "Grant") to determine the location, extent and cost of any future improvements to meet the present and future demands for aviation services at the Elizabeth Field Airport , pursuant to the Rebuild New York Through Transportation Infrastructure Bond Act of 1983 and to state the terms and conditions upon which such assistance will be provided and the mutual understandings and agreements of the parties as to the manner in which the Project will be undertaken and completed. Article 2. Documents Forming the Agreement — The agreement shall consist of this document and the 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. Article 3. The Project — The Grantee agrees to undertake and complete the Project substantially as described in its application heretofore filed with and approved by the Commissioner, a copy of which is hereby made part of this Agreement by reference, and in accordance with the Request for Aid, made to the Federal Aviation Administration, a copy of which is hereby made part of this Agreement by reference, and in accor- dance with the terms and conditions of this Agreement. The Project is described as follows. CONDUCT PAVEMENT EVALUATION STUDY FOR RWs 12-30 AND 7-25; DESIGN ENGINEERING SERVICES FOR THE INSTALLATION OF AN MIRL SYSTEM ON RW 12-30, ROTATING AIRPORT BEACON, LIGHTED ELECTRICAL VAULT AND AIRFIELD PILOT CONTROL SYSTEM. This work is more particularly described and detailed in the plans, programs and schedules approved or to be approved by the Commissioner. DV5-1c (1/89) Article 4. The Grant — The Commissioner hereby determines that the estimated reasonable cost of this Project is $122,091 Subject to the Grantee compliance with the terms and conditions of this Agreement, the Commissioner agrees to pay the Grantee, as hereinafter provided, not more than $ 9,157 or 75% of the non -Federal share of the project cost whichever is less. The Grantee agrees to apply for additional Federal assistance which may become available for the Project, subject to such conditions as the Commissioner may 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 in the foregoing calculation of the State payment becomes available to the Grantee, the amount of State payment shall be recalculated with the inclusion of such additional Federal assistance and the Grantee shall either (a) pay lto the State the amount by which the State payment actually made exceeds the State payment determined byi the recalculation or (b) if such additional Federal assistance has not been received by the Grantee, authorize the State to receive such amount from the Federal government and to retain an appropriate amount thereof. The Grantee shall provide for the payment of the remainder of the actual total cost of the Project. Article; 5. Commencement of Work and Use and Sale of Project Facilities —� The Grantee agrees to undertake and proceed with the project within 6 months of the date of this agreemlent and to complete the project in accordance with the schedules, proposals, plans, and programs as approv�d by the Commissioner. Where the Project results in the establishment of an airport or otherwise affects development of an existing airport, the following shall apply: 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, and 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 may prohibit or limit any given type, kind, or class 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. 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 this 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 any person, firm, or corporation the exclusive right for the conduct of any aeronautical activities on the airport, including but not limited to, charter flights, pil t 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 aircraft parts, and any other activities which because of their direct relationship to the operation of aircraft can be regardeds 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 general applicability and effect, the Grantee specifically covenants and agrees: a. That in its operation and the operation of all facilities on the airport, neiither it not. any person or 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 providedfpr 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: (including the 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: (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 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. That it will not exercise or grant any right or privilege which would operate 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 and repair) that it may choose to perform. d. 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 nonaeron�utical nature or to obligate the Grantee to furnish any particular nonaeronautical service at the Airport. DV5-2b (1/89) 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. b. Funds of the Grantee. The Grantee shall initiate and prosecute to completion all proceedings necessary to enable the Grantee to provide it share of actual total cost of the Project, as provided in Article 4 of this Agreement, or on prior to the time that such funds are needed to meet Project cost. DV5-3h (t/89) 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 cost classifications required by the Commissioner. 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 approved 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. 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 execute the Project in accordance with the approved schedules, proposals, plans and progress in accordance 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; (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 chargeable 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. DV5-4b (1/89) 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 the Project 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: (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 the 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 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 ag- gregate 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 max- imum 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 project report and plans have been reviewed and accepted by the Commissioner. (2) A final audit of the project account has been completed by the Commissioner or the State Comptroller. (3) The Grantee has furnished the agreed to number of copies of the final report and plans to the Commissioner. DV5-5b (1/89) g. Based upon the final inspection and the final audit of the project report and plans, 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. 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, 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. DV5-6b (1/89) (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. 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 Program 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. DV5-7b (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 OF THE STATE OF NEW YORK GRANTEE 4) By By For: COMMISSIONER OF TRANSPORTATION Supervisor, Town of Southold Title STATE OF NEW YORK ) COUNTY OF SUFFOLK On this 30th day June before me personally came Scott Louis Harris , to me known, who being by me: duly sworn did depose and say that he?1i&e resides at 37800 Main Road, Orient, New York : that Approved By For the New York State Comptroller Pursuant To Section 112 State Finance Law 19 in the year One Thousand Nine HundredNinety-Two heAlk is theSupervisor of the Town of Southolgf the Grantee described in and which executed the above instrument; that heAhe was authorized to execute the document on behalf of said Grantee pursuant to a resolution which was duly adopted on June 30, 1992 and to which a certified copy is attached and made a part hereof. NOTARY PUBLIC JUDITH T. TERRY Notary Public, State of New York No. 52-0344963 Qualified in Suffolk County Commission Expires May 31,19p DV5-8c (1/89) ADDENDUM 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 in 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 that it will neither hold itself out as nor claim to be an officer or employee of the State by reason hereof, and that it will not by reason hereof, make any claim demand of application to or for any right or privilege applicable 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 of 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. (1) 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. DV5-9b (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 to 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. DV5-10b (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 Law, 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. DV54Ib (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.N Y. and C.U.N.Y. 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. NONCOLLUSIVE 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 1979 (50 USC App. Sections 2401 et seq.) or regula- tions thereunder. If such Contractor, or any of the aforesaid affiliates of Contractor, is convicted or is otherwise found to have violated said laws or regulations upon the final determination of the United States Commerce Department or any other appropriate agency of 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 this 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 and/or 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, ie., 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 enablie 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. I r,� CONK 335.3f (9/89) 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 Ow U.S. Department of Transportation Federal Aviation Administration Mr. Scott Harris Superintendent, Town of Southold Main Road Southold, New York 11971 Dear Mr. Harris: T6 yam, A saw V. 181 1. 9 ", 0�n. 305 vAt , ny 11581 RECEIVED JUN 30. 1992 SOUK Tn�+n+ !'ie�t Elizabeth Field Airport, Fishers Island, NY Pavement Evaluation Study AIP 3-36-0029-04-91 Reference is made to your consultant's letter dated June 17, 1992, transmitting the final report for the subject project and our letter to C & S dated April 7, 1992. Please be advised that the final report is approved and all our comments listed in the FAA'S aforementioned letter were incorporated. I would like to take this opportunity to express my congratulations to your consultants, especially, Mr. James W. Leana, for a very good product which excels by a well organized technical data, factual information and suggestive graphical material. If you have any questions, please call at 516-295-9343. Sincerely, ----------- - \ \Vi Dan Vornea Airport Engineer ,�� Calocerinos & Spina Engineers, P.C. RECEIVED JUN 2F 1992 To: Mr. Philip Brito Re: Fishers Island -Elizabeth Field Manager Airfield Lighting (Design) Federal Aviation Administration Pavement Evaluation N.Y. Airports District Office FAA AIP No. 3-36-0029-04-91 181 South Franklin Avenue NYS PIN No. 0913.04 Valley Stream, New York 11581 File: 211.004 & 211.005 Attention: Date: 24-Jun-92 =====x=xxxxxxxxxxxx=xx====----=====ccxxxxxxxxxxx=ace=xxxxxxxxxx=s===x=xxxxxxxx===x===xxxxx=c== Enclosed please find the following: - Three copies of Partial Payment Request No. SIX (Form 271) for your review and processing. Remarks: If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Enclosures cc: Mr. R. Philip Knauff� '� �� '�' 4`> Ms. Judith T. Terry eila M. Farley Grants Administrator 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 22, 1992 Sheila Farley, Grants Administrator Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island - Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 Dear Ms. Farley: 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 four executed copies of Form 271, Outlay Report and Request for Reimbursement for Construction Programs (Partial Payment Request No. SIX) with respect to the above captioned project. Very truly yours, Judith T. Terry Southold Town Clerk cc: Accounting S Finance Calocerinos & Spina Engineers, P.C. Rip JUN 41992 Tewn Clerk Se MmM To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, New York 06390 Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 & 211.005 Attention: Date: 02 -Jun -92 Enclosed please find the following: - Five copies of Partial Payment Request No. SIX (Form 271) for your review and signature. Remarks: Please have the Town Supervisor sign four copies of Form 271, and return them to me for further processing. Keep one copy of the form and 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' /`' , 1) , cc: Mrs. Judith Terry's-�. ,�i(.-c!�2 Sheila M. Farley Grants Administrator 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER �oc��FFOLKc�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 JUNE 16, 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. Six for reimbursement from the Federal Aviation Administration on the Elizabeth Field, Fishers Island, Airfield Lighting (Design) and Pavement Evaluation Program, all in accordance with the recommendation of Calocerinos & Spina Engineers, P.C., the Town's engineers for the program. Judith T. Terry Southold Town Clerk June 17, 1992 i OUTLAY REPORT AND REQUEST FOR REIMBURSE- Apprby Office of and PAGE MENT FOR CONSTRUCTION PROGRAMS Budg�o.80-RO181Management 1 OF 1 PAGES I TYPE OF REQUEST 2. BASIS OF REQUEST ❑S FI0 PARTIAL ® CASH ACCRUAL 3. WHICH THIS REPORT IS SUBMITTED 4. FEDERAL GAW LAL PAYMENT IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY .SRX Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-04-91 S. EMPLOYER IDENTIFICATION No. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT IDENTIFYING NUMBER 11-6003307 N/A FROM (Mon M, day, year) TO (Month, day, year) g. RECIPIENT ORGANIZATION 3/23/92 4/27/92 10. PAYEE (When cheek ehould t» sent N d/Herent Man Item g) Mame: TOWN OF SOUTHOLD Narne: TOWN HALL, 53095 MAIN ROAD No. and P.O. BOX 1179 No. and ICW Street SOUTHOLD, NY 11971 fre1t City, State and state and ZIP Code: 21P taode: 11. STATUS OF FUNDS PROGRAMS - FUNCTIONS - ACTIVITIES (a) 1b) (c) CLASSIFICATION AIRFIELD LIGHTING PAVEMENT TOTAL (DESIGN) EVALUATION 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 $56,419.55 $53,380.17 $0.00 $109,799.72 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. Relocation payments to individuals and $0.00 businesses $0.00 $0.00 $0.00 j. Demolition and removal $0.00 $0.00 $0.00 k. Construction and project improvement $0.00 cost $0.00 $0.00 $0.00 $0.00 f I. Equipment $0.00 $0.00 $0.00 $0.00 r m. Miscellaneous cost $0.00 $0.00 $0 00 $0.00 n. Total cumulative to date (sum of lines a thru m) $56,419.55 $53,380.17 $0.00 $109,799.72 o. Deductions for program income p. Net cumulative to date (Line n minus $0.00 line o) $56,419.55 $53,380.17 $0,00 $109,799.72 q. Federal share to date $50,777.60 $48,042.15 $0.00 $98,819.75 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $50,777.60 $48,042.15 $0.00 $98,819.75 I. Federal payments previously re- quested $50,777.60 $40,456.55 $0.00 $91,234.14 u. Amount requested for reimbursement $0.00 $7,585.60 $0.00 $7,585.60 v. Percent of physical completion of fks.596 project 87.00A 90.3. 0.0 12. CERTIFICATION SIGNATURE OF AUTHORIZED RT"NG DATE REPORT SUBMITTED I certify that to the best of my knowledge a. RECIPIENT JUN 16 7992 and belief the billed costs or disburse- OR PRINTED E AND TITL TELEPHONE SCOTT L HARRIS ments are in accordance with the terms TYPED No. 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 and all work is in accordance with the terms of the OFFICIAL b. Representative 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 271-102 STANDARD FORM 271 (7-76) Prescribed by Of a of Management and Budget Or. Nm A-110 FISHER ISLAND AIRPORT - ELIZABETH FIELD AIRFIELD LIGHTING (Design) TOWN OF SOUTHOLD, NY F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 06/02/92 211.004 FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING a. ADMINISTRATIVE EXPENSE ......................... $5,464.00 $5,464.00 $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........... $59,389.00 $59,389.00 $56,419.55 $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 o. MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $64,853.00 $64,853.00 $56,419.55 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 06/02/92 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $56,419.55 $54,388.00 $0.00 ------------------------------------------------------------------------ LESS RETAINAGE: $2,969.45 SUBTOTAL: $59,389.00 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 04/30/91 $1,781.67 $1,631.64 * 07/31/91 $33,851.73 $31,001.16 $0.00 * 10/17/91 $5,938.90 $5,438.80 $0.00 * 11/25/91 $5,938.90 $5,438.80 $0.00 * 12/13/91 $5,938.90 $5,438.80 $0.00 * 02/26/92 $2,969.45 $2,719.40 $0.00 * 03/17/92 $2,969.45 $2,719.40 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 06/02/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 2 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING 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 80.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... $59,147.00 $59,147.00 $53,380.17 $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. RELOCATION PAYMENTS TO INDIV AND BUSINESSES.... $0.00 $0.00 80.00 $0.00 j. DEMOLITION AND REMOVAL ......................... $0.00 $0.00 $0.00 $0.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... 80.00 $0.00 80.00 80.00 1. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 m. MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 90.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $59,147.00 $59,147.00 $53,380.17 90.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 06/02/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 2 ----------------------------------------------- Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $53,380.17 852,991.00 80.00 ------------------------------------------------------------------------ LESS RETAINAGE: 82,809.48 SUBTOTAL: 856,189.65 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 09/21/91 810,054.99 89,482.60 80.00 * 10/24/91 84,731.76 84,461.40 80.00 * 11/25/91 814,786.75 813,945.00 80.00 * 01/27/92 82,957.35 82,789.00 80.00 * 02/24/92 85,914.70 85,578.00 80.00 * 03/23/92 88,872.05 88,367.00 80.00 04/27/92 88,872.05 88,367.00 80.00 Account Number ............. Invoice #.49419.4 ... , , Date 4./? 7 /.9.2 .......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: 211.005.001 1020 Sgyer�th North, ,StrpAti ...... , . Phone No. (....)....................... U ye.rp p p l.,.. NY .... 13 0.8 8 . . ........... Vendor Contact Cash Discount .................. %......... Days .................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island - Elizabeth Field Airport R/W Pavement Evaluation Study For engineering services performed from March 6 1992 through April 17, 1992. 8,872.05 Less: 5% Retainage - 443.60 8,428.45 Total 8,428.4S 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 t r in stated, and that the balance therein stated is actually due and owing. Dated .... 4Ti.l.27............. ......199`.. ....... Signature t Cafocennos&Spina r TOWN OF SOUTHHOLD, NEW YORK INV. DATE : 04/27/92 FISHERS ISLAND FERRY DISTRICT INVOICE # : 204194 FOOT OF STATE STREET PROJECT # : 211.005.001 NEW LONDON, CONNECTICUT 06320 CLIENT REF: FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 03/06/92 THROUGH 04/17/92 TOTAL FEE AUTHORIZED 59,147.00 PERCENT COMPLETE AS OF 04/17/92 95.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 56,189.65 47,317.60 8,872.05 443.60 8,428.45 JWL 204194 North StrcM, Liven,:.;,��. �•�, 1'� (315) 457f)7t 1 FAX (315) .157-9803 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 6, 1992 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Sheila M. Farley, Grants Administrator Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island Airport FY92 Final Application Airfield Lighting (Construction) Dear Ms. Farley: Transmitted herewith are nine (9) executed copies of Final Approval for Federal Assistance for the proposed construction of the Airfield Lighting (Construction) project at Elizabeth Field, Fishers Island. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (9) cc: Accounting S Finance JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER 171 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 MAY 5, 1992: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute the Final Application for Federal Assistance for the proposed Airfield Lighting Construction project at Elizabeth Field, Fishers Island, all in accordance with the recommendation and approval ,of Calocerinos & Spina Engineers, P.C., the Town's engineers for the project. AU,1h T. Terry Southold Town Clerk May 6, 1992 C Calocerinos & Spina RECEIVED APR 2 4 1992 Southold Town Cleric To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, New York 06390 Re: Fishers Island Airport FY 92 Final Application Airfield Lighting (Construction) File: 211. Attention: Date: 13 -Apr -92 Enclosed please find the following: - Ten copies of Final Application for Federal Assistance for the proposed construction of Airfield Lighting project for your review and appropriate signature. Remarks: Please have the Town Supervisor sign each of the pages indicated for signature, and return nine copies of the application to me for distribution to the appropriate agencies. Keep one copy of the package for your files. ---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------- If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. � 5 , Sheila M. Farley Grants Administrator 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 •RR• •A �T�A�• l�AR OMB Approval No. 0348-0043 ilr-r't_ILOA 1 IVIV t-Vri 2. DATE SUBMITTED Applicant Identifier FEDERAL ASSISTANCE 04/07/92 211 1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Applicant identifier Application Preappllcadon iUt Construction Construction SAI #41541 4. DATE RECEIVED BY FEDERAL AGENCY era end er Non -Construction Non -Construction S. APPLICANT INFORMATION Legal Name: Organizational Unit: Town of Southold Fishers Island Ferry District Address (give city, county, irate, and Zip code) Name and telephone number of the person to be contacted on matters involving Suffolk County this application (give mea code) 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 trop) 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)F] EI G. Special District N. Other (Specify) A. Increase Award B. Decrease Award C. Increase Duration D. Decrease Duration Other (Specify): s. 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) 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: 16.15 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 SAI #41541 b Applicant $ .00 DATE c State $ .00 b. NO [:] PROGRAM IS NOT COVERED BY E.O. 12372 d Local $ .00 El 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? Yes If "Yes," attach an explanation. ® No gTOTAL $ .00 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 Telephone number Scott L. Harris Town Supervisor (516) 765-1800 d Signature of Authorized Repres ative a Date Signed r- MAY J1992 Previous E (tions t Usa Standard Form 424 (REV 4-811 Prescribed by 01,40 — Authorized for Local Reproduction DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION OMB NO. 43-RO528 PART II PROJECT APPROVAL INFORMATION Item 1. Does this assistance request require State, local, Name of Governing Body regional, or other priority rating? Priority Rating Yes X No Item 2. Does this assistance request require State, or local Name of Agency or advisory, educational or health clearances? 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 Name of Approving Agency regional or other planning approval? Date Yes X No Item 5. Is the proposed project covered by an approved Check one: State (j Long Island comprehensive plan? Local [X] Regional Planning Regional [ j Board X Yes No Location of plan Item 6. Will the assistance requested serve a Federal Name of Federal Installation 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 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 teases, 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: U6011 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 211/1/1/41 DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION OMB No. 04-R0209 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, alt 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 ail construction work under the Project, the following property interest in the fottowing 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, ail of which areas are identified on the aforementioned property map designated as Exhibit "All: 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) 2111111/91 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 pr%ci costs eligible for participation. if such is the case you will be notified. _"naara r•orm 4z4u "ts) Prescribed by OMB Circular A-102 Authorized for Local Reproduction 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 8. 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 18. TOTAL PROJECT COSTS (subtract #15 from #14) $ $510,800 .00 $ ,00 $ $510,800 .00 FEDERAL FUNDING T. Federal assistance requested, calculate as follows: Enter eligible costs from line lec Muftiplyx 90% (Consult Federal agency for Federal percentage share). AIRFIELD LIGHTING (CONSTRUCTION) Enter the resulting Federal share $ $459,720 o0 _"naara r•orm 4z4u "ts) Prescribed by OMB Circular A-102 Authorized for Local Reproduction r� DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION nUR Nn 80-Rn1S6 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 $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 Nage 4 DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION 0 M B N O. 80-R O 184 SECTION C - EXCLUSIONS Classification 26 Ineligible for Participation Excluded from Contingency Provision (2) a. $ $ b. C. d. e. f. 9• Totals $ $ 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 f. Non Cash g. Other (Explain) h. TOTAL - Grantee Share 2.50% $12,770 28. Other Shares a. State 7.50% $38,310 b. Other c. Total Other Shares 29. TOTAL $51,080 SECTION E - REMARKS PART IV PROGRAM NARRATIVE (Attach -See Instructions) FAA Form 6100-100 (8-73) SUPERSEDES FAA FORM 5100-10 PAGES 1 THRU 7 FAA AC 75-0232 Page 5 ELIZABETH FIELD AIRPORT IENGINEERIS 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 (KILLINGWORTH, 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 TOTAL PRICE TOTAL ( PRICE ( TOTAL aassa:ss::ssaxxxxssssxzaaz:asss:s:ssxasaszssaasaxasasz:as::ss:■asss:sasssas:ssssssaa:sassssaaeasasssass:sss:sszzsasazssa:sassassssssssss:asaasssssssssssasassssasaasassasa 1 P-152 ICOMMON EXCAVATION, AREA NO.1 1 LS 52,000.00 52,000.00 $10,000.00 $10,000.00 52,500.00 52,500.00 2 P-152 IPAVE14ENT EXCAVATION (BITUMINOUS CONCRETE) 900 SY $10.00 $9,000.00 $3.00 $2,700.00 55.95 $5,355.00 3 P-612 IFIELD OFFICE 1 LS 57,000.00 $7,000.00 518,200.00 $18,200.00 ( S5,000.00 55,000.00 4 P-620 IRUNWAY PAINTING I 23,000 SF I $0.50 I 511,500.00 I 50.50 i 511,500.00 I 50.73 I $16,790.00 I 5 L-102 JELECTRICAL BUILDING ELECTRICAL SERVICE 1 LS $12,000.00 512,000.00 59,000.00 59,000.00 ( S15,375.00 $15,375.00 6 L-106 ISEGMENTED CIRCLE 1 LS $12,000.00 ( $12,000.00 $15,300.00 $15,300.00 $10,450.00 $10,450.00 7 L-107 ILIGHTED WIND CONE i LS 56,000.00 16,000.00 $16,700.00 516,700.00 58,495.00 58,495.00 8 L-108 1CABLE TRENCHING FOR THE INSTALLATION OF I I UNDERGROUND CABLE 8,600 LF ( S4.00 $34,400.00 $2.25 519,350.00 $4.35 $37,410.00 9 L-108 IND. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT 28,300 LF I $0.60 516,980.00 $0.38 $10,754.00 SO.65 518,395.00 10 L-108 IND. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR I I I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCT 12,900 LF I 50.70 1 $9,030.00 1 50.38 I 54,902.00 I $0.65 1 $8,385.00 I 11 L-108 IND. 8 AWG, BARE COPPER COUNTERPOISE WIRE INSTALLED IN TRENCH INCLUDING GROUNDING RODS I I I I I ( I I AND EXOTHERMIC CONNECTIONS I 9,500 LF I 50.75 I 57,125.00 I $0.28 52,660.00 I 50.80 I $7,600.00 I 12 L-109 (INSTALLATION OF AIRPORT ELECTRICAL I I ( I I I I I BUILDING EQUIPMENT, IN PLACE I 1 LS ( S30,000.00 I 530,000.00 I 530,000.00 I 530,000.00 I $59,250.00 $59,250.00 13 L-110 14 -WAY ELECTRICAL DUCT BANK, TYPE 1 I 700 LF I 550.00 I 535,000.00 I 555.00 I $38,500.00 I $82.50 ( S57,750.00 14 L-110 I8 -WAY ELECTRICAL DUCT BANK, TYPE 1 I 200 LF I 565.00 I $13,000.00 I $70.00 I 514,000.00 I 5115.00 $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 514.00 I $42,000.00 I 54.00 I 512,000.00 ( $12.75 I $38,250.00 16 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I IN TURF I 270 LF I $12.00 I 53,240.00 I $2.00 I 5540.00 I 57.75 I 52,092.50 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 51,140.00 I 52.00 I $380.00 I 57.85 I 51,491.50 18 L-112 (ELECTRICAL BUILDING I 1 LS ( $30,000.00 I $30,000.00 I 540,000.00 I 540,000.00 I $63,780.00 ( S63,780.00 19 L-115 (ELECTRICAL MANHOLE NO. 1 I 1 EACH ( S6,000.00 I $6,000.00 ( $12,250.00 I $12,250.00 I 57,295.00 I $7,295.00 20 L-115 IPULL BOX REINSTALLATION I 1 EACH I 5200.00 I 5200.00 I 5500.00 I 5500.00 I 51,190.00 I 51,190.00 page 1 0 ELIZABETH FIELD AIRPORT (ENGINEER'S OPINION OF (FALVEY 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 i SPINA IKILLINGWORTH, CONNECTICUT 0641 IS. 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 UNIT UNIT UNIT NO. SPEC NO) DESCRIPTION QUANTITY UNITS PRICE TOTAL PRICE TOTAL PRICE TOTAL if iifiiiiif if ifiiif ZZLZ if iZiif iiiiiffiiiiiiiitZiifiiiiiitiiiiZiif if/fffitliittiiifi/ffiifif iiitiiiffff■itiiiifif■iitiiiiiiiiif/iif/ilii if i/iitiiiiitffif■t!■ii if i■fi/iif if 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 $6,000.00 ( $6,000.00 $3,800.00 $3,800.00 $19,500.00 $19,500.00 23 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-5, BASE MOUNTED, IN PAVEMENT ( 1 LS $3,000.00 53,000.00 ( $2,655.00 $2,655.00 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 $3,000.00 52,655.00 $2,655.00 $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 $2,400.00 $2,400.00 $1,875.00 $1,875.00 26 L-125 JAIRPORT GUIDANCE SIGN NO.R-1-19, BASE MOUNTED, IN TURF 1 LS $3,000.00 53,000.00 $2,400.00 $2,400.00 $1,875.00 $1,875.00 27 L-125 IRUNWAY ENO IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 7 END 1 1 LS $6,000.00 $6,000.00 $8,250.00 $8,250.00 $9,378.00 $9,378.00 28 L-125 (RUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 25 END 1 1 LS $6,000.00 $6,000.00 58,250.00 $8,250.00 59,378.00 59,378.00 29 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 12 END 1 1 LS 56,000.00 $6,000.00 58,250.00 $8,250.00 $9,378.00 $9,378.00 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 30 END 1 LS $6,000.00 $6,000.00 $8,250.00 58,250.00 $9,378.00 $9,378.00 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 7 END 1 LS $9,000.00 $9,000.00 $9,580.00 59,580.00 ( S12,850.00 512,850.00 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I SYSTEM, RUNWAY 25 END 1 LS $9,000.00 $9,000.00 59,580.00 $9,580.00 $12,850.00 $12,850.00 33 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 12 END 1 LS $9,000.00 $9,000.00 59,580.00 $9,580.00 $12,850.00 512,850.00 34 L-125 (GENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 30 END 1 LS 59,000.00 $9,000.00 $9,580.00 $9,580.00 $12,850.00 512,850.00 35 L-125 (REMOVAL OF EXISTING RUNWAY EDGE LIGHTS 1 LS $2,000.00 $2,000.00 $7,500.00 57,500.00 $5,000.00 $5,000.00 36 M-100 IMAINTENANCE AND PROTECTION OF TRAFFIC 1 LS 53,000.00 $3,000.00 $23,500.00 523,500.00 53,500.00 53,500.00 page 2 ELIZABETH FIELD AIRPORT (ENGINEERIS 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 L SPINA IKILLINGWORTH, CONNECTICUT 0641 IS. YARMOUTH, MASSACHUSETTS 026 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 saxxazssxsaxzxzzzszxszxexxxxaxzxxzxssxxxxsxs:za:aazss:asssssasasazsesss:sssassssssaaa::sssas:sssszxsaszsssaasssssaaaa:ssss:ssssassssaassasassaa:sssasas:asssssaass:assassa 37 M-200 IMOBILIZATION 1 LS 1 $16,185.00 ( $16,185.00 ( S16,000.00 1 $16,000.00 1 515,890.00 I 515,890.00 '----------------------------------------- ------------ I ----- ---------------- TOTAL BID $421,000.00 $419,421.00 5563,511.00 JB1D SECURITY 5% BID BOND I 5% BID BOND -----------�• DENOTES BIDDER'S ERROR, THE CORRECTED VALUE IS SHOWN. ----------------------------------------------------------------- I -- AND SPINA ENGINEERS, P.C. JOB NUMBER: 211.004.001 BID TABULATION I CERTIF%,TNAT THIS 4S A S page 3 TABULATION OF BIDS RECEIVED MARCH 12, 1992. DATE: 16 -Mar -92 ELIZABETH FIELD AIRPORT ICARLIN CONTRACTING CO., INC. IDICIN ELECTRIC CO., INC. 1J.P. DALY 6 SONS, INC. 1 !i FISHERS ISLAND, NEW YORK 1454 BOSTON POST ROAD 1156 CROSS ROAD 188A BROOK AVENUE 1 AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING 1P.0. BOX 300 (WATERFORD, CONNECTICUT 06385 (DEER PARK, NEW YORK 11729 I FAA-AIP NO. 3-36-0029-04-91 IWATERFORD, CONNECTICUT 06385 1 1 NYSDOT PROJECT NO. 0913.04-------------------------------------------------------------------------------------------------------------------------------------------------------------------------- I I I I I I I i ITEM FAA I I I UNIT 1 1 UNIT 1 I UNIT 1 I NO. SPEC NOI DESCRIPTION 1 QUANTITY UNITS 1 PRICE I TOTAL 1 PRICE I TOTAL 1 PRICE 1 TOTAL I sssssaszas:sezaxzzsaxxaaaazzzsasa:asasasaazzaasaaasas:sssasssaass:asse:szsssasss:ssasassss:sssssas:aassazssssasssssssstassaassassssa:zaaassssaaassa:ssssasssas::s:zszassza 1 P-152 1COM14ON EXCAVATION, AREA NO.1 1 1 LS I $4,217.00 1 (4,217.00 1 (8,360.00 i $8,360.00 I (4,000.00 1 $4,000.00 I 2 P-152 IPAVEMENT EXCAVATION (BITUMINOUS CONCRETE) i 900 SY 1 (35.00 1 $31,500.00 I $15.89 ( $14,301.00 • $14.00 ( $12,600.00 i 3 P-612 (FIELD OFFICE 1 1 LS 1 (3,650.00 1 (3,650.00 I (7,000.00 I (7,000.00 1 (8,000.00 1 !8,000.00 1 4 P-620 (RUNWAY PAINTING 1 23,000 SF 1 10.25 1 (5,750.00 1 10.69 i (15,870.00 * $0.58 I (13,340.00 I 5 L-102 (ELECTRICAL BUILDING ELECTRICAL SERVICE I 1 LS $33,000.00 I I $33 000.00 S6 520.00 I i S6 520.00 I S18 100.00 I $18 100.0 •I 6 L-106 (SEGMENTED CIRCLE 1 1 LS 1 (15,2%.00 1 (15,296.00 1 517,297.50 1 $17,297.50 1 (11,700.00 1 (11,700.00 i 7 L-107 ILIGHTED WIND CONE 1 1 LS I $5,556.00 1 (5,556.00 I $9,175.00 1 (9,175.00 ( $8,200.00 I $8,200.00 i 8 L-108 (CABLE TRENCHING FOR THE INSTALLATION OF I ( I I I I I I 1 UNDERGROUND CABLE 1 8,600 LF I $4.55 1 $39,130.00 I $5.80 I (49,880.00 I $7.08 1 $60,888.00 1 9 L-108 INO. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR 1 1 I I I I I I 1 UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCTI 28,300 LFI $0.51 I $14,433.00 1 $0.67 1 $18,961.00 1 $0.82 I (23,206.00 10 L-108 IND. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR I I I I I I I I 1 UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCTI 12,900 LF 1 $0.68 1 $8,772.00 1 !0.74 1 $9,546.00 I 10.95 I (12,255.00 i 11 L -108N0. 8 AWG BARE COPPER COUNTERPOISE WIRE I I I I I I i I I I INSTALLED IN TRENCH INCLUDING GROUNDING RODS I AND EXOTHERMIC CONNECTIONS I 9,500 LF 10.66 I I $6 270.00 $0.68 I I S6 460.00 I f 1.49 I $14,155.00 1 12 L-109 (INSTALLATION OF AIRPORT ELECTRICAL BUILDING EQUIPMENT IN PLACE I 1 1 LS $35 73 0 1 ,2 .0 I $35,273.00 1 (30,352.00 1 (30,352.00 1 $48,000.0000. I (48 , 000 � 13 L-110 14 -WAY ELECTRICAL DUCT BANK, TYPE 1 1 700 LF i $72.00 1 $50,400.00 1 (96.00 I (67,200.00 1 $88.00 I $61,600.00 1 14 L-110 18 -WAY ELECTRICAL DUCT BANK, TYPE 1 1 200 LF 1 !66.00 1 (13,200.00 I (100.00 I $20,000.00 I $165.00 I (33,000.00 I 15 L -1102 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I I I I I I I IN PAVEMENT 1 3,000 LF 1 $28.00 1 $84,000.00 1 $20.68 1 (62,040.00 1 (20.50 1 (61,500.00 1 16 L-110 12 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I I ( I I I 1 IN TURF 1 270 LF 1 517.00 1 (4,590.00 1 $13.00 1 $3,510.00 I (14.50 II $3,915.00 17 L -1102 -INCH DIAMETER RIGID STEEL CONDUIT REINSTALLE I i I I I I I I IN TURF 1 190 LF I $17.00 I (3,230.00 1 (13.00 ( $2,470.00 I $14.20 1 $2,698.00 1 18 L-112 (ELECTRICAL BUILDING 1 1 LS 1 $45,000.00 i 545,000.00 I $40,000.00 ( $40,000.00 i $33,800.00 I (33,800.00 1 19 L-115 ELECTRICAL MANHOLE NO. 1 I I 1 EACH $3 566.00 I I f3 566.00 $8 000.00 I I $8 000.00 I $8 60 0.00 I :8,600.00 I 20 L-115 (PULL BOX REINSTALLATION 1 EACH $1,841.00 (1,841.00 (250.00 i I $250.00 I (600.00 I $600.00 I 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 188A BROOK AVENUE 1 AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING IP.O. BOX 300 IWATERFORD, CONNECTICUT 06385 IDEER PARK, NEW YORK 11729 i FAA-AIP N0. 3-36-0029-04-91 IWATERFORD, CONNECTICUT 06385 1 I I NYSDOT PROJECT NO. 0913.04 I I I I I I I -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA I I I UNIT I ( UNIT I 1 UNIT I I NO. SPEC NOI DESCRIPTION I QUANTITY UNITS 1 PRICE I TOTAL I PRICE ( TOTAL I PRICE I TOTAL 1 axzszzssaasa:aazxsaxzxxxxxsxaszxsaazaaxzaazzzas:zssz:ssssssaaa::sssass::sasasa:sssaaaasssssas:ss:assaasssaaassaassas:sseszaasssssssssssasassssssssssa:s:sesssassassasssaas 21 L-125 IMEDIUM INTENSITY RUNWAY EDGE LIGHTS, BASE I I I I I I I I I MOUNTED, IN PAVEMENT I 57 EACH I $600.00 I $34,200.00 i $957.00 I $54,549.00 I $870.00 1 $49,590.00 I 22 L-125 IRUNWAY 25 THRESHOLD LIGHTS 1 1 LS I $8,800.00 I 58,800.00 I $8,161.00 I $8,161.00 I $9,000.00 1 $9,000.00 I 23 L-125 (AIRPORT GUIDANCE SIGN NO.R-2-5, BASE I I I I 1 I I I MOUNTED, IN PAVEMENT i 1 LS I 52,500.00 ( $2,500.00 1 $4,160.00 I $4,160.00 i $2,700.00 I $2,700.00 I 24 L-125 (AIRPORT GUIDANCE SIGN NO.R-2-19, BASE ( I ( I I ( I I I MOUNTED, IN PAVEMENT 1 1 LS 1 $2,500.00 I 52,500.00 1 54,160.00 ( 54,160.00 I 52,700.00 1 $2,700.00 I 25 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-3, BASE I I I I I I I I I MOUNTED, IN TURF I 1 LS I 52,500.00 I $2,500.00 1 54,160.00 1 $4,160.00 1 52,700.00 I $2,700.00 I 26 L-125 (AIRPORT GUIDANCE SIGN NO.R-1-19, BASE I I I I I I I I I MOUNTED, 1N TURF I 1 LS I $2,500.00 i $2,500.00 ( 54,160.00 I 54,160.00 I 52,700.00 I $2,700.00 I 27 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I ( I I I 1 I RUNWAY 7 END I 1 LS 1 $4,500.00 1 $4,500.00 I $12,030.00 I $12,030.00 i $8,800.00 I $8,800.00 I 28 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( I I I I I I I RUNWAY 25 END I 1 LS I $4,500.00 I $4,500.00 1 $12,030.00 I $12,030.00 1 $8,800.00 1 58,800.00 29 L-125 1RUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( ( I I ( I 1 I RUNWAY 12 END 1 -1 LS I 54,500.00 1 $4,500.00 1 5120030.00 ( $12,030.00 I $8,800.00 i 58,800.00 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,( RUNWAY 30 END I 1 LS I 54,500.00 ( $4,500.00 I $12,030.00 I 512,030.00 1 $8,800.00 I $8,800.00 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR I I I I I ( I I SYSTEM, RUNWAY 7 END I 1 LS 1 $13,000.00 ( $13,000.00 1 512,720.00 1 $12,720.00 ( $9,300.00 1 $9,300.00 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR ( I I I I I I SYSTEM, RUNWAY 25 END 1 1 LS I 513,000.00 1 $13,000.00 I $12,720.00 i $12,720.00 1 $9,300.00 I $9,300.00 33 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR 1 ( I I I I 1 I SYSTEM, RUNWAY 12 END I 1 LS I $13,000.00 I $13,000.00 1 $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 1 513,000.00 I 513,000.00 I $12,720.00 I $12,720.00 I $9,300.00 1 $9,300.00 35 L-125 IREMOVAL OF EXISTING RUNWAY EDGE LIGHTS i 1 LS 1 $7,500.00 I $7,500.00 i $2,300.00 I $2,300.00 I 57,700.00 I $7,700.00 36 M-100 IMAINTENANCE AND PROTECTION OF TRAFFIC I 1 LS 1 531,000.00 i 531,000.00 1 $18,025.00 1 $18,025.00 1 54,100.00 1 54,100.00 page 5 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 IBM BROOK AVENUE AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING IP.O. BOX 300 IWATERFORD, CONNECTICUT 06385 IDEER PARK, NEW YORK 11729 i 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 I I UNIT I I UNIT I I NO. SPEC NOI DESCRIPTION I QUANTITY UNITS I PRICE I TOTAL I PRICE I TOTAL I PRICE I TOTAL I asssszasaazzzzaz asassazxzss:zzsszzssxxxaxxxxxzxxxazzf azszasfaaszsassaszfszzssszsasffsaff:ffsassssassazxazzzxazazaa:afzasss:ss:szz:sass:sfaazssazssasssfffafasfazaszsssssaz 37 M-200 IMOBILIZATION I 1 LS ( $28,826.00 i $28,826.00 I 512,000.00 I 512,000.00 I $23,700.00 I 523,700.00 I ------------ I---------------------------------------------- (TOTAL BID I---------------- I-------------- I--------------- I I I 5599,000.00 I-------------- I--------------- I I (607,867.50 I-------------- !--------------- * i %617,447.00 I I IBID SECURITY i I I I I I 5% BID BOND I I I I 5% BID BOND i I I I I 5% BID BOND 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 CER Y THAT THI IS A U ID CORRECT TABULATION OF BIDS RECEIVED MARCH 12, 1992. JOB NUMBER: 211.004.001 BID TABULATION NED: L'` -'--ti DATE: 16 -Mai -92 page 6 ELIZABETH FIELD AIRPORT IPOWER LINE CONSTRUCTORS, INC. IFIREBIRD CONSTRUCTION CORP. FISHERS ISLAND, NEW YORK 124 ROBINSON ROAD, P.O. BOX 38SI329 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 ITEM FAA I I I UNIT UNIT UNIT NO. SPEC NOI DESCRIPTION I QUANTITY UNITS I PRICE ( TOTAL I PRICE I TOTAL I PRICE I TOTAL ssazzsazszzzzsasssxszssaasxsasszaasssaasxzssssszassz::s::ass:ssssassssssaaa:■ssasaassaaasssss■sasssssasss:sass■assessass::s:asssassasssseas::sass::sass:saasaasassasss:ass 1 P-152 ICOMMON EXCAVATION, AREA NO.1 ( 1 LS I $5,000.00 I 55,000.00 $34,500.00 i 534,500.00 2 P-152 IPAVEMENT EXCAVATION (BITUMINOUS CONCRETE) I 900 SY I 3 P-612 IFIELD OFFICE I 1 LS 4 P-620 IRUNWAY PAINTING I 23,000 SF 5 L-102 (ELECTRICAL BUILDING ELECTRICAL SERVICE I 1 LS 6 L-106 ISEGMENTED CIRCLE I 1 LS 7 L-107 ILIGHTED WIND CONE ( 1 LS 8 L-108 ICABLE TRENCHING FOR THE INSTALLATION OF I I UNDERGROUND CABLE I 8,600 LF 9 L-108 (NO. 8 AWG, 60OV, TYPE C SINGLE CONDUCTOR I I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCTI 28,300 LF 10 L-108 IND. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR I I UNDERGROUND CABLE INSTALLED IN TRENCH OR DUCTI 12,900 LF 11 L-108 IND. 8 AWG, BARE COPPER COUNTERPOISE WIRE I INSTALLED IN TRENCH INCLUDING GROUNDING RODS I AND EXOTHERMIC CONNECTIONS I 9,500 LF 12 L-109 IINSTALLATION OF AIRPORT ELECTRICAL I BUILDING EQUIPMENT, IN PLACE I 1 LS 13 L-110 I4 -WAY ELECTRICAL DUCT BANK, TYPE 1 I 700 LF 14 L-110 I8 -WAY ELECTRICAL DUCT BANK, TYPE 1 I 200 LF 15 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I I IN PAVEMENT I 3,000 LF 16 L-110 I2 -INCH DIAMETER RIGID STEEL CONDUIT INSTALLED I 11N TURF I 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 N0. 1 i 1 EACH 20 L-115 IPULL BOX REINSTALLATION i 1 EACH 59.00 I $8,100.00 $4,000.00 I 54,000.00 $0.53 i $12,190.00 $14,000.00 I $14,000.00 519,000.00 I $19,000.00 $4,800.00 I $4,800.00 $5.50 I $47,300.00 I $0.70 I $19,810.00 I $0.90 I $11,610.00 $6.00 I $5,400.00 $5,000.00 I $5,000.00 $0.80 I $18,400.00 510,200.00 I $10,200.00 $20,000.00 I $20,000.00 55,100.00 I $5,100.00 $10.00 I 586,000.00 I $1.10 i $31,130.00 I $1.30 I $16,770.00 50.60 I 55,700.00 I $1.50 I $14,250.00 141,500.00 I $41,500.00 $109.00 I 576,300.00 $106.00 I $21,200.00 I $30.00 I 190,000.00 I $10.00 I $2,700.00 523,500.00 I $23,500.00 5100.00 I $70,000.00 5110.00 I $22,000.00 I $30.00 I 190,000.00 532.00 $9.00 I $1,710.00 I $18.00 560,000.00 I $60,000.00 I $50,000.00 $7,200.00 ( $7,200.00 I $4,500.00 $900.00 I 5900.00 I 5800.00 page 7 $8,640.00 I I $3,420.00 $50,000.00 I $4,500.00 I $800.00 I 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 UNIT I UNIT ( UNIT NO. SPEC NOI DESCRIPTION QUANTITY UNITS PRICE TOTAL PRICE TOTAL PRICE TOTAL :sassatsasss:sszsss:zasxszssasafss:xzsss:zssas:assaffssssass::zsszsa::saff■■afffsasfsfassfssassss:ssszs:sf:sasasszsssasstsassaas:aasasszzzffas:sassssxss::sssss:zzzszzxzsf 21 L-125 (MEDIUM INTENSITY RUNWAY EDGE LIGHTS, BASE MOUNTED, IN PAVEMENT 57 EACH $900.00 551,300.00 $565.00 $32,205.00 22 L-125 IRUNWAY 25 THRESHOLD LIGHTS 1 LS 515,000.00 515,000.00 $15,000.00 515,000.00 23 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-5, BASE MOUNTED, IN PAVEMENT 1 LS $2,600.00 52,600.00 $4,800.00 $4,800.00 24 L-125 JAIRPORT GUIDANCE SIGN NO.R-2-19, BASE MOUNTED, IN PAVEMENT 1 LS 52,600.00 52,600.00 54,800.00 54,800.00 25 L-125 JAIRPORT GUIDANCE SIGN NO.R-1-3, BASE MOUNTED, IN TURF 1 LS $2,300.00 $2,300.00 54,800.00 54,800.00 26 L-125 JAIRPORT GUIDANCE SIGN NO.R-1-19, BASE MOUNTED, IN TURF 1 LS $2,300.00 $2,300.00 $4,800.00 54,800.00 27 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 7 END I 1 LS $12,000.00 512,000.00 57,500.00 $7,500.00 28 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,) RUNWAY 25 END 1 1 LS 512,000.00 512,000.00 57,500.00 $7,500.00 29 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM,I RUNWAY 12 END I 1 LS 512,000.00 $12,000.00 !7,500.00 57,500.00 30 L-125 IRUNWAY END IDENTIFICATION LIGHT (REIL) SYSTEM, RUNWAY 30 END i LS $14,000.00 $14,000.00 $7,500.00 57,500.00 31 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 7 END 1 LS 512,500.00 $12,500.00 $10,000.00 $10,000.00 32 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 25 END 1 LS 512,500.00 $12,500.00 510,000.00 510,000.00 33 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 12 END 1 LS 512,500.00 $12,500.00 ( $10,000.00 $10,000.00 34 L-125 IGENERIC VISUAL APPROACH DESCENT INDICATOR SYSTEM, RUNWAY 30 END 1 LS $12,500.00 $12,500.00 510,000.00 $10,000.00 35 L-125 IREMOVAL OF EXISTING RUNWAY EDGE LIGHTS 1 LS $1,500.00 51,500.00 52,000.00 52,000.00 36 M-100 114AINTENANCE AND PROTECTION OF TRAFFIC 1 LS 56,500.00 56,500.00 515,000.00 $15,000.00 page 8 ELIZABETH FIELD AIRPORT IPOWER LINE CONSTRUCTORS, INC. IFIREBIRD CONSTRUCTION CORP. I 1 FISHERS ISLAND, NEW YORK 124 ROBINSON ROAD, P.O. BOX 3851329 MIDDLE COUNTRY ROAD 1 I AIRFIELD LIGHTING, VISUAL AIDS AND ELECTRICAL BUILDING ICLINTON, NEW YORK 13323-0385 ISMITHTOWN, NY 11787 I I FAA-AIP NO. 3-36-0029-04-91 I I I I NYSDOT PROJECT NO. 0913.04 I I ( I I I I I -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ITEM FAA 1 1 ( UNIT 1 1 UNIT 1 ( UNIT 1 1 NO. SPEC NOI DESCRIPTION 1 QUANTITY UNITS 1 PRICE I TOTAL ( PRICE 1 TOTAL I PRICE i TOTAL 1 37 M-200 (MOBILIZATION 1 1 LS 1 $25,000.00 1 $25,000.00 1 $26,000.00 1 526,000.00 I i I ------------ I ----------------------------------------------1---------------- I-------------- i---------------1-------------- i---------------1--------------1---------------1 ITOTAL BID i 1 ( $662,120.00 1 1 $699,015.00 1 ( I I I i I I I I I I 1BID SECURITY I I I 5% BID BOND i 1 5% BID BOND I I I I I I I I I I i I 1* DENOTES BIDDER'S ERROR, THE CORRECTED VALUE IS SHOWN. ------------------------------------------------------------------------------------------------------ �:--------------------------------------------------------------- CALOCERINOS AND SPINA ENGINEERS, P.C. JOB NUMBER: 211.004.001 BID TABULATION I CERTIFY IMT THIS IS S page 9 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. 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. 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). 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 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) t . 1 11. Will comply, or has already compiled, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real property Acquisitions Policies Act of 1970 (P.L. 9146) 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 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. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Town Supervisor APPLICANT ORGANIZATIO DATE SUBMITTED 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. MW 5 199 Scott HarriAr Date Town Supervisor Town of Southold Fishers Island Ferry District 3/1/91 STANDARD DOT T= VI ASSURANCES V-31 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- 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 Supervisor Town of Southold STATE CLEARINGHOUSE NYS Division of the Budget State Capitol, Albany, NY 12224 (5 18) 474-1605 SAW 41541 -Airport Improvement Program Pavement Evaluation Study, Airfield Lighting (Design) Airfield Lighting (Construction) Fishers Island Airport, Southold, Suffolk County JAN 17 199° 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 im `�:- plementation occurs beyond that time, a fresh review is required. 3/1/91 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- 31/1/91 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). 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: (1) 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- 3/1/91 V-35 ASSURANCES Airport Sponsors A. General 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 Assurcnces 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(a), et seq. l/ 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. l/ h. Flood Disaster Protection Act of 1973 - Section 1O2(a) - 42 U.S.C. 4012x. 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 k. Aviation Safety and Raise 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. l/ n. Airport and Airway Improvement Act of 1982, as amended 49 U.S.C. 2201, et seq. o. Poverplant 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. l/ 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 V1 of the Civil Rights Act of 1964. 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. l/ 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/ 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 rpPly 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 asmurances 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 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 dispdse 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. %__. ` .4 3/1/91 V-40 10. Air and Water Duality 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 cace 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 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 suppliers 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 Nct 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 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 rzovided 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. 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. 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 s 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 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 (3) 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 lop 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 for 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 ••,.,. r. .,. a. •. .r. a. ). r. r. ).+. •. r. .. .r. r. ..... .,. .. Mr.,Sa3Ju......•��)Ja..)J.�)J.)a)lS.S...r.).).lta:)t)J3111FMY]llilbii.aYiwi4.t11\}KT'i.IUiSMIYI�).i' ! .a.• 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 Prgperty 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 4_f1I/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 . .. ... ,, .. ......_. .._ ................ ... .... ........... a......... ,.,•..., .,...,... .. ,,.... , ............)n.,. n... .. .,, ,..,.. ,...... ,.:a.).....,.,. ,.......,:), ,...1a.K )bs.,J.iJuAtiq:du. 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. f • 4/11/91 CURRENT FAA ADVISORY CIRCULARS FOR AIP PROJECTS EfTettive Date: 4-11-91 NUMBER 708460-1G 15015100-148 CNG 1 15015200-M CHG1i2 1505210-48 1505210-78 15015210-14 15015210-15 150152204A 1SU15220--10 CNG T& 2� 15015220-11 150152220-12 1505220-13A 1505220-141 150I5220-15 15c=20-16: 15015720-17 15015300.43 15015320-68. 1545320-6C-, C14G 14 2 150-1?J► ISOM320-14 15015325-4A CHG 1 150MS340-41F 15015340-4C CMG 1 &2 1 SOP 340-68 CNG 1 1SCV5340-148 CNG 1 &2 15015340-178 150/5340-188 1SCV5340-19 15015340-21 150-5340-238 I S015340-24 CNG 1 1505340-27A 1505345-30 150/5346-M. 150/5345-70 CNG 1 1501534$-10E 1 SaS345-12C 1 SOIS345-13A SUBJECT Obsrrrctiorr Marking and tlghling Ardoecarral. Enginreen g. and Pbming Consultant Services inr Airport Grant A Airport Winder Safely and Operallom Paining. Madkq and L%tdq d VMIicNs Used an an Airport Airralt Firs and Pam* Camnunicalim Airport Fre mind Resare Paemm Ptotecdvs Cbtl *V Mgmt Pamn a Fneighik station B A*v 1)esir Warr Supply Sysarms for Aircraft Fine and Plasmas Protediotr Guide Sppea awn for WmedFoam Type Awaalt Fee and Rescue Tndm Airport Snowbbwer Speahatron Gurde Airpm(Srrowswesper Specilcation Gtiiide Awmay surface CondWm Sensor Speoiicalion Guide Airport Finand Rescm Vehicle SPeckatim Guide fltri3gs for Storage and Maintenance d Ailpott SrroMi'Rencoval-and Ice Control _. EWOmertt A Guide hAmimed weaifw obumv 9yssmina lot Noarfederai'Applications Design sumiards far AtraaR pasicto fi"gltl V TralAv Faci9Btre . - -- - Akpcd Design Akpon Airport Prisctrent Design anal Evakr d* a 4, 0. an/d�� d -OW R�/lipat Pavanim Smiaom ' Airport _"-'�T_7 for Nola V�.�M Ptapoees .- -- .. • : -. � _.. Maddng of Paved Arses on A rpom _ - fnstatation Details for FAmramy Canted m Toucbd)wn Zone L'ghdng Systems SVmnW Circle Arport MarW systaro Ecarorny Approach Vgt*q Aids Standby Power for Non -FAA Airport lighting Systems Standards for Airport Sign Systerns Taxiway Centerline Lighting System Airport Wacegaineous Ughorg Visual Aids St"Awnental Wind Cones Runway and Taxrway Edge Lighting System Airco- Grwuti! l�dtf-Contmiot'J11rpb�tl7g�i&p Systems Spero%tion for 1,821 Panels for Rernole Control of Airportlighting Goran Sefectar Swdch Specification for L-824 Underground Electrical Cable for Airport Lighting Uant5 Specification for Constant Current Regulators Regulator Monitors Specification for Airport and Heliport Beacon Specification for L-841 Auxiliary Relay Cabinet Assembly for Pilot Control of Airport Lighting Ckarim V-51 & 52 :URRENT FAA ADVISORY CIRCULARS FOR AIP PROJECTS (continued) ffective Date: 4-11-91 NUMBER SUBJECT 1506045-258 SF I -il. tion for 1-823 Plug and Racapiad�. C�d�b Came�toa I CHG IA2 19015945.270 Specicca- for Wird Cars Awombies iSr0f5345.250 Precision Approach PsM 1 6, 'or (PAPA Syst m 150634 -all FAA SpedliCaion L45% Runwry and Tz&vW C Mr&w Resae&wdve AAmMm CHG 1 1SOrS34S-42C Sgse-*=Son for tiport Ugft Bases. TMUSOM ar Horsirgs. Jurwgm Boxes and Accessories 1506345-430 SQecricallon br Cbasudon tkftq Equiprmnt 1SOf$345-440 Sped6cafion (or TaidwW and ft" Siprre 1 SOF5345-451 loasaVd Approach UgM Sh"m i SOIS34S-46A Speclica6on for Rumvay and Tararar Liplrt Foam - - 1 S0f5345-47A hola*m Tianslomwm tar Akport Lighting SyxW= ISO 5345-49A Spea6c:t6oe L--854. Radio Ca" Equipment 1506345-60 for Poltabie R"vay Wo CHG 1 1501534"1 ape -5 -ad 9 - for O'acfrarga^Type Ftagw Equomo t CHG i 13015345-62 Generic Vial Gk*dope lrhaaarors (GVG4 ISCV5360-0 Plamiq and 0asign d Airport Twminet FaMw at Nor -+M Lotions ISOP OO -12 AhpoR Sip *q A Graphics 1905360-13. Planfiq and Dssign Guidarrea for Airport TearA nl Fadr6as at lton- Hub Loeadom . 1504370-2C Opervim Saint on AipixU 0wbg CQnWucGw - I SOIS37048 Cahslruc&m Progress and 1 epecfon RapaA---Akpod Grant Prograia 15015370-10A StandaNk for Spe di "Consauetion of Airports CHG 1. 2, 3 15CY5370-11 use d No x*wuc6w Tes*q Devices in M Evaluation of Airport Pave *M CHG 1 15 370-12 Ouafq Corad of Constnncson for Aicpat Grad Pt fwft 150/5390-2 HeGpart Design /—ITRIM .rL NOTES. © NEW YORK STATE PLANE COORDINATE VALUES NORTH EAST T X caSTIMO ft"AT MTECT M ARP CLTD1ATD 30DW3.025 254229.66 ZONE No PLANNED ou+ro RW p END PAV'T. 380262.534 2539742.680 RW 30 ENO PAY'T. 379794.076 2542512.384 RW 07 END PAWL 379618.274 2540199.670 RW 25 END PAV T. 380653.373 2541990.057 20 GRID IS BASED ON NEW YORK STATE PLANE - - COORDINATE SYSTEY.LONG ISLAND ZONE © AREA = 195 ACRES (TITLE IN FEE) oLuu t]EAM xxPW E�tO REVISIONS TONN Of SOUTHCAF FISHERS ISLAND. EN TCRX F m_ PAYED ROW By FATE CHANCE ELIZABETH FIELD AIRPORT 1 = DIRT ROW COAST EINE AIRPORT PROPERTY MAP �( -- PROPERTY EINE=ESICNEO: OE CRA RN: C7 :NECKED: OE DATE: FE5RLA-1+, :991 SHEET OF ROAD ��} PaCACT FILE NO-MO07.001 I CA,'O FILE NO.: 46 PY),I T. _ -q Cabcennos & Spina ErV—. PC V JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 9, 1992 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Sheila M. Farley Grants Administrator Calocerinos S Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation Dear Ms. Farley: Transmitted herewith are four (4) executed copies of Partial Payment Request No. FIVE for the above captioned project. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (4) 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 APRIL 7, 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. Five with respect to the Fishers Island, Elizabeth Field Airfield Lighting (Design), and Pavement Evaluation Project, all in accordance with the recommendation of Calocerinos S Spina Engineers, P.C. , the Town's engineers for the project. �udT. Terry Southold Town Clerk April 8, 1992 r- . C, i r Calocorinos & Spina Engineers, P.C. To: Mr. R. Philip Knauff Manager Fisher's Island Ferry District P.O. Box H Fisher's Island, New York 06390 Attention: Re: Fishers Island -Elizabeth Field Airfield Lighting(Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 & .005 Date: 27 -Mar -92 Enclosed please find the following: - Five copies of Partial Payment Request No. FIVE (Form 271) for your review and signature. Remarks: Please have the Town Supervisor sign four copies of Form 271, and return them to me for further processing. Keep one copy of the form and the attached backup documentation for your files. If you have any questions or need additional information, please do not hesitate to contact us. Enclosures SMF/cb CALOCERINOS & SPINA ENGINEERS, P.C. Sheila M. Farley , Grants Administrator 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 OUTLAY REPORT AND REQUEST FOR REIMBURSE- Approved by Office of Management and Budget No. so-RO181 PAGE 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST (�) 0 FINAL ® PARTIAL ® CASH a ACCRUAL 3• FEDERAL SPONSORINGN WHICH THIS REPORT IS SUBMITTED 4. FEDERAL GRANT OR OTHER IDENTIFYING NUMBER ASSIGNED 5. PARTIAL PAYMENT REOUEST NO. PAVEMENT BY FEDERAL AGENCY FIVE Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-04-91 EVALUATION 6. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT $0.00 IDENTIFYING NUMBER FROM (INonth, day, yoar) TO (Month, day, year) 11-6003307 N/A 2/26/92 3/23192 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check should be sent Ndilterent than Item 9) Name: TOWN OF SOUTHOLD Name: TOWN HALL, 53095 MAIN ROAD $0.00 No. and P.O. BOX 1179 Street. SOUTHOLD, NY 11971 No. and Street City, Cty, State and State and ZIP Code: ZIP Code. STATUS OF FUNDS STANDARD FORM 271 (7-79) Prescribed by Otke of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (a (b) (�) CLASSIFICATION AIRFIELD LIGHTING PAVEMENT TOTAL (DESIGN) EVALUATION 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 $56,419.55 $44,951.72 $0.00 $101,371.27 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- 9. 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) $56,419.55 $44,951.72 $0.00 $101,371.27 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $56,419.55 $44,951.72 $0.00 $101,371.27 q. Federal share to date $50,777.60 $40,456.55 $0.00 $91,234.14 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $50,777.60 $40,456.55 $0.00 $91,234.14 t. Federal payments previously re- quested $48,238.71 $32,870.94 $0.00 $81,109.66 u. Amount requested for reimbursement $2,538.88 $7,585.60 $0.00 $10,124.49 v. Percent of physical completion of _project R7 n0A 7A n% + no f e+ fou 12. CERTIFICATION SIGNATURE OF AUTHORIZED CERTIFYING DATE REPORT SUBMITTED OFFICIAL April 7, 1992 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 61WN SUP VISO r (516) 765-1800 represents the Federal share due which 1-9 has not been previously requested and that an inspection has been performed SIGNATURE OFFICIAL OF ALIT06RI ED CERTIFYING DATE REPORT SUBMITTED and all work is in accordance with the terms b. Representative of the award. certifying to line 11v. TYPED OR PRINTED NAME AND TITLE TEL PHONE NO. CALOCERINOS A SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR STANDARD FORM 271 (7-79) Prescribed by Otke of Management and Budget Cir. No. A-110 FISHER ISLAND AIRPORT - ELIZABETH FIELD 03/27/92 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 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 ......................... $5,464.00 $5,464.00 $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........... $59,389.00 $59,389.00 $56,419.55 $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 ■. -------------------------------------------------------------------------------------------------------------------------------------- MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 $0.00 TOTAL FEDERAL COSTS $64,853.00 $64,853.00 $56,419.55 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 03/27/92 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS ----------------------------------------------- PROGRAM NO. 1 Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: 856,419.55 $54,388.00 90.00 LESS RETAINAGE: 82,969.45 SUBTOTAL: $59,389.00 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 04/30/91 $1,781.67 $1,631.64 * 07/31/91 $33,851.73 $31,001.16 $0.00 * 10/17/91 $5,938.90 $5,438.80 $0.00 * 11/25/91 $5,938.90 $5,438.80 80.00 * 12/13/91 $5,938.90 85,438.80 $0.00 * 02/26/92 $2,969.45 82,719.40 $0.00 03/17/92 82,969.45 $2,719.40 80.00 Account Number ............. Invoice 4#? 03 210 , , . ,Date. 3/17/92 19 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 Calocerin.. Spina Engineers, P.C: Payee Reference: Address: .................................... 1020 Seventh..North .Street... _ .... Phone No. (....)...................... . Liverpool , . NY ... !. 0 8 8 .............. Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount File No. 211.004 Contract 001 Re: Fishers Island - Elizabeth Field Airport Airfield Lighting - Designe services For engineering services performed through March 6 1992. 2,969.45 Less: 5% Retainage - 148.47 2,820.98 Total 2,820.98 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 b en paid, except therein stated, and that the balance therein stated is actually due and owing. i7 Dated... March. l7.. ................ .1992.. �U26(�:t�C ........ . .......... Signature L c s Calocerinos & Spina Enqoneers, P C. TOWN OF SOUTHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND - ELIZABETH FIELD AIRPORT AIRFIELD LIGHTING DESIGN SERVICES FOR PROFESSIONAL SERVICES RENDERED THROUGH 03/06/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 03/06/92 INV. DATE : 03/17/92 INVOICE # : 203210 PROJECT # : 211.004.001 59,389.00 100.009 FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 59 RETAINAGE AMOUNT DUE THIS INVOICE ** 59,389.00 E' 56,419.55 2,969.45 148.47 2,820.98 JWL 203210 COPY. 1020 Seventh North Street. Livernnnl. NY J-3(wqtn4 .1r,7 -r,71 1 --FAY /71x1 Ar,7 ogn-, FISHER ISLAND AIRPORT - ELIZABETH FIELD 03/27/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 2 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING 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........... $59,147.00 $59,147.00 $44,951.72 $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 q. 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 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 I. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 e. MISCELLANEOUS COST ............................. --------------------------------------------------------------------------------------------------------------------- $0.00 $0.00 $0.00 $0.00 TOTAL FEDERAL COSTS $59,147.00 $59,147.00 $44,951.72 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 03/27/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS ----------------------------------------------- PROGRAM NO. 2 Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $44,951.72 $44,624.00 $0.00 LESS RETAINAGE: $2,365.88 SUBTOTAL: $47,317.60 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 09/21/91 $10,054.99 $9,482.60 $0.00 * 10/24/91 $4,731.76 $4,462.40 $0.00 * 11/25/91 $14,786.75 $13,945.00 $0.00 * 01/27/92 $2,957.35 $2,789.00 $0.00 * 02/24/92 $5,914.70 $5,578.00 $0.00 03/23/92 $8,872.05 $8,367.00 $0.00 Account Number ............. Invoice #.?03347 , . , , , Date. 3/23/92 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. 16,-1321.757. ...................................... Payee Reference: Address: 1020 Seventh North Street Phone No. (.... )... . Live rp o o l_ , NY : 1.3.0.8 8 ..... Vendor Contact Cash Discount .................. %......... Days .................................... Item No. Description of Material/Service Quantity Unit Price Amount File no. 211.005 Contract 001 Fishers Island - Elizabeth Field A/P R/W Pavement Evaluation Study For engineering services performed from 12/27/91 through 3/06/91. 8,872.05 Less: 5% Retainage - 443.60 8,428.45 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 en paid, except asLtein stated, and that the balance therein stated is actually due and owing. Dated .....Max.Xh . Z3 ................ 19 9?„V. Signature c- s Calocerinos &Spina Engineers. P C. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 12/27/91 THROUGH 03/06/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 03/06/92 INV. DATE : 03/23/92 INVOICE # : 203347 PROJECT # : 211.005.001 59,147.00 80.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS F * 47,317.60 r .r * 38,445.55 TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 8,872.05 443.60 8,428.45 JWL 203347 1020 Seventh North Street, Liverpool, NY 13038-6199 (315) 457-6711 FAX (315) 457-9803 Ow US. Department of Transportation Federai Aviation Administration 'F R^ 1110 - Mr. Scott L. Harris Town Supervisor Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Dear Mr. Harris: RECEIVED MAR 1 '. 1992 yW Tnurre rim* REIL Installation of R/W 30 Elizabeth Field Airport AIP 3-36-0029-04-91 Reference is made to C&S 's letter dated December 27, 1991 and subsequent information requesting approval of a modification of standards AC 150/5340-14B and Order 6850.2A for a REIL installation on R/W 30 at Elizabeth Field Airport, Fishers Island, NY. Please be advised that we have reviewed and coordinated this proposal with other branches within the FAA and your request is approved provided the REIL is installed 100 ft. upwind from the threshold of R/W 30 at a distance of 40 ft. from the edge of payment. If you have any questions, please call Dan Vornea of my staff at 516-295-9343. Sincerely, Philip B ito Manager JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 12, 1992 Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 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 (Design) Dear Ms. Farley: Transmitted herewith are four (4) executed Partial Payment Request No. FOUR (Form 271) with respect to the Fishers Island - Elizabeth Field Airport Lighting (Design) construction program. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures cc: Accounting 8 Finance JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ��c��FF OIKC�G� 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 MARCH 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. Four with respect to the Fishers Island - Elizabeth Field Airport Lighting (Design) construction program, all in accordance with the recommendation of the Town's engineers for this project, Calocerinos & Spina, P.C. Judith T. Terry Southold Town Clerk March 11, 1992 J., Calocerinos & Spina RECEIVED Engineers, P.C. MAR 51992 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: Southold T<'lerk Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 & 211.005 Date: 02 -Mar -92 - Five copies of Partial Payment Request No. FOUR (Form 271) for your review and signature. Remarks: Please have the Town Supervisor 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. If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Enclosures A Sheila M. Farley }c; Grants Administrator 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 I Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. Bo-ROtat 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST CLASSIFICATION FINAL R PARTIAL ® CASH ❑ ACCRUAL 3. FEDERAL SPONSORING AGENCY AND IZATIONAL ELEMERM 4. FEDERAL GRART OR UMER 6. PARTUTTAVUENT REQUEST NO. WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED EVALUATION BY FEDERAL AGENCY FOUR Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-04-91 $0.00 6. 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 11/25/91 2/26/92 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check should be sent it different than item 9) 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 City, city, State and State and ZIP Code: ZIP Code: 11. STATUS OF FUNDS S 1 ANUAHD I -OHM 271 V-76) Prescribed by Office of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (a) (b) (c) CLASSIFICATION AIRFIELD LIGHTING PAVEMENT TOTAL (DESIGN) EVALUATION 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 $53,598.57 $36,523.27 $0.00 $90,121.84 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. 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) $53,598.57 $36,523.27 $0.00 $90,121.84 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $53,598.57 $36,523.27 $0.00 $90,121.84 q. Federal share to date $48,238.71 $32,870.94 $0.00 $81,109.66 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $48,238.71 $32,870.94 $0.00 $81,109.66 t. Federal payments previously re- quested $40,622.08 $25,285.34 $0.00 $65,907.41 u. Amount requested for reimbursement $7,616.64 $7,585.61 $0.00 $15,202.24 v. Percent of physical completion of project 82.6% 61.7% 0.0% 72.7% 12.CERTIFICATION S*NI TLIRE0F,",�JJTHnP17F.n _ERTLrY!Nn OATFREPORT RURAAITTPD OFFI L Ai I certify that to the best of my knowledge a. RECIPIENT March 10, 1992 and belief the billed costs Or disburse- TYPEDORPRINTE ME AND TITLt 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 T LEP ONE NO. CALOCERINOS & SPINA ENGINEERS P.C. ` SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR S 1 ANUAHD I -OHM 271 V-76) Prescribed by Office of Management and Budget Cir. No. A-110 FISHER ISLAND AIRPORT - ELIZABETH FIELD AIRFIELD LIGHTING (Design) TOWN OF SOUTHOLD, NY F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 1 ----------------------------------------------- 02/28/92 211.004 FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING a. ADMINISTRATIVE EXPENSE ......................... $5,464.00 $5,464.00 $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........... $59,389.00 $59,389.00 $53,598.57 $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 I. EQUIPMENT ...................................... $0.00 $0.00 $0.00 $0.00 ■. MISCELLANEOUS COST ............................. ------------------------------------------------------------------------------------------------------- $0.00 $0.00 $0.00 $0.00 TOTAL FEDERAL COSTS $64,853.00 $64,853.00 $53,598.57 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 02/28/92 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $53,598.57 851,668.60 80.00 ----------------------------- LESS RETAINAGE: $2,820.98 SUBTOTAL: 856,419.55 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 04/30/91 81,781.67 81,631.64 * 07/31/91 833,851.73 831,001.16 80.00 10/17/91 85,938.90 85,438.80 80.00 11/25/91 $5,938.90 85,438.80 80.00 12/13/91 85,938.90 85,438.80 80.00 02/26/92 82,969.45 82,719.40 80.00 fiEA- ....... -= ...... Liver ool, .................................., N. Y.,. December .13.x ...19, 9 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N. Y., Dr. To .... Calocerinos & Spina Engineers, P.C. ................................................................. Claimant Address .... iw 0 Seventh North Street .............................................................. Fed. I. D. No. 1. b.-.��.2�.7.5.7....... or Soc. Security No. ................... File NO. 211.004 Contract 001 Re: Fishers Island Airport Elizabeth Airfield g In accordance with engineering agreement dated December 28, 1990 for engineering services peformed from November 1, 1991 through November 29, 1991. The undersigned (Claimant) (Acting on behalf of above named Claimant) does hereby certify that the (Cross out one) 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 .......December 13, , 19 91 ......................................................... Signature 5,641: IL C CalocerrinOs & S��ina TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND AIRPORT AIRFIELD LIGHTING ELIZABETH FIELD DESIGN SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 11/01/91 THROUGH 11/29/91 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 11/29/91 INV. DATE : 12/13/91 INVOICE # : 112149 PROJECT # : 211.004.001 59,389.00 90.009 FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 59 RETAINAGE AMOUNT DUE THIS INVOICE ** 53,450.10 47,511.20 5,938.90 296.95 5,641.95 Account Number ............. Invoice #.?022,04, , , , , Date. 2�?6/92 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 Street Phone No. (....)....................... .Liverpool , NY „ 13 0 8 8 „ ... „ . „ Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island - Elizabeth Field Airpor Airfield Lighting - Design Services In accordance with engineering agreement dated December 28, 1990 for engineering services performed from 11/29/91 through 2/7/92. 2,969.45 Less: 5% Retainage 148.47 Total 22820.98 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 been paid, except as therein stated, and that the balance therein stated is actually due and owing. Dated ..... eb.rU�xy..�6�............ 19 .91. ..... Signature IL c s caiocerinos & Spina TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND - ELIZABETH FIELD AP AIRFIELD LIGHTING DESIGN SERVICES FOR PROFESSIONAL SERVICES RENDERED FROM 11/29/91 THROUGH 02/07/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 02/07/92 INV. DATE : 02/26/92 INVOICE # : 202204 PROJECT # : 211.004.001 CLIENT REF: 59,389.00 95.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE AMOUNT DUE THIS INVOICE ** 00L'! 56,419.55 --4 53,450.10 2,969.45 148.47- JWL 202204 COPY FISHER ISLAND AIRPORT - ELIZABETH FIELD 02/28/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY ' 211.004 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 2 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING 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........... $59,147.00 $59,147.00 $36,523.27 $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. RELOCATION 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 a. MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $59,147.00 $59,147.00 $36,523.27 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 02/28/92 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 2 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $36,523.27 836,257.00 80.00 ------------------------------------------------------------------------ LESS RETAINAGE: 81,922.28 SUBTOTAL: 838,445.55 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 09/21/91 810,054.99 89,482.60 80.00 * 10/24/91 84,731.76 84,462.40 80.00 * 11/25/91 814,786.75 813,945.00 80.00 01/27/92 82,957.35 82,789.00 80.00 02/24/92 85,914.70 85,578.00 80.00 c s Calocerinos &Spina Engineers. P C TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 INV. DATE : 01/27/92 INVOICE # : 201250 PROJECT # : 211.005.001 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED THROUGH 12/27/91 TOTAL FEE AUTHORIZED 59,147.00 PERCENT COMPLETE AS OF 12/27/91 55.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS 5% RETAINAGE 32,53 0. 8 5 29,573.50 2,957.35 P;'7 147.87 AMOUNT DUE THIS INVOICE ** 2,809.48 JWL 201250 Account Number Invoice #'2.0'2l7l`'''' Doto'3/2'4'/g2'''''''19'.''''''''' TOWN OFSOUTHOLD'COUNTY OFSUFFOLK, N.Y,Dr. PAY TO: Payee Identification Payee Name: orSocial Security Number: .... I.0-1321.757.....,...��.�.�...�. Ca.Iocerioos.&..SDin.a.So'.'.oeers,. .p.^.C^ Payee Reference: Address: I020 Seventh North Street .21I ....^..U05 .... .... ... ... . ..... .. .... ... . . . . . ' . .. . . . Phone No. [ . . .[. . . . .. . . . `. . . . . . . .. . . . . . . . . . . . . . ' . . . . . . . , . . . . . . . . . . . . . . . . . . . Vendor Contact Cash Discount .................. Y6 . . . . . . . . .Dayo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . ' . ' Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island - Elizabeth Field A/P For professional services performed from 12/27/91 through 2/7/92. 5,914.70 Less: 5% Retainage ,618.96 Total Net 5,618.96 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, exoep�asthensin stated, and that the balance therein stated isaotuaUydue and uvvinQ. Uetod. F.�brV��`y.24.�.....�........'lS .gZ. ...... Signature It. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 FISHERS ISLAND -ELIZABETH FIELD A/P R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991 FOR PROFESSIONAL SERVICES RENDERED FROM 12/27/91 THROUGH 02/07/92 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 02/07/92 INV. DATE : 02/24/92 INVOICE # : 202171 PROJECT # : 211.005.001 CLIENT REF: 59,147.00 65.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE LESS 5% RETAINAGE 38,445.55 32,530.85 5,914.70 - 6,7 - 295.74 AMOUNT DUE THIS INVOICE ** 5,618.96 JWL 202171 U.S. Department of Transportation Federal Aviation Administration FE$}3 `4 A. Ms. Judith T. Terry TWM Cork SPOW Southold Town Clerk Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, New York 11971 Dear Ms. Terry: Elizabeth Field Airport Lighting, Visual Aids and Electrical Building AIP Project 3-36-0029-04-91 This is to acknowledge that our office received the certification and the review checklist of the plans and specifications for the subject project. We would like to advise that in accordance with our latest "Airport Sponsor's Guide" we do not require any longer the submission of a review checklist for plans and specifications. Sincerely, ,Philip Brito - ,Manager JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 6, 1992 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 Airport Lighting, Visual Aids and Electrical Building AIP Project No. 3-36-0029-04-91 NYSDOT Project No. 0913.14 Dear Mr. Brito: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (5 l6) 765-1801 In accordance with the Airport and Airway Safety and Capacity Expansion Act of 1987, transmitted herewith are the following documents concerning the above -captioned project: 1. Certification of Plans and Specifications by Sponsor. 2. Sponsor's Plans and Specifications Review Checklist. Very truly yours, Judith T. Terry Southold Town Clerk cc: James Leana, P.E., C8S JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ��c��FFQtk '00 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 4, 1992: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute the required certifications as required by the Federal Aviation Administration with respect to plans and specifications for the Elizabeth Field Airfield Lighting, Visual Aids and Electrical Building Project (AI P No. 3-36-0029-04-91) , all in accordance with the direction of Calocerinos 6 Spina Engineers, P.C. , the Town's engineers for the project. Judith T. Terre' Southold Town Clerk February 5, 1992 CERTIFICATION OF PLANS AND SPECIFICATIONS BY SPONSOR Airport Sponsor: Town of Southold AIP Project No.: 3-36-0029-04-91 Project Name: Airfield Lighting, Visual Aids and Electrical Building Pursuant to the provisions of the Airport and Airway Safety and Capacity Expansion Act of 1987, I Scott L. Harris , as authorized representative of Town of Southold , hereby certify to the best of our knowledge that: 1. All development proposed in this project is in accordance with FAA standards and requirements listed in the attachment to this Certification, except for the deviations noted, and approved by the FAA. 2. All development proposed in this project which requires an environmental assessment is in accordance with an approved Environmental Impact Statement (EIS) or Finding of No Significant Impact (FONSI). 3. All work included in the Plans and Specifications for this project is in accordance with the approved Airport Layout Plan. 4. The Plans and Specifications for this project only include development set forth in the tentative allocation or FAA approved program change unless otherwise identified as non-AIP items. Feb. 4, 1992 Date Signature Scott L. Harris Town of Southold Supervisor Title SPONSOR'S PLANS AND SPECIFICATIONS REVIEW CHECKLIST Airport: Elizabeth Field AIP No. 3-36-0029-04-91 Yes No Item X _ 1. Do the plans and specifications cover all the work included in the tentative allocation? If not, please explain. _ X 2. Do the plans and specifications include any non -eligible development? X _ 3. Have all coordination (sponsor, users, FAA, etc.) comments been satisfied? If not, please explain? X _ 4. Has an Engineer's Report been submitted to FAA? _ N/A_ 5. For projects containing airport paving, has the FAA Pavement Design From (FAA Form 5100.1) been submitted to the FAA? _ X 6. Was a pre -design conference held? X _ 7. Are there any waivers to FAA standards included in Engineering Report? Have waivers been: Runway 25 REIL system location is non-standard Requested: Yes X No — Approved: Yes _ No _ Approval is pending X _ 8. Does the development included in the plans and specifications conform with the approved Airport Layout Plan? If not, please explain. (Note: This can be controlled by including a general layout sheet in the plan set with all grant work items listed in the legend and shown at the location on the airport where it will be constructers. The location and size shown should agree with the approved ALP). _ X 9. Are there any special environmental conditions or requirements that need to be incorporated in the plans and specifications? If yes, please explain. X _ 10. If over $100,000 estimated cost, do the specifications include 100% payment and 100% performance bonds? X _ 11. Are the current EEO, Davis Bacon Act and DBE Provisions in the plans and specifications? (Reference current boilerplate). Yes No X _ 12. X _ 13. X _ 14. X _ 15. X 16. X 17. -2 - Item Is the current minimum Wage Rate Schedule (U.S. Department of Labor) included verbatim or referenced in specifications? Does the Wage Rate Schedule include all the worker classifications required? Are the EEO (minority/women) goals shown in the specifications in accordance with the Department of Labor requirements shown in Federal Register dated Friday, October 3, 1980, page 65976). Are the DBE goals shown in the specifications in conformance with sponsors approved DBE plan? Has a copy of the invitation for bids been sent to the Program Management Center (AMAC Consulting Corp.) for DBE coordination? Do plans and specifications include safety requirements of Advisory Circular 150/5370-2C, "Operational Safety on Airports During Construction" dated 5/31/84? SPONSOR r Signature Scott L. Harris Town of Southold Supervisor February 4, 1992 Title Date CERTIFICATION OF PLANS AND SPECIFICATIONS BY ENGINEER Airport Sponsor: Town of Southold AIP Project No.: 3-36-0029-04-91 Project Name: Airfield Lighting, Visual Aids and Electrical Building Pursuant to the provisions of the Airport and Airway Safety and Capacity Expansion Act of 1987, I, RONALD L. PECKHAM, P.E., as authorized representative of CALOCERINOS & SPINA ENGINEERS, P.C. hereby certify to the best of our knowledge that: 1. All development proposed in this project is in accordance with FAA standards and requirements listed in the attachment to this Certification, except for the deviations noted, and approved by the FAA. 2. All development proposed in this project which requires an environmental assessment is in accordance with an approved Environmental Impact Statement (EIS) or Finding of No Significant Impact (FONSI). 3. All work included in the Plans and Specifications for this project is in accordance with the approved Airport Layout Plan. 4. The Plans and Specifications for this project only include development set forth in the tentative allocation or FAA approved program change unless otherwise identified as non-AIP items. Z j 9Zize; Z Date Signature Ronald L. Peckham, P.E. Division Manager Title ENGINEER'S PLANS AND SPECIFICATIONS REVIEW CHECKLIST Airport: Elizabeth Field AIP No. _ 3-36-0029-04-91 Yes No Item X — 1. Do the plans and specifications cover all the work included in the tentative allocation? If not, please explain. _ X 2. Do the plans and specifications include any non -eligible development? X _ 3. Have all coordination (sponsor, users, FAA, etc.) comments been satisfied? If not, please explain? X 4. Has an Engineer's Report been submitted to FAA? _ NIA_ 5. For projects containing airport paving, has the FAA Pavement Design From (FAA Form 5100.1) been submitted to the FAA? _ X b. Was a pre -design conference held? X _ 7. Are there any waivers to FAA standards included in Engineering Report? Have waivers been: Runway 25 REIL system location is non-standard Requested: Yes X No _ Approved: Yes _ No — Approval is pending. X _ 8. Does the development included in the plans and specifications conform with the approved Airport Layout Plan? If not, please explain. (Note: This can be controlled by including a general layout sheet in the plan set with all grant work items listed in the legend and shown at the location on the airport where it will be constructed. The location and size shown should agree with the approved ALP). _ X 9. Are there any special environmental conditions or requirements that need to be incorporated in the plans and specifications? If yes, please explain. X _ 10. If over $100,000 estimated cost, do the specifications include 100% payment and 100% performance bonds? X _ 11. Are the current EEO, Davis Bacon Act and DBE Provisions in the plans and specifications? (Reference current boilerplate). -2 - Yes No Item X _ 12. Is the current minimum Wage Rate Schedule (U.S. Department of Labor) included verbatim or referenced in specifications? X _ 13. Does the Wage Rate Schedule include all the worker classifications required? X _ 14. Are the EEO (minority/women) goals shown in the specifications in accordance with the Department of Labor requirements shown in Federal Register dated Friday, October 3, 1980, page 65976). X _ 15. Are the DBE goals shown in the specifications in conformance with sponsors approved DBE plan? X 16. Has a copy of the invitation for bids been sent to the Program Management Center (AMAC Consulting Corp.) for DBE coordination? X _ 17. Do plans and specifications include safety requirements of Advisory Circular 150/5370-2C, "Operational Safety on Airports During Construction" dated 5/31/84? CALOCERINOS &'INA ENGINEERS, P.C. SiRnatu W. L a itl Date M Mr. dames W. Leana Engineer CaloceriAo6 & Spina 302€3 Seventh Borth Street LiverPool, New York 3 30e'S FEB 1 1 1992 mold T"".' rU4 Dear Mr. Leana Elizabeth Field Airport Airfield Lightin # Visual ,fids & ^?ectrical Bldg. Contraet- Preiiminarp Contract Doouments & Deaign Report ATS Reference is made to your recent submittal dated February r: 1992. please be advised that we have no further comments and your final contract documents, when submitted, should include the certification. Sincerely, J motto n. Suriani supervisor, T)ownstate NY/NJ section cc: Mark Petranchuk, C&S Scott Harris, Town of Southold NYAD0;D,Vornea;mp;2/6/92 File: Elizabeth Field 04-91, General (CLI) Calocerinos & Spina Engineers, P.C. January 8, 1992 Mr. R. Philip Knauff, Manager Fisher Island Ferry District Post Office Box H Fisher Island, New York 06390 Re: Elizabeth Field Airport Airfield Lighting, Visual Aids and Electrical Building AIP Project No. 3-36-0029-04-91 NYSDOT Project No. 0913.14 File: 211.004 Dear Mr. Knauff: In accordance with the Airport and Airway Safety and Capacity Expansion Act of 1987, the Federal Aviation Administration (FAA) requires all Sponsors to certify that the Plans and Specifications prepared for all projects are in compliance with standards and requirements. In order to allow the Town of Southold to make this certification, we provide you with a similar certification to assure that, the standards and requirements of the Federal Aviation Administration have been met. Accordingly, we enclose the following: A. Certification of Plans and Specifications by Engineer. B. Engineer's Plans and Specifications Review Checklist. C. Certification of Plans and Specifications by Sponsor. D. Sponsor's Plans and Specifications Review Checklist. Please complete the Certification of Plans and Specifications by Sponsor and the Sponsor's Plans and Specification Review Checklist and mail directly to: Mr. Philip Brito, Manager Federal Aviation Administration New York Airports District Office 181 South Franklin Avenue Room 305 Valley Stream, New York 11581 1020 Seventh North Street, Liverpool, NY 13088-8199 (315) 457-6711 FAX (315) 457-980:: Mr. R. Philip Knauff Page 2 January 8, 1992 In addition, please provide our office with a copy of the Sponsor's Certification and Checklist for our records. Your prompt attention to this matter will be greatly appreciated. If you have any questions, please do not hesitate to contact our office. Very truly yours, CALOCERINOS &—SENA ENGINEERS, P.C. JWL:CRM:jmcl Enclosures cc: JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 9, 1991 Sheila M. Farley Grants Administrator Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation Dear Ms. Farley: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 In accordance with the instructions in your letter of December 4, 1991 to R. Philip Knauff, Manager of the Fishers Island Ferry District, returned herewith are the four (4) executed Outlay Report and Request for Reimbursement for Construction Programs for Partial Payment Request No. THREE for the abovecaptioned project. Very truly yours, 00 Judith T. Terry Southold Town Clerk Enclosures (4) cc: Accounting & Finance C IS Calocerinos & Spina 1_ngineers. 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 DEG 91991 Southold Town Ciel Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 & 211.005 Date: 04 -Dec -91 - 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. Keep one copy of 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: CALOCERINOS & SPINA ENGINEERS, P.C. Sheila M. Farley,/1 Grants Administrator 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 STATUS OF FUNDS Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. 80-RO181 1 1 OF 1 PAGES 1. TYPE OF REQUEST 2. BASIS OF REQUEST MENT FOR CONSTRUCTION PROGRAMS CLASSIFICATION 11 FINAL ® PARTIAL ® CASH 11 ACCRUAL 3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT4. WHICH THIS REPORT IS SUBMITTED FEDERAL GRANT OR OTHER IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY S. PARTIAL PAYMENT . THREE Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-04-91 EVALUATION 6. EMPLOYER IDENTIFICATION NO. 7. RECIPIENT ACCOUNT OR OTHER PERIOD COVERED BY THIS REPORT FROM (Month, day, year)(Month, day, year) $0.00 IDENTIFYING NUMBER 11-6003307 NIA 9/21/91 r11/25/91 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check should be sent if different than item 9) Name: TOWN OF SOUTHOLD TOWN HALL, 53095 MAIN ROAD Name: No. and P.O. BOX 1179 No. and Street., SOUTHOLD, NY 11971 street: City, City, State and State and ZIP Code: ZIP Cade: STATUS OF FUNDS STANDARD FORM 271 (7-76) Prescribed by Office of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (� (b) (c) CLASSIFICATION AIRFIELD LIGHTING PAVEMENT TOTAL (DESIGN) EVALUATION 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 $45,135.64 $28,094.82 $0.00 $73,230.46 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) $45,135.64 $28,094.82 $0.00 $73,230.46 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $45,135.64 $28,094.82 $0.00 $73,230.46 q. Federal share to date $40,622.08 $25,285.34 $0.00 $65,907.41 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $40,622.08 $25,285.34 $0.00 $65,907.41 I. Federal payments previously re- quested $30,466.56 $8,597.02 $0.00 $39,063.57 u. Amount requested for reimbursement $10,155.52 $16,688.32 $0.00 $26,843.84 v. Percent of physical completion of project 69.6%1 47.5%1 0.0%1 59.1% '2. CERTIFICATION SRiNAI URE OF AUl-HORIZ 0 CERnFYING OFFICIAL DATE REPORT SUBMITTED certify that to the best of my knowledge a. RECIPIENT �PED�Z)IPIINWIND December 9, 199 and belief the billed costs or disburse- 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 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 FISHER ISLAND AIRPORT - ELIZABETH FIELD 12/03/91 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 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 ......................... 85,464.00 85,464.00 90.00 $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........... 859,389.00 859,389.00 845,135.64 80.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... 80.00 80.00 80.00 80.00 f. PROJECT INSPECTION FEES ........................ 80.00 80.00 80.00 80.00 g. LAND DEVELOPMENT ............................... 80.00 80.00 80.00 80.00 h. RELOCATION EXPENSE ............................. 80.00 80.00 80.00 80.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... 80.00 80.00 80.00 80.00 j. DEMOLITION AND REMOVAL ......................... 80.00 80.00 80.00 $0.00 k. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... 80.00 80.00 80.00 80.00 1. EQUIPMENT ...................................... 80.00 80.00 80.00 80.00 ■. MISCELLANEOUS COST ............................. -------------------------------------------------------------------------------------------------------------------------------------- 80.00 80.00 80.00 80.00 TOTAL FEDERAL COSTS 864,853.00 864,853.00 845,135.64 80.00 y FISHER ISLAND AIRPORT - ELIZABETH FIELD 12/03/91 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: 845,135.64 843,510.40 80.00 ------------------------------------------------------------------------ ------------------------------------------------------------------------ LESS RETAINAGE: 82,375.56 SUBTOTAL: 847,511.20 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING + 04/30/91 81,781.67 81,631.64 + 07/31/91 833,851.73 831,001.16 80.00 10/17/91 85,938.90 85,438.80 80.00 11/25/91 85,938.90 85,438.80 80.00 Account Number ............. Invoice #. 110136• . , .. Date. 10/17/9.1 • • •19, 91. , • • • • . TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. i PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 .................................... Calocerinos & Spina Engineers, P.C. payee Reference: Address: , , , , 2.1.1. 00.4 ....................... 1020 Seventh North St. Phone No. (....)....................... ..................................... Liverppo,J,, . NY, . ,130,8$ ................ Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island Airport Elizabeth Airfield Lighting In accordance with engineering agreement dated December 28, 1990 for engineering services performed from July 12, 1991 through September 20, 1991. 5,938.90 Less: 5% Retainage 296.95 Total 5,641.95 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. ,October 17, 199.1 .......,19 . • • �� W.`'' Sign ture It Q Calocerinos & Spina Engineers, P.C. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 AIRFIELD LIGHTING FOR PROFESSIONAL SERVICES RENDERED THROUGH 09/20/91 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 09/20/91 INV. DATE : 10/17/91 INVOICE # : 110136 PROJECT # : 211.004.001 CLIENT REF: 59,389.00 70.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS * 41,572.30 "�— * 35,633.40 TOTAL THIS INVOICE ** LESS RETAINAGE AMOUNT DUE THIS INVOICE ** 1020 Seventh North Street, Liverpool, NY 13088 (315) 457-6711 5, 938.90'-4,- 296.95 5,641.95 JWL 110136 Account Number ............. Invoice #.11118 2 .. , , , Date 11 / 2 ?- /.9 1 19 91 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 .................................... Calocerinos .§. Spina Engineers, PC payee Reference: ..... ..... . . ... .. ....... Address: 211 '094. Contract. 001 1020 Seventh North Street Phone No. (....)....................... Liverpool, .New York 13088 Vendor Contact ..... ... ... .... . .... Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount R and Airport Elizabeth Airfield Lighting - Design In accordance with Engineering Agreement dated December 28, 1990 for Engineering Services performed from September 20, 1991 through November 1, 1991. $S,938.90 Less: 5% Retainage 296.95 5,641.95 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. .. W &t"" SilatureDated.. November 25, 1991 19 � Si ature TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 AIRFIELD LIGHTING ELIZABETH FIELD INV. DATE : 11/25/91 INVOICE # : 111182 PROJECT # : 211.004.001 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED THROUGH 11/01/91 TOTAL FEE AUTHORIZED 59,389.00 PERCENT COMPLETE AS OF 11/01/91 80.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS �� S cG/61�GC * 47,511.20 * 41,572.30 TOTAL THIS INVOICE ** LESS RETAINAGE AMOUNT DUE THIS INVOICE ** 5,938.90 296.95 5,641.95 JWL 111182 FISHER ISLAND AIRPORT - ELIZABETH FIELD 12/03/91 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.004 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 2 FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE -------------------------------------------------------------------------------------------------------------------------------------- AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING -------------------------------------------------------------------------------------------------------------------------------------- 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........... $59,147.00 $59,147.00 $28,094.82 $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. RELOCATION 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 ■. MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $59,147.00 $59,147.00 $28,094.82 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 12/03/91 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 2 ----------------------------------------------- * Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ 828,094.82 827,890.00 80.00 ------------------------------------------------------------------------ LESS RETAINAGE: 81,478.68 SUBTOTAL: 829,573.50 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING * 09/21/91 810,054.99 89,482.60 80.00 10/24/91 84,731.76 84,462.40 80.00 11/25/91 814,786.75 813,945.00 80.00 Account Number ............. Invoice #..1101 4.. , . Date.October. 2.3,.. ,19.91, .. , . , , . i TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16-1321757 Calocerinos & Spina Engineers, P.C. ...................................... Payee Reference: Address: 211.005 — 001 ............................. S.e.venth .Horth .$t .............. Phone No. (.... )....................... L i.ve rpo.4l , . NY ... 1.3 Q 8 8 ............. Vendor Contact Cash Discount ..................% .........Days.................................... i Item No. Description of Material/Service Quantity Unit Price Amount File No. 211.005 In accordance with engineering agreement dated May 21, 1991 for engineering service performed through September 20, 1991. 4,731.76 Less: 5% retainage 236.69 4,415.17 Tota 1 14,495.17 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 n paid, except as er in stated, and that the balance therein stated is actually due and owing. Dated ....... .....er 23, 19 91 .... 19 �J .... Octob.............Signature 9 a Calocerinos & Spina Engineers, P.C. TOWN OF SOUTHHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991. FISHER'S ISLAND AIRPORT INV. DATE : 10/24/91 INVOICE : 110164 PROJECT : 211.005.001 CLIENT REF: FOR PROFESSIONAL SERVICES RENDERED THROUGH 09/20/91 TOTAL FEE AUTHORIZED 59,147.00 PERCENT COMPLETE AS OF 09/20/91 25.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS 5 * 14,786.75 * 10,054.99 TOTAL THIS INVOICE ** LESS RETAINAGE AMOUNT DUE THIS INVOICE ** 1020 Seventh North Street, Liverpool, NY 13088 (315) 457-6711 4,731.76`�'��Z1�0 2.37 4,729.39 JWL 110164 Account Number ............. Invoice #..1111.8.3 . . . , Date. ovembe r !"-.5.09 P 1 TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: 16.-.1.321.7.5.7 . ........................ Caloce..rino.s... Spina Engineers, PC Payee Reference: ......... Address: 211.., 0 0 5...0.01 _ . 1020 Seventh North Street Phone No. (....)....................... Liverpool.,. ,New York 13088 Vendor Contact Cash Discount .................. % .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island Airport Runway Pavement Evaluation Study In accordance with Engineering Agreement dated btay 21, 1991 for Engineering Services performed from September 20, 1991 through November 1, 1991. 1 $14 786.7 Less: 5% Retainage - 739.3 Total $14,047.4 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 haase paid, except as therein stated, and that the balance therein stated is actually due and owing. Dated. \o.Xembe.r .25 ................ 19 Signature S TOWN OF SOUTHHOLD, NEW YORK TOWN OF SOUTHOLD, NEW YORK FISHERS ISLAND FERRY DISTRICT FOOT OF STATE STREET NEW LONDON, CONNECTICUT 06320 R/W PAVEMENT EVALUATION STUDY IN ACCORDANCE WITH ENGINEERING AGREEMENT DATED MAY 21, 1991. FISHER'S ISLAND AIRPORT FOR PROFESSIONAL SERVICES RENDERED THROUGH 11/01/91 TOTAL FEE AUTHORIZED PERCENT COMPLETE AS OF 11/01/91 INV. DATE : 11/25/91 INVOICE # : 111183 PROJECT # : 211.005.001 CLIENT REF: 59,147.00 50.00% FEE EARNED TO DATE LESS PREVIOUS BILLINGS TOTAL THIS INVOICE ** LESS RETAINAGE AMOUNT DUE THIS INVOICE ** 29,573.50 -- -' 14,786.75 14,786.75 Af)2� 9467' 739.34 14,047.41 JWL 111183 s 11 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 7, 1991 Sheila M. Farley Grants Administrator Calocerinos & Spina Engineers 1020. Seventh North Street Liverpool, New York 13088 Re: Fishers Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 Dear Sheila: 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. TWO (Form' 271) as requested by your letter of October 17, 1991 to Robert Knauff, Manager, Fishers Island Ferry District. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (4) cc: Accounting & Finance To: Mr. Robert,--auff Manager--" F'hr's Island Ferry District 0. Box H Fisher's Island, New York 06390 Attention: Enclosed please find the following: Re: Fisher's Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 & 211.005 Date: 17 -Oct -91 - Five copies of Partial Payment Request No. TWO (Form 271) for your review and signatures. Remarks: Please have Mr. Harris sign four copies of Form 271, and return them to me for further processing. Keep one copy of the attached backup documentation for your files. cc: If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Sheila M. Farley ,'(} Grants Administrator Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. so-Ro1s1 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST z BASIS OF REOUEST 0 FINAL ® PARTIAL ® CASH 0 ACCRUAL 3- FEDERAL SPONSORING AGENCY AND ORGANIZATKKAL ELEMENT TO V*NCH THIS REPORT IS SUBMWrED OR OTHER IDENTIFYING NUMBER ASSIGNED & PARTIAL PAYMENT REQUEST NO. (U AIRFIELD LIGHTING (DESIGN) BY FEDERAL AGENCY TWO Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-04-91 a. Administrative expense s. EMPLOYER IDENTIF ATION No. 7. RECIPIENT AOOOUNT OR OTHER PERIOD COVERED BY THIS REPORT - $0.00 IDENTIFYING NUMBER FROM Month1 day, yrar) TO (Month. d+Y Yom) 11-6003307 WA 7/31/91 9/21/91 9. RECIPIM OROAf IZATION 10. PAYEE (Mere chook should be sent M dNlormt SIM Am*) Name: TOWN OF SOUTHOLD Awns: TOWN HALL, 53095 MAIN ROAD c. Land, structures, right-of-way Na and P.O. BOX 1179 W and $0.00 sneer SOUTHOL.D, NY 11971 Sone and Stale yy $9,552.24 aP CO*. alp clods 11. STATUS OF FUNDS STANDAFD FORM 211 (7-79) Prseodbed by OHloe of Management and Budget C1r. No. A-110 1 PROGRAMS - FUNCTIONS - ACTIVITIES (U AIRFIELD LIGHTING (DESIGN) (b) PAVEMENT EVALUATION (o) CLASSIFICATION 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 $33,851.73 $9,552.24 $0.00 $43,403.97 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 It. 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) $33,851.73 $9,552.24 $0.00 $43,403.97 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $33,851.73 $9,552.24 $0.00 $43,403.97 q. Federal share to date r. Rehabilitation grants (100% reim- $30,466.56 $8,597.02 $0.00 $39,063.57 bursement) s. Total Federal share (sum of lines q and r) I. Federal payments previously re- $30,466.56 $8,597.02 $0.00 $39,063.57 quested $30,466.56 $0.00 $0.00 $30,466.56 u. Amount requested for reimbursement v. Percent of physical completion of $0.00 $8,597.02 $0.00 $8,597.02 Project 52. 16.1 0. 35.0_% 12. CERTIFICATION SIGNATURE OF AUTHORIZED _ ORT S DATE REPUBMrTTED I certify that to the best of my knowledge and belief the billed costs or disburse- ments are in accordance with the terms of the project and that the reimbursement represents the Federal share due which a. RECIPIENT November 7, 199 TYPED ORPRWrrME ANDTME SCOTT L RARRIS TOYM SUPERVISOR TELEPHONE pp. (516) 765-1800 has not been previously requested and that an inspection has been performed7/� and all work is in accordance with the terms of the award. b. Representative certlfying to line SIGNATURE OF AUTHORIZED CERTImr�G DATE REPORT SUBMRTED 11V. TYPED OR PRINTED NAME AND TITLE TELEPHONE NO. CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY GRANTS ADMINISTRATOR (315) 455-7981 STANDAFD FORM 211 (7-79) Prseodbed by OHloe of Management and Budget C1r. No. A-110 1 FISHER ISLAND AIRPORT - ELIZABETH FIELD 10/16/91 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 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 ......................... $5,464.00 35,464.00 $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........... $59,389.00 $59,389.00 $33,851.73 $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 m. MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $64,853.00 $64,853.00 $33,851.73 $0.00 0 FISHER ISLAND AIRPORT - ELIZABETH FIELD 10/16/91 AIRFIELD LIGHTING (Design) -------- TOWN OF SOUTHOLD, NY 211.004 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- + Indicates previous submittal FEDERAL STATE NON_ SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: ------------------------------------------------------------------------ $33,851.73 $32,632.80 $0.00 ------------------------------------------------------------------------ LESS RETAINAGE: 81,781.67 SUBTOTAL: 835,633.40 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING t 04/30/91 $1,781.67 81,631.64 07/31/91 $33,851.73 $31,001.16 80.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 10116/91 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.004 F.A.A. AIP PROJECT NO. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM NO. 2 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING 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........... $59,147.00 $59,147.00 $9,552.24 $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 9. 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 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 a. MISCELLANEOUS COST ............................. $0.00 $0.00 $0.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $59,147.00 $59,147.00 $9,552.24 $0.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 10/16/91 PAVEMENT EVALUATION -------- TOWN OF SOUTHOLD, NY 211.005 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 2 ----------------------------------------------- Indicates previous submittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: 89,552.24 89,482.60 $0.00 ------------------------------------------------------------------------ ------------------------------------------------------------------------ LESS RETAINAGE: 9502.75 SUBTOTAL: 910,054.99 STATE NON- DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 09/21/91 810,054.99 89,482.60 90.00 Account Number ............. Invoice #............. Date September TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: Calocerinos & Spina Eng. ,PC or Social Security Number: 1020 Seventh North Street 16-132175 Liverpool, NY 13088 ......."'"'"""""'"""""" ................................... Payee Reference: Address: .Job .No... ,211..005, Contract, 00.1 ...................................... Phone No. (.3151...4.57-6.7.11........... ................................. Vendor Contact Cash Discount. . . .............. .% ........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fisher's Island Airport Elizabeth Field - Runway Pavement Evaluation Study In accordance with Engineering Agreement da ed May 21, 1991 for Engineering Services performed through August 23 1991. $110,054.9c Less: 5% Retainage - 502.7 $ 9,552.2 Tota( 9,552.24 Discount Net $ 9,552,24 The undersigned (Claimant) (Acting on behalf of above name laimant) does hereby certify that the foregoing claim is true and correct and that no part thereof h s .een paid, except as;thin stated, and that the balance therein stated is actually due and owing. Dated. September 21, �g 91tta'a !`— .... ..................... .... .. Signature i 1► L Calocerincls & Spina Engineers. P.C. To : Town of Southold Town Hall P.O. Box 1179 Southold, NY 11971 Attention: Date: File Nc, September 21, 1991 211.005 Contract 001 INVOICE Description or Services Amount Re: Fisher's Island Airport Runway Pavement Evaluation Study In accordance with Engineering Agreement dated May 21, 1991 for Engineering Services performed through August 23, 1991. 17% Completion x $59,147.00 = $10,054.99 Less: Previous Billings - .00 $10,054.99 Less: 5% Retainage - 502.75 $ 9,552.24 TOTAL AMOUNT DUE THIS INVOICE 1 $ 9,552.24 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAY "' - 6 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 8, 1991 Sheila M. Farley Grants Administrator Calocerinos & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island -Elizabeth Field Airport Lighting (Design) Pavement Evaluation Dear Sheila: Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 Transmitted herewith are four ($) executed copies of Form 271, Outlay Report and Request for Reimbursement for Construction Programs, with respect to the abovecaptioned project. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (4) cc: Accounting S Finance 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: RECEIVED AUG 6 1991 Southold T,v,, r1.4 Re: Fisher's Island -Elizabeth Field Airfield Lighting (Design) Pavement Evaluation FAA AIP No. 3-36-0029-04-91 NYS PIN No. 0913.04 File: 211.004 & 211.005 Date: 02 -Aug -91 - Five copies of Partial Payment Request No. ONE (Form 271) for your review and signature of Town Supervisor. 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. ---------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------- cc: If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. Sheila M. Farley Grants Administrator f 11. STATUS OF FUNDS Approved by Office of Management and PAGE OUTLAY REPORT AND REQUEST FOR REIMBURSE- Budget No. ao-RO181 1 OF 1 PAGES MENT FOR CONSTRUCTION PROGRAMS 1. TYPE OF REQUEST 2. BASIS OF REQUEST CLASSIFICATION Q FINAL ® PARTIAL ® CASH 11 ACCRUAL 3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO OR OTHER 6. PARTIAL PAYMENT REQUEST NO. WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED BY FEDERAL AGENCY ONE Federal Aviation Administration - N.Y.A.D.O. 3-36-0029-04-91 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 12/28/90 7/31/91 9. RECIPIENT ORGANIZATION 10. PAYEE (Where check should be sent it different 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: 11. STATUS OF FUNDS 271-102 STANDARD FORM 271 (7-7e) Prescribed by Office of Management and Budget Cir. No. A-110 PROGRAMS - FUNCTIONS - ACTIVITIES (a) (b) (c) CLASSIFICATION AIRFIELD LIGHTING PAVEMENT TOTAL (DESIGN) EVALUATION 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 $33,851.73 $0.00 $0.00 $33,851.73 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. 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 athru m) $33,851.73 $0.00 $0.00 $33,851.73 o. Deductions for program income $0.00 p. Net cumulative to date (Line n minus line o) $33,851.73 $0.00 $0.00 $33,851.73 q. Federal share to date $30,466.56 $0.00 $0.00 $30,466.56 r. Rehabilitation grants (100% reim- bursement) s. Total Federal share (sum of lines q and r) $30,466.56 $0.00 $0.00 $30,466.56 I. Federal payments previously re- quested $0.00 $0.00 $0.00 u. Amount requested for reimbursement $30,466.56 $0.00 $0.00 $30,466.56 v. Percent of physical completion of project n 0.0-4 _ _ 0.0% o ry AU - �~ _ 27.3% DATE REPORT SUBMITTED 12. CERTIFICATION ZHORI-ZEERTIFYING OFF 1 certify that to the best of my knowledge a. RECIPIENT LUMLr August 8, 1 991 and belief the billed costs or disburse- TYPED OR PRINT1504AMEANDT LE TELEPHONE NO. ments are in accordance with the terms SCOTT OFIARRIS 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 and all work is in accordance with the b. Representative OFFICIAL %' terms of the award. certifying to line TYPED OR PRINTED NAME AND TITLE TELtPHONfE NO. 11v. CALOCERINOS & SPINA ENGINEERS P.C. SHEILA M. FARLEY (315) 455-7981 GRANTS ADMINISTRATOR 271-102 STANDARD FORM 271 (7-7e) Prescribed by Office of Management and Budget Cir. No. A-110 FISHER ISLAND AIRPORT - ELIZABETH FIELD 48/02/91 AIRFIELD LIGHTING (Design)-------- TOWA OF SOUTHOLD, NY 211.004 F.A.A. AIP PROJECT 10. 3-36-0029-04-91 N.Y.S.D.O.T. PROJECT NO. 0913.04 SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS PROGRAM 90. 1 ----------------------------------------------- FEDERAL GRANT ESTIMATED TOTAL COST INCURRED COST NON - PROJECT PHASE AGREEMENT AMOUNTS FEDERAL ELIGIBLE FEDERAL ELIGIBLE PARTICIPATING a. ADMINISTRATIVE EXPENSE ......................... SS,464.00 85,464.00 80.00 80.00 b. PRELIMINARY EXPENSE ............................ $0.00 $0.00 80.00 $0.00 c. LAND, STRUCTURES, RIGHT-OF-WAY ................. 80.00 80.00 $0.00 80.00 d. ARCHITECTURAL ENGINEERING BASIC FEES........... 859,389.00 $59,389.00 $33,851.73 80.00 e. OTHER ARCHITECTURAL ENGINEERING FEES........... $59,147.00 $59,147.00 $0.00 $0.00 f. PROJECT INSPECTION FEES ........................ $0.00 80.00 $0.00 $0.00 g. LAND DEVELOPMENT ............................... $0.00 $0.00 $0.00 80.00 h. RELOCATION EXPENSE ............................. $0.00 80.00 $0.00 $0.00 i. RELOC PAYMENTS TO INDIV AND BUSINESSES......... $0.00 $0.00 80.00 $0.00 j. DEMOLITION AND REMOVAL ......................... $0.00 80.00 80.00 $0.00 t. CONSTRUCTION AND PROJECT IMPROVEMENT COST...... $0.00 80.00 $0.00 $0.00 1. EQUIPMENT ...................................... 80.00 $0.00 $0.00 80.00 t. MISCELLANEOUS COST ............................. $0.00 $0.00 80.00 $0.00 -------------------------------------------------------------------------------------------------------------------------------------- TOTAL FEDERAL COSTS $124,000.00 $124,000.00 $33,851.73 80.00 FISHER ISLAND AIRPORT - ELIZABETH FIELD 08/02/91 AIRFIELD LIGHTING (Design) -------- TON OF SOUTHOLD, NY 211.004 ARCHITECTURAL ENGINEERING BASIC FEES ANALYSIS PROGRAM NO. 1 ----------------------------------------------- Indicates previous subsittal FEDERAL STATE NON - SUMMARY: ELIGIBLE ELIGIBLE PARTICIPATING TOTALS: $33,851.73 832,632.80 $0.00 LESS RETAINAGE: 81,781.67 SUBTOTAL: $35,633.40 STATE 101 - DATE FEDERAL ELIGIBLE ELIGIBLE PARTICIPATING 04/30/91 $1,781.67 $1,631.64 07/31/91 $33,851.73 $31,001.16 $0.00 t , ....... 'Account Number ............. Invoice #............. Date,A p .ril . .30�..... 19.�I. TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: Calocerinos & Spina Eng.PC or Social Security Number: 1020 Seventh North Street 16-1321757 Liverpool, NY 13088 ........................ ......................I.............:. Payee Reference: Address: Job #211.004 Contract 011 .................................... ................................. Phone No. X315.) ... 4 5 7 - 6 711.......... . ...... Vendor Contact Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island Airport Elizabeth Field Airfield Lighting In accordance with Engineering Agreement dated December 28, 1990 for Engineering Services performed through April 19, 1991. 11,781.67 Less: 5% Retainage 89.08 1,692.59 Total $1,692.59 Discount Net 1,692.59 The undersigned (Claimant) (Acting on behalf of above name aimant) does hereby ce " y that the foregoing claim is true and correct and that no part thereof s b6en paid, aept as the in tared, and that the balance therein stated is actually due and owing. Dated.. April. .30 ................. .19 .�1. Signature Lq cll�-Jis Calocerinos &Spina Engineers, P.C. To : Town of Southold Town Hall P.O. Box 1179 Southold, NY 11971 Attention: Description of Services Date: File No. April 30, 1991 211.004 Contract 001 INVOICE Amount Re: Fishers Island Airport - Elizabeth Field Airfield Lighting In accordance with Engineering Agreement dated December 28, 1990 for Engineering Services performed through April 19, 1991. 3% Completion x $59,389.00 = $1,781.67 Less: Previous Billings - .00 $1,781.67 Less: 5% Retainage - 89.08 $1,692.59 TOTAL AMOUNT DUE THIS INVOICE 1 $1,692.59 1020 Seventh North Street, Liverpool, NY 13088 (315) 457-6711 Account Number ............. Invoice #............. Date..7./51/9.1 ...... 1997-......... TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, N.Y., Dr. PAY TO: Payee Identification Payee Name: or Social Security Number: .. 1.6.-132.1.757 ..5 ...................... Cal.000.i.rt(?s, &. ,$pjji.A .Fng.�r)eez.Ej,.. F.. C. Payee Reference: Address: #211.004 Cont. 011 ...............I............. 1020 . Sev.enth. North .St. ............. Phone No. (.315). 45.7-6711 Live rpoo.l.,. . .NY 1.3.088 Vendor Contact .......... Cash Discount ..................% .........Days.................................... Item No. Description of Material/Service Quantity Unit Price Amount Re: Fishers Island Airport Elizabeth Field Airfield Lighting In accordance with engineering agreement dated December 28, 1990 for engineering services performed from April 19, 1991 through July 12, 1991. 3,851.7 Less:5% Retaiange 1,692.5 Total 32,159 .1 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. Dated... July ...3 ................... .19 .91. .....(.... .... .... Signature IL C-��--As Calocerincis & Spina Engineers, P.C. To : Town of Southold Town Hall P.O. Box 1179 Southold, NY 11971 Attention: Description of Services Date: File Nc. July 31, 1991 211.004 Contract 001 INVOICE Re: Elizabeth Field Fishers Island Airport Airfield Lighting In accordance with Engineering Agreement dated December 28, 1990 for engineering services performed from April 19, 1991 through July 12, 1991. 60% Complete x $59,389.00 Less: Previous Billings Less: 5% Retainage TOTAL AMOUNT DUE THIS INVOICE Amount lv5 $35,633.40--- - $ 1,781.67 $33, 851.73�/� DD/- leo - 1,692.59 $32,159.14 $32,159.14 1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 8, 1991 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 & Spina Engineers, P.C. 1020 Seventh North Street Liverpool, New York 13088-6199 Re: Fishers Island Airport Airfield Lighting Dear Mr. Petranchuk: In accordance with your request of May 1, 1991, enclosed are six (6) executed additional copies of the design agreement for the Fishers Island Airport Airfield Lighting project. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (6) . L C S To: Mr. Scott Harris Supervisor, Town of Southold Town Hall - 53095 Main Road PO Box 1179 Southold, New York 11971 Enclosed please find the following: �6 a` u 1-. Re: Fishers Island Airport - Airfield Lighting File: 211.004 Date: May 1, 1991 - Returning one fully executed copy of design agreement for the above -referenced project. Also enclosed are six additional copies which need to be executed so that sufficient copies are available for distribution to the FAA and NYSDOT. Please sign, notarize, and return for distribution. Remarks: Design of this project is now proceeding since it is our understanding that you have received and accepted the federal grant for this work. If you have any questions or need additional information, please do not hesitate to contact us. CALOCERINOS & SPINA ENGINEERS, P.C. — /VV\ "'� (2atk"�. Mark F. Petranchuk Managing Engineer MFP:pad Enclosures cc: Mr. R. Philip Knauff LUMP SUM CONSULTANT AGREEMENT FOR DESIGN PROJECT: Fishers Island Airport - Elizabeth Field Airfield Lighting NYSDOT PROJECT NO. This Agreement made this 28th day of December ,1990, by and between the Town of Southold (hereinafter referred to as the "SPONSOR"), and Calocerinos & 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. The SPONSOR shall pay to the CONSULTANT and the CONSULTANT agrees to accept as full compensation for his services under this Agreement, a lump sum fee of $59,389.00 covering salaries of employees assigned to the Project, all indirect costs, all direct expenses and profit. The maximum fee under this Agreement cannot be exceeded for any reason, unless additional services are performed in accordance with the Extra Work Provision in Article 11 of this Agreement. Partial payments of the lump sum fee shall be made monthly on account. Such monthly installments shall be in amounts determined by the SPONSOR and shall be based on its review of a monthly progress report submitted by the CONSULTANT. Retainage in the amount of five percent (5%) of each monthly installment, exclusive of Subcontractor costs, up to a maximum of Twenty Thousand Dollars ($20,000.00) shall be withheld by the SPONSOR conditioned upon the faithful performance of all terms and provisions 12.14.89 FILE NO. 211 2\211\agrmnts\ag210.des -2 - of this Agreement. 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. Release of retainage will be made upon the satisfactory completion of the work covered by the lump sum fee. The CONSULTANT specifically agrees that the Agreement shall be deemed executory only to the extent of the monies available, and no liability shall be incurred by the SPONSOR beyond the monies available for the purpose. The 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. The method of computation of the CONSULTANT lump sum fee is prescribed in Schedule B which is attached and made a part of this Agreement. 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 shall conform with all approved Federal and State standards and/or with deviations of such standards when approved. ARTICLE 4. DOCUMENTS FORMING THE CONTRACT. The Contract Documents shall be deemed to include this Agreement, with accompanying schedule or schedules. ARTICLE 5. 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 LIABILITY. 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 12.14.89 FILE NO. 211 AG210 -3 - 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 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 12.14.89 FILE NO. 211 AG210 -4- 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 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 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. 12.14.89 FILE NO. 211 AG210 -5 - ARTICLES. NON-DISCRIMINATION PROVISIONS. During the performance of this Contract, the CONSULTANT agrees as follows: A. The CONSULTANT 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 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's Agreement under clauses (a) through (g) (hereinafter called "non- discrimination clauses"). If the CONSULTANT was directed to do so by the contracting agency 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 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 shall promptly notify the State Division of Human Rights of such failure or refusal. C. The CONSULTANT shall 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 shall state, in all solicitations or advertisements for employees placed by or on behalf of the CONSULTANT, that all qualified applicants shall 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. 12.14.89 FILE NO. 211 AG210 -6- F. This Agreement may be forthwith cancelled, 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 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 cancelled 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. 12.14.89 FILE NO. 211 AG210 -7- 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 (1) person in any one (1) 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 (2) or more persons in any one (1) 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 (1) 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 the CONSULTANT'S Subcontractors with respect to all work performed by said Subcontractor under this Agreement. 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. 12.14.89 FILE NO. 211 AG210 El 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. 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 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. 12.14.89 FILE NO. 211 AG210 -9- 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 shall 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 exercised 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. Upon the delivery of all such data to the SPONSOR, the SPONSOR shall 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. 12.14.89 FILE NO. 211 AG210 -10 - 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 cancelled 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 shall conduct himself consistent with such status, that he shall neither hold himself out as nor claim to be an officer or employee of the SPONSOR by reason hereof, and that he shall 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. 12.14.89 FILE NO. 211 AG210 SIB 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 shall be subject to copyright. The State and the Federal Aviation Administration shall 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 his Subcontractors, agents, officers and employees, to comply with all applicable laws in the jurisdiction in which the work is performed. 12.14.89 FILE NO. 211 AG210 -12- 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 TOWN OF SOUTHOLD I By• Scott L. Harris r Title:— Supervisor Date: DEC 28 19910 12.14.89 CONSULTANT CALOCERINOS & SPINA ENGINE► RS, P.C. Title:Division Division Manager Date: /25 FILE NO. 211 AG210 -13 - (ACKNOWLEDGEMENT OF OFFICER OR OWNER ATTESTING CONTRACT) State of New York ) County of SuffolkSS: On this 28th day of December , 19_9_Q before me personally came and appeared Scott Louis Harris , to me known, who being by me duly sworn did depose and say that he is the Supervisor of the Town of Southold described in and which executed the foregoing instrument, that he knows the seal 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, State of New York No. 52-0344953 Qualified in Suffolk County pu Commission Expires May 31, 19yz (ACKNOWLEDGEMENT OF CORPORATION) State of New York ) County of Onondaga ) SS: On this "(v)' day of J " IN- , 19V, before me personally came and appeared RONALD L. PECKHAM, P.E., to me inown, 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 affixed 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. THERESA M. HOPKINS Notary Public, State of New York Qualified in Onondaga Co. No. 491855 " ',v Commission Expires February 1, 12.14.89 Notary Public FILE NO. 211 AG210 SCHEDULE A Fishers Island Airport - Elizabeth Field Airfield Lighting Project Description: Engineering design services associated with the installation of the following at Fishers Island Airport - Elizabeth Feld: 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 Construction and Installation of Associated Airfield Lighting Electrical Equipment. The CONSULTANT agrees that the following types of professional services will be provided within the scope of Schedule "B": 1. Conferences with the SPONSOR to review his wishes and requirements, inspection of the site and become knowledgeable of the existing data that is already available for the Project. 2. Conferences with the New York State Department of Transportation and the Federal Aviation Administration to review their programming and design standards and become knowledgeable of the data that is already available for the Project. 3. During the design phase, to aid the SPONSOR by acting as liaison and project coordinator with the New York State Department of Transportation and the Federal Aviation Administration. The CONSULTANT shall prepare an Engineering Report prior to fifty percent (50%) completion of the Project Plans and Specifications per applicable requirements of Schedule F. 4. Prepare preliminary engineering studies' design and cost estimates for review and acceptance by the SPONSOR, New York State Department of Transportation and the Federal Aviation Administration for the Project's scope of work. 5. Prepare detailed applications for project funding to meet the Airport Improvement Program criteria of the Federal Aviation Administration. 6. If required, update the Airport Layout Plan by identifying the improvements proposed herein and submit sufficient copies for its approval by the New York State Department of Transportation and the Federal Aviation Administration. 7. Acquire the necessary topographic survey and utility data of the electrical vault building site, including related office computations and drafting. 12.14.89 FILE NO. 211 AG210 A-2 8. Make the necessary soils investigation of the electrical vault building site, including test borings and related analyses sufficient for design of building foundation. 9. Prepare and furnish detailed Construction Plans, Specifications and Contract Documents for the Project. Submit sufficient copies of preliminary (50% complete) and final copies of the documents to the SPONSOR, the New York State Department of Transportation and the Federal Aviation Administration for their review and approval. For bidding purposes, provide as many copies of the Contract Documents to the SPONSOR as may be required. 10. The CONSULTANT agrees to complete the work under this phase of the Agreement in a manner satisfactory to the SPONSOR, within four (4) months after receiving a Notice to Proceed from the SPONSOR or within such extended periods as are agreed to by the SPONSOR. 11. Work products shall be submitted to State and Federal Agencies in accordance with the following schedule and shall be started by receipt of a signed Engineering Agreement: Engineer's Agreement Engineer's Report Plans and Specifications (50% Completion) Plans and Specifications (100% Completion) Time from Receipt of Executed Agreement 90 Days 90 Days 120 Days Project Date February 1, 1991 May, 1991 May, 1991 June, 1991 12. Assist the SPONSOR in securing bids, tabulation and analysis of bid results and furnish recommendations on the award of the Construction Contract. 13. Assist the SPONSOR in the preparation of formal Contract Documents for the award of Contracts. END OF SCHEDULE 12.14.89 FILE NO. 211 AG210 * ARCHITECTURAL/ENGINEERING * COST SUMMARY * SCHEDULE "B" * DESIGN PHASE *##*****#*#####****#*****#####****** PROJECT: AIRFIELD LIGHTING PROD DESCRIPTION: INSTALL R/W EDGE LIGHTS,VISUAL AIDS & CONSTRUCT VAULT BLDG CLIENT: TOWN OF SOUTHOLD CLIENT MANAGER: MR. R. PHILIP KNAUFF DATE: 26-NOV-90 A/E: CALOCERINOS & SPINA PROJECT NO: 220 C&S CONTACT: M.F.PETRANCHUK I. DIRECT SALARY COSTS: MAXIMUM AVERAGE RATE OF PAY RATE OF PAY ----------------------------------------- TITLE ($/HR) ----------- ($/HR) ----------- a HOURS COST A. DIVISION MANAGER $41.90 $36.50 X ------- 10 = ---------------- $365.00 B. MANAGING ENGINEER $32.70 $28.40 X 40 = $1,136.00 C. SEN PROD ENGINEER $27.30 $25.30 X 0 = $0.00 D. PROJECT ENGINEER $22.60 $20.50 X 154 = $3,157.00 E. SEN GEOLOGIST $23.30 $21.20 X 0 = $0.00 F. GEOLOGIST $21.50 $19.60 X 0 = $0.00 G. ENGINEER $19.60 $18.00 X 100 = $1,800.00 H. ASST ENGINEER $17.90 $15.20 X 308 = S4,682.00 I. DESIGNER $16.40 $13.30 X 0 = $0.00 J. SEN DRAFTSMAN $15.70 $12.60 X 280 = $3,528.00 K. DRAFTSMAN $12.40 $10.50 X 0 = $0.00 L. TECHNICAL TYPIST $12.10 $10.70 X 60 = $642.00 M. GRANT ADMINISTRATOR $15.20 $13.80 X 60 = $828.00 N. INSPECTION SUPERVISOR $25.80 523.50 X 0 = $0.00 0. RESIDENT ENGINEER $24.80 $22.60 X 0 = $0.00 P. CHIEF INSPECTOR $22.00 $20.10 X 0 = $0.00 0. SEN INSPECTOR $19.00 $17.50 X 0 = $0.00 R. INSPECTOR 516.10 $13.10 X 0 = $0.00 S. JR INSPECTOR $10.60 $9.60 X 0 = $0.00 T. PARTY CHIEF $26.50 $25.20 X 0 = $0.00 U. INSTRUMENT MAN $23.50 $22.40 X 0 = $0.00 V. RODMAN $21.50 $20.50 X 0 = $0.00 -------------- -------------- TOTAL ESTIMATED DIRECT SALARY COST $16,138.00 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST -------------- ELIGIBLE 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: 145% B. N.Y.S.D.O.T. ELIGIBLE FACTOR: 125% AIRFIELD LIGHTING Page 1 $23,400.00 $20,173.00 ---------------------------- ---------------------------- III. SUBTOTAL OF ITEMS I & II: 2 PERS/TRIP 8 A. $2,100.00 AGREEMENT AMOUNT & F.A.A. ELIGIBLE: B. 50 PAGES/SET is N.Y.S.D.O.T. ELIGIBLE: IV. ESTIMATE 120 OF DIRECT EXPENSES: $25.00 = A. TRAVEL, RENTAL CAR: _ $250.00 15% 3 TRIPS 9 $155.00 2 TRAVEL, BY AIR: 15% (OF 111.8.) $5,447.00 3 TRIPS S B. PER DIEM: 1 3 DAYS 2 C. REPRODUCTION - 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: 1. DESIGN REPORTS: 50.00 -------------- 30 SETS 2 -------------- 2. SPECIFICATIONS: 50 SETS & 3. DRAWINGS: 50 SETS & 4. MYLARS: D. COMPUTER TIME: E. CADD TIME: F. OPL PROJECT INSURANCE PREMIUM: G. MISCELLANEOUS: 1 CAR/TRIP a $100.00 = $300.00 2 PERS/TRIP 8 $350.00 = $2,100.00 2 PERSONS & $147.00 = $882.00 50 PAGES/SET is $0.05 = $75.00 400 PAGES/SET 8 $0.05 = $1,000.00 10 SHEETS/SET 2 $1.00 = $500.00 10 SHEETS al $5.00 = $50.00 24 HOURS 9 $12.00 = $288.00 120 HOURS 2 $25.00 = $3,000.00 _ $250.00 15% (OF III.A.) = $155.00 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST -------------- ---------------- $39,538.00 $36,311.00 AIRFIELD LIGHTING Page 2 TOTAL ESTIMATE OF DIRECT EXPENSES $8,600.00 $8,600.00 V. FIXED FEE (PROFIT, LUMP SUM): A. LABOR PLUS OVERHEAD: 1 AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: 15% (OF III.A.) $5,931.00 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: 15% (OF 111.8.) $5,447.00 B. DIRECT EXPENSES: 1 AGREEMENT AMOUNT & F.A.A. ELIGIBLE FACTOR: 15% (OF IV.) $1,290.00 2 N.Y.S.D.O.T. ELIGIBLE FACTOR: 0.0% (OF 1V.) -------------- 50.00 -------------- TOTAL FIXED FEE -------------- $5,447.00 -------------- $7,221.00 AIRFIELD LIGHTING Page 2 VII. TOTALS: A. ESTIMATE OF MAXIMUM TOTAL COST FOR DESIGN SERVICES, NYSDOT ELIGIBLE: $54,388.00 B. ESTIMATE OF MAXIMUM TOTAL COST FOR DESIGN SERVICES, AGREEMENT TOTAL & FAA ELIGIBLE: AIRFIELD LIGHTING Page 3 $59,389.00 NYSDOT AGREEMENT AMOUNT ELIGIBLE & FAA COST ELIGIBLE COST VI. SUBCONTRACTS: -------------- ---------------- A. ESTIMATE OF TOPOGRAPHICAL SURVEYS: $1,500.00 $1,500.00 B. ESTIMATE OF SUBSURFACE INVESTIGATION & TESTS: 1 MOBILZATION/DEMOBILIZATION: LUMP SUM = $1,000.00 2 CONTINUOUS SAMPLING: 40 L.F. a $25.00 = $1,000.00 3 TEST PITS: 0 EACH a = $0.00 4 PAVEMENT CORES: 0 EACH a = $0.00 5 FIELD CBR: 0 EACH a = $0.00 6 LABORATORY CBR, 1 PT.: 0 EACH a = $0.00 7 LABORATORY CBR, 3 PT.: 0 EACH @ = $0.00 8 MECHANICAL ANALYSIS: 4 EACH a $50.00 = $200.00 9 FIELD DENSITY TESTS: 0 EACH a = 50.00 10 LAB COMPACTION TESTS: 0 EACH a = $0.00 11 MOISTURE CONTENT: 0 EACH a = $0.00 12 ATTERBERG LIMITS: 2 EACH a $75.00 = $150.00 13 . HYDROMETER TESTS: 2 EACH a $90.00 = $180.00 14 OBSERVATION WELL 0 L.F. @ = $0.00 TOTAL ESTIMATED SUBSURFACE INVESTIGATION & TESTS: $2,530.00 -------------- -------------- $2,530.00 -------------- -------------- VII. TOTALS: A. ESTIMATE OF MAXIMUM TOTAL COST FOR DESIGN SERVICES, NYSDOT ELIGIBLE: $54,388.00 B. ESTIMATE OF MAXIMUM TOTAL COST FOR DESIGN SERVICES, AGREEMENT TOTAL & FAA ELIGIBLE: AIRFIELD LIGHTING Page 3 $59,389.00 SCHEDULE C CALOCERINOS & SPINA ENGINEERS, P.C. 1020 SEVENTH NORTH STREET LIVERPOOL, NEW YORK 13088 ESTIMATED ALLOWABLE OVERHEAD FYE 12/31/84 GENERAL & ADMINISTRATIVE OVERHEAD Indirect Labor TOTAL 15.9 SALARY OVERHEAD (PAYROLL BURDEN) 789,000.00 23.3 Vacation & Holiday Pay $ 306,500.00 9.1 Sick & Personal Pay 79,500.00 2.4 FICA Taxes 326,000.00 9.6 Unemployment Taxes 72,000.00 2.1 Worker's Compensation Insurance 13,000.00 0.4 Group Insurance 200,000.00 5.9 Bonus 20,000.00 0.6 Miscellaneous Employee Benefits 22,000.00 0.7 Payroll Preparation 4.000.00 0_1 TOTAL SALARY OVERHEAD $1,043,000.00 30.9 GENERAL & ADMINISTRATIVE OVERHEAD Indirect Labor $ 538,000.00 15.9 Clerical & Administrative 789,000.00 23.3 Project Development 302,000.00 8.9 Meeting, Conventions & Education 30,000.00 0.9 Office Supplies & Expenses 921,000.00 27.2 Field Supplies 39,000.00 1.2 Insurance 204,000.00 6.0 Depreciation 273,000.00 8.1 Rent 196,000.00 5.8 Utilities & Maintenance 61,000.00 1.8 Telephone 91,000.00 2.7 Auto Expenses 181,000.00 5.4 Dues & Fees 48,000.00 1.4 Legal & Accounting Expenses 38,000.00 1.1 Building Operation Expenses 134,000.00 4.0 Miscellaneous 14,000.00 0.4 TOTAL GENERAL & ADMINISTRATIVE OVERHEAD $3,859,000.00 114.1 TOTAL ALLOWABLE OVERHEAD $4,902,000.00 145.0 TOTAL DIRECT LABOR $3,381,000.00 100.0 END OF SCHEDULE 12.14.89 FILE NO. 211 AG210 SCHEDULE D December, 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 - Elizabeth Field Subj: Airport Consultant Selection for Airfield Lighting Dear Mr. Brito: The Town of Southold has selected the firm of Calocerinos & Spina Engineers, P.C. to provide professional services for the proposed Airfield Lighting project at Fishers Island Airport. To the best of our knowledge, the qualifications based selection procedure used in selecting Calocerinos and Spina complies with the intent of Advisory Circular 150/5100-14A (latest version). The firm was chosen after careful consideration of its qualifications and those of other professional firms. C&S has demonstrated by past performance, its capability to successfully complete a wide variety of airport development projects including planning, design, construction inspection and other related services. The firm possesses the necessary professional staff, technical resources, financial capability, experience and understanding of the work anticipated to complete it within the time allocated. The President and Engineer In Charge are Registered Professional Engineers in the State of New York. Very truly yours, TOWN OF SOUTHOLD Scott L. Harris Town Supervisor /pad Enclosure cc: Calocerinos & Spina Engineers, P.C. END OF SCHEDULE 12.14.89 FILE NO. 211 AG210 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 28, 1990: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute a Lump Sum Consultant Agreement for Design on the Fishers Island Airport - Elizabeth Field Airfield Lighting project between the Town of Southold and Calocerinos & Spina Engineers, P.C. , all in accordance with the approval of the Town Attorney. Judith T. Terry Southold Town Clerk December 31, 1990 SCHEDULE E (RESOLUTION TO BE INSERTED) 12.14.89 FILE NO. 211 AG210 SCHEDULE F ENGINEER'S REPORT The following has been compiled as guidance covering what will be reflected as a minimum in an Engineer's Report: Chapter I - Introduction 1. Scope. A brief explanation of the scope of the proposed development as indicated in the Tentative Allocation, and how it fits in with the present and future development of the airport as shown on the approved Airport Layout Plan. This is not to be construed as another justification of the item(s) which has(have) already been accomplished during the development and processing of the Request for Aid. However, the Request for Aid and Tentative Allocation letter should be included in this section. 2. Environmental and Safety Consideration. Fulfillment of environmental consideration and commitments as per the project Environmental Impact Statement, AC 150/5370-7, "Airport Construction Controls to Prevent Air and Water Pollution", Order EA 5210.1, "Safety Requirements on Airports During ADAP-Funded Construction Activity" and AC 150/5370-2, "Safety on Airports During Construction Activity". 3. Applicable FAR Part 77 Surfaces. Include sketch of applicable FAR Part 77 surfaces showing any obstruction, plan and profile and any pertinent data and/or discussion concerning them, especially with respect to the proposed project. 4. State what is the critical aircraft for design purposes and the basis of selection. Chapter II - Design 1. Design Standards. A listing of the applicable Advisory Circulars that are current on the date of the Tentative Allocation as shown in the latest tri -annual listing in the Federal Register and which are mandatory as per Paragraph 83 and Appendix I of FAR Part 152. In the event the Sponsor/Engineer wishes to use either draft or non -mandatory Advisory Circulars or other standards, a written request, including the rationale shall be promptly submitted through the sponsor for FAA consideration and inclusion in the report. The processing of the request shall be accomplished in accordance with Order 5300.1A. Include a discussion on any variances from the design standards and request for waivers. 12.14.89 FILE NO. 211 AG210 v � r F-2 2. Unusual Local Conditions. Identification and explanation of local conditions not covered by the standards listed in above item p) which will require modification. This should include a discussion of the local condition, alternative solutions, recommended solution and the rationale for same. The discussion shall also include economics, scheduling, methods and effect on other facilities, operations, parties, etc. Some typical items that may generate this type of discussion are: A. unusual soil classification, including drainage and structural characteristics; B. unusual weather conditions such as precipitation and temperature; C. availability, proximity and costs of construction material, manpower, on and off-site equipment and plans, etc.; D. special design to accommodate unusual equipment and/or operations (e.g., off -hour construction or non-standard construction procedures). 3. Soils Report and Other Test Reports. Either a separate document or include in Engineer's Report. In soils report discuss reason for stopping borings at given elevations, assumption used in report and why the number and types of tests were chosen. If separate, it should be referenced in Engineer's Report. 4. Pavement Design. Discuss pavement design rationale making references to publications used, including applicable graphs, etc., if necessary. Include Pavement Design Form 5100-1 and Pavement Gradients and Cross Sections. 5. Drainage Design. Discuss drainage design rationale, including grades, drainage structures (sizes, slope, strength, etc.), and sketch of drainage layout. 6. Lighting. Discussion should include the following: A. Lighting system layout, including approach survey for VASI. B. Plan and profile sketch for NAVAID projects. C. Series lighting design (HIRL, MIRL, MITL, Centerline, TDZ), including: 1) physical layout sketch; 2) present regulator rating, condition and load; 3) proposed load under this project; 4) future load; 5) wire sizes and length of runs. 12.14.89 FILE NO. 211 AG210 F-3 Chapter III - Contract Provisions and Eligibility 1. Contract Technical Provisions. Discussion on the adaptation of the construction contracts' technical provisions in order to avoid conflicts between the technical requirements of the sponsor, the FAA, and other Grantor Agencies. Typical areas for consideration are: A. Asphalt and concrete pavements (e.g., P-401 & P-501) B. drainage structures C. fencing (type, etc.) D. concrete E. turfing F. excavation and embankment G. painting H. alternate bids 2. Contract General Provisions. (Non -Technical). Discussion on the adaptation of the construction contract's general (non-technical) provisions in order to avoid conflicts between the procurement requirements of the sponsor, the FAA, and other Grantor Agencies. Typical areas for consideration are: A. definitions B. State, Federal and local wage rates and labor provisions C. EEO provisions, including Hometown or Imposed Plans D. insurance E. bid, payment and performance bonds F. payment provisions and application G. Change Orders H. claims I. extra work 12.14.89 FILE NO. 211 AG210 F-4 J. material submissions, substitutions and approvals K. survey and layout procedure and responsibility L. guaranty and warranty procedure and responsibility M. "As Built" information and responsibility N. Pre -Construction Conference O. Notice to Proceed P. Stop Orders Q. time extensions R. airport operations and requirements S. repair and/or replacement or damage facility requirements T. work schedule (bar chart, PERT, etc.) U. bidding forms and requirements V. Sponsor and Grantor Agency authority and responsibilities W. safety (Order EA 5210.1) 3. Non -Eligible Work. Identification, justification and details of separation of non -eligible work to be included in ADAP contract. This shall also cover the impact that the non -eligible work will have on costs and scheduling of ADAP work. 4. Eligible Work to be Done by Others. Identification, justification and details of eligible work to be done by others, such as utility companies, Sponsor Force Account, etc. This shall also cover the impact that others doing eligible work will have on costs and scheduling of ADAP work. 5. Scheduling and Coordination. Identification, justification and details of scheduling and coordination where project work will impact or be impacted by other parties and/or activities such as airport users, airlines, public, FBO, National Weather Service, FAA Sponsor, other contrac- tors, military, utilities, concessionaires, etc. This discussion shall also cover the economic conditions of the general and local construction market conditions, with a view to obtaining the most advantageous bids. Included in the discussions should be what effect the Grantor Agency's (FAA, State, Sponsor, etc.) commitments have on the schedule. 12.14.89 FILE NO. 211 AG210 F-5 6. Construction Inspection and Testing. Discussion of construction inspection, sampling and testing which shall include personnel, experience, techniques, methods, standards, results, timing facilities, etc., and their relationship to the requirements of the approved Engineering Agreement and construction contract. 7. Submittal of the Engineer's Report. The Engineering Report will accompany each submittal of the plans and specifications, to the degree of development commensurate with the submittal itself. The Sponsor/Engineer must understand that without submittal of the Engineer's Report the plans and specifications will be returned without comments. 8. Project Completion. When the Record Drawings are submitted, the Engineer's Report will be updated and submitted to reflect the changes that took place during construction. Updating should include the departures taken, and explanation from the As -Advertised plans and specifications. END OF SCHEDULE 12.14.89 FILE NO. 211 AG210 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. Date Ronald L. eckham, P.E. Division Manager END OF SCHEDULE 12.14.89 FILE NO. AG210 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 1. 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)(ii)]. 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)]. 12.14.89 FILE NO. 211 AG210 H-2 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 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 12.14.89 FILE NO. 211 AG210 v I ' 00 1 # H-3 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)(iv) (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 $10,000, 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. 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, 12.14.89 FILE NO. 211 AG210 t H-4 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 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. 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. The Contractor agrees to insert in any Subcontract under this contract the requirements contained (in this Subdivision 4). Subparagraphs 5, 6, 7, and 8 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. 12.14.89 FILE NO. 211 AG210 � 4 � H-5 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. 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. 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 12.14.89 FILE NO. 211 AG210 [We other employment agreements, and available through the Regional Manager for the Bureau of Apprenticeship and Training for the applicable area. b. 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 1 1/2 times his basic rate 12.14.89 FILE NO. 211 AG210 H-7 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 sufficient 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 fust to compensate the laborers and mechanics for the wages to which they are entitled (or an equitable 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(d)(2)). I. 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. I 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(a)(6), 5.5(c)(4)). K. CONTRACT TERMINATION; DEBARMENT. A breach of Paragraphs A through J 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 12.14.89 FILE NO. 211 AG210 SCHEDULE I LABOR LAW AND NON-DISCRIMINATION 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 (8) hours in any one (1) calendar day or more than five (5) days in any 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 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; 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 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, 12.14.89 FILE NO. 211 AG210 I-2 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 ($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 cancelled 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. 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. 12.14.89 FILE NO. 211 AG210 I-3 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 291-299 of 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 cancelled, 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 12.14.89 FILE NO. 211 AG210 .. V r 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 State 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 Commissioner 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 (5) days thereof." END OF SCHEDULE 12.14.89 FILE NO. 211 AG210 y I JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS - MARRIAGE OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 15, 1991 Philip Brito, Manager New York Airports District Office U.S. Department of Transportation Federal Aviation Administration Room 305 181 South Franklin Avenue Valley Stream, New York 11581 Re: Elizabeth Field Airport AIP Project No. 3-36-0029-04-91 Grant Offer Dear Mr. Brito: Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 In accordance with the instructions in your letter of March 29, 1991, I am returning herewith the executed original and three (3) copies of the Grant Offer with respect to Elizabeth Field, Fishers Island. Thank you for your assistance in this matter. Enclosures (4) cc: R.P. Knauff, F. I . Ferry Dist. Accounting 8 Finance Very truly yours, Judith T. Terry Southold Town Clerk 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 9, 1991: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott L. Harris to execute a Grant Agreement between the Federal Aviation Administration and the Town of Southold for the receipt of a $109,882.00 grant to conduct pavement evaluation study for Runways 12-30 and 7-25 at Elizabeth Field, Fishers Island; Design engineering services for the installation of an MIRL system on Runway 12- 30, rotating airport beacon, lighted electrical vault and airfield pilot control system, all in accordance with the approval of the Town Attorney. JudithT. Terry Southold Town Clerk April 11, 1991 U.S. Department of Transportation 10 ZvOuth Franklin AV*. Federal Aviation VaU8Y Stream. Ny Ion Administration MAR 2 g 1991 Mr. Scott L. Harris Supervisor, Town of Southold Town Hall 3 53095 11ain Road1991 Southold, New Yor',,,: 12953 Dear Mr. Harris: TOVVN OF Elizabeth Field Airport AIP Project T -,To, 3-36-0029-04-91 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 $109,882 (federal share) under the terms of the Airport and Airway Safety and Capacity Expansion Act of 1.987. 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 Grant 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. J r 2 414 Please notify Rase'a4ne Coppola of this office at (718) 917-.1852 as` soon as this, Grrant=`has been fully executed. y ,ThisGrant ,0£fer. ,should -be "executed as soon as possible but no -later tham"May 29,'.,.1941; otherwise the Offer expires and the funds are lost. Sincerely, Phil':�54po Manager Enclosures V's Doom--* ofUrnox*ow^ GRANT AGREEMENT. ftdorw MO"°" Part 1- Offer A�n,r�sNaan Date of Offer March 26, 1991 Elizabeth Field Airport/Planning Area Project No. 3-36-0029-04-91 Contract NoFAEA-91-013 TO: Town of -Southold, New York (herein called the 'Sponsor') FROM: The United States of America (acting through the Federal Aviation AdminWration, herein tailed the `FAAN) WHEREAS, the Sponsor has submitted to the FAA a Project Application dated 12128/90. for a grant of Federal funds for a project at or associated with the Elizabeth Field .AirporManning Area which A. k here Projed Application, as approved by the FAhereby incorporated in and made a part hereof; and WHEREAS, the FAA has approved a project for the Airport or Planning Area (herein caped the Trojecr) consisting of the following: Conduct pavement evaluation study for.Runways 12-30 and 7-25; Design engineering services for the installation of an MIRL system on Runway 12-30, rotating airport beacon, lighted electrical vault and airfield -pilot control system. All as more particularly described on the property map attached as Exhibit ."A" to the Project Applicat-ion and in- the' . Engineering Agreements for this work approved by .the New York Airports District Office on February 7, 1991, all of which are incorporated by reference and madea part thereof; all as rnore particularly described in the Project Applh:ation. NOW THEREFORE, pursuant to and for the purpose of carrying out the provisions of the Airport and Airway FM Form 5100-37 (10-89) Page 1 of 3 1 Improve nwnt Act of 1982. as amended bythe Airport and Airway Safetyand 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 Sponsor's 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 andthe 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 th 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 terns and conditions: Conditions 1. The maximum obligation of the United States payable under this offer shall be $109,882 • Forth 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,thefollowing amounts are being specW" for this purpose: S for planning -0- $ for airport development or noise program implementation. $109,882 2. The allowable costs of the project shall not include any Costs determined by the FAA to be inefiigble for consideration as to allowability under the Act 3. Payment of the United States share of the allowable project costs will be made pumuantto and In accordance with the provisions of such regulations and procedures a th Secretary shad prescribe. Final determir ation of the United States sham will be based upon the final audit of to total amount of allowable project costs and settlement will be made for any upward or downward adjustments to the Federal sharer of costs. 4. The sponsor -shall carry out and Complete the Projed without undue delays and In accordance with the terms hereof, and such regutations and procedures as the Secretary shall prescribe. and Ogres to comply with the assurances which were made pan of the project appliMW- S. Tho FAA reserves the right to amend orwkhdmw this offer at any time promo is acceptance by the sponsor. 6. This offer shall expire and thio United States shall not be obligated to pay any part of the costs of the project unless this offer has been accepted bythe sponsor on orbefore 5/29/91 or such subsequent date as may be prescribed In writing by the FAA. t. The sponsor shall take ON steps, Inckdng litigation N necessary, to recover Fed" funds spent iraudulently, wastefully. or in violation of Federal antitrust statutm or misused In any other mannerin any project upon which Federal funds haw been expended. For the purposes of this grant agremant, the term 'Federalfunds'means funds however used ordisbursed bythe sponm that were originally paid pursuant to fhb 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. t shall return the recovered Federal share, kckx bq funds rrcorrred by settlement, order or Judgment, to the Secretary. it shall furnbh to the Secretary. upon request. ant documents and -moords pertaining to the determination of the amount of the Federal shah orto any settlement. litigation, negodation. or other efforts taken to recoversuch funds. AN settlements or othrfhl positions of the sponsor. In court or oth.nwl", Involving the recovery of such Federal share shall be approved In advance by the Secretary. d. The United States" not be responsible orliable fordamageto property or injuryto persons which may anise from, or be incidero to. compliance with this grant agreement FM Form 3100-37 (10-8C) Pape 2 of 3 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. The Sponsors acceptance of this Offer and ratification and adoption of the Project Application incorporated herein shall be evidenced by execution of this -instrurnent by the Sponsor, as hereinafter provided, and this Otter and Acceptance shall comprise a Grant Agreement, as provided by the Act. constituting the contractual obligations and 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 Sponsors acceptance of this Offer. UNITED STATES OF AMERICA FEDERAL AVlAT10N S TION Philip Brito (Nan*) Manager, New York Airports istrict Office (rift) Part M - Acceptance The Sponsor does hereby ratify and adopt au assurances. statements, nprrsentations. warranties. covenants, and - agreements contained In the Project,Appiication and incorporated materials referred to In the foregoing Otter 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 9th day of April 19 91 Town of Southold, New York (Nam or Spon) (SEAL) By (Sponsor's ONidW RWwenu6iw) _ Scott Louis Harris Attest: Is Supervisor, Town of Southold dith T. Terry Title: Southold Town Clerk CERTIFICATE OF SPONSOR'S ATTORNEY 1. Matthew G. Kiernan . acting asAttorney for the Sponsor dohereby certify: That in my opinion the Sponsor Is empowered to enter Into the foregoing Grant Agreement underthe laws of the Slate of New York . Further. 1 have examined the foregoing Grant Agreement and the actions taken by said Sponsor and Sponsor's offktial representative has been duly authorized and thatthe execution thereof is in all respects due and proper and in accordance with the laws of the said State and the Act. In addition. forgrants Involving projects to be carried out on property not owned by the Sponsor. there are no legal kMc aliments that will prevent full perforrnanoe by the Sponsor. Further. It Is my opinion that the said Grant AgreerrwM constitutes a legal and binding obligation of the Sponsor In accordance with the tern thereof. Datedat Southold, N.Y. this 9th dayof.April, 1991 CO Spornors Mornay FM Form 5100-37 (10-89) Page 3 of 3 'PLICA o OMB ADDroval No. 0348-0043 1 IUIV I'Url 2. DATE SUBMITTED Applicant Identifier 'FERAL ASSISTANCE 12/11/90 211 1. TYPE OF SUBMISSION: Preapplication Application 3. DATE RECEIVED BY STATE State Applicant Identifier X1 Construction El Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier Non -Construction F-1 Non -Construction S. 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 (give area code) P.O. Box 1179 Suffolk County R. Philip Knauff Southold, New York 11971 (516) 788-7463 B. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate Ntter in bob 1 1 -- 6 0 1 0 T 3 3% A. State H. Independent School Dist B. County I. State Controlled Institution of Higher Learning C. Municipal J. Private University H. TYPE OF APPLICATION: D. Township K. Indian Tribe ® New F-1 Continuation F-1 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 D. Decrease Duration Other (Specify): s. 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 LE 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 F] PROGRAM IS NOT COVERED BY E.O. 12372 d Local $ .00 EJOR 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? 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 A I Town Supervisor (516) 765-1800 d Signature of AuthorizedRe sentative a Dates Scined , r � �'.! D E Lt t : Previous Editions NOPUSable Z Authorized for Local Reproduction —..—u resin — k— v-ovr Prescribed by OMB Circular A-102 DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION 4 4 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 OMB NO. 43-RO528 State [ ] Long Island Local [X] Regional Planning Regional [ ] Board Item 6. Will the assistance requested serve a Federal Name of Federal Installation 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 ti 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": IMI (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 opinion true and correct. .. Attorney for Town of Southold (Title) DEC (Date) Page 3c OMB Approved No. 0348-0041 BUDGET INFORMATION -Construction Programs NOM Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible for participation. N such is the case you will be notified. Authorized for Local Reproduction Standard Form 424C ( 4.89) Prescribed by OMB Circular A-102 4, COST CLASSIFICATION a. Total Cost b. Costs Not Allowable for Participation c. Total Allowable Costs (Columna•b) 1. Administrative and legal expenses S .00 S '00 s 31556 .00 2. Land, structures, rights-of-way, appraisals, etc. S .00 S .00 S .00 1 3. Relocation expenses and payments S .00 S .00 $ ).00 4. Architectural and engineering fees i g h t i ng Design S .00 S '00 S 59,389 '00 S. Other architectural and engineering fees pavement Study $ .00 $ .00 S 59,147 .00 6. Project inspection fees $ .00 S .00 $ .00 7. Site work $ .00 $ .00 S .00 S. Demolition and removal $ .00 S .00 $ .00 9. Construction $ .00 $ .00 $ .00 10. Equipment $ .00 $ .00 S .00 11. Miscellaneous $ .00 S .00 $ .00 12. SUBTOTAL $ .00 $ -00 S 122,092 .00 13. Contingencies (sum of lines 1-11) $ .00 S .00 S .00 14. SUBTOTAL $ .00 $ .00 $ 122,092 .00 15. Project (program) income $ .00 $ .00 $ .00 16. TOTAL PROJECT COSTS (subtract #IS from # 14) $ .00 $ .00 $ 122,092 .00 FEDERAL FUNDING 17. Federal assistance requested, calculate as follows: Enter eligible costs from line 16c Mukiply X (Consult Federal agency for federal percentage share). Enter the resulting Federal share. X s 109,882 .00 Authorized for Local Reproduction Standard Form 424C ( 4.89) Prescribed by OMB Circular A-102 4, _2�' DEPARTMENT OF TRANSPORTATION - F[DERAL AVIATION ADMINISTRATION —0 "'D. 60-,20,"- �— -- — SECTION C — EXCLUSIONS + Zvlas s:{ -c ot:on 2G Incligib l< to+ Port ic:pal:on (t) I -t tud cd from C6glncy P+ov a:on {?1 t:. c_ d. c, q- Totois s $ SECTION D — PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE 27. Grantee Share S 31,100 a. Securities b. Mortgages c. Appropriations (By Applicant) d. Bonds e. Tax Levies C Non Cash g. Other (Explain) 3,053 h. TOTAL —Grantee share 2.5% 28. Other Shares a. State 7.5% 9,157 b. Other c. Total Other Shares 29. TOTAL S 12,210 SECTION E — REMARKS PART IV PROGRAf.; NARRATIVE Attach — See Instfuchons) FAA F.,-, 51()0-100 11-7 3+ Sur t.r,s{_ncs CAA forua Slop- Io PAGES I TURD 7 Yugo 5 FAA AC .i-(12:12 Attachment 2 Ce_ r_tification 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. �- DEC. 4_,, 1390 Signed--- Dated Sponsor's Authorized Representative 9 OMS 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, phase contact the Awarding Agency. Further, certain federal assistance awarding agencies may require apjplicants to certify to hdditional 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 tho 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. §§ 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 Statute(s) which may apply to the application. Authorized for Local Reproduction Stan,jara F 7rm 1,110 . J 68 ) P,escnoeo oy CVB Circlar A•102 11. Will compty, of has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real- Property Acquisition Portes 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) Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notificat,on of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 1199Q; (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 197,4, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P. L. 93-205). 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 AUTHORIZED CERTIFYING OFFICIAL I TITLE APPLICANT ORGANIZATION Town of Southold Fishers Island Ferry District Town Supervisor DATE SUBMITTED 12/11/90 v 1z1_1 : ee. :A " - SPONSOR 12 ,Q$S�j,j�.ANCES TO ACCOMPANY APPLICATION DATED X11/yu bars UNnSFOpR A GRANT OF AIRPORT DEVELOPMENT AID PPf sRI'i hs !s rang 1 zabetnEJitf T OR IMPROVEMENT 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(ay(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) 2. 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 whichcase 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) 1 , 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. DATED Dir Town of Southold (Sponsor) 4 by (Signatu a of Authorized Official) Scott L. Harris Town Supervisor Attachments 1 and 2 EA Form 5100-31.2 (12-72) ATTACHMENT 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. Comoliance 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 IS of the Regulations. 3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment. In all solicitations 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 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) 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 ATT?C'FIP EENT 2 The following clauses shall.oe 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 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.j 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, (Mame 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) 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. 0 (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 *gest 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) 7 STATE CLEAR GNOUSE NYS Division of the Budget State Capitol, Albany, NY 12224 1519) 474.1605 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 317 -DAY REVIEiril. YOU MAY, THEREFORE, CONSIDER THIS LETTER OF ACKNOWLED,t3EMENT AND DETERMINATION AS EVIDENCE THAT YOU HAa CO2.1PLIED WI1ov STATE—LEVEL REVIEW REQUIREMENTS; AND YOU MAY PPWSENT IT AS SUCH TO THE FEDERAL GRANTOR AGENCY. SHOULD YOU HAVE ANY QUESTIONS, PLEASE CALL THE STATE i ' CLEARINGHOUSE AT THE TELEPHONE vU ER LISTED .7.30 . 1 PART V ASSURANCES Airport Sponsors A. General. 1. These assurances shall be complied with in the performance d grant agreements for airport development airport Planning. and raise oompadlo W PWans rat to WrpW - 2. These assurances are required to be submitted as put of fe Pry apPlic a6 b y fing funds under the provisions of the Airport and Airway Miprovement Act of 1982. as amended by fe Airport and Airway Safety and Cepactty Expansion Azt of 198'7. or the AvtaBon safety and Hobe Abawment Act of 1979. As used herein the terra public agency sponsor means a public agency %% control of a publio-use ahpw the termmppriivatteysspoonssorJawajn�s�a� private owner of a pubio-use airport; and the lerm ub sponsor lnckides pubic agency / J sponsm and WlvW9 ap .r. .- �L Upon aooeptanoe of the grant offer by the sponsor. two assurances are incorporated in and become part of tiro grant agreenront. S. Duration and AppNcabltity. 1. Airport Development or Notre Compatibility Program Projects Undertaken by a Public Agency Sponsor. The tarts, cond6ons and essurancea of the grant agreemar>t shallremain in Wilroa foand effect twoughout the usekd tie of the facilities developed or. equipment acquired for an airport developowd or noise compalibilily team Pr'ojec't or lhoughout the useful Qe of the project items Installed vitOM a facility under a raise oompa ft ty prognam project but in any evert not to exceed twenty (20) years from the date of aooeptance of a grant offer of Federal fords for the project, f4owevec thane shall be no unit on the duration of the assurance against exciusbe rights or the terms. conditions. and assurances with respect b reef property acquired with Federal funds. Furthermore. the duration of the Civil fxcghts assuranoe 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 use" Ufa of project items installed within a facility or the useful ife of facilities developed or equipment acquired under an airport development or noise compatibffity program Project shell be no fess 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, S. 6, 13, 18. 30, 32, 33. 34. and 36 in Section C apply to pfanrang projects. The terns, 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 W tis grant that: 1. General Federal Requirements it will comply with all applicable Federal taws, regulations, executive orders. pofrdes. 9uidefines and requirements as they relate to the application. acceptance and use of Federal funds for Itis project inducting but not limited to the following: Federal Legislation a Federal Aviation Act of 19% - 49 U.S.C. 1301. et seq. b. Davis-$aaxt Ad - 40 U.S.C. 276(a), et seq. t C, Federal Fair Labor Standards Act - 29 U.S.C. 201. et seq. d. hatch Aa - 5 US.C. 1501. et seq. 2 a. Uniform Relocation Assistance and Reai Property Aoquisition Policies Aa of 1970 - 42 U.S.C. 1601, et seq.' a 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 twough 469c.' h. Flood Disaster Protection Act of 1973 - Section 102(x) - 42 US.C.4012a . i. Rehabilitation Act of 1973 - 29 US.C. 794. j_ Civil Rights Act of 1964 - Title VI - 42 U.S.C. 2000d ttuough 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 set_ n. Airport and Airway Improvement Act of 1982, as anumdod 49 U-S.C. 2201. et seq. o. Powerp(ant and Industrial Fuel Use Act of 1978 - Section 403 - 2 U.S-C- 8373.' Airpoft Aaaumncos(10-$8) P..QO 1 or 9 PP -A-1 p. Contract Work Hours and Safety Standards Act - 40 U.S.C. 327. et seq.' q. Copeland Anticickbadc Act - 18 tJ.S.C. 874.' r. National Environmental Policy Aa of 1969 - 42 U.S.C. 4321. et seq.' G. Endangered Species Ad -16 U.S.C. 668(x). et seq.' t. Single Audit Act of 1984 - 31 U.S.C. 7501, et seq. _ U. Dnp -Prue Workplace Act of 1988 - 41 U.S.C. 702 trough 706. Executive Order 12372 — inlatgovernmev4d Review of Federal Programs Execuive Order 11246 — Equal Employment Opportunity I Federal Ragrdalbns a. 49 CFR Part 18 - thtifomr Adn**Uv6ve Requirements for Gram and Cooperative Agreements ID Sao and local Goveernents. 3 b. Ota CFR Part 21- in Fedwaly-Assislsd Programs of the Ooparbnott d Transport dm - Meftwilan d True VI of the CIA Rights Act of 1964. a 49 CFR Part 23 - Pardcipeion by tmino ft business, Entenprise in Oapa rknent of Tmapodallon A 00. all d 49 CFR Part 24 - In harm Fletocalim Assistance and Real Prop" Aoquisition Regulation for Federal and Federally Asdaled urograms.' _ s. 49 CFR F*t27-Nw4Ywwknkwdon an the Bask of Handicap In Programs and Ac8vNws Receiving or Senel fng Iran Federal Fkw=W Assistance. s C 49 CFR Part 20 - Dabarmtents. Suspensions. and Voluntary Exducions. U. 419 CFR Part 30 - Denial of Public Vlfaka Contracts -to Suppliers of floods and Services of Counnufes That Oany Procurement Market Access to U.S. Covttraclam h. 29 CFR Pad 1- Procedures for Redelainninstion of Wage Rales.' L 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.' j. 29 CFR Part 5 - tabor Standards Provisions Applicable lo Contracts Covering Federally Fnanoed and Assisled Construction.' k 41 CFR Part 60 - Offioe of Federal Contract Compliance Progra ns. Equal Employment Opporlvunity. Departrnent of tabor (Fodwaf and Federally -assisted Contracting Requirements). , L 14 CFR Pad 150 -Airport Noise Compatibility Planning. Office of Manege hent 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. _ , These laws db not apply to airport pWmng sponsors. 2 These laws db not apply to prorate sponsors. 49 CFR Part 18 and OMB Circular A-67 contain requirements for State and local govenxnents reoewV Federal assistance. Any naquirement levied upon State and local governments by this regulation and circular shat! also be applicable to private sponsors receiving Federal assistance under the Airport and Airway Improvement Act of 1982, as amended. Speafic assurances required to be included in grant agreements by any of the above laws. regulations or droulam are incorporated by vabrenoe it the grant agreement 2. ReapwwM ty and Authority of the Sponsor. a. Public Agency Sponsor. It has legal authority to apply lir the grant, and to f toe and carry out the proposed project; that a nuokdKx% motion or similar action fms been duly adopted or passed as an oGcW act of the applicanra governing body authro kkV the filing of the application. indudng all undersWvdngs and assurances contemned therein, and ditectiN and authorizing the person identified as the official representative of the applicant to act in connection with the application and b provide such additional nformatimt as may be required. b. Private Sponsor. It has legal aauthority to apply for the grant and to finance and carry out the probed Pry and comply with all terms. conditions. and assurances of this 11rant agreement It shall designate an official representative and shell in writing direct and authorize that person to Ale this application, inducing all understandings and assurances contained therein; to act in connection with the application; and to provide such additional information as may be required. Airport A -"Lw x..(100 Page 2 of 9 PP -A -t 3. Sponsor Fund Availability. It has sufficient fwhcts 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 wig own or control. <. Good Title. a. It holds good title, satisfactory to the Secretary. to the lancing 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 Itis property of the sponsor, it holds good title satisfactory to the Secretary to that portion of the property upon which Federal funds will be etperhded or will give assurance to Vie Secretary that good tide will be obtained. S Preserving Rights and Powets. a. h will not take or permit any action which would operate to deprive k of any of the rights and power's necessary to perform any or ad of the terms. conditions. arid assurances in the grant agreement without the written approval of the Secretary. and will act promptly to acquire. extinguish or motfify any oubtanhdng rights or claims of tight of others which would interfere with such perfomharhoe by the sponsor. This &W be done in a ahamsr aoceptoble to the Hwy b. It will not sent, teas% encumber or otherwise Wander or dispose of any part of its We or other kaw"Is in the pmp" shown on Exhibit A to this application or. for a noise compadAlity program Pr'oleck that portion of the property upon wild Federal furls have baso expanded, for the duration of the terms. conditions. and assuraiwas in the grant agreement without approval by the Secretary. If to transferee is found by the Secretary b be eligible under the Airport and Akway Improvement Ad of 1982 to assume rte cbfgad= of the grant agreement and to have the power. authority. and k wndal resources to carry out all such obligationsh the sponsor shad 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 wholes compatibility program projects which are to be carried out by another unit of local government or are on property owned by a unit of lord govemrnentt other than the sponsor. It will enter into an agreemerd with that government Except as otherwise specified by the Secretary. tet agreement Ahad obligate that government to the same terms, conditions. and assurances that would be applicable to it it it applied directly to the FM for a grant to undertake the noise compatibility program project. That agreement and changes thereto must be satisfactory to the Secretary. It wig take steps to enforce this agreement against the local government if there is substantial non-compliance with the temps 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 slaps b 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 wig continue to function as a publicise 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 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 tarts. conditions and assurances in the grant agreement and shad insure that such arrangement also requires compliance therewith. S. Conalstency with Local Plana. The project is reasonably consistent with plans (existing at the lime of submission of this application) of public agencies that are authorized by the State in which the project is located to pian for the development of the area surrounding the airport For noise compatibility program projects. other than land aoquisition. 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 ager c s plans fining the property. 7. Consideratlon of Local Inter"L tt has given Lair consideration b the interest of oommunities in or near which the project may be located. Alrport Assurano"(10-89) Pie 3 of 9 PP -A.-1 A. 4 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 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 errivonmsntal effects of the auport 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. 10. Air and Water O"Ity Standards. In projects inirolving airport location, a major runway extension, or nurmray location It will provide for the Gavemor of the state in which the project is booed to dirtily in writing to the Secretary that the project will be boated, designed, constructed. and operated so as to comply with applicable all and water quad! standards. In any case where such standards; have not been approved and where applicable or and water quality standards have been promuigaled by the Administrator of the Switonrttentel Protections Agency. certiicedon shall be obtained from such Administrator. Notice of cerdication or refusal to ceHifIrA sat be provided within; sixty days after fns project application has been received by ft Secretary. 11. Local Approval. In projects Waiving the oonstrucdon or extension of any runway at any general aviation airport bcaled astride a fuse separating two counties within a single state. it has received approval for the project from the gweming body d all villages inoorpotaled under the laws of that state which are boated entirely widest five alias of the nearest boundary of to airport 12. Termini Development Pmequisitea. For projects winich include terminal development at a public airport, it has, on foe data of submittal of to project grant application. act the safety equipment required for oentiicadon of such airport under sedan 612 of the Federal Aviation Act of 19558 and all the security equipment required by rule or reputation. 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 Reoordkeeping 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. end such other financial moordis peftinem to the project The accounts and records chill be kept in accordance with an accounting system that wit facilitate an effective audit in accordanoe with the Single Audit Act of 1964. b. It shall make available to the Secretary and the Comptroller General of the United States, or any of their duly auudwri=ed 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 prooeeds 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 mortis 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 52.E for work on any projects funded under the grant agreement which iwolve taborprovisions establishing minimum tales of wages. to be predetermined by the Secretary of labor. in accordance with the Deals -bacon Act, as amended (40 U.S.C. 276a -276a-6), which contractors shall pay lo eroded and unskilled labor, and such minimum rates shag be stated in the invitation for bids and shall be included in proposals or bids for the work. 15. Veteran's Preferenm h shall include, in all contracts for work on any projects funded under the grant agreement which involve labor. such provisions as are necessary lo insure drat, in the employment of tabor (except in executive, administrative, and supervisory positions), preference WWI be given to veterans of the Vietnam era and disabled veterans as defined in Section 515(c)(l) and (2) of the Airport and Airway Improvement Ad of 1982- However, this preference shall apply only where the individuals are available and qualified to perform the work to which the employment relates. Airport Assumrno"(10--89) Pape 4 04 9 PP -A-1 I 16. Conformity to Pians and Specification*. it will execute the project subject b pians. specifications, end schedules approved by the Secretary. Such Plans. specifications. and schedules shall be submitted to the Secretary poor to commooncement of site Preparation. Construction. or other' performance under this grant agreement, and, upon approval by the Secretary. shall be inoonporaled info this grant agreement Any modifications to the approved plans. specifications. and schedules shall also be subject b 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 tnoughout the project to assure thad the work conforms whh the plans, specificalionk and schedules approved by the secretary for the project. It shill subject the oonoucilon work on any project contemned in an approved project appicat m b b F ecdon and approvd by the Seaelary and such work shall -be h mooadanoe wish reguhtions and prooedures prescribed by the Secretary. Such regulafm s and procedtns sled wgtrin such Dost and progress wportnhg by the sponsor or Sponsors of such project as the Secretary sfhSG deem 1wosssary. 11. Planning Ptojaets. In cartf*0 out Planning poor= a. It will et ecM tie project in a000rdenoe with the approved paper, nwrailm Prhpdnsd in the project appioaton or Wft aho6icatons sinhtary approve& b. it will kxnbh to Secretary wM such Periodic nPorfs s mgWred permining b 16 plruhrtirhg project and ptani ft work acdvMes. a ItwS include in aG p Afidnd ah - I prepared iin aorhnec6on with the pI* nirhg project a rhofcs that the malarial was prepared under a grant provided by the Uhtiled States. A It will mdw.wx h maletiai avaMb for exanhkhaton by the pubic, and agrees that no ehraeriel prepared whh funds undsr this project shall be subject b copyright in the Unlied Stales or any other country. e. It will give the Secretary unreseicled audatily b publish. disclose, distribute. and otherwise use any of tie material prepared In Connection with this grant f. it will grant the Secretary the right b disapprove the Sponsor's anhployment of specific consuhm- is and dhek subooneacoxim b do all or any part of this project as wed as the right b PProve the proposed scope and cost of professional services. g. It will grant the Secretary the tight b disapprove the use of the sponsors employees. b do an or any Part of the project h. it understands and agrees that the Seaetarys approval of tiffs project grant or the Seo etarys approval of any planning material developed as part of this grant does not oonsdWw or imply any assuranoe or CornaitrhmM on the pert of the Secretary to approve any pending or future application tot a Federal airport gran. 19. Operation and Malntenmmm a. it will suitably operate and maintain the airport and all facOm thereon or connected therewith. with due regard to ainhatc and Good conditions. Any proposal to lemporariy dose die airport for nonaemnaukal purposes must first be approved by the Secretary. The airport and all facilities which are necessary b serve the aeronautical users of the export. other than faciilim owned or controlled by the United Stales, shall be operated at all times in a safe and serviceable condition and in acoordance whh the minimum standards as may be required or presaibed by appicabie Fedetai. stale and looad agencies for mairhtenance and operation. it will not cause or permit any acdit or action thereon which would iriiwlam with its use for airport puripoees. In kuriheranoe of this asstxanoe. tis sponsor will have in effect At all times wrangemeets for— (1) Operating the airport's semnautical hcifi n whenever riequied: (?) Promptly marking mrd lighting hazards resitting flan airport condidons. inducting temporary ConclMona; and (3) -Promptly not>fying ain wn of any Corhdrtion anecfing aeronautical use of the airport Nothing contained hetero shall be construed to require rias the airport be operated for aeronautical we du ft temporary periods when stow, flood or other cimade condfions iniedeve with such operation and msrommuhoe. Further. nothing herein Shall be Construed as requiring tie nwirdenance. repair, resbtatAm or repWmvient of any structure or facFity which is substantially damaged or destroyed due b an act of God or other condition or circumet um beyond the control of the sponsor: Airport Asaurarooes(10-89) Papp 5 d 9 PP -A-1 5 20. Hazard Removal and Yltgatlom It will take appropriate action to assure that such terminal airspace as is required to protect instrument and visual ope(ations to the airport (inciudiirg established minimum flight altitudes) will be adequately cleared and protected by removing. lowering, relocating. marking. or fighting 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 coning laws. to the extent reasonable, to restrict the use of land a*wwd b or in the immediate vicinity of the airport to activities and Purposes oompatible with normal airport operations, indrdng lending and takeoff of aircraft. M adMon. H the project is for noise compatibility Program implementation. it will not canoe or permit any cfrange in land use. within its jurisdretioe, that will reduce the oompaubky. with respect to the airport, of the noise compatibility program measures upon which Federal funds have been expended. 22. Economic Ila tdiscrirminWoa a. K will maks its airport available as an airport for public use on fair and reasonable terms and without unjust uiaairrhi ' eft b all grpes. kinds. and classes of aeronautical toes. b. M asny agreement contract, leese or other wrangement under which a right or privilege at the airport is granted to any person. Orn, or corporation to conduct or engage In any aeronautical atxi * for lumichina services to the public at to airport. the sponsor will insert and endorse ptthvisiorns rogAh the contractor to — (1) furnish said services on a fair. equal, and not urjm* story 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 noncisaimiratory dscounts. rebates, or other similar types of price reductions to volume purchasers. C. Each fixed-fxmed operator at any airport owned by the sponsor shalt 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 tight 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 lenant, nontenant, or subtenant of another air carrier tenant) shall be subject to such nondiscrim'rnatoty and subsuu%ally comparable ales. regulations, conditions, rates, fees, rentals, and other charges with respell to facilities direay and substantially related to providing air transportation as are applicable to ail such air carriers which make similar use of such airport and which utilize similar facilities. subject to reasonable classifications such as tenants or nontenarts and signatory carriers and norsrgnatory carriers. Classification or stahrc as tenant or signatory shall not be unreasonably withheld by any airport provided an air carrier assumes obligations substantially similar to those already imposed an air carriers in such classifications or status. I. 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 (in kidng, tit not limited to maintenance, repair. and fueing) dud it may choose to pertain. g. In the event the sponsor itself exercises any of the rights and privileges referred to In this assurance. the services invoWed will be provided on the same oondittahs as would apply to the furnishing of such services by contractors or ooncessionaires 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 arport_ i. The sponsor may prohibit or fimit any given type. kind, or class of aeronautical use of the airport if such action is necessary for the safe operation of Che airport or necessary to serve the civil aviation needs of the public. Airport Aaswwrwn w(10-89) PaQO 6 of 9 PP -.A-1 23. ExclueNe Rtghta. It witl pemhit no exclusive tight 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 feed -based operatx 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 teased pursuant to an existing agreement between such single fixed -based operator and such airport it further agrees that k will not, either directly or indirectly. grant or permit any prem. firm or corporation the endusW right at the airport, or at any other airport row owned or controlled by it. b conduct any aeronautical activities. khdudng, but not fhmited to charier Afghts. plot training. aircraft rental and sightsesig. aerial phobpraphy. crop dusting. atxial advertising and surveying. air carrier operations. aircraft sales and services, sale of avhdm petroleum products whether or not conducted in conjhnha6on with ocher aeronautical activity. repair and malnienance of aircraft, sale of aircraft pautc. and any otter activities which because of dwk direct releapontship to the operation of s I F, oft an be regarded as an aeronsulicai acil ft and that It vA brmkinie any &occlusive right b conduct an aeronautical acwv raw exis&g at such an airport before the ,grant of any assistance under the Airport and Akway Improvement Aa of 1982 24. Fee and Rental Structure. It will maintain a fee and rental structure oorsistent 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 snare of an airport development, airport planning or raise compatibifily pnojed for which a grant is made under the Airport and Airway Improvement Ac of 1982, the Federal Airport Aa or the Airport and 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 tinder 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 axport; 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 t covenants or assurances in debt obligations issued 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 reverxnes from any of the airport owner or operator's facilities, including the airport, b support not only the airport but also the a'aport 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. pply 26. Reports and Inspections. It wig 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 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 the terns, corxftions, 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 faa'ities of the airport developed with Federal financial assistance and all those usable for landing and takeoff of aicraR to the united Slates for use by Govemmerd aitaaft in common with other aircraft at all times without charge. except, it the use by Govemrnem aircraft is substantial. charge may be trade 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 b exist when operations of such shoe ft 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 — Airport Assurvx>**(10-89) Pape 7 of 9 PP -A-1 a. Five (5) or more Government aircraft are reyutarfy 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 muttiplied by gross weights of such aircraft) is in excess of five mullion pounds. 2E. Land for Federal Fadddes. it we furnish without cost to the Federal Government for use in connection with any air traffic control or air navigation activities. or weather-mpottirp and ooni munkadon activities related to air fraf is convot, any areas of land or water. or estate tfteoein. or rights in buildings of the sponsor as the Saastery oortaidas necessary or desirable for construction. operation, and mdrdenance at Federal errpense of spooe or Willies for such purposes. Such areas or any portion dhereof will be made available as provided hsrebh wW* bur rthonthts seller receipt of a wMan request from the Secretary. 29. Airport Layout Platt. a. it wS Map up to date at all tfistres an airport tsyout plan of the airport showing (1) boundaries d !e airport and ail proposed addQons thereb. togWw with the boundaries of all ofthe anew owned or controlled by rhe spmin or for airport purposes and proposed da's #W'W; (2) rte bcatiorh and #WMG d d aads6tg W d popoeed akport UCINGs and svuoxes (such as wmvays. taudwaM aprons. terminal bdidtrtgs. hags and roads). indudtrp all proposed extensions and reducdorhs d d d exisft and proposed nonwAsdon avows and d all a xis6no imprwarents thereon. Such aipo t layout plan and eaddh it a 4r1herht, tevisior% or modrfoation thereof. shd be subject b the approvd d the Secretary which approval shall be eviderhoed by the signal" of a duly authorized representa6re of the Secretary on the faced the airport layout plan. The sponsor will rat make or ! any dwr4M or altetallorts in the airport or in any of its facilities which are.rhot in conkinnity vft the airport syr fin as approved by the Secretary and which mift in the opition of the Secretary. adversely affect the safety. utility. or efficiency of the airport b. if a change or alteration in the airport or its faciNi6as is made which the Secretary determines adversely affects the safety. utility. or etiiciency of any federally owned leased. or funded property on or off the airport and which is not in coniamiry with the airport layout pian as approved by the Secretary. the owner or operator Will. if requested by the Secretary (1) eliminate such adverse affect 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 at costs of restoring such property (or replacement thweoQ to the level of safety. udlity. efficiency. and cost of operation exesdng before the unapproved change in the atcport or its to NW& 30. Ctvd Rtght& at will comply with such rules as are promulgated to assure that no person studl, on the grounds of race. creed. odor. national origin. sex. age. or handicap be exckrded 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 iimpmvements 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 assistanoe is extended. or for anodwer purpose involving the provision of similar services or benefits or (b) the period during which the sponsor rete m ownership or possession of the property. 31. Disposal of land. AL For land purchased under a grant before. on. or attar December 30. 1987. for airport noise compatibility purposes. it will dispose of the land. when the lard is no longer needed for such purposes, at for market value at the earliest practicable time. That portion of the proceeds of such disposition which is proportionate to the United States share of aoquisit of suds laud will. at the discretion d the Secretary. 1) be paid to the Secretary for deposit in the Trust Fund or 2) be reinvested in an approved noise compagbifay project as prescribed by the Secretary. b. For land purchased for airport purposes (other thart noise compatibility) under a grant before. M at atter December 30. 1987 It wilt, when the lard is no longer needed for airport purposes. dispose of such land at fair market value. That portion of the proceeds of such disposition. which is pnoportionaie b the United States share of the cost d acquisition of such land will be paid to the Secretary for deposh in the Trust Fund. Alrpod Assumnoes(to-89) Pape 8 of 9 PP -A-1 ....... _cewmauocrc ooi uannuazuszs wc�Una¢�sbaatsu:n:5a, aU:Sa ;::: a:bt5i: �- C. Disgosivon of such land under a and b- above will be subject to the -retention or reservation on any intersst or right therein necessary to erasure that such land wig only be used for purposes which are compatible with noise levels associated with the 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 services. Preliminary erg'aveering. design. engineering, surveying. mapping. or related services with respect to the project in the same manner as a contract for arctitectural and engineering servioes is negotiated under tide IX of the Federal Properly and Administrative Ser Aoss Act of 1949 or an equivalent qualifications_ based ra rrement prescribed for or by the sponsor of die aaport • - 33. Farm Market ReeUkdom It will not allow funds provided under this grant b be used b find any project which uses any product or service of a foreign country during the period M 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 Willed States in procurement and construction. 34. Policies, Sty rWards, and sprddtic:tbns. It will carry out the project in accordance with polities, standards, and spedtica dons approved by the Secretary incks*V but not limited to the advisory cimulars listed in the Current FAA /Advisory Madan; for AlP Projects. dated --A and included in Oft grant. and in accordance witty applicable state policies, sur dards. and specificatione approved by trite Secretary. 3s. Relocation and Real Pr+opuly AcgtrkWom (1) It will be guided in aoquirirg road pup". b Ihe WOMM VOW padicable under Stale law. by the kid aoc{uis w Policies In Subpart 8 of 49 CFR Part 24 and wait pay or reimburse property owners for necessary expensurs as spedfieed In Subpart EL (2) It wN provide a rebca6on asslstanoa Program offering fine services described In Subpart C and fair and nmontable Moc alkn payinertts and woe b ckpisoed persons as required in Subparts C and E of 49 CFR Patt 24. (3) It vA make available widhin a reasonable period of time prior b displacement cangwabfe replacement dwellings b d<sptaced Persons in accordance with Subpart E of 49 CFR Part 24. 36. Drug -Free Workplace. it will protide a drug -tree woeoq* a at the'sW of work specified in the grant application in accordance with 49 CFR Pact 29 by (1) publishing a statement nodlJ ft its employees that the unlawful manufachwe, drstribudon. d<spensing. 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 Mian its employees about the dangers of drug abuse in the woegAaoe and any available drug counseling. rehabata6m and employees ince programs; (3) notifying the FAA within ten days after receiving notice of an employee criminal drug statute convrcbon for a violation oocurting in the workplace; and (4) making a good faith effort to maintain a drug -Gee workplace. * Dated July 18, 1990 Alrport A.,*Lww,-c e(10-�ff9) P" 9 of 9 PPS -A-1 •'�^a ti >> � •:•: s '" ZbYail�SiSi�#3fi.y�3! 5213,�HSili:3t5�iiii ice' � .. .. .. ... CURRENT FAA ADVISORY CIRCULARS FOR AIP PROJECTS Effective Date: 7-18-90 NUMBER SUBJECT 70/7460-1G Obstruction Marling and Lighting 150/5100-14B Architectural, Engincerimg, -and Planning_ Consultant Services. for - CSG 1 Airport Grant Projects - -- L50/5200-30=-= -- --_ .. Airport Winter -Safety and Operafrats . - - CHG 1 - - 150/5210=5B _: �d �_ - " Painting. Mwidng Yehicka= Uaod as - _ - 1S0/521Q-7B� - Ahaaft Fie and.Rescue COmmtnoii:i cons 150/5210=14 _ - - - Airport Fire and Rescue-Pasoand.Pirotec6ve clothing - 150/521045 , . Ahpat Rescue do Firefigh ft Station Rending Design - - 150/5220-4A:- Water Supply Systems fine Aircraft Fire rind Rescm-Protection " 150/5220-10 - ._ Guide Specification .for . Waoer/Fanm Type:- Aircraft =Fine�,iod _ CHG 1 &2 Rescue TYucls - Akport Snowblowex Sp dfrca6on Guider 150/5x10--12 Airport Snowsweeper Specification Guide 150/5220-13A _ . __. Runway Surface Condition Sensor Speci�on Guide 150/5220-14A Airport Fire and Rescue Vehicle -Specification Guide - - 150l5220-15 - - Buildings for Stomp and Maintenanoe of Airport Snow -Removal and Ice Control Equirpinent: A Guide _ 150/5220-16 Automated Weather Observing Systems for Non -Federal Apprxa--_i tions 150/5220-17 Design Standards for Aircraft Rescue Fire -fighting Training Fa- cilities 150/5300-13 Airport Design 150/5320-513 Airport Drainage 150/5320-6C Airport Pavement Design and Evaluation CHG 1 &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 Auport`bagn 150/5340-1F Marking of Paved Areas on Airports 150/5340-4C Installation Details for Runway Centerline Touchdown Zone CHG 1 & 2 Lighting Systems 1 2 150/5340-5B Segmented Circle Airport Marker System CHG 1 Precision Approach Path Indicator (PAPI) Systems 150/5340-14B Economy Approach Lighting Aids CHG 1&2 troreflective Markers 150/5340-17B Standby Power for Non-FAA Airport Lighting Systems 150/5340-18B Standards for Airport Sign Systems 150/5340-19 Taxiway Centeaiine 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 Isolation Transformers for Airport Lighting Systems 150/5340-27A Air-to-Ground Radio Control of Airport Lighting Systems' =5345-3D Specificatiovi for L-821 Panels for Remote Control of Airport TIRWng 150/5345-5A Circuit Selector Switch 150/5345-7D Specification for L-VA Underground Electrical Cable for Airport CHG 1 Lighting Circuits - - 150/5345-1OE Specification for Constant Cement Regulators Regulator.Mwitors 150/5345-12C Specification for Airport and Heliport Beacon 150/5345-13A Specification for L491 Auxiliary Relay Cabinet Assembly for Pilot Control of Airport Lighting Circuits 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 Re- CHG I troreflective Markers 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 1-854, Radio Control Equipment 150/5345-50 Specification for Portable Runway,Lights It CHG 1 'u 150/5345-51 Specification for Discharge -Type Flasher Equipment CHG 1 150/5345-52 Generic Visual Glideslope Indicators (GVGl) Y ----------- l• 150/5360-9 Planning and Design of Airport Terminal Facilities at Non -Hub Locations 150/5360-12 Airport Signing & Graphics 150/5360-13 Planmg and Design Guidance for Airport Terminal Facilities at Non -Hub Locations 150/5370-2C Operational Safety on Airports During Construction 150/5370-68 Construction Progress and Inspection Report Airport Grant Pro- gram 150/5370-1OA Standards for Specifying Construction of Airports CUG 1 150/5370-11 Use of Nondestructive Testing Devices in the Evaluation of Air- CHO 1 port Pavements - - 150/5370-12 Quality Control of Construction for Airport Grant Projects - 150/5390--2 Heliport Design 3 2O J '—'„•.�� ARPOR7 PROPE RTY LINE 0 fit+ otF' % N RUN W4 Y 12 30 s REVISIONS ITOWN OF SOUTHOLD FISHERS ISLAND . NT ELIZABETH FIELD AIRPORT EXHIBIT "A" .w c�u�cE �"'�-v Cabcerinos&Spina DATE: JULY lase SHEET No a: . �"�- Ena�noe . P C. WADE n, SCALE: AS SHOWN OF cMEC KfO s. FILE NQ 211.001 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER 'F OLI(��Gy OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 4, 1991 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 Lump Sum Consultant Agreement for Design Dear Mr. Petranchuk: Transmitted herewith are the two (2) executed copies of the draft Lump Sum Consultant Agreement for design on the above -referenced project. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures (2) cc: R. P. Knauff Accounting & finance C. December 11, 1990 Mr. R. Philip Knauff Manager Fishers Island Ferry District P.O. Box H Fisher Island, New York 06390 Re: Fishers Island Airport Airfield Lighting Lump Sum Consultant Agreement for Design File: 211. Dear Mr. Knauff: Enclosed for your review and approval are two (2) copies of the draft Lump Sum Consultant Agreement for design on the above -referenced project. This Agreement provides for the complete design of the project generally including project management, preliminary and final design, subsurface soils investigations and laboratory testing, topographic surveys and direct expenses. 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. 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:pad Enclosures cc: Mr. Philip Brito (w/encl.) Mr. Robert Michaud (w/encl.) Mr. James Kuzloski (w/3encl.) To: Mr. Thomas J. McDonald NYS Clearinghouse Division of Budget State Capitol Building Albany, New York 12224 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 - One (1) copy of appropriate pages from the Final Application for Federal Assistance for Pavement Evaluation Study and engineering design of the proposed Airfield Lighting for your review and clearance. - One (1) copy of appropriate pages from the Preapplication for Federal Assistance for construction of Airfield Lighting for your review and clearance. Remarks: If you have any questions or need additional information, please do not hesitate to contact us. Enclosures cc: Mr. Robert Knauff CALOCERINOS & SPINA ENGINEERS, P.C. Sheila M. Farley Grants Administrator a To: Mr. Lee E. Koppelman Executive Director Long Island Regional Planning Board H. Lee Dennison Office Bldg Veterans Memorial Highway Hauppauge, New York 11788 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 - One (1) copy of appropriate pages from the Final Application for Federal Assistance for Pavement Evaluation Study and engineering design of the proposed Airfield Lighting for your review and clearance. - One (1) copy of appropriate pages from the Preapplication for Federal Assistance for construction of Airfield Lighting for your review and clearance. Remarks: If you have any questions or reed additional information, please do not hesitate to contact us. Enclosures cc: Mr. Robert Knauff CALOCERINOS & SPINA ENGINEERS, P.C. Sheila M. Farley Grants Administrator