HomeMy WebLinkAboutAirportASMP-2015 AIRPORT GRANT
REQUEST FOR NEW ACCOUNT NUMBERS Project_ID 66
Monday, September 8, 2014
The Commission received a new grant from MassDOT/AD. Please provide new account
numbers so we can proceed with the project.
Project Description Paint beacon tower
Project Number ASMP-2015-169-1B
MassDOT Grant Amount $6,656.00 % 80.00%
Local Grant Amount $2,664.00 Local Capital Account: 654625-586004
Total Project Cost $8,320.00
Grant Paperwork in the from of a Standard Contract will be forwarded to Accounting after
final signatures.
Eleanor Lallier
From:
John Stanbrook
Sent:
Wednesday, September 10, 2014 7:59 PM
To:
Eleanor Lallier
Cc:
John Stanbrook
Subject:
FW: Request for account numbers
Hi, Eleanor.
Sorry for the oversightl
Thanksl
John F. Stanbrook
Finance Director/Town Accountant
Town of Mansfield
508-851-6435
-----Original Message -----
Prom: John Stanbrook
Sent: Tuesday, September 09, 2014 9:37 AM
To: Lou Andrews
Cc: John Stanbrook; Jacqueline Boudreau; Barbara Guilbault
Subject: RE: Request for account numbers
Hi, Lou
I set up this State Grant as Acct. No. 22-482-010 STATE GRANTS AIRPORT-ASMP PAINT TOWER with the following codes:
22-482-010-460000 - State Grants Airport ASMP Paint Tower State Revenue
22-482-010-484000 - State Grants Airport ASMP Paint Tower Misc. Revenue
22-482-010-510000 - State Grants Airport ASMP Paint Tower Personal Services
22-482-010-530000 - State Grants Airport ASMP Paint Tower Professional & Technical
22-482-010-540000 - State Grants Airport ASMP Paint Tower Supplies
22-482-010-570000 - State Grants Airport ASMP Paint Tower Other Expenses
22-482-010-580000 - State Grants Airport ASMP Paint Tower Capital Outlay
Please let me know if you have any questions.
Thanks!
John F. Stanbrook
Finance Director/Town Accountant
Town of Mansfield
508-851-6435
-----Original Message-----
Purchase Order Request
Tuesday, September 16, 2014
Project Number: ASUP-2015-1 B9-1B ` Point beacon lower
-- ------------------Distributions ---------------------
Vendor: FAA MassDOT/AD Local
a� /�J Heldrea Communications, Inc.
PO Description: Scrap, prime and paint beacon tower
22482.010-680000
$6,666.00
PO Total Amount:
664626.586004
$1,664.00
Deval L Patrick, Governor
Richard A Davey, Secretary & CEO
Christopher J. Willenborg, Administrator
Mr. Louis Andrews, Chairman
Mansfield Airport Commission
Mansfield Municipal Airport
6 Park Row
Mansfield, MA 02048
massDOT
L47
amachusent; Department or tVansportation
eronautics Division
September 5, 2014
Re: MassDOT Aeronautics Division Grant Award Notification
Mansfield Municipal Airport
Dear Mr. Andrews,
The Massachusetts Department of Transportation JMassDOT), Aeronautics Division is pleased
to inform you that a state grant has been awarded to your airport for the following project:
Airport:
Date of Award:
Project Name:
Project Number:
Grant Number:
Grant Amount:
Grant Expiration Date:
Mansfield Municipal Airport
September5, 2014
Paint Airport Beacon Tower
ASMP- 2015-i89-18
189PBT
$ 6, 656.00
June 30, 2015
A standard contract and airport grant assurances will be provided under separate cover.
Please sign/date the STANDARD CONTRA CTand GRANTASSURANCESforms when they are
received. Return one )1) of each as soon as possible to MassDOT.
If you have any questions concerning this matter, please call me at )617) 412-3678.
Sincerely,
Thomas F. Mahoney, P
Director of Airport Engi ering
cc: File
R. Welch, Airport Manger
u:\alrport- projects\I b9- mansfield\asmp 20 15- 1 b9 10 palm airport beacon tower\contract_grant documents -grant
assurances\grant award itr 09052014.doc
Leading the Nation In Transportation Excellence
Logan Office Center, One Harborside Drive, Suite 205N
East Boston, MA 02128
Tel: 617-412.3680, TDD: 617-973-7306
www.mass.gov/massdot
oF�,pNSF/�O TOWN OF MANSFIELD
3= AIRPORT COMMISSION
„E F SIX PARK ROW
MANSFIELD, MASSACHUSETTS 02048
Small Procurements
3 Written or Oral Quotes
Description: PAINT AIRPORT BEACON TOWER
Name:
HEIDREA COMMUNICATIONS LLC
Address:
1 WILLIAM WAY
City or Town:
BELLINGHAM, MA 02019
Date of Quote:
4/8/14
By Whom:
MATT ABBOTT
Amount:
$8,320.00 AWARDED PROJECT - SEE ATTACHED
LETTER
Name:
WORLDWIDE INDUSTRIES CORP
Address:
P.O BOX 1681.470 MITCHELL HILL PD
City or Town:
BUTLER, PA
Date of Quote:
5/23/14
By Whom:
RAYMOND KOREN
Amount:
$7,800.00
Name:
AMEX INC.
Address:
256 MARGINAL ST
City or Town:
E. BOSTON, MA
Date of Quote:
04/14/2014
By Whom:
PHIL BAGLIONE
Amount:
$34,850.00
9/17/2014
Airport Commission Date
Chief Procurement Officer Date
Mr. Lou Andrews
Airport Commission Chair
Mansfield Municipal Airport
265 Fruit Street
Mansfield, MA 02048
Mr. Andrews,
submitted by:
Robert E. Welch Jr
Mansfield Municipal Airport
265 Fruit Street
Mansfield, MA 02048
We are in receipt of three bids for our project to paint the Beacon Tower. The bids were
Heidrea Bellingham, MA $ 8,320.00
WorldWide Industries Butler, PA $ 7,900.00
AMEX, Inc. East Boston, MA $ 34,850.00
The Worldwide bid only stated the proposed amount and described the project as "paint the
tower". The Heidrea bid Included the scraping, wire brushing, and ground preparation. The AMEX, Inc.
bid was not seriously considered due to the cost.
1 considered all the information provided by the respondents and recommend to the
Commission that Heidrea be the successful vendor to complete
/the
/project
Robert E. Welch, Jr
Airport Manager
Mansfield Municipal Airport
or--11111114Irya
Proposal Mansfield Municipal Airport Paint
.............
1 William Way
Bellingham, MA 02019
20Sai�5.Fruit St, VA50=fruit St.
Mansfield, MA I Mansfield, MA
Date: _
Our Bid No.:
Description of Work Performed:
Remove Baking paint from tower wlbh wire brush. All ground area underneath the tower will be covered In tarps to avold
paint splliage on rocks and grass, Clmb and paint tower with aviation orange and aNation white paint. Menl[tt required to
paint top 201 secVon. Job completion estimated In a three day period.
ManliR.........................................................................................................................................$1,700.00
ThreeMan Crew for 7hree Dag...............................................................................................$6,120.00
Paint, Wlre Brushes, Painting Mitts/Brushes.... ............................................ ....... I ...................... $500.00
All Material is guaranteed to be as specified, and the above work was completed in a substantial workmanlike
manner for the sum of:
Eltaht Thousand Three Hundred Twenty Dollars ($8,320.00)
Payment to be made to the value of one hundred percent (100%) of all work completed. The entire amount of
the contract is to be paid within 30 days after completion.
Any alterations or deviation from the above specifications involving extra cost of material or labor will be
executed upon written order for the same, and will become and extra charge over the sum mentioned in this
contract. All agreements must be made in writing.
ACCEPTANCE
You are hereby authorized to fumish all material and labor required to complete the work mentioned in the
above proposal for which Mansfield Municipal Airport agrees to pay the amount mentioned in said proposal
and according to the terms thereof,
Signature
Date
VAVWHEJDREACOM Page 1of1 S5 01.250•Rev. OWN
INDUS4RIrS GORP.
May 23, 2014
Mr. Robert Welch, Jr.
King Aviation -Mansfield, Inc.
Mansfield Municipal Airport
265 Fruit Street
Mansfield, MA 02048
Phone: (508) 339-3624
Cell: (508)789-8274
E-mail:bob@Jdnglb9.com
RE: Airport Beacon Tower
Dear Mr. Welch:
STHUCTURAL
COATINGS
DIVISION
Thank you for the opportunity to provide you with pricing for the above referenced
project. As discussed Worldwide Industries Corp. would complete the fo►lowing scope
of work:
• pressure wash, scrape and prime areas as needed
• Install one coat of specified topcoat to current orange and white color scheme
The total cost for this work would be $7,800.00.
Again, thank you for this opportunity and I look forward to working with you in the new
future.
Sincer
ymond Koren
President
Worldwide Industries Corp.
PROTECTION THAT GOES BEYOND THE SURFACE
PHONE Iq5 1:-,' 17, '%Y.V N:1% 1"1IV.: 4�1,Tf:RS.CON'
shnoi,i.
Es6male o488SMamfield-Murt-Airport•Tonef from Amex Inc
Amex Inc
256 Marginal St
E, Boston, Ma 02128
Phone : 617-569-5630
Fax: 617-569-4110
INDUSTRIAL SERVICES
Mansfield Municipal Airport
265 Fruit Street
Mansfield, MA TOWER ESTIMATE
Attention
Bob Welch
Phone: 508-339-3624 04885-
Estimate # Mansfield -
Muni -Airport -
Tower
Estimate Date 04/14/2014
Item Description Unit Price quantity Amount
Location The Communication Tower in the front of
Mansfield Municipal Airport
265 Fruit Street
Mansfield, MA
Attention : Bob Welch
508-339-3624
Proposal
Please accept our proposal for preparations and
for
coatings on the 70' communication tower located in
front of the airport.
Description
This proposal includes,
Preparations and coatings to
* All previously painted surfaces on the tower from the
ground up to the light beacon.
Preparation
* Pressure wash and tool clean proposed areas to a
sound surface .
* Ground to be covered with Geotek or similar fabric
around the tower where necessary to collect any
loosened paint chips or debris,
. Scrape loose and peeling paint where needed to
ensure a firm base for the new paint.
* This is not stripping paint to bare metal but removing
obvious loose or peeling paint.
Coatings Apply one coat Sherwin Williams Macropoxy 920 Pre -
Prime to 1-1.5 mils dft.
* Apply (2) coats of SW-Macropoxy 646 Fast Cure
Epoxy to any bare or exposed metal. This product is a
high solids, low VOC, high build, fast drying, polyamide
epoxy designed to protect steel in industrial exposures
at 8.10 mils total OFT.
* Apply (1) coat of Top Line, High Solids Polyurethane,
htlplM�WAs r ccomrprirVEs6rraW.php W
a rO14, Esdmate o4886-Mw delddMud-AJrpam-Taney from Amexlna
a 2-component, VOC compliant, aliphatic acrylic
modified polyurethane designed for use in industrial
environments at 2-4 mils OFT.
* Match existing white / orange.
Owner * To supply water for pressure washing and electricity
for small power tools.
* Amex will supply necessary hoses or power cords.
Clean-up Clean-up as needed and upon completion of the work.
All work to be done in accordance with OSHA
guidelines.
Excludes : Metal repairs, welding.
Price As described above with labor, Paint & Materials : 34850.00
NOT • We thank you for the opportunity to complete this project.
Respectfully Submitted by
Phil Baglione, AMEX INC.
Office - 617-569-5630
Cell- 617-455-2466
E Mail : pbaglione@amexinc.net
Web : www,arnexinc.net
Subtotal
1.00 34,850.00
34,850.00
Total 34,850.00
Amount Paid 0.00
Estimate
$34,850.00
hdplW.vw.eK+exaarr✓prlydEadmatephp 2/2
Town of Mansfield
Office of the Town Manager
6 Park Row
Mansfield, MA 02048
Date: 09/17/2014
Address: PO N 15050 Tax ID N 04-6001209
HEIDREA COMMUNICATIONS LLC
I WILLIAMS WAY Vendor N 23145
BELLINGI-IAM, MA 02019
SHIP TO:
TOWN OF MANSFIELD
AIRPORT
6 PARK ROW
MANSFIELD, MA 02048
BILL TO:
TOWN OF MANSFIELD
AIRPORT
6 PARK ROW
MANSFIELD, MA 02048
Account Number
Description Item Description
Quantity Unit Price Shipping
Total
22-482-010.580000
654625-586004
AIRPORT-ASMP PAINT TOWER CAIBeacon Tower - scrap,prime and
AIRPORT-INFRASTR.IMPROV. Beacon Tower - scrap,primeand
1.00 $6,656.00
1.00 $1,664.00
$6,656.00
$1,664.00
3 written or oral quotes
PO TOTAL
$8,320.00
HEIDREA COMMUNICATIONS
$8320.00
WORLDWIDE INDUSTRIES
$7800.00
AMES INC
$34850.00
Approved By
Approved By
Approved By
U.S. Department
of Transportation
Federal Aviation
Administration
GRANT AGREEMENT
PART I— OFFER
Date of Offer SEP 10. 7014
Airport/Planning Area Mansfield Municipal Airport
AIP Grant Number 3-25-0028-029-2014
DUNS Number 09-941-9954
TO: Town of
(herein called the "Sponsor")
FROM: The United States of America (acting through the Federal Aviation Administration, herein called the
"FAA")
WHEREAS, the Sponsor has submitted to the FAA a Project Application dated July 11, 2014, for a grant of Federal
funds for a project at or associated with the Mansfield Municipal Airport, which is included as part of this Grant
Agreement; and
WHEREAS, the FAA has approved a project for the Mansfield Municipal Airport (herein called the "Project")
consisting of the following:
Phase I ObstructtoitAemoval for obstructions in Runway 14, 32 and 22 approach surfaces (on -airport property
and approx. 3 parcels off -airport property),
which is more fully described in the Project Application.
1�Pane 3-25-0028-029-2014
iVU THEREFORE, According to the applicable provisions of the former Federal Aviation Act of 1958, as amended
and recodified, 49 U.S.C. 40101, et seq., and the former Airport and Airway Improvement Act of 1982 (AAIA), as
amended and recodified, 49 U.S.C. 47101, et seq., (herein the AAIA grant statute is referred to as "the Act'), the
representations contained in the Project Application, and in consideration of (a) the Sponsor's adoption and
ratification of the Grant Assurances dated April 3, 2014, and the Sponsor's acceptance of this Offer, and (b) the
benefits to accrue to the United States and the public from the accomplishment of the Project and compliance with
the Grant Assurances and conditions as herein provided,
THE FEDERAL AVIATION ADMINISTRATION, FOR AND ON BEHALF OF THE UNITED STATES, HEREBY OFFERS AND
AGREES to pay 90 percent of the allowable costs incurred accomplishing the Project as the United States share of
the Project.
This Offer is made on and SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:
CONDITIONS
1. Maximum Obligation. The maximum obligation of the United States payable under this Offer is $605,556.
For the purposes of any future grant amendments which may increase the foregoing maximum obligation
of the United States under the provisions of 49 U.S.C. 4 47108(b), the following amounts are being
specified for this purpose:
$0 for planning
$605556 for airport development or noise program; implementation
$0 for land acquisition.
2. Inelieible or Unallowable Costs. The Sponsor must not include any costs in the project that the FAA has
determined to be ineligible or unallowable.
3. Determining the Final Federal Share of Costs. The United States' share of allowable project costs will be
made in accordance with the regulations, policies and procedures of the Secretary. Final determination of
the United States' share will be based upon the final audit of the total amount of allowable project costs
and settlement will be made for any upward or downward adjustments to the Federal share of costs.
4. Completing the Project Without Delay and in Conformance with Requirements. The Sponsor must carry
out and complete the project without undue delays and in accordance with this agreement, and the
regulations, policies and procedures of the Secretary. The Sponsor also agrees to comply with the
assurances which are part of this agreement.
5. Amendments or Withdrawals before Grant Acceptance. The FAA reserves the right to amend or withdraw
this offer at any time prior to its acceptance by the Sponsor.
6. Offer Exoiration Date. This offer will expire and the United States will not be obligated to pay any part of
the costs of the project unless this offer has been accepted by the Sponsor on or before September 23,
2014,_or such subsequent date as may be prescribed in writing by the FAA.
7. Improper Use of Federal Funds. The Sponsor must take all steps, including litigation if necessary, to
recover Federal funds spent fraudulently, wastefully, or in violation of Federal antitrust statutes, or
misused in any other manner in any project upon which Federal funds have been expended. For the
purposes of this grant agreement, the term "Federal funds" means funds however used or dispersed by
the Sponsor that were originally paid pursuant to this or any other Federal grant agreement. The Sponsor
must obtain the approval of the Secretary as to any determination of the amount of the Federal share of
such funds. The Sponsor must return the recovered Federal share, including funds recovered by
settlement, order, or judgment, to the Secretary. The Sponsor must furnish to the Secretary, upon
request, all documents and records pertaining to the determination of the amount of.the Federal share or
to any settlement, litigation, negotiation, or other efforts taken to recover such funds. All settlements or
other final positions of the Sponsor, in court or otherwise, involving the recovery of such Federal share
2iPage 3-25-0028-029-2014
,o
require advance approval by the Secretary.
8. United States Not Liable for Damage or Injury. The United States is not be responsible or liable for
damage to property or injury to persons which may arise from, or be incident to, compliance with this
grant agreement.
9. System for Award Management (SAM) Registration And Universal Identifier.
A. Requirement for System for Award Management (SAM): Unless the Sponsor is exempted from this
requirement under 2 CFR 25.110, the Sponsor must maintain the currency of its information in the
SAM until the Sponsor submits the final financial report required under this grant, or receives the final
payment, whichever is later. This requires that the Sponsor review and update the information at
least annually after the initial registration and more frequently if required by changes in information
or another award term. Additional information about registration procedures may be found at the
SAM website (currently at http://www.sam.gov).
B. Requirement for Data Universal Numbering System (DUNS) Numbers
1. The Sponsor must notify potential subrecipient that it cannot receive a contract unless it has
provided its DUNS number to the Sponsor. A subrecipient means a consultant, contractor, or
other entity that enters into an agreement with the Sponsor to provide services or other work to
further this project, and Is accountable to the Sponsor for the use of the Federal funds provided
by the agreement, which may be provided through any legal agreement, including a contract,
2. The Sponsor may not make an award to a subrecipient unless the subrecipient has provided its
DUNS number to the Sponsor.
3. Data Universal Numbering System: DUNS number means the nine -digit number established and
assigned by Dun and Bradstreet, Inc. (D & B) to uniquely identify business entitles. A DUNS
number may be obtained from D & B by telephone (currently 866-492-0280) or the Internet
(currently at http•//fedgov dnb com/webform).
10. Electronic Grant Pavment(s). Unless otherwise directed by the FAA, the Sponsor must make each
payment request under this agreement electronically via the Delphi elnvoicing System for Department of
Transportation (DOT) Financial Assistance Awardees.
11. Informal Letter Amendment of All? Projects. If, during the life of the project, the FAA determines that the
maximum grant obligation of the United States exceeds the expected needs of the Sponsor by $25,000 or
five percent (5%), whichever is greater, the FAA can issue a fetter to the Sponsor unilaterally reducing the
maximum obligation. The FAA can also Issue a letter to the Sponsor increasing the maximum obligation if
there is an overrun in the total actual eligible and allowable project costs to cover the amount of the
overrun provided it will not exceed the statutory limitations for grant amendments. if the FAA determines
that a change in the grant description is advantageous and in the best Interests of the United States, the
FAA can issue a letter to the Sponsor amending the grant description.
By issuing an Informal Letter Amendment, the FAA has changed the grant amount or grant description to
the amount or description in the letter.
12. Air and Water Quality. The Sponsor is required to comply with all applicable air and water quality
standards for all projects in this grant. If the Sponsor fails to comply with this requirement, the FAA may
suspend, cancel, or terminate this grant.
13. Financial Reporting and Payment Requirements. The Sponsor will comply with all federal financial
reporting requirements and payment requirements, including submittal of timely and accurate reports.
14. Buy American. Unless otherwise approved in advance by the FAA, the Sponsor will not acquire or permit
any contractor or subcontractor to acquire any steel or manufactured products produced outside the
United States to be used for any project for which funds are provided under this grant. The Sponsor will
include a provision implementing Buy American in every contract.
15. Maximum obligation Increase For Nonorimary Airports. In accordance with 49 U.S.C. 4 47108(b), as
3)Pene 3 - 2 5 - 0 0 2 8 - 0 2 9 - 2 0 1 4
16.
17.
bligation of the United States, as stated in Condition No.1 of this Grant Offer:
amended, the maximum o
A. may not be increased for a planning project;
B. may be increased by not more than 15 percent for development projects;
C. may be increased by not more than 15 percent or by an amount not to exceed 25 percent of the total
increase in allowable costs attributable to the acquisition of land or interests in land, whichever is
greater, based on current credible appraisals or a court award in a condemnation proceeding.
Audits for Public Sponsors. The Sponsor must provide for aSin le Audit the i Federance t Clearinghouse on
with 2 CFR Part
200. The Sponsor must submit the Single Audit reporting package
the Federal Audit Clearinghouse's Internet Data Entry System at http //harvester census gov/facweb/.
The Sponsor must also provide one copy of the completed 2 CFR Part 200 audit to the Airports District
Office.
Suspension or Debarment. The Sponsor must inform the FAA when the Sponsor suspends or debars a
contractor, person, or entity.
18. Ban on Texting When Driving.
A. In accordance with Executive Order 13513, Federal Leadership on Reducing Text Messaging
While Driving, October 1, 2009, and DOT Order 3902.10, Text Messaging While Driving,
December 30, 2009, the Sponsor is encouraged to:
1. Adopt and enforce workplace safety policies to decrease crashes caused by distracted drivers
Including policies to ban text messaging while driving when performing any work for, or on
behalf of, the Federal government, including work relating to a grant or subgrant.
2. Conduct workplace safety initiatives in a manner commensurate with the size of the business,
such as: rams to
a. Establishment of new rules and programs or re-evaluation of existing programs
prohibit text messaging while driving; and
b. Education, awareness, and other outreach to employees about the safety risks
associated with texting while driving.
B. The Sponsor must insert the substance of this clause on banning texting when driving in all subgrants,
contracts and subcontracts
19. TraffickinQ in Persons- ) p to an entity
A. Prohibitions: The prohibitions against trafficking in persons (Prohibitions) that apply Y Y
ncludes private
other than a State, local government,Indiansubrerients of privateIgn porbpublic Sponsors lic entity. This i(privateentity)
ibe, or for
Sponsors, public Sponsor employees,
are:
1. Engaging in severe forms of trafficking in persons during the period of time that the
agreement is in effect;
2. Procuring a commercial sex act during the period of time that the agreement is in effect; or
3. Using forced labor in the performance of the agreement, including subcontracts or
subagreements under the agreement. 106(re available to the
B. In addition to all other remedies for noncompliance that
�7104(g))n I owg)
of the Trafficking Victims Protection Act of 2000 (TVPA), as amended (22 U.S.C.
the FAA to unilaterally terminate this agreement, without penalty, if a private entity-
1. Is determined to have violated the Prohibitions; or
2. Has an employee who the FAA determines has violated the Prohibitions through conduct that
is either —
a. Associated with performance under this agreement; or
b. Imputed to the Sponsor or subrecipient using 2 CFR part 180, "OMB Guidelines to
Agencies on Governmentwide Debarment and Suspension (Nonprocurement)," as
implemented by the FAA at 49 CFR Part 29.
3-25-0028-029-2014
41Paye
�a a
Exhibit A Included with Grant Application. The Exhibit "A" updated July 10, 2014, submitted with the
project application is made a part of this grant agreement.
SPECIAL CONDITIONS
21. The FAA, in tendering this offer on behalf of the United States, recognizes the existence of an agency
relationship between the Town of Mansfield, Massachusetts, as principal, and the Massachusetts
Aeronautics Commission, as agent, created by an Agreement of Agency dated February 20,1974, which is
incorporated herein by reference and made a part hereof. It is understood and agreed said Agreement of
Agency will not be amended, modified or terminated without the prior written approval of the FAA.
22. OBSTRUCTION REMOVAL: The Sponsor agrees to clear Parcels (on -airport property and 3 parcels off -airport
property), as shown on Exhibit "A" Property Map, of the following obstructions: trees prior to final payment
under the project. The Sponsor also agrees that it will not erect, nor permit the erection of any permanent
structures or obstructions on the airport except those required for aids to air navigation or those which
have been specifically approved by the FAA.
23. NON-AIP WORK IN APPLICATION: The Sponsor understands and agrees that:
1) the Project Application Includes the planning and/or construction of obstruction removal that Is not
being funded with any Federal funding in this project;
2) although the Sponsor has estimated a total project cost of $700,000, the total allowable cost for
purposes of determining federal participation will not exceed $672,840;
3) it must maintain separate cost records for the AIP and non-AIP work;
4) all cost records must be made available for inspection and audit by the FAA;
5) within 30 days of acceptance of this Offer, the Sponsor will submit a revised Program Statement/cost
estimate to the FAA depicting the AIP and non-AIP costs and a revised cost estimate depicting only AIP
project costs;
6) the Sponsor understands that all non-AIP work is the sole responsibility of the Sponsor, and
7) the amount of allowable cost that will be used for purposes of determining an increase in the maximum
obligation of the United States will not exceed $605,556, which is the total allowable cost for purposes
of determining federal participation in 2) of this special condition:
The Sponsor's acceptance of this Offer and ratification and adoption of the Project Application incorporated herein
shall be evidenced by execution of this instrument by the Sponsor, as hereinafter provided, and this Offer 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 Sponsor's
acceptance of this Offer.
UNITED STATES OF AMERICA
FEDERAL AVIATION ADMINISTRATION
_emu tia r
(Signature)
Mr. Bryon H. Rakoff
(Typed Name)
Acting Manager, Airports Division, New England Region
(Title)
61Page
3-25-0028-029-2014
R
fhe sponsor does hereby ratify and adopt all assurances, statements, representations, warranties, covenants, and
agreements contained in the Project Application and incorporated materials referred to in the foregoing Offer, and
does hereby accept this Offer and by such acceptance agrees to comply with all of the terms and conditions in this
Offer and in the Project Application.
I declare under penalty of perjury that the foregoing is true and correct.'
Executed this /qVq- day of :faV—?�N) 136-4 0 -
Town of Mansfield, Massachusetts
(Signature allonsor's Designated Official Representative)
By: IAO vi6 41/ma�t11
(Typed Name of Sponsor's Designated Official Representative)
Title:
Title of Sponsor)
CERTIFICATE OF SPONSOR'S ATTORNEY
I, )J acting as Attorney for the Sponsor do hereby certify:
j(ped Name of Sponsor's Attorney)
That in my opinion the Sponsor is empowered to enter into the foregoing Grant Agreement under the laws of the
Commonwealth of Massachusetts. Further, I have examined the foregoing Grant Agreement and the actions taken
by said Sponsor and Sponsor's official representative has been duly authorized and that the execution thereof is in
all respects due and proper and in accordance with the laws of the said State and the Act. In addition, for grants
involving projects to be carried out on property not owned by the Sponsor, there are no legal impediments that will
prevent full performance by the Sponsor. Further, it is my opinion that the said Grant Agreement constitutes a legal
and binding obligation of the Sponsor in accordance with the terms thereof.
Dated at a raw—u—� this day o (2 z to
8y
' Knowingly and willfully providing false information to the Federal government is a violation of 18 U.S.C. Section
1001(False Statements) and could subject you to fines, imprisonment, or both.
6113age 3-25-0028-029-2014
Purchase Order Request Saturday, October 4, 2014
------------------------Distributions --- -----------------
Vendor. FAA MassDOT/AD Local
257 Gale Associates, Inc. 21.482-029-580000 22-482-029.680000 664699-580033
PO Description: Work Order #9 - AIP29 Obstruction
removal Phase I
16062
$174,006.00 $19,076.00 $12,019.00
PO Total Amount: $205,100.00