Agenda 05/26/2020 Item #16G 1 (FAA Grant Application)05/26/2020
EXECUTIVE SUMMARY
Recommendation to approve the submittal of an Airport Improvement Program (AIP) grant
application to the Federal Aviation Administration requesting $2,027,700 for the construction of
the extension of Taxiway C at the Immokalee Regional Airport with a total estimated cost of
$2,253,000.
OBJECTIVE: To submit a grant application to the Federal Aviation Administration (FAA) for
construction of the extension of Taxiway C at the Immokalee Regional Airport (IMM).
CONSIDERATIONS: Currently, aircraft do not have a direct taxiway route from the primary Runway
9-27 to the terminal facilities. This unsafe condition requires aircraft to cross the active Runway 18-36
twice to reach the terminal/landside facilities.
A 3,000-foot extension of Taxiway C northward to connect with Taxiway B will enhance safety and
efficiency. It will provide aircraft direct access to and from the primary runway; thus, eliminating the
need for aircraft to cross Runway 18-36 twice to access the terminal facilities from the primary runway.
Additionally, extending Taxiway C will provide, at the least, a twenty percent (20%) reduction in taxi
time between the terminal facilities and the Runway 27 threshold.
On October 22, 2019, Agenda Item 16G2, the Board of County Commissi oners (Board) accepted an FAA
grant to fund the design and bid of the extension of Taxiway C at the IMM.
Based on a pre-grant application submitted in November 2019, the FAA determined that construction of
the extension of Taxiway C is eligible for AIP funding. The grant application for this project is due to the
FAA by June 1, 2020. The bid is scheduled to be advertised on April 15 and be due in late May. Once
bids are received and reviewed, there will not be sufficient time to receive Board approval before the
grant application is due.
This item will only be brought back to the Board to accept the grant if awarded to the Authority.
FISCAL IMPACT: Should the grant be awarded, the County anticipates receiving FAA funding in an
estimated amount of $2,027,700 with a required local ten percent (10%) match of $225,300 available
within Airport Capital Fund (496) Reserves. The required local match may be offset by fifty percent
(50%) in the amount of $112,650 should FDOT participate in funding 5% of the project award.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with the
Board’s approval to submit this grant application.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote
for Board action. - JAB
RECOMMENDATION: To approve submittal of an FAA grant application in an estimated amount of
$2,027,700 to construct the extension of Taxiway C at the Immokalee Regional Airport, and authorize the
Airports Executive Manager, Justin Lobb, to execute all documents necessary to submit the grant
application.
Prepared by: Justin Lobb, Executive Manager, Airport Authority
16.G.1
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05/26/2020
ATTACHMENT(S)
1. [Linked] IMM TW C Construction FY20 FAA Grant App (PDF)
16.G.1
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05/26/2020
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.G.1
Doc ID: 12246
Item Summary: Recommendation to approve the submittal of an Airport Improvement Program
(AIP) grant application to the Federal Aviation Administration requesting $2,027,700 for the construction
of the extension of Taxiway C at the Immokalee Regional Airport with a total estimated cost of
$2,253,000.
Meeting Date: 05/26/2020
Prepared by:
Title: Operations Coordinator – Airport Authority
Name: Debra Brueggeman
04/21/2020 3:55 PM
Submitted by:
Title: Division Director - Operations Support – Growth Management Department
Name: Gene Shue
04/21/2020 3:55 PM
Approved By:
Review:
Growth Management Department Judy Puig Level 1 Reviewer Completed 04/21/2020 4:56 PM
Capital Project Planning, Impact Fees, and Program Management Rookmin Nauth Additional Reviewer Completed 04/22/2020 9:07 AM
Airport Authority Justin Lobb Additional Reviewer Completed 04/22/2020 1:12 PM
Grants Erica Robinson Level 2 Grants Review Completed 04/24/2020 1:06 PM
Growth Management Department Gene Shue Additional Reviewer Completed 04/27/2020 9:05 AM
Growth Management Operations Support Christopher Johnson Additional Reviewer Completed 04/27/2020 9:56 AM
Growth Management Department Debra Brueggeman Deputy Department Head Review Skipped 04/21/2020 9:56 AM
Growth Management Department Thaddeus Cohen Department Head Review Completed 04/27/2020 11:26 AM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 04/28/2020 1:35 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 04/28/2020 2:56 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 04/28/2020 3:02 PM
Office of Management and Budget Laura Zautcke Additional Reviewer Completed 04/29/2020 12:25 PM
Office of Management and Budget Susan Usher Additional Reviewer Completed 05/04/2020 3:36 PM
Grants Therese Stanley Additional Reviewer Completed 05/16/2020 11:09 AM
County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 05/18/2020 10:48 AM
Board of County Commissioners MaryJo Brock Meeting Pending 05/26/2020 9:00 AM
16.G.1
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Hoyt �v�qr
Federal Aviation Administration (FAA)
= Orlando Airports District Office
0
y�NIS RPM`
Airport Grant Application Checklist
(COMPLETE ONE CHECKLIST PER GRANT REQUES7)
Airport: Immokalee Regional Airport
Sponsor: Collier County Airport Authority
City, State: Immokalee, Florida
Date of Application: June 1, 2020
❑ We do not plan on having a project this fiscal year. The FAA is authorized to carry our
entitlements into the next fiscal year. (If checked, skip below pre -application checklist,
sign/date and return to ADO)
Items Required with Application (select N/A only if applicable to the project)
No:
Document
CoverC11
Detailed Project Information. projectProject
11
Scope �- . . . .. . ' . '
Work)
E
specialf
►1
�
Project Funding.- aware of your. . dollars)11
EstimateProject Cost
►1
ChecklistProject Preliminary
Project Schedule
ProjectProposed
Sketch/1
Environmental Determination Documentation . project
/1
Justin Lobb, Executive Airports Manager
Sponsor's Designated Official Representative (Type orPrint)
Sponsor's Designated Official Representative (Signature) Date
The purpose of this checklist is to identify some of the requirements and considerations associated with
requesting Airport Improvement Program (AIP) funds. This checklist was created by the Orlando ADO for
Florida airport sponsors to submit in lieu of SF 424, 51 00-1 00 / 101 (OMB 4040-004, 2120-0569) in order to
simplify the AIP pre -application package. Note SF 424 and the 5100 forms are still required components
of the AIP APPLICATION package.
Approved as to form and legality
FF
I -.
yoJ4 AIAPp9r�Ge
v
June 1, 2020
COLLIER COUNTY AIRPORT AUTHORITY
Ms. Krystal Ritchey, P.E.
Federal Aviation Administration
Orlando Airports District Office
South Park Building
8427 South Park Circle, 5th Floor
Orlando, FL 32819
Dear Ms. Ritchey,
2005 Mainsail Drive, Suite 1
Naples, FL 34114-8955
(239)642-7878
Fax (239) 394-3515
wwwxoll ieraviation.com
Subject: Immokalee Regional Airport, Immokalee, Florida
FY 2020 Airport Improvement Program
Application Cover Letter
In accordance with the Airport Improvement Program (AIP) and as established in our 3-year Capital
Improvement Plan (CIP), enclosed please find the 2020 AIP pre -application for the following project:
1. Taxiway C Extension (Base Bid) —Construction Phase
The following items are enclosed for the above project in the grant pre -application:
✓ Airport Grant Pre -Application Checklist
✓ Application for Federal Assistance 3F-424
✓ Detailed Project Information Sheet
o Description and Justification (scope of work for planning or environmental projects)
o Project Funding
o Project Cost Estimate
o Project Preliminary Checklist
o Proposed Project Schedule
o Project Sketch
✓
Environmental Determination Documentation
✓
Attachment
A
(Property Map Exhibit "A")
✓
Attachment
B
(Title Opinion and Boundary Survey)
✓
Attachment
C
(Proposed Scope for Construction Phase Engineering Services)
✓
Attachment
D
(IFE for Construction Phase Engineering)
✓
Attachment
E
(Engineer's Recommendation & Bid Tabs)
✓
Attachment
F
(Low Bid Package)
✓
Attachment
E
(F5100 Certifications)
Marco Island Executive Airport
2005 Mainsail Drive, Suite 1
Naples, FL 34114-8955
239,394,3355
239.642,5427 Fax
Immokalee Regional Airport
165 Airpark Boulevard
Immokalee, PL 34142
239.657,9003
239,657.9191 Fax
Everglades Airpark
P.O. Box 689, 650 EC Airpark Blvd
Everglades City, FL 34139
239.695.2778
239.695.3558 Fax
0�0
Construction costs in the attached application are for the base bid only and are based on bids received on May
xx, 2020. Construction phase engineering services costs are based on the proposed scope and fee provided by
the selected engineering consultant, TBD, for this project.
At this time, we are requesting vS2,027, NO for this project, based on an estimated project cost of $2,253,000.
Sincerely,
Justin Lobb
Airports Manager
Copy to: Wendy Sands, FDOT
Pedro Blanco, FAA
OMB Number: 4040-0004
Application for Federal Assistance SF-424
* 1. Type of Submission
2. Type of Application If Revision, select appropriate letter(s):
D Preapplication
0 New - Select One -
i Application
r Continuation Other (Specify)
Changed/Corrected Application
Revision
3. Date Received:
4. Application Identifier:
06/01 /2020
5a. Federal Entity Identifier:
5b. Federal Award Identifier:
State Use Only:
6. Date Received by State:
7. State Application Identifier:
8. APPLICANT INFORMATION:
* a. Legal Name: Collier County Board of County Commissioners
* b. Employer/Taxpayer Identification
Number (EIN/TIN):
*c. Organizational DUNS:
59-6000558
076997790
d. Address:
* Street1: 2005 Mainsail Drive, Suite 1
Street 2:
* City: Naples
County: Collier
* State: Florida
Province:
Country: USA
*Zip/ Postal Code: 34114
e. Organizational Unit:
Department Name:
DivisionName:
Board of County Commissioners
Airport Authority - Immokalee Regional Airport
f. Name and contact information of
person to be contacted on matters involving this application:
Prefix: Mr,
First Name: Justin
Middle Name:
* Last Name: Lobb
Suffix:
!tie: Airports Manager
Organizational Affiliation:
* Telephone Number: (239) 642-7878
Fax Number: (239) 394-3515
• Email: Justin.Lobb@colliercountyfl.gov
O�3
OMB Number: 4040-0004
Application for Federal Assistance SF-424
*9.Type of Applicant 1: Select Applicant Type:
B. County Government
Type of Applicant 2: Select Applicant Type:
- Select One -
Type of Applicant 3: Select Applicant Type:
- Select One -
* Other (specify):
* 10. Name of Federal Agency:
Federal Aviation Administratin (FAA)
11. Catalog of Federal Domestic Assistance Number:
20,106
CFDA Title:
Airport Improvement Program
*12. Funding Opportunity Number:
Title:
13. Competition Identification Number:
Title:
14, Areas Affected by Project (Cities, Counties, States, etc.):
Immokalee Regional Airport, Immokalee, Collier County, Florida
15, Descriptive Title of Applicant's Project:
Extend Taxiway C - Construction Phase
Attach supporting documents as specified in agency instructions.
OMB Number. 4040.0004
Expiration Date: 08/31/2016
Application for Federal Assistance SF424
Approved
16. Congressional Districts Of:
*a. Applicant: 19 *b. Program/Project: 25
Attach an additional list of Program/Project Congressional Districts if needed.
17. Proposed Project:
*a. Start Date: 10/01/2020 *b. End Date: 12/31/2021
18. Estimated Funding ($):
*a. Federal 21027,700,00
*b. Applicant 112,650.00
*c. State 112,650,00
*d. Local
*a, Other
*f. Program Income
*g. TOTAL 2,253,000.00
*19a Is Application Subject to Review By State Under Executive Order 12372 Process?
E3 a. This application was made available to the State under the Executive Order 12372 Process for review on
❑ b. Program is subject to E.O. 12372 but has not been selected by the State for review.
0 c. Program is not covered by E.O. 12372
*20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation on next page.)
E3 Yes ® No .
21, *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply
with any resulting terms If I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me
to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
**IAGREE
The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or
agency specific Instructions.
Authorized Representative:
Prefix: Mr, *First Name: Justin
Middle Name:
*Last Name: Lobb
Suffix:
*Title: Executive Airports Manager
*Telephone Number: (239) 6424878
Fax Number: (239) 394-3515
Email: Justin.Lobb@colllercountyfl.gov
*Signature of Authorized Representative:
*Date Signed:
as to orm an legality
Assistant County Attor %y
L Project No. 1: Detailed Project Information Sheet
Airport Improvement Program (AIP)
Airport : Immokalee Regional Airport
City, ST: Immokalee, FL
DUNS / TAX ID No. 076997790/59-6000558
SAM Expiration Date: Not Applicable
Project Title: Taxiway C Extension — Construction Phase
Construct the extension of Taxiway C approximately 3,000 feet to the north to connect with
Taxiway B and primary Runway 9-27 and associated fillet. The project will include electrical
work, grading, drainage, lighting, signage, vault modification, light excavation, pavement
removal, and markings.
The pavement design was pei%rmed in accordance with FAA Advisory Circular 150/5320-6E
and the FAA FAARFIELD pavement design modeling software. The design for new taxiway
pavement resulted in a section consisting of 4" of P401 bituminous surface pavement, 6" of P-
211 limerock base course over 12" of P-160 stabilized subgrade to a minimum LBR of 40. This
section will be utilized on all new or, full depth reconstruction areas.
Currently aircraft do not have a direct taxiway route from the primary Runway 9-27 to the
FBO/terminal or self-service fueling facilities. This unsafe condition requires aircraft to cross the
active Runway 18-36 twice to reach the terminal/landside and self-service fueling facilities
increasing the chance of runway incursions during operations.
A 3,000- foot extension of Taxiway C northward to connect with Taxiway B will enhance safety
and efficiency. It will provide aircraft direct access to and from the primary runway; thus,
eliminating the need for aircraft to cross Runway 18-36 twice to access the FBO facilities from
the primary runway. Additionally, extending Taxiway C will provide, at the least, a twenty
percent (20%) reduction in taxi time between the FBO facilities and the Runway 27 threshold.
The design and bid of this project were completed under AIP Grant 3-12-0031-012-2019.
Was this project in the airport's Capital Improvement Plan (CIP) in JACIP and accepted as
eligible/justified in the FAA's Airport Capital Improvement Plan (ACIP)?
® Yes ❑ No (explain below)
❑
Force Account Services
❑
Benefit Cost Analysis
❑
(Enter
Other)
❑
Mods. To Standards
❑
Design -build or CMR
❑
(Enter
Other)
❑
AIP eligible & non -eligible
❑
Exceeds FAA Stds.
❑
[Enter
Other]
Page 1 of 4
caV,�
You may use this "additional information box" to expand on the special circumstance(s)
selected above.
Total Cost 100%
FAA Share 90%
State 5%
Local 5%
$2,253,000
2,027 700
112,650
1121650
T Pe of Funding Proposed tFAA Share Onlyl
Fund Type
Funds Available
Funds to be Used
Funds Remaining
FY2020 — IMM Entitlement
$150 000
$150,000
$0
Discretionary
1,877,700
11877,700
$0
Total
$0
Alternate Funding Plan: Provide an alternate
funding
plan if discretionary funding is
unavailable,
such as a substitute
entitlement
only project, reduce scope
through bid
alternates, move the
project
out to a future year, etc.
Page 2 of 4
6
Project Cost Estimate Breakdown:
Taxiway C Extension — Construction Phase
IFE
Construction Mgmt. &Inspection Services (Engineering)
Construction — Base Bid
Testing
Subtotal Amount
Total Estimated Project Cost (100%) $2,253,000
Total FAA Share Cost (90%) $21027,700
Cost (100%)
FAA (90%)
$
3,000
$
2,700
$
200,000
$
180,000
$1,900,000
$1,710,000
$
150,000
$
135,000
$2,253,000 $2,027,700
*NOTE: FAA does not participate on allowances /contingencies. By FAA policy, a line item for
estimated administrative costs can be included in the grant application if the sponsor cannot accurately
calculate the total administrative costs. However, these estimated administrative costs must not exceed
2% of the grant amount or $10, 000, whichever is less.
Project
Prelimina Checklist:
Alp Document Pre -requisites j
Dates
IIr
Date
of Approved
1 1
of last 5010, Airport Master Record verification for data corrections.
�jflp4p4ollm
Date
'
of last FAA approved Exhibit "A" Property Inventory Map w/
1 1 19
ExhibitDate
, Title . Opinion,
Date
of Environmental Determination
1
Date
of Airport PavementMaintenance Program,
1
Date
.Land Acquisition applicable) Not Applicable
Impacts to FAA Facilities ' "i
...
:" Yes � - No III I
�o
_ project.,_ ..
�1
f yes,
provide - ab
.:
Requirements
Page 3 of 4
Project #1: Taxiway C Extension — Construction Phase
PROPOSED PROJECT SCHEDULE
Proposed Project Schedule:
Selectionof Consultant
Dates:
Pre�Application Submittalo FAA ADO Planner
Pre -design-
EngineersCompletion of Plans, Specifications and p
i
Submit Plans and Specs to FAA'
r
Advertisement Project :.
Application Submittal to FAA ADO Engineer
•
II I II � �
L:xecution or t-AA Grant.
Pre�construction Conference
i ■-
Notice to ?�roceecl to Contractor'
Substantial ComAletisin if Citnstructilin
Final Inspection
Project•
= To be coordinated with the ADO Engineer prior to grant application submittal.
� For any construction grants, Plans /Specs &the Engineers Report must be submitted to the ADO PM for review and approval prior to bid
advertisement in accordance with 2 CFR 200. Sponsor will be responsible for removing /prorating all non-AIP eligible bid items identified
prior to grant execution.
z Once all contract documents have been executed, the sponsor will issue a notice to proceed to the contractor. The sponsor must send a
copy of the notice to proceed to the ADO PM.
i Project shall remain on schedule as shown above. Note that closeout of an AIP grant must not exceed four (4) years after grant execution
date. You may refer to the AIP Handbook - Chapter 5, Section 8, Grant Closeout for additional details.
Page 4 of 4
IMM Taxiway C Extension
it 15
41.74
31.1&
USPC
�m
USPC
FAA ORLANDO AIRPORTS DISTRICT OFFICE — CATEGORICAL EXCLUSION (CATEX)
SHORT FORM
Airport:
Immokalee Regional Airport project Title: Taxiway C Extension
Use this CATEX Short Form if the Proposed Action is a federal action subject to NEPA and normally would not
individually or cumulatively have a significant effect on the human environment. Identify the applicable
paragraph on the line below from FAA Order 1050.11F, paragraphs 54.1 through 5-6.6 for the Proposed
Action.
Pemgmphs 6-8,4e, 6.6,41
List all components of the Proposed Action and Connected Actions (if any) on a separate sheet. A CATEX
should not be used for a segment or an interdependent part of a larger proposed action. Include a summary of
existing conditions at the Proposed Action site. Attach a site map identifying the Proposed Action area on the
airport's current ALP and a recent aerial of the Proposed Action area.
Certify that the Proposed Action and Connected Actions are NOT likely to have extraordinary circumstances or
significant impacts. Significance thresholds and factors to consider are in FAA Order 1050.1F Exhibit 4-1.
Extraordinary circumstances are listed in FAA Order 1050.1F paragraph 5-2, and summarized below:
-An adverse effect on cultural resources protected under the National Historic Preservation Act ofl966, as amended, 54
U.S.C. §300101 et seq.;
An impact on properties protected under Section 4(0;
An impact on natural, ecological, or scenic resources of Federal, state, tribal, or local significance (e.g., federally listed or
proposed endangered, threatened, or candidate species, or designated or proposed critical habitat under the Endangered
Species Act, 16 U.S.C. §§ 15314544);
An impact on the following resources: resources protected by the Fish and Wildlife Coordination Act, 16 U.S.C. §§ 661-
667d; wetlands; floodplains; coastal zones; national marine sanctuaries; wilderness areas; National Resource Conservation
Service -designated prime and unique farmlands; energy supply and natural resources; resources protected under the Wild and
Scenic Rivers Act, 16 U.S.C. §§ 1271-1287, and rivers or river segments listed on the Nationwide Rivers Inventory (NRI);
and solid waste management;
-A division or disruption of an established community, or a disruption of orderly, planned development, or an inconsistency
with plans or goals that have been adopted by the community in which the project is located;
An increase in congestion from surface transportation (by causing decrease in level of service below acceptable levels
determined by appropriate transportation agency, such as a highway agency);
An impact on noise levels of noise sensitive areas;
An impact on air quality or violation of Federal, state, tribal, or local air quality standards under the Clean Air Act, 42
U.S.C. §§ 74014671q;
An impact on water quality, sole source aquifers, a public water supply system, or state or tribal water quality standards
established under the Clean Water Act, 33 U.S.C. §§ 1251-1387, and the Safe Drinking Water Act, 42 U.S.C. §§ 300f-300j-
26;
-Impacts on the quality of the human environment that are likely to be highly controversial on environmental grounds. The
term "highly controversial on environmental grounds" means there is a substantial dispute involving reasonable disagreement
over the degree, extent, or nature of a proposed action's environmental impacts or over the action's risks of causing
environmental harm.
-Likelihood to be inconsistent with any Federal, state, tribal, or local law relating to the environmental aspects of the
proposed action; or
-Likelihood to directly, indirectly, or cumulatively create a significant impact on the human environment, including, but not
limited to, actions likely to cause a significant lighting impact on residential areas or commercial use of business properties,
likely to cause a significant impact on the visual nature of surrounding land uses, likely to cause environmental
contamination by hazardous materials, or likely to disturb an existing hazardous material contamination site such that new
environmental contamination risks are created.
Based on the information in this Short Form CATEX and supporting information, I certify that the Proposed
Action and Connected Actions meets) all requirements for a CATEX in accordance with FAA Order 1O50.F and
do not have any extraordinary circumstances or significant impacts.
Signature of Authorized Airport Representative Date
FAA Determination (signature of Program Manager):
Categorically Excluded: Date:
Requires further environmental analysis: Date:
Final 7-8-2016
Approved as to form and legality
Aasi nt County At t r Y
G�
Airport:
CATEGORICAL EXCLUSION ENVIRONMENTAL DETERMINATION CHECI{LIST
Immokalee Regional Airport
Prepared and certified by:
Date:
YES""
NO
COMMENTS
THE PROPOSED ACTION MUST BE LISTED IN FAA
ORDER 1050.1F PARAS. 5-6.1-5-6.6 AS AN ACTION
THAT WOULD NORMALLY BE CATEGORICALLY
EXCLUDED
THE PROPOSED
ACTION CONSISTS OF:
Helico ter faci]ities or o erations
x
Land ac uisition
x
New ai ort servin eneral aviation
x
Access or service road construction
x
New ai ort location
x
New runway
x
Runway extension, strengthening, reconstruction,
resurfacing or widenin
X
Convertin rime or uni ue farmland
x
Runway Safe Area (RSA im rovements
x
ILS or ALS installation
x
Air ort develo ment (han ars, terminal ex ansion
x
On-ai ort above ound or under ound fuel stora a tanks
x
Construction, reconstmction, or relocation of an ATCT
x
THE PROPOSED ACTION WILL AFI'ECT:
Historic/Archeological/Cultural Resources
x
Section 4(f) or 6(f) resources
x
Federally listed, endangered, threatened , or candidate
s ecies, or desi ated/ ro osed critical habitat
V
/�
per paragraph 5-ee, and 41. See Attached.
Federal, state, tribal, or local natural, ecological, or scenic
resources
X
Wetlands, flood lams, waterways
x
Energy su ly or natural resources
x
Protected rivers or river segments
x
Established community(s), planned development, or
Tans/ oals ado ted b the local communit
X
Surface vehicular traffic (reduce LOS)
x
Air ualit or violate Federal, state, tribal or local standards
x
Water quality, a sole source aquifer, public water supply
system, or Federal, state, or tribal water uality standards
X
THE PROPOSED ACTION IS LIKELY TO:
Be Highl Controversial on Environmental Grounds
x
Be Inconsistent with Federal, state, tribal, or local law
relatin to environmental as ects
X
Cause residential or business relocations
x
Increase noise levels over Noise Sensitive Land Uses within
the 65 dBA noise contour or newly include Noise Sensitive
Land Uses within the 65 dBA noise contour.
X
Cause Environmental Justice Im acts
x
Contain Hazardous Materials or Affect Hazardous
Materials/Sites
�(
Create a Wildlife Hazazd per AC 150/5200-33
x
Increase lighting impacts on residential communities or
im act the visual nature of surrounding land uses
X
** Attach detailed explanations or analysis for all "yes" answers on a separate sheet that supports a Categorical
Exclusion determination.
Final 7-8-2016
IMMOKALEE REGIONAL AIRPORT
SUPPLEMENTAL INFORMATION FOR CATEGORICAL EXCLUSION
CHECKLIST
Project Overview
The primary focus of the grant pre -application is to design the extension of Taxiway C approximately
3,000 feet to the north to connect with Taxiway B.
Endaneered or Threatened Saecies
Listed species surveys were conducted within the limits of the airport on October 24 and 25, 2006 and
November 1, 2, and 8, 2006. The surveys were conducted to determine if the airport was being utilized
by wildlife species listed by the Florida Fish and Wildlife Conservation Commission (FWCC) and U.S.
Fish and Wildlife Service (USFWS) as threatened, endangered, or species of special concern. While
Gopher tortoise (Gopherus polyphemus) burrows were identified within the airport property during the
surveys, none were identified within the proposed project limits. The gopher tortoise is listed as a
threatened species by the FWCC.
On November 3, 1999, the FWCC issued a Gopher Tortoise Incidental Take Permit (COL-36) to the
Collier County Airport Authority (CCAA) allowing all gopher tortoises located within proposed
development areas to be relocated to a 150f acre on -site preserve known as the Upland Management
Area (UMA).
A survey of the proposed project area will be conducted prior to the commencement of work activities.
Any gopher tortoises observed during the survey will be relocated to the UMA prior to conducting the
proposed activities. As such, no adverse impacts to gopher tortoise are anticipated as a result of the
proposed project.
On January 14, 1998, the USFWS issued a Biological Opinion (BO) for the Florida scrub jay
(Aphelocoma coerulescens) for habitat modification proposed within the airport development area.
According to the BO, the UMA was designated as mitigation for future impacts to scrub jay habitat
within the airport facility. No Florida scrub jays were observed within the proposed project limits during
the 2006 listed species surveys or during construction of Runway 9-27 rehabilitation completed in
November 2014. As such, no adverse impacts to Florida scrub jays are anticipated as a result of the
proposed project.
The proposed project limits are not located within the USFWS' Florida panther (Puma concolor coryi)
focus area.' In addition, no Florida panthers were observed within the proposed project limits during the
2006 listed species surveys. As such, no adverse impacts to the Florida panther are anticipated as a result
of the proposed project.
'U.S. Fish and Wildlife Service. 2007. Florida Panther Effect Determination Key. U.S. Fish and Wildlife Service. South
Florida Ecological Services Office. Vero Beach, Florida.
Pagel
of2
In summary, the project may impact gopher tortoises, but the CCAA has a FWCC incidental take permit
to relocate any tortoises that may be found in the project area. Scrub jay habitat is not expected to be
impacted as a result of the proposed activities, but the USFWS service has approved the UMA as
mitigation for impacts to scrub jay habitat. Therefore, no significant impacts to gopher tortoises or scrub
jays are anticipated as a result of the proposed project.
Page 2 of 2
Attachments
Immokalee Regional Airport
Extend Taxiway C — Construction Phase
Grant Application
Attachment A Exhibit "A" Property Map
Attachment B Title Opinion and Boundary Survey
Attachment C Proposed Scope and Fee for Construction Phase Engineering
Management & Inspection Services
Attachment D Independent Fee Estimate for Construction Phase Engineering
Services
Attachment E Engineer's Recommendation and Bid Tabs
Attachment F Low Bid Package
Attachment G F5100 Certification Forms
IMM Taxiway C Extension —Construction Grant Application
Attachment A
Immokalee Regional Airport
Extend Taxiway C —Construction Phase
Grant Application
Exhibit "A" Property Map
IMMTaxiway CExtension—Construction Grant Application
�•• WNW
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AIRPORT LAYOUT PLAN UPDATE
COLLIER COUNTY AIRPORT PROPERTY
AIRPORTAUTHORITY IMMONALEE IMMOKALEE, REGIRPORT INVENTORY MAP ref. 132i}n62 631
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,.��..,sul /�TKINS
s AIRPORT LAYOUT PLAN UPDATE g` L COLLIER COUNTY AIRPORT PROPERTY INVENTORY
3 ftcAIRPORT AUTHORITY IMMOKALEE REGIONAL AIRPORT MAP DATA ��—
IMMOKALEE,FLORIDA , me 929 ie.lzzi}ns<z3i d
e wfl g lexwMwe Imenca
1,
U.S. Department
of Transportation
Federal Aviation
Administration
December 10, 2019
Mr. Justin Lobb
Airport Manager
Collier County Airport Authority
M05 Mainsail Drive
Naples, FL 34114
Dear Mr. Lobb:
Orlando Airports District Office
8427 SouthPark Circle, Suite 524
Orlando, FL 32819-9058
Phone; (407) 487-7220
Fax: (407) 487-7135
RE: Immokalee Regional Airport (IMM)ImmokFl
ASN 2019-ASO-3115-NRA , alee, orida
Conditional Airport Layout Plan Approval
The Federal Aviation Administration (FAA) conditionally approves your Airport Layout
Plan (ALP) for Immokalee Regional Airport, dated May 232 2019. This approval is subject
to the condition that any proposed airport development shown on the ALP requires
environmental processing and may not be undertaken without the FAA's prior written
environmental approval.
All New On -Airport Development, to include:
• Runway 09/27 Extension
• Construction of Airport Access Roads
• Future Aviation and Non -Aviation Development
Any other action requiring NEPA documentation action under FAA
Order 5050.4,
This ALP approval is conditioned on acknowledgement that any development on airport
property requiring Federal environmental approval must receive such written approval
from FAA prior to commencement of the subject development. This ALP approval is also
conditioned on acceptance of the plan under local land use laws. We encourage
appropriate agencies to adopt land use and height restrictive zoning based on the plan.
Please make note and take action of the following comments:
• Ultimate Runway 09/27 Extension is outside of the long-term planning period.
Refer to the notes on ALP sheet 3 of 11.
• ALP reviewed as a planning document and this evaluation does not include any
obstacle evaluations. Any changes to the runway physical end latitude/longitude
coordinates or elevations must be uploaded into this iOEAAA runway/data base,
r.
to ensure the FAR Part 77 and TP calculations are run on the most recent data.
All proposed construction projects (terminal buildings, taxiways, etc), and
associated equipment must be filed separately as individual studies for impact on
the National Airspace System.
• All future construction projects/relocation(s) will be subject to a separate
aeronautical study to insure current/future TERPs surfaces are protected. Review
of this proposal is not considered a request for IFP development, FP Team must
be noted at least 18 months prior to runway extension (and required NAVAID
relocations) listed in this study to ensure timely instrument procedure
amendments. An Obstacle survey meeting VG/PIR must be completed based on
future threshold locations, new GS/PAPI location(s) (and likely close -in TERPs
surface penetrations removed) to avoid loss of current IFR minimums [ILS and
RNAV (GPS) wNVAAS-LPV minimums, see AC 150-5300-18B]. TERPs 20:1 visual
surface penetrations (FARO 8260.3D Para 3.3.2, formula 3-3-1) should be
removed/mitigated or future procedures will be restricted to daytime only
minimums'. ---The Eastern Flight Procedures Team will start protecting for the
future runway extension, unless the airport determines that protection is not
needed.
In making this determination, the FAA has considered matters such as the effects the
Proposal would have on existing or planned traffic patterns of neighboring airports, the
effects it would have on the existing airspace structure and projected programs of the
FAA, the effects it would have on the safety of persons and property on the ground, and
the effects that existing or proposed manmade objects (on file with the FAA), and known
natural objects within the affected area would have on the airport proposal.
The FAA has only limited means to prevent the construction of structures near an airport.
The airport sponsor has the primary responsibility to protect the airport environs through
such means as local zoning ordinances, property acquisition, avigation easements, letters
of agreement or other means.
Approval of the plan does not indicate that the United States will participate in the cost of
any development proposed. AIP funding requires evidence of eligibility and justification
at the time a funding request is ripe for consideration. When construction of any proposed
structure or development indicated on the plan is undertaken, such construction requires
normal 60-day advance notification to FAA for review in accordance with applicable
Federal Aviation Regulations (i.e., Parts 77, 1572 152, etc.). More notice is generally
beneficial to ensure that all statutory, regulatory, technical and operational issues can be
addressed in a timely manner.
Furthermore, the design and location of any stormwater retention/detention facilities on
or near the airport must comply with FAA Advisory Circular 150/5200-33, "Hazardous
Wildlife Attractants on or Near Airports", and must be approved on the ALP prior to
construction.
3
We look forward to working with you in the continued development of your airport.
Sincerely,
Pedro J. Blanco
Community Planner
Enclosure
cc:
FAA Lines -of -Business (via AGIS)
FDOT/ 6 w/ALP
FDOT Central Office
Attachment B
Immokalee Regional Airport
Extend Taxiway C— Construction Phase
Grant Application
Title Opinion and Boundary Survey
IMMTaxiway CExtension—Construction Grant Application
Exhibit B - Title Opinion
Office of the County Attorney
Jeffrey A. Klatzkow
Deputy County Attorney • Scott R. Teach
Managing Assistant County Attorney • Heidi F. Ashton-Cicko• "HovA Cemfied City, County and Lace) Co Mme law
Assistant County Attorneys • Colleen M. Greene Emily R Pepin Jennifer B. White Jeff E. Wright`
July 16, 2012
Mrs. Krystal Ritchey, P.E.
Program Manager
Federal Aviation Administration
Orlando Airports District Office
5950 Hazeltine National Dr., Ste. 400
Orlando, FL 32822-5024
Re: Collier County Boazd of County Commissioners
Grant application requirement: Exhibit "C" Title Opinion
Dear Ms. Ritchey:
Attached please find the Title Commitments from Collier County's three airports: (1) Marco
Island Executive Airport, (2) Everglades City Airport, and (3) the Immokalee Regional Airport.
This submission and certification is made in compliance with grant conditions to provide
satisfactory title evidence. Collier County owns all three airports listed above in FEE SIMPLE.
Collier County ("Sponsor"), pursuant to Section 47105(d) of the Federal Aviation
Administration Authorization Act of 1994 (and amendments), hereby certifies that satisfactory
property interest to the land indicated herein is vested in the Sponsor, as required by obligations
of the referenced Grant Agreement with the Federal Aviation Administration.
I have made title examination and issue this Preliminary Opinion based upon my review of the
attached three Title Commitments. This Preliminary Opinion is issued expressly for the benefit
of the above named applicant for title examination and for the FAA in providing this Grant.
Sincerely,
Colleen M. Greene
Assistant County Attorney
cc: Chris Curry, Duector, Collier County Airport Authority
Attachments
04-APA-01096/3870
3299 East Tamiami Trail, Suite 800 •Naples Florida 34112-5749 0 (239) 2$2-8400 •FAX: (z39) z52-6300
Exhibit B - IMM Title Survey
American Land Title Association Commitment -1966
C01MUMI WNT FOR TITLE INSURANCE
ISSUED BY
STEWART TITLE
GUARANTY COMPANY
STEWART TITLE GUARANTY COMPANY, A Texas Corporation, herein called the Company, for a
valuable consideration, hereby commits to issue its policy or policies of title insurance, as identified in Schedule A,
in favor of the proposed Insured named m Schedule A, as owner or mortgagee of the estate or interest covered
hereby in the, land described or referred to in Schedule A, upon payment of the premiums and charges
therefor; all subject to the provisions of Schedules A and B and to the Conditions and Stipulations hereof.
This Commitment shall be effective only when the identity of the proposed Insured and the amount of the
policy or policies committed for have been inserted in Schedule A hereof by the Company, either at the time of
the issuance of this Commitment or by subsequent endorsement.
This Commitment is preliminary to the issuance of such policy or policies of title insurance and all
liability and obligations hereunder shall cease and terminate six months after the effective date hereof or when
the policy or policies committed for shall issue, whichever first occurs, provided that the failure to issue such
policy or policies is not the fault of the Company.
Signed under seal for the Company, but this Commitment shall not be valid or binding until it bears an
authorized Ccuntersignatme.
IN
WITNESS 'WHEREOF, Stewart Title Guaranty Company has caused its corporate name and seal to be
hereunto affixed by its duly author zed officers on the date shown in Schedule a,
3936 Tamiami Trail N:, Suite A
Naples, Florida 34103-3592
OOSN Rev. 3/78
title guaranty company
144r.'o,r��
r'�
Commitment C-8004353 -1301
Serial No.'
Senlot Chairman of t6 Board
Chairman of the Board
rrr
COM UTMENT NO.: 8004353 FILE NO.: 8004353 - 1301
COMMITMENT SCHEDULE A
EFFECTIVE DATE: December 16, 2008 at 8:00 AM
Inquires should be directed to:
Betty Huff
Stewart Title Company
3936 Tamiami Trail N., Suite A
Naples, Florida 34103-3592
1. Policies to be issaed: Amount
(a) ALTA Owner's Policy - (10-17-92) with Florida Modifications $4959000.00
Proposed Insured:
Collier County, a political subdivision of the State of Florida
2. The estate or interest in the land described or referred to in this Commitment and covered herein is:
FEE SIMPLE
3. Title to said estate or interest in said land is at the effective date hereof vested in:
Collier County, a political subdivision of the State of Florida
4. The land referred to in this Commitment is described as follows:
A parcel of land located in Section 2, Township 47 South, Range 29 East, Collier County, Florida, being more
particularly described as follows:
Commence at the Northwest comer of Section 2, Township 47 South, Range 29 East, Collier County, Florida;
thence run South O1 degrees 49'03"East along the West line of the Northwest Quarter of said Section 2, for a
distance of 1,097.51 feet, to the Point of Beginning of the parcel of land herein described; thence run North 88
degrees 49'12" East, for a distance of 268.42 feet; thence run South 16 degrees 16'27" West, for a distance of 184.00
feet; thence run South 16 degrees 25'09" West, for a distance of 96.95 feet; thence run South 10 degrees 11'09"
West, for a distance of 118.32 feet; thence run South 88 degrees 24'58 West, for a distance of 243.98 feet; thence
run North 01 degrees 08'12" West, for a distance of 385.66 feet; thence run North 88 degrees 49'12" East, for a
distance of 83.08 feet to the Point of Beginning of the parcel of land herein described.
END OF SCHEDULE A
Reg D D012 Rev.01-OS'0 Thls Commitmeat is not valid unless Schedule A, Schednle B Section-t and Schedule B Sectioa•II are included."
STEWART TITLE
This commitment is not an abstrnct, examination, report, or representation of fact or fiUe and does not create and shall not GUARANTY COMPANY
be the basis of any claim for negligence, negligent misrepresentation or other tort claim or action. The sole liability of
Company and its Title Insurance Agent shall arise under and be governed by paragraph 3 of the Conditions.
COMMITMENT NO.: 8004353 FILE NO.: 8004353 - 1301
COMMITMENT SCHEDULE B-I
The following are the requirements to be complied with:
A. Instruments necessary to create the estate or interest to be insured must be properly executed, delivered and duly
filed for record.
13. Affidavit from the seller and the borrower stating:
1. That there are no matters pending against them that wuld give rise to a lien that would attach to the subject
property between the effective date of the Commitment and the recording of instruments giving rise to the
interest to be insured.
2. That the affiants have not executed and will not execute any instruments that would adversely affect the title to
the subject property or the lien of any mortgage to be insured pursuant to the Commitment.
C. The closing funds pertaining to the transaction must be disbursed by or at the direction of the insuror or its agent.
D. An updated title examination, commencing as of the effective date of this Commitment, which shall be performed at
or shortly prior to the closing of the transaction, should not reveal any title defects or other adverse matters
appearing should be disposed of prior to closing to the satisfaction of the insuror or its agent.
END OF SCHEDULE B -SECTION I
Reg. D 0012 Rev. Ol-05"This Commitment is not valid unless Schedule A, Schedule R Section -I and Schedule B Section-11 arc ineludecL"
STEWART TITLE
GUARANTY COMPANY
COMMITMENT NO.: 8004353 FILE NO.: 8004353 -1301
COMMITMENT SCHEDULE BwH
Schedule B of the policy or policies to be issued will contain exceptions to the following matters unless the same are
disposed of to the satisfaction of the Company:
1. Defects, liens encumbrances; adverse claims or other matters, if any, created, first appearing in the public records or
attaching subsequent to the effective date bereof but prior to the date the Proposed Insured acquires for value of
record the estate or interest or mortgage thereon covered by this Commitment.
2. Standard Exceptions:
(a) Rights or claims of parties in possession not shown by the public records.
(b) Easements, or claims of easements, not shown by the public records.
(c) Encroachments, overlaps, boundary line disputes, or other matters which would be disclosed by an accurate
survey and inspection of the premises..
(d) Any lien, or right to a lien, for services, labor, or material hereto or hereafter furnished, imposed by law and
not shown by the public records.
(e) Any adverse ownership claim by the State of Florida by right of sovereignty to any portion of the lands
insured hereunder, including submerged, filled, and artificially exposed lands and lands accreted to such
lands.
Special Exceptions:
3. Taxes for 2009 will become a lien on the land on January 1, 2009 although not due and payable until on or after
November 1, 2009 (folio #00115400003). Taxes for 2008 are less than $5.00 and have been waived by the
BCC.
4. Any and all Special Assessments, Bills; Charges or Municipal liens levied and/or assessed against subject
property, which are currently due and payable.
Restrictive covenants which may provide for association dues, fees and/or assessments, in addition to any
easements, reservations, covenants, building set back requirements and any special assessments, which are due
or may come due, if any, recorded in the Public Records of COLLIER County, Florida.
Restrictive covenants, conditions, reservations and easements as contained in Quit Claim Deed recorded in
Official Records Book 57 page 582, of the Public Records of COLLAR County, Florida.
The policy does not insure the nature or extent of riparian or littoral rights.
Reg. D 0012 Rev. 01-05 "This Commitment is not valid noless Schedule A, Schedule B Section -I and Schedule B Section-lI are included."
STEWART TITLE
GUARANTY COMPANY
CONDITIONS AND STIPULATIONS
1. The term mortgage, when used fierein, sfialk include deed of trust, trust deed, or other security instrument.
2. If the proposed Insured has or acquires actual knowledge of any defect, lien, encumbrance, adverse
claim or other matter affecting the estate or interest or mortgage thereon covered by this Commitment
other than those shown in Schedule B hereof, and shall fail to disclose such knowledge to the Company in
writing, the Company shall be relieved from liability for any loss or damage resulting from any act of
reliance hereon to the extent the Company is prejudiced by failure to so disclose such knowledge. If the
proposed Insured shall disclose such knowledge to the Company, or if the Company otherwise acquires
actual knowledge of any such defect, lien, encumbrance, adverse claim or other matter, the Company at its
option may amend Schedule B of this Commitment accordingly, but such amendment shall not relieve the
Company from liability previously incurred pursuant to paragraph 3 of these Conditions and Stipulations.
3. Liability of the Company under this Commitment shall be only to .the named proposed Insured and such
parties included under the definition of insured in the form of policy or policies committed for and only
for actual loss incurred in reliance 'hereon in undertaking in good faith (a) to comply with the
requirements hereof; or (b) to eliminateexceptions shown in Schedule B. or (c) to acquire or create the
estate or interest or mortgage thereon covered by this Commitment. In no event shall such liability exceed
the amount stated in Schedule A for the policy or policies committed for and such liability is subject to the
insuring provisions and the Conditions and Stipulations and the exclusions from coverage of the form of
policy or policies committed for in favor of the proposed Insured which are hereby incorporated by reference
and are made a part of this Commitment except as expressly modified herein.
4. Any action or actions or rights of action that the proposed Insured may have or may bring against the
Company arising oat of the status of the title to the estate or interest or the status of the mortgage
thereon covered by this Commitment must be based on and are subject to the provisions of this Commitment.
STEWART TITLE
GUARANTY COMPANY
All notices required to be given the Company and a� statement in writing required to be famished the Company
sfiall be addressed to it at P. O_ Box 2029,' Houston, Texas 77252, and identify this commitment by its printed
COMMITMENT SERIAL NUMBER which appears on the bottom of the front of the first page of this
commitment.
Search Results
Page 1 of 1
Collier County Tax Collector
3301 Tamiami Trail East
Naples, FL 34112-4997
2008 Tax Roll Inquiry System
OWNER INFORMATION
PROPERTY INFORMATION
Name: COLLIER CNTY
Atldress: ED SCOTT IMMOKALEE AIRPORT
100115400003 Aere: 61.29
Loc: 1180 CR 846 IMMOKALEE (Map.
Address: 3301 TAMIAMI TRL E BLDG F
Address:
L al: 247 29 NW1/4 OF NW1/4, W1/2
Le al: OF SW1/4 OF NW11461.29 AC
Address:
Legal:
Address: NAPLFS, FL 341124902
Legal:
PAYMENT INFO
paid Dt: 00/00/0000
Recpt: 09
Mach:
Pa mt: 0.00
VALUE/EXEMPTIONS
Market Value:
Taxable Value:
Millage Code:
Homested Ex:
Agricltr Ex:
Widow Fx:
Blind Ex:
Disabled:
Veteran Ex:
W hotly Ex:
CIvEOan Ex:
4,596,750
�67 ,
u
a
0
0
4596750
0
TAX INFORMATION
County:.00
School St0
School loci
City Tax:
De ndt:
Water.
Independ:
Voter Appr.
*Gross Tax:
..
0.00
0.00
0.00
0.00
0.00
PAY TERMS
�—� Nov:.00
L.�i�
Jan:.0�
Feb:.00
Mar:
A r:
May:
Now Due:
_Pay Current Tax � Online
.0
.
Mort: Lo�
STATUS INFO.
Non Ad Va: NN
Installment:
Deferred: N�
Bankrupt:
.��,ymj
Appr fee,
Advertising:
0
50
TDA:�
COMMENTS
*TAXES LESS THAN $5.00 WANED BY THE BCC
2003 Parcel Information � 2004 Parcel Information � 2005 Parcel Information �
2006 Parcel Information 12007 Parcei Information
Last Updated: 01/02/2009 5:00pm
http:/(www.colliertax. com/search/view.php?ID=1821 &page=l &tc=1 &taxyeai=2008 1!5/2009
Exhibit B - IMM Legal Description/Boundary Survey
SUR{EYOR'S CER77RCA77ON
WP HEREBY LCK77FY 70 7HE BEST OF OUR KNOWLEDGE
AND BEL/ET THAT THIS DRAWING IS A 7RUE AND CORRECT
REPRESENTATION OF THE BOUNDARY SURVEY OF
7NE REAL PROPERTY DESCRIBED HEREON. OF FURTHER
CERTIFY THAT 7H/S SURtEY WAS PREPARED IN ACCORDANCE
W17H 7HE APPLICABLE PROWS701VS OF CHAPTER 61C17— 6,
fLORIDA ADM/NISIX47W CODE
WILSONMILLFR, INC.
LICENSED BUSINESS NO. LB4J
4401
ALAN W
PROFESSIONAL SURVEYOR & MAPPER, NO. LS4600
STATE OF FLORIDA
LAST DATE OF FIELD SURVEY 8 Dec�nber 7006
Dec TB, 2006 — Ti:62:36 CISGMIG.\SUfY�DN�G�07D5p\DDT-002\Dp7—p02—CCI
Gs 06 CLIENT:
=A`so COLLIER COUNTY AIRPORT AUTHORITY
T R RG I
iEFEFU=E FU NO. PRO1ECf No.: TASK CODE SHEET NUMBER
DRAWING FR£ NUMBER
0�50-001-002 GCS06 1 of 3 001-002
DESCRIPTION as provided by Hole, Mantes and Associates:
Commencing at the Northwest comer of Section 2, Township 47 South, Range 29 East,
Collier County, Florida, run S1'30'24"W a distance of 2,680.88 feet to the Point of
Beginning of the lands herein described, said point lying on the Northerly right—of—way
line of State Route 846; thence the following courses and distances:
i. N87042'39"W, 2580.11 feet along the Northerly right—of—way of State Route 846 to
a concrete monument;
2. N87'43'00"W, 397.63 feet to a point;
3. N19'15715"E, 669.65 feet to a point;
4. N01'25'45"E, 1,808.24 feet along the Westerly line of Airport Road to a point;
5. N21'20005"W, 259.55 feet to a point;
6_ N2438'25"W, 856.39 feet to a point;
7. N18'23'OS'E, 208.02 feet along the Easterly line of Seaboard Coast Line Railroad to
a concrete monument;
8. N18046'49"E, 6019.66 feet along the Eastery line of Seaboard Coast Line Railroad to
a concrete monument;
9. S8748'52'E, 1,636.03 feet to a concrete monument;
10. S87006'44"E, 5,316.59 feet to a concrete monument;
i 1. S86'47'44"E, 1,324.58 feet to a concrete monument;
129 S2'41'15"W9 1,350.47 feet to a concrete monument;
13. S2'46'02"W, 21647.68 feet to a points
14. N86'51250"W, 1,325.39 feet to a point;
15. N8T40'03rW, 1,982.30 feet to a point;
16. S3'37.11"W, 664.71 feet to a point;
17. N8748037"W, 686.54 feet to a point;
18. S3815'13"W, 1,334.67 feet to a point,
19. N88'03'00"W, 1,348.59 feet to a point;
20. S3031056 W, 670.32 feet to a point;
21. S718202"W, 1,337.74 feet to a point;
22. N88'17937"W9 666.68 feet to a point;
23. S19S4'11"W, 1,339.06 feet to a point;
24. N88024'51"W, 657.41 feet along the Northerly right—of—way of State Route 846 to
the Point of Beginning, containing 1,396.9 acres, more or less.
4 F:
Z � F seT phi ..
L�
4 4 In
Oil w
::tz'; —
SURVEYORS NOTES
I. BOUNDARY SURVEY OF A PARCEL OF LAND /N A POR77ON OF SEOWNS 25, 26, 27, 34, 35, 36,
TOWNSHIP 46 SOM RANGE 29 EAST AND A PORMN OF SECTIONS 2 & 3, TOWNSHIP 47 SOU/H RANGE 29 EAST. COLLIER CDUMY, IZORIM
2. BE4RINGS ARE MSM UPON THE 17ORIM EAST STATE PLANE COOADIA147E SYSYJEi7/, MO 83
(1999) AND ARE DBMIZV FROM GPS ORVXVA770AIS OW27NO N417ON4L GEODETIC SOCIETY CONTROL
MONUMEMS /MMOPORT AND /MMOPORT AZ M/f fiFWV RED DURING 771E COURSE OF I7/IS SURVEY.
BEARING REFERENCE OF N0134710W WAS ESTABUMM BE7WE W S4/0 NOS CONTROL MONVMLMS
AS RE B RECOVERED
3 /MPAoV£METVIS OTHER 774W 7XO5E SHOWN HEREON 10PE NOT BEEJV RED LOCATED.
4. THIS SURVEY /S SUBJECT TO EASEMEM0
RECORD. RES7RLCTLONS, RESERVADONS AND RIGHTS OF WAY OF
5. RIE NOR7H RIGHT OF WAY LINE FOR COUMY RQ4O 846 LS LOCA7£D AS OCCUPIED AND
MNNTNNED BY COMER MUMY.
6. AMPARK BOULEVARD RIGHT OF WAY IS B4SED UPON A SKETCH AND LEW DESCRIPAON
PREPARED BY HOLE MONIES, a47ED 1-04-02 PROYIDEV TO PIS RRM BY THE CUDVT
7. STA7US OF ABQ/V01' M I30.00 FOOT AOL RA(M41D RIGHT OF WAY H4S NOT BEEN DE7ERM/NED
DURING 7HIS SURVEY, NOR WAS ANY 1NFOR114770N PRO4D£D.
8. /NIETPlOR PONCES XERE NOT f7EL0 LOCATED DURING THE COURSE OF Tt//S SURVEY
9. FENCES WERE LOCA7M AT PROPERTY CORNERS ONLY AND 77LS ARE NOTED HEREON AT /NDNLDUAL CORNER CALLS
10. THE PARCEL REFERENCE7J AS NOT /A�CLUDED AS PER O.R. 70, PGS. 635-638' LS A 7fSS AND
FXCEPTw MAUZ f)?OM O.R. BOOK AND PAC£ WHICH IS A DEED OF CURIMMON' OUR
CLAIMING CERTAIN PROPERTY M RMSTS LN COLUER COUMY, F10R/D4 HEZLJ BY NEUNITED STATES
OF AWD?rA 70 COLLIER MUMY, A Pf7UTICAL SU8Mz)/ON OF THE STATE OF IZOR/LK DATED
6 28-60.
11. 77//S PROPERTY LS SUQ1£CT 10 ANY FACTS 171AT AL4Y BE REVEALED BY A COMPLETE AND
ACCUR97E' TITLE SEARCH.
SURFS CER11fICATION
Wf HEREBY CERAFY 1D THE BEST OF OUR KNOWLEDGE
AND BELIEF MAT THIS DRAWING /S A TRUE AND CORRECT
RET4RESENTAAON OF THE BOUNDARY SURVEY OF
THE REAL PROPERTY DESCRIBED HEREON. WE FURTHER
CERRFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE
Will 'Iu� A nnf t^ A~ �...~ Wpm&� .. �..- - -
Attachment L.
Immokalee Regional Airport
Extend Taxiway C — Construction Phase
Grant Application
Proposed Scope and Fee for
Engineering Construction Management & Inspection Services
(To be Added After Consultant Selection & Negotiations)
IMM Extend Taxiway C—Construction Phase Grant Application
Attachment D
Immokalee Regional Airport
Extend Taxiway C — Construction Phase
Grant Application
Independent Fee Estimate for Construction Phase Engineering Services
(To be Added Upon Receipt)
IMM Extend Taxiway C —Construction Phase Grant Application
Attachment E
Immokalee Regional Airport
Extend Taxiway C— Construction Phase
Grant Application
Engineer's Recommendation and Bid Tabs
(To Be Added Following Bid Opening)
IMM Extend Taxiway C—Construction Phase Grant Application
Attachment F
Immokalee Regional Airport
Extend Taxiway C — Construction Phase
Grant Application
Low Bid Package
(To Be Added Following Bid Opening)
I M M Extend Taxiway C —Construction Phase Grant Application
Attachment G
Immokalee Regional Airport
Extend Taxiway C — Construction Phase
Grant Application
F5100 Certification Forms
IMM Extend Taxiway C—Construction Phase Grant Application
OW
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-129, Construction Project Final Acceptance —
Airport Improvement Program Sponsor Certification
Paperwork Reduction Act Burden Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
Clearance Officer, ASP-110.
FAA Form 5100-129
U.S. Department of Transportation OMB CONTROL NUMBER: 2120-0569
Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Construction Project Final Acceptance
Airport Improvement Program Sponsor Certification
Sponsor: Collier County Airport Authority
Airport: Immokalee Regional Airport
Project Number:
Description of Work: Construct the extension of Taxiway C northward to connect with Taxiway B at the
Immokalee Regional Airport - Construction Phase
Application
49 USC § 47105(d), authorizes the Secretary to require me certification from the sponsor that it will
comply with the statutory and administrative requirements in carrying out a project under the Airport
Improvement Program. General standards for final acceptance and close out of federally funded
construction projects are in 2 CFR § 200,343 — Closeout and supplemented by FAA Order 5100,38, The
sponsor must determine that project costs are accurate and proper in accordance with specific
requirements of the grant agreement and contract documents.
Certification Statements
Except for certification statements below marked not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgment and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with
all applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. The personnel engaged in project administration, engineering supervision, project inspection, and
acceptance testing were or will be determined to be qualified and competent to pertorm the work
(Grant Assurance).
0 Yes ❑ No ❑ N/A
2. Construction records, including daily logs, were or will be kept by the resident
engineer/construction inspector that fully document contractor's performance in complying with:
a. Technical standards (Advisory Circular (AC) 150/5370-12);
b. Contract requirements (2 CFR part 200 and FAA Order 5100.38); and
c. Construction safety and phasing plan measures (AC 150/5370-2).
0 Yes ❑ No ❑ N/A
3. All acceptance tests specified in the project specifications were or will be performed and
documented. (AC 150/5370-12).
Q Yes ❑ No ❑ N/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 1 of 3
4. Sponsor has taken or will take appropriate corrective action for any test result outside of
allowable tolerances (AC 150/5370-12).
❑X Yes ❑ No ❑ N/A
5. Pay
reduction factors
required by the
specifications were applied or will be applied in computing
final
payments with a
summary made
available to the FAA (AC 150/5370-10),
❑X Yes ❑ No ❑ N/A
6. Sponsor has notified, or will promptly notify the Federal Aviation Administration (FAA) of the
following occurrences:
a. Violations of any federal requirements set forth or included by reference in the contract
documents (2 CFR part 200);
b. Disputes or complaints concerning federal labor standards (29 CFR part 5); and
c. Violations of or complaints addressing conformance with Equal Employment Opportunity or
Disadvantaged Business Enterprise requirements (41 CFR Chapter 60 and 49 CFR part 26),
0 Yes ❑ No ❑ N/A
7. Weekly payroll records and statements of compliance were or will be submitted by the prime
contractor and reviewed by the sponsor for conformance with federal labor and civil rights
requirements as required by FAA and U.S. Department of Labor (29 CFR Part 5).
QYes ❑ No ❑ N/A
8. Payments to the contractor were or will be made in conformance with federal requirements and
contract provisions using sponsor internal controls that include:
a. Retaining source documentation of payments and verifying contractor billing statements
against actual performance (2 CFR § 200.302 and FAA Order 5100,38);
b. Prompt payment of subcontractors for satisfactory performance of work (49 CFR § 26.29);
c. Release of applicable retainage upon satisfactory performance of work (49 CFR § 26.29);
and
d. Verification that payments to DBEs represent work the DBE performed by carrying out a
commercially useful function (49 CFR §26.55).
❑X Yes ❑ No ❑ N/A
9. A final project inspection was or will be conducted with representatives of the sponsor and the
contractor present that ensure:
a. Physical completion of project work in conformance with approved plans and specifications
(Order 5100.38);
b. Necessary actions to correct punch list items identified during final inspection are complete
(Order 5100.38); and
c. Preparation of a record of final inspection and distribution to parties to the contract
(Order 5100.38);
❑X Yes ❑ No ❑ N/A
10. The project was or will be accomplished without material deviations, changes, or modifications
from approved plans and specifications, except as approved by the FAA (Order 5100.38).
Q Yes ❑ No ❑ N/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 2 of 3
11. The construction of all buildings have complied or will comply with the seismic construction
requirements of 49 CFR § 41.120.
❑Yes ❑ No ❑X N/A
12, For development projects, sponsor has taken or will take the following close-out actions:
a. Submit to the FAA a final test and quality assurance report summarizing acceptance test
results, as applicable (Grant Condition);
b. Complete all environmental requirements as established within the project environmental
determination (Oder 5100,38); and
c. Prepare and retain as -built plans (Order 5100.38).
QYes ❑ No ❑ N/A
13. Sponsor has revised or will revise their airportlayout plan (ALP) that reflects improvements made
and has submitted or will submit an updated ALP to the FAA no later than 90 days from the
period of performance end date. (49 USC § 47107 and Order 5100,38),
QYes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked no is correct and complete.
Executed
on
this 15th
day
of May 2020
Name
of
Sponsor:
Collier
County Airport Authority
Name of Sponsor's Authorized Official: Justin Lobb
Title of Sponsor's Authorized Official: Executive Airports Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 3 of 3
r�
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-130, Drug -Free Workplace —Airport Improvement
Program Sponsor Certification
Paperwork Reduction Act Burden Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number, The OMB Control Number for this information collection is 2120-0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
Clearance Officer, ASP-110.
FAA Form 5100-130
U.S. Department of Transportation OMB CONTROL NUMBER:2120-0569
Federal Aviation Administration EXPIRATION DATE: 8/3112019
Drug -Free Workplace
Airport Improvement Program Sponsor Certification
Sponsor: Collier County Airport Authority
Airport: Immokalee Regional Airport
Project Number:
Description of Work: Construct the extension of Taxiway C northward to connect with Taxiway Bat the
Immokalee Regional Airport - Construction Phase
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). General requirements on the drug -free workplace within federal grant programs are
described in 2 CFR part 182. Sponsors are required to certify they will be, or will continue to provide, a
drug -free workplace in accordance with the regulation. The AIP project grant agreement contains specific
assurances on the Drug -Free Workplace Act of 1988.
Certification Statements
Ex
cept for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. A statement has been or will be published prior to commencement of project notifying employees
that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the sponsor's workplace, and specifying the actions to be taken against
employees for violation of such prohibition (2 CFR § 182,205).
x❑ Yes ❑ No ❑ N/A
2. An ongoing drug -free awareness program (2 CFR § 182.215) has been or will be established
prior to commencement of project to inform employees about:
a. The dangers of drug abuse in the workplace;
bI The sponsor's policy of maintaining adrug-free workplace;
c. Any available drug counseling, rehabilitation, and employee assistance programs; and
d. The penalties that may be imposed upon employees for drug abuse violations occurring
in the workplace.
x❑ Yes ❑ No ❑ N/A
FAA Form 5100-130 (1117) SUPERSEDES PREVIOUS EDITION Page 4 of 3
3. Each employee to be engaged in the performance of the work has been or will be given a copy of
the statement required within item 1 above prior to commencement of project (2 CFR § 182,210).
❑x Yes ❑ No ❑ N/A
4. Employees have been
or will
be
notified in thes
men required by item 1
above that, as a
condition employment
under
the
grant (2 CFR
§ 182.205(c)), the employee
will:
aI Abide by the terms of the statement; and
b. Notify the employer
in writing of his or her conviction for a violation
of a
criminal drug
statute occurring in
the workplace no later than five calendar days
after
such conviction.
❑p Yes ❑ No ❑ N/A
5. The Federal Aviation Administration (FAA) will be notified in writing within 10 calendar days after
receiving notice under item 4b above from an employee or otherwise receiving actual notice of
such conviction (2 CFR § 182.225). Employers of convicted employees must provide notice,
including position title of the employee, to the FAA (2 CFR § 182.300).
x❑ Yes ❑ No ❑ N/A
6. One of the following actions (2 CFR § 182.225(b)) will be taken within 30 calendar days of
receiving a notice under item 4b above with respect to any employee who is so convicted:
a. Take appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; and
b. Require such employee to participate satisfactorily in drug abuse assistance or
rehabilitation programs approved for such purposes by a federal, state, or local health,
law enforcement, or other appropriate agency.
� Yes ❑ No ❑ N/A
7. A good faith effort
will be made, on a continuous basis, to
maintain adrug-free workplace through
implementation of
items 1 through 6
above (2 CFR § 182.200).
x❑ Yes ❑ No ❑ N/A
Sites) of performance of work 12 CFR § 182.230):
Location 1
Name of Location: Immokalee Regional Airport
Address: 165 Airpark Boulevard, Immokalee, FL 34142
Location 2 (if applicable)
Name of Location:
Address:
Location 3 (if applicable)
Name of Location:
Address:
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
Attach documentation clarifying any above item marked with a No response.
Sponsor s Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on
this 13th
day
of. May 2020
Name of
Sponsor:
Collier
County Airport Authority
Name of Sponsor's Authorized Official: Justin Lobb
Title of Sponsor's Authorized Official: Executive Airports Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
�N
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-131, Equipment and Construction Contracts —
Airport Improvement Sponsor Certification
Paperwork Reduction Act Burden Statement
A federal agency may not conductor sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
Clearance Officer, ASP-110.
FAA Form 5100-131
U.S. Department of Transportation OMB CONTROL NUMBER:2120-0569
Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Equipment and Construction Contracts
Airport Improvement Sponsor Certification
Sponsor: Collier County Airport Authority
Airport: Immokalee Regiona Airport
Project Number:
Description of Work: Construct the extension of Taxiway C northward to connect with Taxiway Bat the
Immokalee Regional Airport- Construction Phase
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). General procurement standards for equipment and construction contracts within Federal
grant programs are described in 2 CFR §§ 200,317-200.326. Labor and Civil Rights Standards
applicable to the AIP are established by the Department of Labor (www.dol.gov) AIP Grant Assurance
CA —General Federal Requirements identifies all applicable Federal Laws, regulations, executive orders,
policies, guidelines and requirements for assistance under the AIP. Sponsors may use state and local
procedures provided the procurement conforms to these federal standards.
This certification applies to all equipment and construction projects. Equipment projects may or may not
employ laborers and mechanics that qualify the project as a "covered contract" under requirements
established by the Department of Labor requirements. Sponsor shall provide appropriate responses to
the certification statements that reflect the character of the project regardless of whether the contract is
for a construction project or an equipment project.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. A written code or standard of conduct is or will be in effect prior to commencement of the project
that governs the performance of the sponsor's officers, employees, or agents in soliciting,
awarding and administering procurement contracts (2 CFR § 200.318).
❑X Yes []No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 4
2. For all contracts, qualified and competent personnel are or will be engaged to perform contract
administration, engineering supervision, construction inspection, and testing
(Grant Assurance C.17).
p Yes ❑ No ❑ N/A
3. Sponsors that are required to have a Disadvantage Business Enterprise (DBE) program on file
with the FAA have included or will include clauses required by Title VI of the Civil Rights Act and
49 CFR Part 26 for Disadvantaged Business Enterprises in all contracts and subcontracts.
p Yes ❑ No ❑ N/A
4. Sponsors required to have a DBE program on file with the FAA have implemented or will
implement monitoring and enforcement measures that:
a. Ensure work committed to Disadvantaged Business Enterprises at contract award is
actually performed by the named DBEs (49 CFR § 26.37(b));
b. Include written certification that the sponsor has reviewed contract records and has
monitored work sites for performance by DBE firms (49 CFR § 26.37(b)); and
c. Provides for a running tally of payments made to DBE firms and a means for comparing
actual attainments (Le, payments) to original commitments (49 CFR § 26.37(c)).
O Yes ❑ No ❑ N/A
5. Sponsor procurement actions using the competitive sealed bid method (2 CFR § 200.320(c)). was
or will be:
a. Publicly advertised, allowing a sufficient response time to solicit an adequate number of
interested contractors or vendors;
b. Prepared to include a complete, adequate and realistic specification that defines the
items or services in sufficient detail to allow prospective bidders to respond;
c. Publicly opened at a time and place prescribed in the invitation for bids; and
d. Prepared in a manner that result in a firm fixed price contract award to the lowest
responsive and responsible bidder.
O Yes ❑ No ❑ N/A
6. For projects the Sponsor proposes to use the competitive proposal procurement method 12 CFR §
200.320(d)), Sponsor has requested or will request FAA approval prior to proceeding with a
competitive proposal procurement by submitting to the FAA the following:
a. Written justification that supports use of competitive proposal method in lieu of the
preferred sealed bid procurement method;
b. Plan for publicizing and soliciting an adequate number of qualified sources; and
c. Listing of evaluation factors along with relative importance of the factors.
❑ Yes ❑ No O N/A
7. For construction and equipment installation projects, the bid solicitation includes or will include the
current federal wage rate schedules) for the appropriate type of work classifications 12 CFR Part
200, Appendix II).
p Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 4
8. Concurrence was or will be obtained from the Federal Aviation Administration (FAA) prior to
contract award under any of the following circumstances (Order 5100.38D):
a. Only one qualified person/firm submits a responsive bid;
b. Award is to be made to other than the lowest responsible bidder; and
c. Life cycle costing is a factor in selecting the lowest responsive bidder.
❑x Yes ❑ No ❑ N/A
9. All construction and equipment installation contracts contain or will contain provisions for:
a. Access to Records (§ 200.336)
b. Buy American Preferences (Title 49 U.S.C. § 50101)
c. Civil Rights - General Provisions and Title VI Assurances(41 CFR part 60)
d. Federal Fair Labor Standards (29 U.S.C. § 201, at seq)
e. Occupational Safety and Health Act requirements (20 CFR part 1920)
f. Seismic Safety — building construction (49 CFR part 41)
g. State Energy Conservation Requirements - as applicable(2 CFR part 200, Appendix II)
h. U.S. Trade Restriction (49 CFR part 30)
I. Veterans Preference (49 USC § 47112(c))
❑x Yes ❑ No ❑ N/A
10. All construction and equipment installation contracts exceeding $2,000 contain or will contain the
provisions established by:
a. Davis -Bacon and Related Acts (29 CFR part 5)
b. Copeland "Anti -Kickback" Act (29 CFR parts 3 and 5)
❑p as ❑ No ❑ N/A
11. All construction and equipment installation contracts exceeding $3,000 contain or will contain a
contract provision that discourages distracted driving (E.O. 13513).
❑X Yes ❑ No ❑ N/A
12. All contracts exceeding $10,000 contain or will contain the following provisions as applicable:
a. Construction and equipment installation projects -Applicable clauses from
41 CFR Part 60 for compliance with Executive Orders 11246 and 11375 on Equal
Employment Opportunity;
b. Construction and equipment installation -Contract Clause prohibiting segregated facilities
in accordance with 41 CFR part 60-1.8;
c. Requirement to maximize use of products containing recovered materials in accordance
with 2 CFR § 200.322 and 40 CFR part 247; and
d. Provisions that address termination for cause and termination for convenience
(2 CFR Part 200, Appendix II).
Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 4
13. All contracts and subcontracts exceeding $25,000: Measures are in place or will be in place (e.g,
checking the System for Award Management) that ensure contracts and subcontracts are not
awarded to individuals or firms suspended, debarred, or excluded from participating in federally
assisted projects (2 CFR parts 180 and 1200),
O Yes ❑ No ❑ N/A
14. Contracts exceeding the simplified acquisition threshold (currently $150,000) include or will include
provisions, as applicable, that address the following:
a. Construction and equipment installation contracts - a bid guarantee of 5%, a performance
bond of 100%, and a payment bond of 100% (2 CFR § 200.325);
b. Construction and equipment installation contracts - requirements of the Contract Work
Hours and Safety Standards Act (40 USC 3701-3708, Sections 103 and 107);
c. Restrictions on Lobbying and Influencing (2 CFR part 200, Appendix II);
d. Conditions specifying administrative, contractual and legal remedies for instances where
contractor of vendor violate or breach the terms and conditions of the contract (2 CFR
§200, Appendix II); and
e. All Contracts -Applicable standards and requirements issued under Section 306 of the
Clean Air Act (42 USC 7401-7671q), Section 508 of the Clean Water Act (33 USC 1251-
1387, and Executive Order 11738.
p as ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this 13th
day of
May
2020
Name of Sponsor:
Collier County
Airport
Authority
Name of Sponsor's Authorized Official: Justin Lobb
Title of Sponsors Authorized Official: Executive airports Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 4 of 4
r�
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-132, Project Plans and Specifications —Airport
Improvement Program Sponsor Certification
Paperwork Reduction Act Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
Clearance Officer. ASP-110.
FAA Form 5100-132
U.S. Department of Transportation OMB CONTROL NUMBER:2920-0589
Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Project Plans and Specifications
Airport Improvement Program Sponsor Certification
Sponsor: Collier County Airport Authority
Airport: Immokalee Regional Airport
Project Number:
Description of Work: Construct the extension of Taxiway C northward to connect with Taxiway B at the Immokalee
Regional Airport - Construction Phase
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). Labor and civil rights standards applicable to AIP are established by the Department of
Labor (www,dol.gov/), AIP Grant Assurance CAGeneral Federal Requirements identifies applicable
federal laws, regulations, executive orders, policies, guidelines and requirements for assistance under
AIP. A list of current advisory circulars with specific standards for procurement, design or construction of
airports, and installation of equipment and facilities is referenced in standard airport sponsor Grant
Assurance 34 contained in the grant agreement.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
The plans and specifications were or will be prepared in accordance with applicable federal
standards and requirements, so that no deviation or modification to standards set forth in the
advisory circulars, or FAA -accepted state standard, is necessary other than those explicitly
approved by the Federal Aviation Administration (FAA) (14 USC § 47105).
p Yes ❑ No ❑ N/A
2. Specifications incorporate or will incorporate a clear and accurate description of the technical
requirement for the material or product that does not contain limiting or proprietary features that
unduly restrict competition (2 CFR §200.319).
p Yes ❑ No ❑ N/A
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
3. The development that is
included or
will
be included in the
plans is
depicted on the current airport
layout plan as approved
by the FAA
(14
USC § 47107).
❑x Yes ❑ No ❑ N/A
4. Development and features
that are ineligible or
unallowable for AIP
funding have been orwill be
omitted from the plans and
specifications (FAA
Order 5100,38, par.
3-43).
❑X Yes ❑ No ❑ N/A
5. The specification does not use orwill not use "brand name" or equal to convey requirements
unless sponsor requests and receives approval from the FAA to use brand name (FAA Order
5100.38, Table U-5).
� Yes ❑ No ❑ N/A
6. The specification does not
impose
orwill
not impose
geographical preference in
their
procurement requirements
(2 CFR
§200.319(b)
and
FAA Order 5100.38, Table
U-5).
❑X Yes ❑ No ❑ N/A
7. The use of prequalified lists of individuals, firms or products include or will include sufficient
qualified sources that ensure open and free competition and that does not preclude potential
entities from qualifying during the solicitation period (2 CFR §319(d)).
p Yes ❑ No ❑ N/A
8. Solicitations with bid alternates include orwill include explicit information that establish a basis for
award of contract that is free of arbitrary decisions by the sponsor (2 CFR § 200.319(a)(7)).
p Yes ❑ No ❑ N/A
9. Concurcence was orwill be obtained from
the
FAA if Sponsor
incorporates a value engineering
clause into the contract (FAA Order 5100.38,
par. 3-57).
p Yes ❑ No ❑ N/A
10. The plans and specifications
incorporate orwill incorporate applicable requirements
and
recommendations set forth in
the federally
approved environmental finding (49 USC
§47106(c)).
❑x Yes ❑ No ❑ N/A
11. The design of all buildings comply or will comply with the seismic design requirements of 49 CFR
§ 41.120. (FAA Order 5100.38d, par. 3-92)
❑ Yes ❑ No 9 N/A
12. The project specification include orwill include process control and acceptance tests required for
the project by as per the applicable standard:
a. Construction and installation as contained in Advisory Circular (AC) 150/5370-10,
❑X Yes ❑ No ❑ N/A
FAA Form 5100-132 (1117) SUPERSEDES PREVIOUS EDITION Page 2 of 3
b. Snow Removal Equipment as contained in AC 150/5220-20.
❑Yes ❑ No ❑p N/A
c. Aircraft Rescue and Fire Fighting (ARFF) vehicles as contained in AC 150/5220-10.
❑Yes ❑ No px N/A
13. For construction activities within or near aircraft operational areas(AOA):
a. The Sponsor has or will prepare a construction safety and phasing plan (CSPP) conforming
to Advisory Circular 150/5370-2.
b. Compliance with CSPP safety provisions has been or will be incorporated into the plans
and specifications as a contractor requirement.
c. Sponsor will not initiate work until receiving FAA's concurrence with the CSPP (FAA Order
5100.38, Par. 5-29).
9 Yes ❑ No ❑ N/A
14. The project was or will be physically completed without federal participation in costs due to errors
and omissions in the plans and specifications that were foreseeable at the time of project design
(49 USC §47110(b)(1) and FAA Order 5100.38d, par. 3-100).
❑x Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this 13th day of May 2020
Name of Sponsor: Collier County Airport Authority
Name of Sponsor's Authorized Official: Justin Lobb
Title of Sponsor's Authorized Official: Executive Airports Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
LN
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-134, Selection of Consultants —Airport
Improvement Program Sponsor Certification
Paperwork Reduction Act Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200, Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
Clearance Officer, ASP-110.
FAA Form 5100-134
U.S. Department of Transportation OMB CONTROL NUMBER: 2120-0569
Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Selection of Consultants
Airport Improvement Program Sponsor Certification
Sponsor: Collier County Airport Authority
Airport: Immokalee Regional Airport
Project Number:
Description of Work: Construct the extension of Taxiway C northward to connect with Taxiway Bat the
Immokalee Regional Airport - Construction Phase
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). General requirements for selection of consultant services within federal grant programs
are described in 2 CFR §§ 200.317-200.326. Sponsors may use other qualifications -based procedures
provided they are equivalent to standards of Title 40 chapter 11 and FAA Advisory Circular 150/5100-14,
Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "wile' means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. Sponsor acknowledges their responsibility for the settlement of all contractual and administrative
issues arising out of their procurement actions (2 CFR § 200.318(k)).
❑x Yes []No ❑ N/A
2. Sponsor procurement actions ensure or will ensure full and open competition that does not
unduly limit competition (2 CFR § 200.319).
❑x Yes ❑ No ❑ N/A
3. Sponsor has excluded or will exclude any entity that develops or drafts specifications,
requirements, or statements of work associated with the development of a request -for -
qualifications (RFQ) from competing for the advertised services (2 CFR § 200.319).
❑x Yes ❑ No ❑ N/A
FAA Form 5100-134 (Z/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
4. The advertisement describes or will describe specific project statements -of -work that provide
clear detail of required services without unduly restricting competition (2 CFR § 200.319).
x❑ Yes ❑ No ❑ N/A
5. Sponsor has publicized or will publicize a RFQ that:
a.
Solicits an adequate number of qualified sources (2 CFR
§ 200.320(d));
and
b.
Identifies all evaluation criteria and relative importance (2
CFR
§ 200.320(d)).
❑x Yes ❑ No ❑ N/A
6. Sponsor
has based
or will base selection on qualifications, experience,
and disadvantaged
business
enterprise
participation with price not being a selection factor
(2 CFR § 200.320(d)).
❑x Yes ❑ No ❑ N/A
7. Sponsor has verified or will verify that agreements exceeding $25,000 are not awarded to
individuals or firms suspended, debarred or otherwise excluded from participating in federally
assisted projects (2 CFR §180.300).
❑x Yes ❑ No ❑ N/A
8. A/E services covering multiple projects: Sponsor has agreed to or will agree to:
a. Refrain from initiating work covered by this procurement beyond five years from the date
of selection (AC 150/5100A4); and
b. Retain the right to conduct new procurement actions for projects identified or not
identified in the RFQ (AC 150/5100-14).
as
❑ No O N/A
9. Sponsor has negotiated or will
negotiate a
fair
and reasonable fee
with the
firm they select as
most qualified for the services
identified in
the
RFQ (2 CFR § 200.323).
pYes ❑ No ❑ N/A
10. The
Sponsor's conVact identifies or will
identify
costs associated with
ineligible work separately
from
costs associated with eligible work
(2 CFR
§ 200.302).
p Yes []No ❑ N/A
11. Sponsor has
prepared or will
prepare a record
of negotiations detailing the history
of the
procurement
action, rationale
for contract type
and basis for contract fees (2 CFR
§200.318(i)).
OYes ❑No ❑N/A
12. Sponsor has incorporated or will incorporate mandatory contact provisions in the consultant
contract for AIP-assisted work (49 U.S.C. Chapter 471 and 2 CFR part 200 Appendix II)
0 Yes ❑ No ❑ N/A
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
13. For contracts that apply a time -and -material payment provision (also known a$ hourly rates,
specific rates of compensation, and labor rates), the Sponsor has established or will establish:
a. Justification that there is no other suitable contract method for the services (2 CFR
§200.3180));
b. A ceiling price that the consultant exceeds at their risk (2 CFR §200.3180)); and
c. A high degree of oversight that assures consultant is performing work in an efficient
manner with effective cost controls in place 2 CFR §200.3180)).
❑Yes ❑ No ❑x N/A
14. Sponsor is not using or will not use the prohibited cost -plus -percentage -of -cost (CPPC) contract
method. (2 CFR § 200.323(d)).
❑x Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "no" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
Executed on this 13th day of May , 2020
Name of Sponsor: Collier County Airport Authority
Name of Sponsor's Authorized Official: Justin Lobb
Title of Sponsors Authorized Official: Executive Airports Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100.134 (2/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
r CA
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-135, Certification and Disclosure Regarding
Potential Conflicts of Interest — Airport Improvement Program
Sponsor Certification
Paperwork Reduction Act Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
Clearance Officer, ASP-110.
FAA Form 5100-135
U.S. Department of Transportation OMB CONTROL NUMBER: 2120-0569
r Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Certification and Disclosure Regarding Potential Conflicts of Interest
Airport Improvement Program Sponsor Certification
Sponsor: Collier County Airport Authority
Airport: Immokalee Regional Airport
Project Number:
Description of Work: Construct the extension of Taxiway C northward to connect with Taxiway Bat the Immokalee
Regional Airport - Construction Phase
Application
Title 2 CFR § 200.112 and § 1201,112 address Federal Aviation Administration (FAA) requirements for
conflict of interest. As a condition of eligibility under the Airport Improvement Program (AIP), sponsors
must comply with FAA policy on conflict of interest. Such a conflict would arise when any of the following
have a financial or other interest in the firm selected for award:
a) The employee, officer or agent,
b) Any member of his immediate family,
c) His or her partner, or
d) An organization which employs, or is about to employ, any of the above.
Selecting "Yes" represents sponsor orsub-recipient acknowledgement and confirmation of the
certification statement. Selecting "No" represents sponsor or sub -recipient disclosure that it cannot fully
comply with the certification statement. If "No" is selected, provide support information explaining the
negative response as an attachment to this form. This includes whether the sponsor has established
standards for financial interest that are not substantial or unsolicited gifts are of nominal value (2 CFR §
200.318(c)). The term Will" means Sponsor action taken at appropriate time based on the certification
statement focus area, but no later than the end of the project period of performance.
Certification Statements
The sponsor orsub-recipient maintains a written standards of conduct governing conflict of
interest and the performance of their employees engaged in the award and administration of
contracts (2 CFR § 200.318(c)). To the extent permitted by state or local law or regulations, such
standards of conduct provide for penalties, sanctions, or other disciplinary actions for violations of
such standards by the sponsor's and sub -recipient's officers, employees, or agents, or by
contractors or their agents.
❑p Yes ❑ No
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 2
2. The sponsor's or sub -recipient's officers, employees or agents have not and will not solicit or
accept gratuities, favors or anything of monetary value from contractors, potential contractors, or
parties to sub -agreements (2 CFR § 200.318(c)).
3. The sponsor orsub-recipient
certifies
that
is
has disclosed and will disclose to the FAA any
known potential
conflict of interest (2
CFR
§
1200.112).
Attach documentation clarifying any above item marked with "no" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
have the explanation for any item marked "no" is correct and complete.
Executed on this 13th day of May 12020
Name of Sponsor: Collier County Airport Authority
Name of Sponsor's Authorized Official: Justin Lobb
Title of Sponsor's Authorized Official: Executive Airports Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 2