HomeMy WebLinkAboutContracts & Agreements_209-2017 STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION
STATE MATCHING GRANT FOR FAA AIRPORT IMPROVEMENT PROGRAM - APPLICATION
DOA-0012 (REV 0612011)
PLEASE PRINT OR TYPE AND COMPLETE ALL ITEMS
PART 1. AIRPORT INFORMATION
PUBLBC ENTITY AIRPORT NAME PERMIT NO
City of Redlands Redlands Municipal Airport SBD-032
CONTACT NAME TITLE
Will Hamilton Airport Supervisor
BUSINESS ADDRESS BUSINESS PHONE
35 Capon Street, Suite 222,Redlands,CA 92373 (909)798-7655
PART 11 PROJECT INFORMATION
Verify that project is within the Department's most recent Capltal Improvement Plan ® YES ❑ NO If no then project is not eligible for grant funds
DES CR{PTIVE TITLE OF APPLICANT'S PROJECT(as shown en page one of the executed grant agreement and in the FEDERAL
adopted Capital Improvement Plan) GRANT
Attach Additional Sheets If Necessary $150,00000
Construction of the Redlands Airport Light and Sign Plan,Phase 1I1.This final phase will include APPLICANT
the PAPI, RE1LS ,distance remaining signs wind cones, segmented circle,and airport beacon FUNDS
s9,167 00
STATE
FUNDS s7,50000
TOTAL COST
OF PROJECT s166,66700
Maximum is 5%of the federal crani amount
PART III REQUIRED SUPPORTING DOCUMENTS
Pursuant to Public Utilities Code Sections 21681-21684 and Section 4067 of the CAAP Regulations please submit the following documents with this
application
• Local government approval(resolution or minute order)as described in Section 4067(a)
FAA Grant Agreement with FAA and sponsor signatures
Verification of full compliance with the California Environmental Quality Act(CEQA)by submitting information to fulfill either 1.or 2 below
1 Copy of Notice of Exemption or provide the Categorical Exemption Class# 15302(c) (CEQA Guidelines Sections 15300 15333)
2 Copy of Notice of Determination or provide the following Information
Environmental Impact Report(Title/Date) State Clearinghouse(SCH)# or
Negative Declaration(Title/Date) State Clearinghouse(SCH)# or
National Environmental Policy Act(NEPA)document(Title/Date)
(NEPA documents-Environmental Impact Statement or Finding of No Significant Impact must comply with CEQA provisions)
• 11 x 17 inch Drawing or Airport Layout Plan showing project location(s)and dimensions
Completed CAAP Certification(Form DOA 0007),if not submitted to the Division of Aeronautics earlier for this fiscal year
Additional documentation may be required If Items in the FAA AIP grant are not eligible for CAAP funding
PART IV. AUTHORIZATION
AU OFFICI SI TLE TITLE
Mayor
PRINT NAME DATE
Paul W Foster /o/ 7
SEND COMPLETED APPLICA I�ANDUPPORTING DOCUMENTS TO. tATTEST: ��c.,�YCALIFORNIA DEPARTMENT OF TRANSPORTATION
3ne Donaldson, City Clerk DIVISION OF AERONAUTICS MS#40
P O BOX 942874
SACRAMENTO,CA 94274-0001
ADA Notice For individuals with sensory disabilities this document is available in alternate formats For information call(916)654-6410 or TDD (916)654-3880 or
write Records and Forms Management 1120 N Street,MS-89 Sacramento CA 55814
RESOLUI ION NO 6969
A RESOLUTION OF THE CITY COUNCIL OFTHE CITY OF REDLANDS
DESIGNATING AUTHORIZED CITY REPRESENTATIVES FO APPLY FOR
FUTURE FEDERAL AVIAT ION ADMINIS rRATION GRAN1 S
WHEREAS, discretionary and entitlement grant funding is available for the City of
Redlands' ("City") Municipal Airport to fund on-going, capital improvements proposed in
accordance with the City's Airport Master Plan, and
WHEREAS, the City is presently engaged in the pursuit of grant funding to add to and
improve the facilities at the Redlands Municipal Airport, and
WHEREAS, the City is required to formally designate City representatives who shall be
authorized to execute grant-related documents in accordance with federal assistance and grant
funding guidelines, and
WHEREAS the successful implementation of grant funded projects will not only provide
immediate benefit to the airport users, but will also enhance the viability of the Redlands
Municipal Airport as an asset to the City and the commuiuty,
NOW, THEREFORE, BF 1T RESOLVED BY THE CITY COUNCIL OF THE CITY
OF REDLANDS AS FOLLOWS
Section 1 That the Mayor of the City of Redlands, and any member of the Redlands City
Council, is authorized to execute in the naive of the City of Redlands all applications, contracts,
agreements and amendments for the purpose of securing grant funds for improvements to be
funded by the FAA and/or other agencies at the Redlands Municipal Airport, and the City
Manager, and the City Manager's designee, is authorized to review, prepare, and approve in the
name of the City of Redlands all necessary payment requests, progress reports and final reports
to implement and carry out the purposes specified for such grants
ADOPTED, SIGNED AND APPROVED this 20th day of July,2010
Mayor of the City of Redlands
A 11 EST
City Clerk
1
1, Sam Irwin, City Clerk of the City of Redlands, hereby certify that the foregoing Resolution
No 5969 was duly adopted by the City Council at a regular meeting thereof, held on the 20th
day of July,2010,by the following vote
AYES Councilmembers Bean, Harrison, Gallagher, Aguilar, Mayor Gilbreath
NOES None
ABSTAIN None
ABSENT None
Sam Irwin, City Clerk
Redlands, California
2
t
Us Department Airports Division FAA LAX ADO
of Tronsportcihon Western-Pacific Region 115000 Aviation Boulevard
Federal Aviation California Room 3000
Administration Lawndale CA 80261
August 17, 2017
Mr Chris Boatman
35 Cajon Street
Suite 222
Redlands, CA 92373
Dear Mr Boatman
We are attaching the original PDF document of the Grant Offei for Airport Improvement Program(AIP)
Project No 3-06-0195-016-2017 at Redlands Municipal in Redlands, California This letter outlines
expectations£oi success PIease read the conditions and assurances carefully
To properly enter into this agreement,you must do the following
a The governing body must provide authority to execute the grant to the individual signing the
grant, i e the sponsor's authorized representative
b The sponsor's authorized representative must execute the grant, followed by the attorney's
certification,no later than August 30,2017, in order for the grant to be valid
• The date of the attorney's signature must be on or after the date of the sponsor's
authorized representative's signature
• All signatures must be made with blue of black ink, Signature stamps will not be
accepted
c You may not make any modification to the text,terms or conditions of the grant offer
d Aftei you properly execute the grant agreement
• Return one executed original Grant Agreement to oui office via US mail or commercial
courier
• Retain one copy of the executed Grant Agreement for your records
• Forward one copy of the executed Grant Agreement to your associated State Aviation
Official, if applicable
e Because time is now critical for entering the executed grant into the FAA system.,we request you
send a copy of the signed agreement to our office by facsimile of email (pdf document)prior to
sending the hardcopy document through U S mail or commercial courier
Subject to the requirements in 2 CFR§200 305, each payment request for reimbursement under this
grant must be made electronically via the Delphi elnvoicmg System Please see the attached Grant
Agreement for more information regarding the use of this System
The terms and conditions of this agreement require you to complete the project without undue delay
We will be monitoring your progress to ensure proper stewardship of these Federal funds We expect
you to submit navment reauests for reimbursement of allowable incurred nroiect expenses
consistent with oroiect iii ogress. Should you fail to male draws oil a regulai basis gout grant may be
placed in ' inactive statliS, WhICIl will aflect your ability to receive Future grant offers
Until the ;rant is completed and closed. you are responsible fol Submitting Formal reports as follows
• A signed/dated SP-270 (no n-consti tic tion projects)or SF-271 of equivalent (construction
projects) acid SF- 125 annually,due 90 days after the end of each federal fiscal yeas in which this
grant is open (clue Deeeinbei 31 of each yeas this grant is open), and
• Pei Formance Reports,which are due within 30 days of- the end of a reporting period as follows-
1 Non-construction project Due at the end of each fiscal quartet
2 Construction project Submit FAA form 5370-1, Construction Progress and Inspection
Report bi-weekly when applicable
As a condition of receiving Federal assistance iindet this award.you must comply With audit
requirements as established under 2 C17R part 200 Subpart I- requires non-Federal entities that expend
$750,000 of more in I ederal awards to conduct a single of program specific audit for that yeas Note
that this includes Federal e\penditLires made andel other Federal-assistance programs Please take
appropiiate and necessary action to assure your organization will comply with applicable audit
requirements and standards
Once the project(s) is completed and all costs are determined, we ask that you close the project without
delay and submit the necessary final closeout documentation as required by your Region/Airports
District Office
Kiinchi I loang at (310) 725-3617. is the assigned program nlanagei tot this grant and is readily available
to as5lst you and your designated representative with the requirements stated herein We sincerely value
yoLii cooperation in these efforts and look Forward to working with you to complete tilts Inlpol'lant
project
Sincerely
David 1liiilg
Managei
Los Angeles Airports District Of�fic.e
3 -06 -0195 -016 2017
US Department
of Transportation
Federal Aviation
Administration
GRANTAGREEMENT
PART I—OFFER
Date of Offer August 17, 2017
Airport/Planning Area Redlands Municipal Airport
AIP Grant Number 3 06-0195-016 2017
DUNS Number 094712205
TO City of Redlands
(herein called the"Sponsor")
FROM The United States of America(acting through the Federal Aviation Administration, herein called the
"FAA")
WHEREAS,the Sponsor has submitted to the FAA a Project Application dated May 8,2017,for a grant of
Federal funds for a project at or associated with the Redlands Municipal Airport,which is included as part
of this Grant Agreement,and
WHEREAS,the FAA has approved a project for the Redlands Municipal Airport(herein called the"Project")
consisting of the following
Install Runway Distance-To Go Signs, Install Runway Vertical/Visual Guidance System
which is more fully described in the Project Application
NOW THEREFORE,According to the applicable provisions of the former Federal Aviation Act of 1958,as
amended and recodified,49 U S C §40101,et seq ,and the former Airport and Airway improvement Act
of 1982 (ARIA),as amended and recodified,49 U S C §47101,et seq, (herein the AAIA grant statute is
referred to as"the Act"),the representations contained in the Project Application, and in consideration of
(a)the Sponsor's adoption and ratification of the Grant Assurances dated March 2014,and the Sponsor's
acceptance of this Offer, and, (b)the benefits to accrue to the United States and the public from the
accomplishment of the Project and compliance with the Grant Assurances and conditions as herein
provided
THE FEDERAL AVIATION ADMINISTRATION,FOR AND ON BEHALF OF THE UNITED STATES,HEREBY
OFFERS AND AGREES to pay ninety(90) percent of the allowable costs incurred accomplishing the
Project as the United States share of the Project
This Offer is made on and SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS
CONDITIONS
1. Maximum Obligation The maximum obligation of the United States payable under this Offer is$150,000
The following amounts represent a breakdown of the maximum obligation for the purpose of establishing
allowable amounts for any future grant amendment,which may increase the foregoing maximum
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3 06 -0195 016 2017
obligation of the United States under the provisions of 49 US C §47108(b)
$0 for planning
$150,000 for airport development
$0 for land acquisition
2 Period of Performance The period of performance begins on the date the Sponsor formally accepts this
agreement Unless explicitly stated otherwise in an amendment from the FAA,the end date of the period
of performance is 4 years(1,460 calendar days)from the date of formal grant acceptance by the Sponsor
The Sponsor may only charge allowable costs for obligations incurred prior to the end date of the period of
performance(2 CFR§200 309) Unless the FAA authorizes a written extension,the sponsor must submit all
project closeout documentation and liquidate(pay off)all obligations incurred under this award no later
than 90 calendar days after the end date of the period of performance (2 CFR§200 343)
The period of performance end date does not relieve or reduce Sponsor obligations and assurances that
extend beyond the closeout of a grant agreement
3 Ineligible or Unallowable Costs The Sponsor must not include any costs in the project that the FAA has
determined to be ineligible or unallowable.
4 Indirect Costs-Snonsor Sponsor may charge indirect costs under this award by applying the indirect cost
rate identified in the project application as accepted by the FAA,to allowable costs for Sponsor direct
salaries and wages
5 Determining the Final Federal Share of Costs The United States'share of allowable project costs will be
made in accordance with the regulations, policies,and procedures of the Secretary Final determination of
the United States'share will be based upon the final audit of the total amount of allowable project costs
and settlement will be made for any upward or downward adjustments to the Federal share of costs
6 Comoleting the Protect Without Delav and in Conformance with Reauirements The Sponsor must carry
out and complete the project without undue delays and in accordance with this agreement,and the
regulations, policies,and procedures of the Secretary The Sponsor also agrees to comply with the
assurances which are part of this agreement
7 Amendments or Withdrawals before Grant Acceptance The FAA reserves the right to amend or withdraw
this offer at anytime prior to its acceptance by the Sponsor
B. Offer Expiration Date This offer will expire and the United States will not be obligated to pay any part of
the costs of the project unless this offer has been accepted by the Sponsor on or before August 30,2017,
or such subsequent date as may be prescribed in writing by the FAA
9 Imnroner Use of Federal Funds.The Sponsor must take all steps, including litigation if necessary,to
recover f=ederal funds spent fraudulently,wastefully,or in violation of Federal antitrust statutes,or
misused in any other manner for any project upon which Federal funds have been expended For the
purposes of this grant agreement,the term"Federal funds" means funds however used or dispersed by
the Sponsor,that were originally paid pursuant to this or any other f=ederal grant agreement The Sponsor
must obtain the approval of the Secretary as to any determination of the amount of the Federal share of
such funds The Sponsor must return the recovered Federal share, including funds recovered by
settlement,order,or judgment,to the Secretary.The Sponsor must furnish to the Secretary,upon request,
all documents and records pertaining to the determination of the amount of the Federal share or to any
settlement,litigation,negotiation,or other efforts taken to recover such funds All settlements or other
final positions of the Sponsor,in court or otherwise, involving the recovery of such Federal share require
advance approval by the Secretary
2
3 -06 -0195 016 -2017
10 United States Not Liable for Damage or Iniury The United States is not responsible or liable for damage
to property or injury to persons which may arise from,or be incident to,Compliance with this grant
agreement
11. Svstem for Award Management(SAM) Registration And Universal Identifier.
A Requirement for System for Award Management(SAM) Unless the Sponsor is exempted from this
requirement under 2 CFR 25 110,the Sponsor must maintain the currency of its information in the
SAM until the Sponsor submits the final financial report required underthis grant, or receives the final
payment,whichever is later This requires that the Sponsor review and update the information at least
annually after the initial registration and more frequently if required by changes in information or
another award term Additional information about registration procedures may be found at the SAM
website (currently at http//www sam gov)
B Data Universal Numbering System DUNS number means the nine digit number established and
assigned by Dun and Bradstreet, Inc (D&B)to uniquely identify business entities A DUNS number
may be obtained from D &B by telephone (currently 566-705-5771)or on the web(currently at
http//fedaov dnb corn/webform)
12 Electronic Grant Pavmentfs) Unless otherwise directed by the FAA, the Sponsor must make each payment
request under this agreement electronically via the Delphi elnvoicing System for Department of
Transportation (DOT) Financial Assistance Awardees
13 Informal Letter Amendment of AIP Proiects if,during the life of the project,the FAA determines that the
maximum grant obligation of the United States exceeds the expected needs of the Sponsor by$25,000 or
five percent(5%),whichever is greater,the FAA can issue a letter amendment to the Sponsor unilaterally
reducing the maximum obligation
The FAA can also issue a letter to the Sponsor increasing the maximum obligation if there is an overrun in
the total actual eligible and allowable project costs to cover the amount of the overrun provided it will not
exceed the statutory limitations for grant amendments The FAA's authority to increase the maximum
obligation does not apply to the "planning"component of condition No 1
The FAA can also issue an informal letter amendment that modifies the grant description to correct
administrative errors or to delete work items if the FAA finds it advantageous and in the best interests of
the United States
An informal letter amendment has the same force and effect as a formal grant amendment
14 Air and Water Qualitv The Sponsor is required to comply with all applicable air and water quality
standards for all projects in this grant If the Sponsor fails to comply with this requirement,the FAA may
suspend, cancel,or terminate this agreement
15. Financial Reporting and Pavment Reauirements The Sponsor will comply with all federal financial
reporting requirements and payment requirements,including submittal of timely and accurate reports
16 Buv American Unless otherwise approved in advance by the FAA,the Sponsor will not acquire or permit
any contractor or subcontractor to acquire any steel or manufactured products produced outside the
United States to be used for any project for which funds are provided under this grant The Sponsor will
include a provision implementing Buy American in every contract.
17 Maximum Obligation Increase For Nonorimary Airoorts.ln accordance with 49 U S C §47108(b),as
amended,the maximum obligation of the United States,as stated in Condition No 1 of this Grant Offer
A May not be increased for a planning project,
B May be increased by not more than 15 percent for development projects,
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3 -06-0195 016-2017
C May be increased by not more than 15 percent or by an amount not to exceed 25 percent of the total
increase in allowable costs attributable to the acquisition of land or interests in land,whichever is
greater, based on current credible appraisals or a court award in a condemnation proceeding
18 Audits for Public Sponsors The Sponsor must provide for a Single Audit or program specific audit in
accordance with 2 CFR part 200 The Sponsor must submit the audit reporting package to the Federal
Audit Clearinghouse on the Federal Audit Clearinghouse's Internet Data Entry System at
htty//harvester census sov/facweb/ Provide one copy of the completed audit to the FAA if requested
19 Suspension or Debarment.When entering into a"covered transaction" as defined by 2 CFR§180 200,the
Sponsor must
A Verify the non-federal entity is eligible to participate in this Federal program by
1 Checking the excluded parties list system (EPLS)as maintained within the System for Award
Management(SAM)to determine if the non-federal entity is excluded or disqualified,or
2 Collecting a certification statement from the non-federal entity attesting they are not excluded or
disqualified from participating,or
3 Adding a clause or condition to covered transactions attesting individual or firm are not excluded
or disqualified from participating
B Require prime contractors to comply with 2 CFR§180 330 when entering into lower-tier transactions
(e g Sub contracts)
C Immediately disclose to the FAA whenever the Sponsor(1) learns they have entered into a covered
transaction with an ineligible entity or(2)suspends or debars a contractor, person, or entity
20 Ban on Textini"While Driving
A In accordance with Executive Order 13513, Federal Leadership on Reducing Text Messaging While
Driving,October 1, 2009,and DOT Order 3902 10,Text Messaging While Driving, December 30,2009,
the Sponsor is encouraged to
1 Adopt and enforce workplace safety policies to decrease crashes caused by distracted drivers
including policies to ban text messaging while driving when performing any work for,or on behalf
of,the Federal government, including work relating to a grant or subgrant
2 Conduct workplace safety initiatives in a manner commensurate with the size of the business,such
as
a Establishment of new rules and programs or re-evaluation of existing programs to
prohibit text messaging while driving,and
b Education,awareness,and other outreach to employees about the safety risks associated
with texting while driving.
B The Sponsor must insert the substance of this clause on banning texting while driving in all subgrants,
contracts and subcontracts
21 AIP Funded Work Included in a PFC Application,
Within 90 Clays of acceptance of this award,Sponsor must submit to the Federal Aviation Administration
an amendment to any approved Passenger Facility Charge(PFC) application that contains an approved PFC
project also covered under this grant award The airport sponsor may not make any expenditure under
this award until project work addressed under this award is removed from an approved PFC application by
amendment
4
3 06 0195 -016-2017
22 Exhibit"A"Property Map The Exhibit"A" Property Map dated 10/16/2030,is incorporated herein by
reference or is submitted with the project application and made part of this grant agreement
23 Emglovee Protection from Re rp_ sa[
A Prohibition of Reprisals-
1 In accordance with 41 U S C §4712,an employee of a grantee or subgrantee may not be
discharged, demoted, or otherwise discriminated against as a reprisal for disclosing to a person or
body described in sub paragraph (A)(2), information that the employee reasonably believes is
evidence of•
i Gross mismanagement of a Federal grant,
n Gross waste of Federal funds,
iii An abuse of authority relating to implementation or use of Federal funds,
iv A substantial and specific danger to public health or safety,or
v A violation of law, rule,or regulation related to a Federal grant
2 Persons and bodies covered The persons and bodies to which a disclosure by an employee is
covered are as follows
I A member of Congress or a representative of a committee of Congress,
n An Inspector General,
III The Government Accountability Office,
Iv A Federal office or employee responsible for oversight of a grant program,
V A court or grand jury,
Vi A management office of the grantee or subgrantee,or
vii A Federal or State regulatory enforcement agency
3 Submission of Complaint—A person who believes that they have been subjected to a reprisal
prohibited by paragraph A of this grant term may submit a complaint regarding the reprisal to the
Office of Inspector General(OIG)for the U S Department of Transportation
4 Time Limitation for Submittal of a Complaint A complaint may not be brought under this
subsection more than three years after the date on which the alleged reprisal took place
5 Required Actions of the Inspector General—Actions, limitations and exceptions of the Inspector
General's office are established under 41 U S C §4712(b)
6 Assumption of Rights to Civil Remedy-Upon receipt of an explanation of a decision not to conduct
or continue an Investigation by the Office of Inspector General,the person submitting a complaint
assumes the right to a civil remedy under4l U S C §4712(c)
24 Lighting The Sponsor must operate and maintain the lighting system during the useful life of the system in
accordance with applicable FAA standards
25 Plans and Specifications Prior to Bidding The Sponsor agrees that it will submit plans and specifications
for FAA review and approval prior to advertising for bids
26 Plans and Specifications Approval Based Won Certification.The FAA and the Sponsor agree that the FAA
approval of the Sponsor's Plans and Specification is based primarily upon the Sponsor's certification to
carry out the project in accordance with policies,standards,and specifications approved by the FAA The
Sponsor understands that
A The Sponsor's certification does not relieve the Sponsor of the requirement to obtain prior FAA
approval for modifications to any AIP standards or to notify the FAA of any limitations to competition
within the project,
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3 - 06 0195 016 2017
B The FAA's acceptance of a Sponsor's certification does not limit the FAA from reviewing appropriate
project documentation forthe purpose of validating the certification statements, and,
C If the FAA determines that the Sponsor has not complied with their certification statements,the FAA
will review the associated project costs to determine whether such costs are allowable under AIP
6
3 06 0 19 5 016-2017
The Sponsor's acceptance of this offer and ratification and adoption of the Project Application
incorporated herein shall be evidenced by execution of this instrument by the Sponsor,as hereinafter
provided,and this Offer and Acceptance shall comprise a Grant Agreement,as provided by the Act,
constituting the contractual obligations and rights of the United States and the Sponsor with respect to the
accomplishment of the Project and compliance with the assurances and conditions as provided herein
Such Grant Agreement shall become effective upon the Sponsor's acceptance of this Offer
UNITED STATES OF AMERICA
FEDERAL AVIATION ADMINISTRATION
(Signature)
David F Cushing
(Typed Name)
Los Angeles Airports district Office
(True of FAA Official)
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3 - 06 0 19 5 016 - 2017
PART II-ACCEPTANCE
The Sponsor does hereby ratify and adopt all assurances, statements, representations, warranties,
covenants,and agreements contained in the Project Application and Incorporated materials referred to in
the foregoing Offer, and does hereby accept this Offer and by such acceptance agrees to comply with all of
the terms and conditions in this Offer and in the Project Application
I declare under penalty of perjury that the foregoing is true and correct '
Executed this ?}y` day of ),,A- Z-0I --7
City of Redlands
..........._....__..... .... ................-. ............ ._.........
(Name of Sponsor)
(Signature of Sponsor's Authorized Official)
By Paul W. Foster
--..._...._.._. __....... --.---................-...--- ........._... ._.... .. _..
(Typed Nome of Sponsor's Authorized Official)
Title Mayor
- --............... --._ ...._........_................... ......._............._.......
(rifle of Sponsor's Authorized Official
ATTEST. �.�
J e Donaldson, City Clerk
CERTIFICATE OF SPONSOR'S ATTORNEY
I,
-Cut)le r (Y)L HLL 't acting as Attorney for the Sponsor do hereby certify
That In my opinion the Sponsor is empowered to enter into the foregoing Grant Agreement under the laws
of the State of California Further, I have examined the foregoing Grant Agreement and the actions taken
by said Sponsor and Sponsor's official representative has been duly authorized and that the execution
thereof Is in all respects due and proper and In accordance with the laws of the said State and the Act. In
addition, for grants involving projects to be carried out on property not owned by the Sponsor, there are
no legal impediments that will prevent full performance by the Sponsor Further, It is my opinion that the
said Grant Agreement constitutes a legal and binding obligation of the Sponsor in accordance with the
terms thereof, �,! /]
Dated at zG�I�r f(�S(locatlon) this '3 5t day of PgU3Lk 7
BY
(Sign "of Sponsor's Attorney)
'Knowingly and willfully providing false information to the Federal government is a violation of 18 U S C
Section 1001 (False Statements) and could subject you to fines, imprisonment, or both
8
" State of Califomia-Department of Fish and Wildlife
2016 ENVIRONMENTAL FILING PEE CASH RECEIPT
� ;- DFW 753 5a (Rev 12115115) Previously DFG 753 5a
RECEIPT NUMBER
36 -- 01262016— 34
STATE CLEARINGHOUSE NUMBER(If applicable)
SEE INSTRUCTIONS ON REVERSE TYPE OR PRINT CLEARLY NIA
LEAD AGENCY LEADAGENCY EMAIL DATE
City of Redlands NIA 01/2612016
COUNTYISTATE AGENCY OF FILING DOCUMENT NUMBER
San Bernardino NIA
PROJECT TITLE
Redlands Airfield Lighting and Sign Plant
PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER
City of Redlands NIA (909)798-7655
PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE
35 Caton St Redlands ICA 92373
PROJECT APPLICANT(Check appropna€e box)
0 Local Public Agency ❑School District ❑Other Special District ❑State Agency ❑Private Entity
CHI=CK APPLICABLE FEES
❑ Environmental Impact Report(EIR) $3,070.00 $ 000
❑ Mitigated/Negative Declaration(MND)(ND) $2 210.25 S 000
❑ Certified Regulatory Program document(CRP) $1,04375 S 000
0 Exempt from fee
Q Notice of Exemption(attach)
❑ CDFW No Etfert Determination(attach)
❑ Fee previously paid(attach previously issued cash receipt copy)
❑ Water Right Application or Petition Fee(State Water Resources Control Board only) $85000 $ 000
Q County documentary handling fee s 5000
❑ Other $
PAYMENT METHOD
El Cash ❑ Credit ❑ Check ❑ Other TOTAL RECEIVED $ 5000
SIGNATU E µ } GENCY OF FILING PRINTED NAME AND TITLE
0 �
X yif Melissa Crowell, Deputy Clerk
ORIGINAL PROJECTAPPLICANT COPY CDFWIASe COPY LEAD AGENCY COPY COUNTYCLERK DFW753.5a(Rev 20151235)
` State of California Department of Fish and Wildlife
2016 ENVIRONMENTAL FILING FEE CASH RECEIPT
DFW 753 5a(Rev 12115/15) Previously DFG 753 5a
NOTICE
Each project applicant shall remit to the county clerk the environmental filing fee before or at fhe time of filing a Notice of Determination(Pub
Resources Code,§21152 Fish&G Code §711 4 subdivision(d) Cal Code Regs. tit 14 §753.5) Wdhoul the appropriate fee,statutory or
categorical exemption or a valid No Effect Determination issued by the California Department of Fish and Wild`ife(CDFW),the Notice of
Determination is not operative,vested,or final,and shall not be accepted by the county clerk
COUNTY DOCUMENTARY HANDLING FEE
The county clerk may charge a documentary handling fee of fifty dollars($50)per filing in addition to the environmental filing fee(Fish&G
Code,§7114.subd (e),Cal Code Regs,tit 14,§753.5,subd (g)(1)) A county board of s-tpervisors shall have the authority to increase or
decrease the fee of charge,that is otherwise authorized to be levied by another provision of law in the amount reasonably necessary to recover
the cost of providing any product or service or the cost of enforcing any regulation for which The fee or charge s levied(Gov Code,§54985,
subd (a))
COLLECTION PROCEDURES FOR COUNTY GOVERNMENTS
Filling Notice of Determination(NOD)
❑ Collect environmental filing fee pT copy of previously issued cash receipt (Do not collect fee if project applicant presents a No Effect
Determinagan signed by CDFW An additional fee is required for each separate environmental document An addendum is not
considered a separate environmental document Checks should be made payable to the county.)
❑ Issue cash receipt to project applicant
❑ Attach copy of cash receipt and,if applicable previously issued cash receipt to NOD
If the project applicant presents a No Effect Determination signed by CDFW,also
❑ Attach No Effect Determination to NOD(no environmental riling fee is due)
Filing Notice of Exemption(NOE)(Statutorily or categorically exempt project(Cal Code Pegs,tit 14,§§15260-15285, 15300-15333))
Issue cash receipt to project applicant
D Attach copy of cash receipt to NOE(no environmental filing fee is due)
Within 30 days after the end of each month in which the envrronmental filing fees are collected,each county shall summarize and record
the amount collected on the monthly State of California Form No CA25(TC31)and remit the amount collected to the State Treasurer Identify
the remittance on Form No CA25 as"Environmental Document Filing Fees`per Fish and Game Code section 7114
The county clerk shall mail the following documents to CDFW on a monthly basis
✓ A photocopy of the monthly State of California Form No CA25(TC31),
✓ CDFVWASB copies of all cash receipts(including all voided receipts),
✓ A copy of all CDFW No Effect Determinations filed in lieu of fee payment,
✓ A copy of all NODs filed with the county during the preceding month,and
✓ A list of the name,address and telephone number of all project applicants for which an NOD has been filed If this information Is contained
on the cash receipt filed with CDFW urider California Code of Regulations title 14 section 753 5 subdivision(e)(6),no additional
information Is required
DOCUMENT RETENTION
The county shall retain two copies of the cash receipt(for lead agency and county clerk)and a copy of all documents described above for at
least 12 months
RECEIPT NUMBER
# The first two digits automatically populate by making the appropriate selection in the CountylState Agen(.y of Filing drop down menu
# The next eight digits automatically populate with the current month day and year
# The last three digits correspond with the sequential order of issuance for each calendar year For example,the first receipt number issued
on January 1 should end in 001 If a county issued 252 receipts for the year ending on December 31 the:last receipt number should end in
252 CDFW recommends that counties and state agencies save a local copy of this form Each time the form is opened on the same
computer,the last three digits will automatically populate in sequence However,CDFy'l recommends that counties track receipt numbers
on a spreadsheet tabbed by month to ensure accuracy
DO NOT COMBINE THE ENVIRONMENTAL FEES WITH THE STATE SHARE OF FISH AND WILDLIFE FEES
Mail to
California Department of Fish and Wildlife
Accounting Services Branch
1416 9th Street 12th Floor Suite 1266
Sacramento,California 95817
ORIGINAL PROJECTAPPLICANT COPY c1)FW"3 COPY LEADAGENCY COPY COUNTYCLERK DFW753.5a(Rev 20151215)
Print Form
Notice of Exemption Appendix E
To Office of Planning and Research From (Public Agency) City of Redlands
P.0 Box 3044,Room 113 35 Cajon Street
Sacramento CA 95812 3044 Redlands,CA 92,373
County Cleric
County of San Bernardino (Address)
385 N Arrowhead Avenue
San Bernardino,CA 92415
Project Title, Redlands Airfield Lighting and Sign Plan
Project Applicant City of Redlands
Project Location Specific
Redlands Municipal Airfield(REI)
Project Location City Redlands Project Location-County San Bernardino
Description of Nature,Purpose and Beneficiaries of Project
Project involves the replacement and installation of runway and taxiway edge lights and signs,and'mstallation
of new light cans light fixtures,conduit and cable for elevated and in-pavement taxiway edge lights,runway
end identifier lights,and runway edge lights to increase safety for the pilots when operating at night
Name of Public Agency Approving Project City of Redlands
Name of Person or Agency Carrying Out Project City of Redlands
Exempt Status (check one)
❑ Ministerial(Sec 21080(b)(1),15268),
❑ Declared Emergency(Sec 21080(b)(3),15269(a)),
❑ Emergency Project(Sec 21080(b)(4),115269(b&))
IN Categorical Exemption State type and section number Class 2 Section 15302(c)
❑ Statutory Exemptions State code number-
Reasons why project is exempt
Project involves the replacement of existing lights with minimal installation of new lights,which serve the
same function as existing lights,to provide pilot safety for night operations
Lead Agency Will Hamilton (909)798.7653
Contact Person Area CodeFrelephone/E:xtension
If filed by ajipticant.
1 Attach certified document of exemption finding
2 Has a Notice of Exemption been filed by the public agency approving the project? ❑Yes El No
ool
Signature ,_„W, �--- Date /�`vl 4k Title Ae'd„a" °����n Aray4�-
IN Signed by Lead Agency 13 Signed by Applicant
Authority cited Sections 21083 and 21110,Pubitc Resources Code Date Received for piing at OPR
Reference Sections 21108 21152 and 211521 Public Resources Cade
DATE FILE PO E
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