0CT07'21 pnl2:55 RCUD

THE STA TE OF NEW HAMPSHIREDEPAR TMENT OF TRA NSPOR TA TION

Department ofTratupttriatutn

Victoria F. Sheehan

Commissioner

35"

William Cass, P.E.

Assistant Commissioner

His Excellency, Governor Christopher T. Sununuand the Honorable Council

State House

Concord, NH 03301

September 9, 2021Bureau of Aeronautics

REQUESTED ACTION

1.) Authorize the Department of Transportation to accept and expend a grant retroactive fromJanuary 20, 2020, in the amount of $23,000.00, awarded under the Coronavirus Response and ReliefSupplemental Appropriations (CRRSA) Act and administered via the Federal Aviation Administration,to cover airport operating expenses at the Laconia Municipal Airport from the date of Governor andCouncil approval through June 30, 2023. 100% Federal Funds.

Funds are to be budgeted in account 04-096-096-964010-2021, Department of Transportation, FederalLocal Projects as follows:

04-096-096-964010-2021

Current

BudgetFY2022

RequestedChange

Revised

BudgetFY2022

Federal Local Projects

Expenses:

018 500106 Overtime $10,000 $0 $10,000

060 500601 Benefits $1,958 $0 $1,958

072 509073 Grants Federal $21,602,689 $23,000 $21,625,689

Total $21,614,647 $23,000 $21,637,647

Source of Funds

Revenue:

000 404218 Federal Funds $21,614,647 $23,000 $21,637,647

Total $21,614,647 $23,000 $21,637,647

2.) Authorize the Department of Transportation to retroactively award a grant to the City ofLaconia (Vendor Code 156889), SBG-09-18-2021 for CRRSA Act funding to offset a decline inrevenues arising from diminished airport operations and activities as a result of the COVID-19 PublicHealth Emergency for the Laconia Municipal Airport. Federal participation in the amount of$23,000.00 is effective upon Governor and Council approval through May 3, 2025. 100% FederalFunds.

JOHN O. MORTON BUILDING • 7 HA2EN DRIVE • P.O. BOX 483 • CONCORD. NEW HAMPSHIRE 03302-0483

TELEPHONE; 603-271-2171 • FAX: 603-271-7025 • TDD ACCESS; RELAY NH 1-800-735-2964 • INTERNET: WWW.NHDOT.COM

Funding is available as follows: FY 2022

04-96-96-964010-2021

FAA CRRSA Act Funding072-509073 Grants Federal $23,000.00

EXPLANATION

The CRRSA Act provides funding to Non-Primary General Aviation Airports to cover airport operatingexpenses at the NH's airports.

One FAA grant was issued, AIR 3-33-SBGP-037-202I, to provide the funding to the Laconia MunicipalAirport and other NH airports to reimburse for the following:

• SBG 09-18-2021 for $23,000.00 to reimburse for costs related to operations, personnel, cleaning,sanitization, janitorial services combating the spread of pathogens at the airport, and debt serviceexpenses.

This award is retroactive dating back to January 20, 2020 with an end date of May 3, 2025.

The CRRSA Act provided grant funds for operating expenses at Non Primary General Aviation airportsthat arise due to the COVID-19 public health emergency. Under FAA's new Airport CoronavirusResponse Grant Program:

• Non-Primary Commercial Service and General Aviation Airports share not less than $45 million(less the amount allocated for non-primary airports participating in the FAA Contract TowerProgram) allocated based on the categories (National, Regional, Local, and Basic) published inthe most current NPIAS, reflecting the percentage of the aggregate published eligibledevelopment costs for each such category, and then dividing the allocated funds evenly amongthe eligible airports in each category, rounded up to the nearest thousand. Sponsors may usethese funds for costs related to operations, personnel, cleaning, sanitization, janitorial services,combating the spread of pathogens at the airport, and debt service payments.

CRRSA Act funds allow for the reimbursement of eligible expenses that were incurred on or afterJanuary 20, 2020 at a 100% federal share up to the amount of the grant. As such, the Department willadminister CRRSA Act funding to support the Laconia Municipal Airport, in accordance with FAAguidance. FAA has the sole authority to make the determination regarding the amount and eligibility ofwhat costs will be reimbursed.

The Contract has been approved by the Attorney General as to form and execution and the Departmenthas verified that the necessary funds are available. Copies of the fully executed contract are on file at theSecretary of State's Office and the Department of Administrative Service's Office and subsequent toGovernor and Council approval will be on file at the Department of Transportation.

In the event that the Federal funds become no longer available, General funds will not be requested tosupport this program.

In accordance with the FAA grant assurances C- Sponsor Certifications, Responsibility and Authority ofthe Sponsor, the grant funds must be immediately available for the project to execute the grant offer;therefore all funding for this project is encumbered in the first fiscal year.

Source of Funds: 100% Federal Funds from the Federal Aviation Administration.

Sincerely,

Victoria F. Sheehan

Commissioner

VFS/tlsl

Attachments

3-33-SBGpi037-2021

©U,&,Oe]xmT^t

ol Tfonspprto^' AlrportS'Dtvisioh FAAANE>600

Newingland Region: 1200 Dlstrirt Ave.FMOrol A^ptlon ma, ME, NH. Rl, VT Burlln^bn, MA 01803Administration

CRRSA TransmlttalLetter

April,30,202.1:

MhPatiick C; .Herli.hyDirector, Division:of Aeronautics, Rail and Transit

N.H.. Department,of Transi5ortatipnJohn O, Morion Building7 Hazeii Drive

Goncordi-NH 03301

"Attn: Ms. Cardl Niewola

Dear-Mr Herlihy:

Please find the fdllowihg electfohic Airport .Cordnavims Response Grant Progam;(ACRGP)vGrant No. 3-33-S.BGP-037-2021 LaV'^e New Hampshire State Block Grant Pro^am imGoncprd,NH. ,This letter outlines expectations forauccess. Please read and follow the instructions'-carefully.

To properly'eriterjnto thisa^eement. ypu must dp theTollowing:

a.. The governing body musfprpvidc-a^^^ executpthc-grant.to'lhe individual signingthe grant; i.e. the sponsor's authorized representative:

b. The sponsor's audiorized.reprcs'entative must execute^the graht; followed by theattomev's certification.mo.later:than June 7« 2021- in order for the^nt to bewalid.

c. Ybu may not makeariy modification to the text,,iterrhs or conditions of the grant pfTer-

d. The grant offer must be digitallysigned by the sponsor's legal signatory authority andthen'th'e grant,o^er will be routed via email to. therspdnsof'saltOrney; Ghce'the.attprneyhas digitally attested to the gr^t, ;m email with thexxecuted grant willbe serit to allparties:

Subject to theTeqiii'rements in 2 GFR §200:305, each payment request for reimbursement underthis grant; mpst be made electronically via Uie Delphi einvpicing System. Please see theattached Grant Agrecmerit fPYmore inforihalioh regarding the use of this Systeml.Jhe terms andconditipns of this agreementTCflPire you drawdown and expend-these:funds.within four years.

An airport'isponspr may iise^these.funds for costs related to-operations, personnel, cleaning,,sariitizatibh, janitorial.services, combating the;spread of pathogens at the airpprt, arid; debtrservice

:3-33-S.BGP-037-2021

payments...An;airport sponsor may alsb^.hese.funds to cover lawful expenses to support.FAA•contract.tovyer operations. Funds provided for-FAA contract tower operations may not be usedfor any other |3uipbse..Please.refef to' the ACRGP FfcQuehtiv.Asked'Questibris for i\jrth"erinformation.

With each-payment request you arerrequired.to .upload an invoice stimmary directly to Delphi.,The invoice.summary should include enough detail to permit FAA to veri^ cbmpliahce with the.Coronavirus Response and Relief Supplemental Appropriations Act'CPtibUP 116-2<S0).

For'the final payment,reques.t, iii addition to, the,rcquiremeht listed above;for all payment.rcqucsts;;you.are required.to upload directly to Delphi;

• A 'final .financial feporiisummarizing all of the costs incurred and,reimbursed, and

• AnSF-425, and

• A clpseout repo.rt^CA sample rcportis available hcrcV

Ufitij the grant.'is.cbmpleled, and closed, you are respdnsible for .submitting a sigiied/dated SF-:,425;annually, due 9,0 days after the end'-df each federal fiscal year in which thiagrant is open(due Decerribcr 31 of each ,ycar thisjgrant iis open).

By accepting this gfant, you agree to cptitinue to employ, through Febriiary 15, 2021, at jeast 90percent of.the number of individuals employed by the airport as of March 27, 2020. Inaccordanceiwi^ithc empldyecTetention.gfant:ass.ufancc, you will-.pfpyide-anemproyce rCt^^report to CARESAirports@faa.gpv by Marchd, 2021.

As a condition of receiving Federal assistance under this award, you musticomply with auditre'quifements;as:.establishcd under 2 GFR part;26.0. Subpart F requires non-Federal entities that,expend $750,000 or more in Federal awards to conduct a single or program specific audit for thatyean, Nbte.tHat.thiis' includes Federal expenditures made undefother Fedefal-assisianceprograrns; Please lake appropriate and neces_sary action'to assure :your'Organizatipn will'complywith.applicable audit requirements and standards.

I am readiiy.available to assist'ybu and your designated representative with the,requirements.stated herein." We sincerely yajue your copperaiipn in these efforts.

Sincerely,

l^aHnr&fLGail Lnttrell (Apr 30,'202 r06:<l0 EOT)'

Gail Lattrell

Director

.. ̂ .

3-33-SBGP-037^2021

U;Si Department

of Transportation

FederalAviation

Administration

AIRPORT GQRbNAVlRUSREUEf-GRA!^^^^

STATE BLGGK GMNT^GREEMENT

PartI-Ofkr

Federal Award Offer Date* April 30,2021

Airport/planning Area Eligibie Alrpprts'Uhder the New Hampshire:State.8lpck:Graht Program

AGRGP Grant Number 3-33-SBGp-037^2021

Unique Entity identifier 80859169.7

TO: Statejdf. New Harn'pshire(Kerein'called the "State')

FROM; the United.States of AmeHca (acting thrpugh.the Federal Aviation Adhiinistratlon, herein called the"FAA")

"WHEREAS; the FAA has^entered Into a StatesBlock Grant^rogram (SBGP) Memorandum.of Agreement(MOA) with the State fpf.theedmlnistratipri.df.Airport'lrripfpverheht PfPgram (AlP) Grant.fundsibrairport planning, development, and noise program-Implementation projectsxonf6rming.to.49 U.S.C'Chapters;471 and 475; as permitted under 49 y;S..C./§'47i28 at npnrprl.maf;y airports l.n'the; State'(covered;alrpprts);

WHEREAS; the State, as an approved^SBGP participant, has the adminlstratlveiresponslbillty io.adrhlnister AlP Grant funds for Spbhsprs of cbVered airpbfts;

WHEREAS, the State has'submltted to the FAA.an. Airports Cbronavirus Response Grant Program (hereincalled "AGRGP") Appjicatiph dated March 9,'202;1, for a^Grant of Federal funds at or associated with thecovered airportsin New Hampshire, which areihcluded'as paftvbfthis-ACRGP Grant Ag'reemeht;

WHEREASi 'the FAA has made an ACRGP State Block Grant Offer and the State has acceptedthe terms ofFAA's.ACRGP State Bibck-Gfarit Offer;

WHEREAS; in consideration of the prorrilses, repreisehiatldhs and 3ssur;ances,prbvlded by the State, the

FAA has approved the ,ACRGP State Block-Grant Application to provide AGRGP State.Block-Grant funds(herein called the "State Block Grant" or "AGRGPvState Block Grant") to^the State foVthe coveredairports identified herein;

WHEREAS; this ACRGP Grant, provided in accbrdahce.wjth the Cbrpna^ Response and Relief.Suppremental.Apprbpriatipnf Act (CRRSA Act or "theAct")/ Dlvjsibn M of Public Law 1-16-26P, asdescribed below; is.to provide eligible covered airport Sponsors-in New Hampshire participating in.the

^33-SBGP-037-202,l,1

SBG^ described above; with funding for costs related tp operations; personnel; deaning,.sanitizatiqn,janitorial services, combating the spread of pathogens at the airport, and debt service payments.

WHEREAS, this ACRGP State, Block Grant allocates specific arno.unts to covered airports,^,which are

mamed'herein and derived by legislative formula ,(See Division M, Title IV of the Act) to iriclude additibnal,

amounts for cpyered airports with FAA Federal Cphtract Tpwers, as, defined below:;'and

WHEREAS;;the purpose of this ACRGP State Block Grant is to prevent, prepare for,;3nd,respond to

;c6roriavirus..Funds provided uriderHhis ACRGP'State Slock'Graht Agreement rhust'.ohly be.used for

purposes directly related to the coyered airportsjand shalt.be provided to such covered airports usingsubgrants, vyhich include the terrns;.conditJon5„'and assurances attached hereto. Such purposes can

include the reimbursement of an airport's costs related to operations, personnel, cleaning, sanitizationj,janitorial services, and combating the spread of pathogens Ih;acc6rdahce with the limitatiohs'pres'cribed

!ih the Actiahd incurred hd.eprlief than Januai^ 20,7020..Subgrants urider this, ACRGP State Block Grantaisb may be used tb rejmburse a,Sponsor's payment of debt service wBere such payments pccur ori qrafter pecember-2X 2020. Funds provided under this ACRGP State:Block Grant Agreement\will begoverned by.fhe same principles that govern "airport revenue." New.airport development projects not

•directly-related to.cbmbattihg the spread of path6gens:mayh6t be funded withitHis'Gfaht. .

NOW THEREFORE, ihaccbfdance with the applicable prpyisions:pf the CRR^^ Public Law 116r26p,the representations contained In the ACRGP StatCiBlbck Grant Applicatibh. a'nd ih cphsideratioh of (a)the State's acceptanceoithis Offer; and (b) the benefits to^accrue to the United States and the publicTrorh the accomplishment of th'e^Grant and in cbnipliahce .with the.cphditibhs'asiherein,provided;

THE FEDERAL AVIATION ADMINISTRATION, FOR ANp;.ON BEHALF OF THE UNITED STATES; HEREBY

OFFERS AND AGREES to pay percent of the allowable costs Incurred as a resultiof and.Itiaccprdancewlth thlsGrant Agreement;

Assistance Listings Number (Formerly CFDA Number)::20.106:

This Offer is made on and SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:

CONDITIONS

i. Maximum bblleatlon; The maximum obligation of the United-States payable:under this Offer is.$195,162.

The following amounts represent the calculations of the-maximum total obligations per coveredairport.available.uhder the prpvisipns.pf the CRRSA Act ahd FAA State=Block Grant Prbgram,

provided to.each co,vered airport according to CRRSAAct fprrnulas:

IPl-Plymouth Municipal Airport; $9,000- Non primary, KU

2.B3-Parlih Field, Si3;p00 - Npn primary, KU

5B9-Dean Memorial Airport, $9,000- Non phrhaly, KU

ASH-Boire.Field, $23,000 - Non primary, KU

BML-B,erlin Regional Airport, $9;000 - Nbn prirh3fy,:KU

CNH-Claremont Municlpal;Airport,;$13,000 - Non primary, KU

CON-Cbncprd Municipal Airport, $13,000 - Nop prirnary, KU

3-33VSBGP^37-2021

pAW-Skyhaveh Airport, ,Sn,PQP ̂ Npnpr'jmai^.kU

EEN-Oiilant-Hqpkihs.Airport, $23,000 :-'N6h }5riniajy KU

HIE-Mount Washington Regibnai Airport, $13,000--Non primary, KU

LGI-Laconla-Munleipai Airport, $23,06p - Npn prlrnary, KU

The following amounts are provided in additloh to thc above amounts to covered airports wit^ellgi.bie FA^ federal Contract Towers named below, fpr the purposes expressly identified In theSpecial Gfant^Conditibn fbrFAA Federal Contract Tower funds ihci'uded In'th'ls AGRGP.^State:Block Grant Agreement:

ASH-Boire Field,!$34,162 ETC, KT

2. Grant Perfbrmance.This.ACRGP Grant Aereenient is subject to .the fdllowIhg.Fe'deral award;requirements:

a. Period of-Perfdrrtiance:.

1. Shall start on the date the-State.formally accepts this Grant-Agreement and Is the date-signed by the Jast-State signatory to^the Agreement. The'cnd date of the period ofperformance is.4years,(l,460:calendardays).from the dateiof acceptance.The Period ofPerformance enddate shallmpt affect, relieye or reduce Stateiobligatibns and assurancesthat extend beyond the.clbseoLit of this Grant Agreemeht.

2. Means the total estimated time.Interval between the start of an initial Federal award and

the planned end date, which may Ihclude.orie or rnbre funded portions, or budget periods.(2 Code of Federal Regulations (CFR) § 200!1)

3. All subawards jssUed by the State to .covered alrpprt sponsors under this ACR.P State BlpckGrant Agreemeht.shall but subject to the Period of Perforfhahcc defined Ih this Agreement.

b. Budget-Period:

T. .For this Grant is 4 Years.(l,46p;calendar daysj^nd fpljows the same start,.and end .date as -

the Period of Performance provided in ParagraRh'a.l..Pursuant.to:2 CFR §'200.403(h), a

State or cpvered:airpqrt Sponsor may cha'rge;tq the,.Grant only:al|qv/able:cpsts incurredduring the budget period.

2. Means the time Interval from the:starTdate oTa funded-portion of an award to'the end;dateof that funded pbftibn dufihg which'the State or coyefed.airport sponsbr is authorized toexpend the.funds'awarded, includihg anyfundsicarried forward or other revlslonsipursuant

,tp 1200308;

3. All.subawards;issu,edi.bV, tbe State to covered airport sponsors under this ACRP-.State BlockGrant Agreernent'shall but subject.to the Budget:Period defined in this Agreement.

:c. Close Qut.and Termihatibn:

1. Unless the FAA authorizes a written extension; the State mlist submit all Grant closeout

documentaticnand liqujdate;(pay-pff) alt pbljgatipns incurred under this,award no laterth"anT20 caleridartdays aftef-the.cnd dateipf the period of performance; If the State doesnot submit all required closeout documentation within this time perlod).the FAA willpfoceed to close put the Grant vyithin orie year.of the period Of p.erforrna.nce,;end date^withthe information available at the end.of 120 days. (2 CFR § 200344)

3=33-SBGP-037-2.021

2. The FAA may terminate this ACRGP State Sipck Grant, in whble^or jn part, in accordancewith the conditions-set forth in 2.CFR § 200.340, or other Federal regulatory or statutory'authorities as applicable.

3; Requffements'for Subgrahts. The Statemust.lhclude the following In all.subgrahts isVued toSponsors under this ACRGP State Block Grant and require compliance by the Sponsors of thecoyered-'alrpbrts Included in.thls ACGRP State Block Grant.Agreement:

a. The terms and conditions attached to this ACRGP State Block.Granf Agreement;

b.. The ACRGP Sponsor Assurances attached to this,ACRGP.State Bjock Grant Agreement; and

c. All Information required by 2 CFR.§.200.332.

,4. Unallowable Costs. The State and Sponsors shall not seek reimbursement for any.costs that the.FAAhas.detefrhlhed to be unallowable under the CRRSA:Act.

.5. Indirect-Costs - State and Sponsors. The-State and Sponsors may charge indirect costs'uhder this

•award by'applying the Indirect cost rate Identified in the AGRGP Grant Application or subgrant.issued to a Sponsor by the Stateiiihder this ACRGP Grant; as accepted by the FAA.-taalipwa.ble cpstsfor Sponsor direct salaries and wages only.

6-. Final Federal-Share drCosts. TKe United States,share of ajipwable ACRGP' State Block Grant costs islOd^ as allocated herein to covered airports.

7; Completing the Grant without Delay and In Conformance with Requirements; The'State must carry

out;ahd complete the ACRGP State Block Grant without undue delays and.ih accbrdahce with thisACRGP State Block Grant Agreement; the CRRSA Act, and the regulations, policies', standards,.andprocedures of the Secretary of TrahspPrtatipn ("Secretary^'); The State must require the;same,pfSponsors In all subgrants Issued under this ACRGP State Block Grant Agreement. Pufsuaht' to 2 CFR §200:308,:.the State agrees, and Wjll require Sponsors agree; to report to'the State or FAA any.disengagementTrom funding eligible expenses under .the ACRGP State;Bipck Graht;pr subgrantfunded under this ACRGP Sta'te.Block Grant that exceeds.three months or a 25 percent reduction in

time devoted to the ACRGP State Block Grant pr subgrant, and request-prior apprpyal from FAA. thereport must,include a reason for the stoppage. The State agrees and will fequife Sponsors agree tocoiTi'plv-with'the attached assurances, which are part of this Agreement.and any addendum that maybe attached hereto at.a later date,by mutual consent. These:assurances,'cohditipn's,..and.any

addendums apply to subgrants issued under this ACRGP;State Block Grant as provided for ih"Cpnditiph 3.

8. Amendments or Withdrawals before Grant Acceptance; This FAA reserves the right to^amend.ofwithdraw thfs offer at any time prior to its acceptance by the,State.

9. Offer Explfatioh Date. This offer will expire and.the .United StatesWiil not be pbMgated to pay anypart of the.costs unless this offer has been accepted by the Stat'e.oh or before June 7.2021. or suchsubsequent date as maybe prescribed In writing by the FAA.

10. Improper Use of.Federal Funds. The.State and Sp.dnsbf,.must fake all steps,, Ihciudihg.litigatlon'ifnecessary,.to recover Federal funds spent fraudulently, wastefuily, or In violation of Federalantitrust statutes, or hi'isused In .any other manner, ihcluding uses that viblate.this ACRGP-Slate

Block Grant Agreement; the CRRSA Act or other provision of applicable law. For the purposes of thisACRGP State Block Grant Agreernent, the term "Federal funds" means funds hqwever used or

3-33-SB6P-037-2021

dispersed by the State or Sponsor, that were onginally/paid pursuantto this or any otheKFederalgrant:egreemerit(s). The State and Sponsor rhust return ithe recovered -Federal share, including fundsrecovered by settlement,"brdefvor judgment,jtb,"the Secretary/The State.arid Sponsor,must furnishto the Secreta^,;Upon request,-all documents and-records pertainlng to the determination of theambuht.bf the Federal share of to any settliefnent,-iitigatlb'n', hegbtlatiph, or other effprts-^keh torecover such funds. All settlements or other finalpositions of.the State and Sponsor, in court or

otherwise, invb|virig.the recovery bf:5uch federal share requlreiadvance apprpva] bythe Secretary;

11. United States Not Liatile for.bamage or Inlurv. The United States is not respohsible bf liable fordamage to property pr injury tpjpersons which may arise,from,,onrelate tpthis ACRGR:State.BlockGrant Agfeertie'htand subgrarih issued uridef this ACRGP Grant Agreement,Jncluding,;but ,notlimited to, any actlon taken fay the State or Sponsor related to or arising from, directly or Indirectly,

this ACRGP State Block Grant Agreement.

12. System for^Award Management (SAM) Reeistratiori And:Unldue Ehtltvidehtlfief fUEIK

a. iRequjrement.fpr System for, Avyard Managernent (SAM)V Unless the SUte or Sponsor isexefhpted ffbrn this re"quifefhentiu'ndef 2<CFR § 25.110,,the State,and Sponsor friiist maintain

the currency of .their lnformatlon in the SAM until the State and Sponsor submit the finalflnanciarrepdft required under thls 'AGRGP State Block Grant Including ail subgfahts issuedunder thiis ACRGPP State Block Grant Agreement, or receive the final payment, whichever Islater: This requires that the State.and Sponsor reVievy.and^update the Ihfprmation at least,anhually after the Initial fegistratibn and more frequently if required by changes in Informationor another award term. Additional information about registration procedures may'be>'fbund atthe SAM website (currently at httD://www.sam.gbv).

b. Unique entity identifier (U£l) means a 12-character alpha-numeric value used to identlfy.a

speciffc commercial, npnprqfit.pr gpvernmental entily.,A UEI may be pbtained/rpm.SAM.gpv at'https://s3m.gov/SAM/pages/Dublic/lhdex.lsf).

13. Electronic Grant Pavmentfs). Unless otherwise directed by theiFAA, the State or Sponsor must makeeach payment request under this Ajgreemcht'electroni.caily via the peiphi einvol.cing System fbr,Department of Transportation fDGT) Financial.Assistance Awardees:

14. Air and Water Quality; The State and Sponsor are required to comply yi/lth all applicabie^alr'andwater quality^stahdafds for all projects in this grant. If the;State and Sponsor fail tb cbmply vyith.thisrequlremeni.the.FAA may suspend, cancel, or terminate,this Agreement and any subgrants'lssued.under this ACRGP State, Block.Grant Agreement.

15. Financial Repoftihg.and.Pavment Requirements. The State.and Sponsor will comply'with all FederalfinancialTepbrtmg requJrements and payment requirements,ilhcludihg submittaj of timelyandaccurate reports.

16. Buy American. Unless otherwise approved In advance by the FAA, inraccordance wlth^9 U.S.C.;§

•SOlpl the State/and Sponsor wlll nbt acquire or permit any contractor p/ subcpntractor.tp acquire'any.steel'or manufactured goods-produced outside the United States.to be used fbf any permitteduseifo'r which funds are provided,under thisACRGP StateBlock Grant Agreement. TheState andSpohsbr will include a provision irhplementin'g Buy American ih.eyefy-.cohtract'and.subcbntractissued under this ACRGP State Block Grant.

3.33-SBGP-P37-2021

17. Audits for Sponsors. (State.will select appropriate option for Sponsor in^subgrant)

a. PRIVATE SPONSORS. When the period of perforrnahce has ended, the,State must require prlyate.Sponsors provide" a copy of ah audit of any subgrarits issued under this: ACRGP State Block GrantAgreement prepared in accordance with accepted standard audit practices, such audit to besubmitted to.'the applicable Airports District Office.,

b. PUBLIC SPONSORS, the State must require public Sponsors provide for a Single Audit orprogram-specific audit In accordance with 2.CFR § Part, 200 of any subgrants issued under .this.ACRGP State Block Grant Agreement. The State and Sponsors mustsubmit the audit reporting

packageTtb.the Federal AudltXIearihghouse on the Federal Audit Clearinghouse's Internet DataEritry System at Http://h"aiveste'r.cerisus.e6v/fac'web/. Uoon r.equest bf the FAA, the State,'ahd

Sponsors shall provide one copy of the completed audit to the FAA.

IS.iSuspehsioh of'Debafmeht. .The State must:

. a. Immediately disclose to the;FAA whenever the State:

1. Learris.a Sponsor has entered into'a covered transaction with an ineligible entity; or

2. Suspends of debars^ cohtractof, person, of entity..

b. include a'provision in all subgrants issued under this ACRGP State Block Gfant Agreement^thatre",quifes,Spbhsbrs'ehteflhg'i_nto "covered tranSactiphs'',as;defirfe,d,by:2,CFR§-18p.-2bO, to:

1. Verify the.non-Federal entity is eligible to participate in this Federal progfam by:

A. Checkirig the:exciuded parties list-system (ERLSj as maintained within the System forAward Management (SAM) to.determine if the non-Federal entity Is excluded or'disqualiHed; or

B. Cpliectlfiga cerpficatlon statement from the hoh-Federal.entity attesting the entity.is not,excluded or disqualified from participating; of

C; Adding a^clause or. condition to covered transactions attesting the individual or firm Is notexcluded or disqualified froni participating; and

2. Require prifne contractors'and-subcontractors to comply with 2 CFR'§ 180.330 when enteringirito lower-tier transactions (e.g. "subgrants and subcpntracts):,

c: Insert this Clause on suspension or debarnieht in all subgrants',.contracts, and subcontracts thatresult from this AGRGP-State Block Grant and require compliance by all Sponsors receiving funds.'undef this. Agreement.

19. Ban on Textlng While Driving.

. a. [n accordance with ExecuUve Order i3Si3, Federal Leadership on Reducing Text MessagingWhile Dflvirig, OctObef.l, 2009, ,and;.OOT Order 3902.10, Text Messaging Whlle.Driving,:

December 30, 2009, the.State and all'Sponsors are encouragedito:

•1; Adppt.and enforce workplace safety policies to decrease crashes caused by distracted driversihcludihg'pollcies to b'an't'ext fnessaging while drlvihg'when peffdfming any work for, or on

behalf of; the Federal government; including work relating.to this ACRGP Grant-and all

subgrants,;funded by this;ACRG.P;Sta,te,Block Grant.

2. Conduct workplace safety initiatives In a manner commensurate with the size of the

business,.such :as:

A.. Establishment of hew rules and programs or fe-evaluatioh bf'existing prografris to

prohibit text messaging while'driving; and

3.33^SB6P-037-2021

B. Education, awareness, and other outreach to.employees about the safety risks,associated with'textihg while'drivihg.

b. The State must Insert this clause on banning texting'while driving in aii subgrarits, contracts, aridsubcpntractsifunded by this AGR6P State Block Grant.

20. Trafficking in Persons.

a.^ the State, as the recipient; the'State's ennpioyees; and Sponsors using funds provided under thisACRGP State Bjock Grant, Ihcludihg Sponsors, Sponsors' empjbyees, and subgrant recipients'employees may not —

1. Engageln severeforrhs 'of trafficking In persons durlng the period of time that this ACRGP.State^Bld'ck Grant Agreemehte subgrant agreements are.ih effect;

2. Procure^a commerciai^sex act;during the pefiod of time that.thls^ACRiSP State Block GrantAgreerhent and subgrarit agreements are jn effect; or

3. Usetorced labor in the.performance of this ACRGP State Block Grant Agfeemeht.andsubgrant.agreements.

b. The FAA, as the Pe'derai'awarding agency, rhay uhllatefaliy terrhihate this ACRGP State BlockGrant'Agreement, without penalty, if the State or Sponsor that is arprlvate entity-

1. (s determiried to have yiplated a-prphlbitiqn^i^ paragraph a. of this ACRGP-State' Block GrantAgreement condition; or

2. Mas an employee'^who is'determined by the agency official authprized to terminateiheACRGP State Block Grarit Agreemeht'to have violas a proHlbitlbh in paragraph.a. of thisACRGP State Block Grant condition through conduct;that.is either—

A. .Aissbclafed.-with performance under.thiS'ACRGP State BioclcGrant; or.

B. Imputed 'to any and ail Sponsors under this ACRGP State Block Grant uslng.the;standards and due prbcess for imputing the conduct of an Individual to anorganization that are provided In 2 CFR Part 180, "0MB Guidelines to Agencies on

GoverhmentTWide:bebarment and Suspension (Nonprocurement},"''as implementedby the FAA'at-2 CFR-Part 1200:

c. The State.and Sponsor must inform the-FAA irhmediateiy'of any irifo'rmatI6h:receiv,e"d from" anysburce;aijeging-a'violation of a prohibition in paragraph a. above during this ACRGP State BiockGrant Agreement.

d. The FM's right to terminate.unilaterally that-is described ih;paragraph a. above.of thiscondition:

1. Implements'section 106(g) of the Trafficking Viirtims Protection Act of 2000 (TVPA), asaifierided.(22;U:S.C. §,7104(g)),and ^ ~

2. Is in addition tb ajj other remedies for noncdmpljance that:are available to the FAAunder-tHis ACRGP,State Block Grant Agreement.

21. Employee Protection from Reprisal.

a. Prbhibitibh.bf Reprisals-

1. In accordance with 41 UriS.C. §"4712, an employee of the State, Sponsor, or othersubgrantee may.not be discharged,;dempted, or otherwise discriminated against as a

3-33;SBGP-037-2021

reprisal for disclosing to. a.person or body described in.sub-paragraph (A)(2), information

that the employee reasonably believes Is evidence of:

\. Gross mismanagement of a Federal grant;

il. Gross waste.of Fedefal funds;

ill; An abuse of authority relating to implementation or use df 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. Rersotis and bodies covered: The persons and bodies to which:a disclosure by an employeeis covered are as follows:

I. A member of Congress or a, representative of-a committee of Congress;

ij. An Inspector Generaj;

lii. The Government Accountability Office;,

Iv. A Federal office'or employee responsible for oversight of a grant program;

v. A courtpr grand jury;'

vi. A management office of the grantee or subgrantee; or

yii. -A Federal or State, regulatory enfofcefnent.agency.

3. Submission of Corhplaint - A pe'rsdn.who.belleves that they have been subjected.to areprisal prohibited by paragraph a.l. above may submit a complaint regarding the reprisalto the Office of Inspector Gerierai (OIG) for the U.S. Departrrientbf Transportation.

4. Time Limitation;for Submittal of a Complaint - A complaint may not be.brought under thissection rnore than three years a'fter'the'.date on which the.alleged reprisal took place.;

5. Requit'ed Actions..of the Inspectof'Geheral - Actions, liiriitations, and exceptions of the

Inspector General's offlce are established under 41 U.S.C. §'4712(b).

6. ^i^sumption of Rights to Civll Remedy - Upon receipt of an explanatlpnpTafdecisibnrnot .tocbndiictiofco'htinue an investigation by the Office of IhspectdrGeheral, the person

submitting.a complaint assumes the fight to a civl) remedy under 41 U.S.C. § 47l2(c}.

22. Co-Sponsor. The State willrequire Co-Spptispfs understand and agree that they jointly and severally'adopt and ratify.the representations and'assurances contained herein and that the word "Sponsor"as used In the appjicatlpn and other assurances is deemed to Indude.all Cp-sppnsors.

23. Limitations. Nothihg.pfovlded herein shaft be construed to limit, cancel, annul, or modify the termsof any Federal grant agreement(s), lncluding;alhterms;and.assurances related'thereto,;that have^been entered into bv the Sta.te, Sponsprs,;and the.FAA prior to the date of this ACRGP State Biock,Grant,Agreemehf.

24. Face Coverings.Policy. The Sponsor agrees;to Implernent a face-coyering (mas.k) policy tocorribat the spread-of pathogens. This policy must include a requirement that all persons wear amaski in accordance.with Centers for Disease .Control (CDC) guidelines andTranspp.rtatlpn SecurityAdministration (TSA).requirerhehts, as applicable, at aH.tlmes while in all public areas of the Airportproperty, except to the extent exernpted under thpse.requirements. ThiVspecial condition requires

IP

3-33-SBGP-037-2021

the airport Sponsor continue^to require masks untiliExecutive Order 13998,;Promoting COVIO-19Safety,In Ooniestic;an"d lriterhatidriarTfavet„isin6 longer effective.

SPEGIAL CONDITIONS FOR SrtCiFie^^

CONDmON FOR F/CA FEDERAL CONIfWa TpWEM FUNOS'-t

25. ACRGP FCT Operations, the State.aefees and will requtre Sppnsprs agree to use the fund^ ACRGPGrant allocated specifically to cover lavtrful expenses to suppoft'Federal Contract T6weroperatidns:inaccordance-withtheCRRSA Act, Public Law 116t260, Division M,Title IV..Use of these funds is limited,tothe fbllowihg:

a., expenses incurred by the;Sponsor on.orafter. December 27, 2020,to supportfederal.'Contract Toweroperatidns.such as payroll, utilities/ cleaning; sanitizatlon; janitorial services; service contracts, andcombating.the spread^df pathogens, which rhay lnclude'iterns:generaliy havihg;a limited useful life,.Including personal protective^equiprnent and cjeaning'supplies; as well as debt service;payments;and

b. eligible equipmeht.for Federal Cbntract Tower operations defined In FAA Reauthorization Program• .GuidanceXetterrl9-b2; Appendix A: FCT Minlmum Equrprhent Listi:acquired bh or-after December27,2020;

the,State:and Sponsor may ,not use.fundsjajlocated fq FederalCqntract Tower operations for otherairport purposes. The State arid Spbhsoragree to,submit invoices fbr reimbursementifor theseTuhdsseparately from other InvoicesTorfunds-provided in thls-ACRGP State Block;Grant;.Funds not expendedunder this cphditlpn'are suj3ject.td;recpyery by FAAVTbe-State:must include the terms'prescribed in thisspecial condition in in.:all,subgfants awarding fundsTor- FAA,Federal Contract Towers (KT fuhds),

SPECIAL eONblTiONS FOR-USE OF ACRGP FUNDS

CONDtnONS FOR ROUING STOCK/EQUIRMENT -

26. Ebuiprneht br Vehlcle Replacement. The State agrees.and wilj requlre;Sponsors;agr;ee to treat theproceeds from the trade-ln.or sale of equipment being.replaced .with these fundS.as.airpprt revenue.

27.iEdLiipmerit A'cQulsitlon. theiState agrees and will requife SppnSors agree that for any^equipmentacquired"With funds provided by thisigrant, such'equipmeht shall be used^sblelyfdr'purppses directlyrelated to^the Airport for which,Hhie-Subgrant is made.

28 Low EmIsslonrSvUems.The States agrees,and will require Sponsors agree-that vehicles and.eqiiipment •acquired'using.funds'provlded under this ACRGP,State Block Grant:

a. Will be maintained and used at the Airpprt for which they were purchased;'and

b. Will not'be transferred, relocated, or used at another airport wlthbut.the advance consent Pf theFAA.

11

3t33-SBGPt037-2021

"The State further agrees and.will require Sponsors further agree to maintain annual records onIndividual yehicles.ahd equipment, project expenditures, cost effectiveness, arid emission reductions.

Conditions for.Utiuties and Land -

29. Utilities Pf'ofatlori. For pufp.oses.of computing the United States share of the allowable airportoperations and maintenance costs, the allowable cost of utilities incurred by the State or Sponsor,- asapplicable, to operate arid maintain airpprt(s) included In this ACRGP Grant must npt.exceed.theipercentattributable to the capital or operating .costs of the airport.

30. Utliltv Relocation in Grant. The Sbonsor understands and agrees, and will require Sponsors agree and

understand that:

a. The United States will not participate in the cost of any utility relocation unless and until the State,orSporisor.-as applicable, has.submitted'evidehce satisfactprY to the FAA that the State.or Sponsor; asapplicable, Is legally resporislble.for payment of'such costs;

b. FAA participation is Hmlted to those utilities located on-;airpprt or off-airport only where the State or^Sponsor, as applicable, Kasiari eiaserrient for the.utliity; and

c. the utilities must serve a purpose directly related to ihe.Air'port-for vi/hich.the subgrarit is madeunder thls ACRGP State Block.Grant.

31. Land Acq'ulsltlbh. Where funds "provided for by this'Graritpr ahysubgrantTunded by .this Grant are used-for the purpose of acquiring land, the'State agrees and.will require the Sponsor agree to record the:Grant Agreerhent, including.the grant assurances arid any and all. related requirernehts, encumbrances,and restrictibns.that shall apply to such land, in the public land recbrdsof the jurisdiction in which the,land is located.

12-

3-33^SBGP-037-2021

The'State's acceptance of this Offer and ratification and adoption of the ACRGP State Block Grant:Applica'tlph.incorporated hefeinishali be'evidenced by-execu pf this instrurnent by the State. ThisOffer and Acceptance shall comprise an ACRGP State-Block Grant.Agreement; as provided by the CRRSAAct,^constituting the'contractuaj oblj'gations and fights of the United States and the State with respect tothis Graht.and all subawafds: The.effective date of this AGRGP,State Block Graht Agreement is the date;

of the last signatory of the State signs the acceptance of this Offer.

Please reai.d,the fbllpwing Iriformatlph:; By sighing this document,-you arPagreeing tH_at,ypu'havereviewed;the following consumer-disclosure information ahd.cbnseht^to tfahsact'business usinge|ectronic;cpmmunicatio~ns;'tp receive notices and disclosures'electronically, and to utlllze electronic'signatures In lieupf using p.ap,er<ddcurnerits. You are nptTequ'Ired to'feceivemotlces and disclpsufes orsign documents electronlcaliy. If you prefer not.to do so,-you may request tp.receive; paper copies aridwithdraw your consent atiany time.

I declare ufider penalty of perjury that the foregoing ls "true and correct.^

Executed Apri 130,2021- .

UNITED STATES OF;AMERICA,

FEDERAL AViATiON ADMTNISTRATldN

Gail LaM-reHGail LattrclljApr 30,2021 06:40 EDV)

(Signature}

Gail Lattfell

(Typed f)iame}

Director

(Title}

^Knowingly and willfullY providing false information to the Federal government is a violation of IS.U.S.C; Sectiona00l "(False Slatemenisj'and could subject you to fines, Irnprisonment.'or both'.

13

.3.33rSBGP-,037-2021

Part II ̂ Acceptance

The State does'hereby ratify and.adopt all assurahces,-statemenls, representations, warranties,covenants,fand agreements.contained in the AGR(3P.State.Block Grant Appljcation:and'[ncqrporatedrtiaterlal.s referred to,in the'foregdihg Offer under Part.I of this AGRGP,State; Block Griaht Agreement, anddoes hereby accept this.Offer and by such acceptance agrees to comply. with ali'df-the.terms andcpriditipos iri.this Offer a_hd in the^ACRGP State B|pck Grant Applicatibh and/all appl)cable;ter^ andconditions provided for In the CRRSA Act and^other applicable provisions of FederaTLaw.

Please read the fdllo^wln■g:i^fofmatlon: By signing this document, you-are.agreeing that you hayereviewed'the following:consumer disclosure information and c6hseht;to transact business usingelectrqnic'commuhicatipns, to receive,notices and disclosures;electronicallv,:and to:utilize electronicsignatures in jieu of using paper dbcumehts. YPu.are not required tp.recejye nptjces and disclosures orsign documents electronically. If you prefer not to.db so, you may.fequesttb receive pape'r copies'ahd\yithdraw your consent al.any time.

I declare.;under,penalty of perjury/thatithe fofegoitig is true ahd.cdrfect.*

Executed May 4, 2021

State of New Hampshire(Nome ofState)

By:

title;

_Patrlcl<G; HcflllVy(M3y4.'202L07;52EOt)(Signature,of 5tate's;Authorl2ed.0fficlal},*

Patrick C. HerllKy(Tifped Name ofStaterfs'AuthdrU'ed.Offclol)

Director of Aeronaut[cs, Rail:ai(Title ofState's Authorlied Official)

^ Khowinglv and willfully providihg.false.lnformation to the Federal government Is a violatibn.of 18 U.S:C. Section-1001 (False Statements) and could subject you to fines, Imprisonment,'or both.

14

3-33-SBGP-037-2021

CERTIFICATE OF STATERS ATTORNEY

I, Allison B.-Gr.eensteln _j acting as Attorney for the State of New Hampshire do-hereby certify:

That In my opinion the State is empowered tp enter Into the foregoihg ACRGP State Block GrantAgreement under thejaws'bf.the State ofNew Hampshire. Further, I have examined the foregoingACRGP State:B)dck Grant-Agreement and the,'actions taken by said State and;State'S;qfficia!representative has been duty authorized and.that the execution thereof is in all respects due and properarid in accofdariceiwith'the laws.of the Said State'and the'CRRSA Act-. The State,understands.fu

made available under this,ACRGP State Block Grant Agreerhe'nt rhay only be used,t6,feln-ibufse:f6r .ariairport's cbsts. related to operations; personnel, cleaning,.santtlzation. jahltorlal services, combating theSpread of pathogens and debt-service paymerits„at eligible covered, airports:cleiRhed in this Agreement..Further, it is.my opinion thatthe said ACRGP State Block Grant Agreement constitutes a legal and''binding qbligatipn.df the Sta.te-inaccdrdance with theterms thereof..

Please read the following lhformation::By signing-this document; you are agreeihg.that.you^havereviewed .thejfbl.lpwjng co.nsumer disclosure information and consent-totransact'busitiess usingelertfohic coituhuhications, to receive h6tices,and disclosures electrohlcally, ahd.tb utilize electronic-

signatures in lieu of using;paper documents.'You-are not required to recelve notlces and disclosures,orsigh documents electrbnically. If you prefer hot to do so, you rnay request to reCeive.paper cpples.andwithdraw your consent at anytime.

Dated at May '4, '2021

Allison Bi.Greenstein

{Hdmt oJStiii's AtXofniy)

By:

^AIllson'B. GreenswIn lMay 4- 302126:05 EOT),YSipnaru^e 0/ State's Atlorneyl

IS

3r33-SBGP-037-2021

Part Ml-Assurances

AIRPORT eORONAVmUS RELIEF GRANT PROGRAM (ACRGPjAviation State Block Grant PA'RticrpANts'AssuRANCES

These.assurances are required to be subrnltted as Part Ml of the-three^parrappllcatipn\fprms by Statesrequesting funds under theipfovisions of the Cbrbhavir'us Respohse and'ReliefSupplemental

AppropriationSrAct(CRRSA' Act or "the Act"}, Division M of Publiclaw 116r26p,'and administered under

the authbfltv df'pa'rticipah'ts ih'the State BlockGfaht'ProgfamvParticipatihg States and Sponsors shall•comply. with these.assurancesin the performance of any grant agreementand all subgrants executed as

a result of this.Appijcatiqn,

1. Ihcofporate'd Ih Gr'aht Agreement. Upon acceptance by the,State bf the'Gfaht Offer; theseassurances'are incorporated in and become part of the Grant Agreement and all;subgrarits executed

under this ,Gfaht.

■2. Federal Reauirements.The State and.Sponsors agree to.comply with.Federal procedural and otherstandard requlrements.fpr admihiste^ Block-Grant.

3. Rfoigram Repbitlhe. The State,ahd Sponsors "agree to provide the;FAA. wjth. any -such infofmatiqn.related to the Grant as the bOTSecretary-mayTequire.

4. Obligated to Aviation Block Gfant Progfarh State Assurances arid ACRGP Assurarices.

A., For all Grants where the-State or Sponisbf.is the:6wrief.of;the Alrport(s), the'State or Spbnso'rsshall be 6b|lgated\tp comply with Assurances entitled "Airport Goronavirus Relief.Grant ProgramAssurances -.Alrpqrt.Spbhspr/' These.stanclard assurances are"attached to and become part pf

, these.Aviation'State Block Grant Participants.Assurances andiall-subgrahts issued under this.ACRGP State Block Grant.

B. Fohall.ACRGP State.Block Grants and subgrahts benefiting an airpbrtbwher"other than the'State, the:State shall enter into an agreement with the airport owner/sponsor. Jhe-Agreemeritshall obligate the.airport o.wner/Spphsor; and the State, to comply with each of the attachedassurancesi^that wouid have been^appircable to the airport owner/Sponsor had Jt applied directlyto the FAA for an AGRGP Grant. The Agreement shall address the transfer and delegation to.the>aifportipwner/Sponspr Pf Stat"e,obligatjpnOp the FAAl, if desired. The Agreement,afid.change's.thereto must be satisfactory to the.Administrator of the FAA.

5. Compliance Responsibilities. The-State shall take-steps to enforce its Agreement with each.airpqftowner/Sporisof beheflting ffPni the Ayiation State Block Grant PrbgramJf hpncphipliahce,.with;the.terms of the^Agreement is evident or known. This compliance responsibility shall be assumed by theFAA atthe termiriationbf the Block'Grant Program, or as Pthervvtse agreed to by the Stateia'nd theFAA.

16

3-33-SBGP-037-2P21

AIRPORT C0R0NAVIRUSRELIEFiGRANTPRP6^M{ACRGR^^ASSURANCES

AiRPORt Sponsors

A. General.

1. These Ajrport Gpronavirus Relief Grant Program (AGR6P) Assurances are required to besubmitted as part of the application-by sponsors requesting funds under the provisions of theCbronavlrus Relief and Relief Supplemental Appropriations Act of 2020, (CRRSA Act-or'"the Act"),Public:Law Number; Publjc,Law-116-260; As used herein, the term "pubjic agency sponsor"means a public agency with control of a'public-use airport; the term "private sponsor" rheans aprivate owner of a public^use airport; and the term '.'sponsor" Includes bothipublic agencysponsors and private sponsors..

2. Upon acceptance of this AGRGP State Block Grant subaward offer ,by theiSpohs.of; these

assurances are jncorporated into and become part of this GrantrAgreement.

B. Sponsor Certification.

The Sponsor hereby-assures and certifies,.with respect to this AGRGP^.Grant that:

It will comply.with;ail applicable.Federal.laws; regulations, executive orders, policies,.guidelines,arid'requiremehts as theyfelate to;the applicatlbh, acceptance, arid use Of Federal funds for this:AGRGP Grant includirig but not limited to the-following:

FEDERAllEGlSLATiON ^

a. -.49:U'.S.G. Ghapter 471, as applicable

b. paviSTBacph Act- 40 iJ:ic!-276(a). et. seo.

c.. Federal Fair LabOf Standards-Act - 29 U.S:C. 201, et sed.

d. Hatch Act - 5 U.S.C. ISOi, et sec.^

e. Uniforrn Relocation Assistanceend Real Property Acquisition Policief Actpf 1970 Title 42 U.S;G.4601. et sea.

f. National ftistoric Preservation.Act of 1966 - Section i06r ie.U.S.C. 470(f);

g. Afcheologlcal and Historic Preseryatioh Act Of 1974 -16 U.S.G. 469 tht;ough 4590.

h. Native-Americans Grave Repatriation Act- 25 U.S.G. Section,3001. et'sed.

I; Clean Air Act,.R.L.,9p-148, as arnended.

j. Coastal Zone Managerheht Act, P;L. 93-205; a.s arherided.

k. Flood Disaster PVotection Act of 1973 - Section 102(a) - 42 U.SX. 4012a.

I. title 49, U;S.G., Section 303, (formerly known as Section 4(f)).

m. Rehabllitatibh'Act.Of 1973 - 29 U.S.G. 794.

n. Title VI of the.Civil'Rights Act of 1964 (42 U.S.G. § 2000d etseq., 78 slat. 252) (prohibitsdiscrlmiriation"on.the basis of race, color; riational origin).

0. Americans with,Disabilities Act of 1990, as arhehded, (42 U.SX. § 12101 et;se.q;), prohibitsdiscrimination on.the basis of'dlsabllity).

17

3-33-S8GP-037-2021

p. Age Discrimination Act df;l?75 - 42 U.S.G. 6101, et sea.

q. American Indian Religious-Freedom Act, P.L 95-341, as amended.

r. Architectural Barriers Act of 1968 - 42.U.S;e- 4151, et sea.

s. Power plant aridJndustfial Fuel Use Act of 1978 • Section 403- 2 U.S.C. 8373.

t. Contract Work Hours and ̂ fety Standards Act - 40 U.S.C. 327. et seq.

u.. Copeland Antl-kickback Act -18 U.S.C. 874.1.

V. National Environmental Poiicy.Act of 1969 - Al UlS.C. 4321, et sea.

w. Wild and Scenlc Rivers Act, P.L-. 90-542, as amended.

X. Sirigle Audit Act of 1984 - 31 U.S.C; 75.01, et seq.'

y; 'Drug:^Free Workplace Act:of'1988 - 41 U;S;C. 7.02.through 705.

z. the Federal Funding Accountability and transparency Act of 2006, as amended (Pub. L. i09-282,as^amended by section 6202 of Pub. L.:ilO-252};

.Executive Orders(

a. .Executive Order. 11246 - Equaj Ernplpyment Opportunity

b. Executive Order 11990 - Protection of Wetlands

c. Executive Order 11998 - Flood Plain Management

d. Executive Order 12372 - Iritergbverrirherital Review of Federal Programs

e. Executive Order 12699 - SeismicSafety of Federal and Federally Assisted New Building

Cpnstrucrion

f. Executive OrderU2898 - Ehvirdhmehtal Justice^

g. Executive Order 14005 • Ensuring.the Future Js Made In All of America by All of America'sWorkers.

.Federal ReguuvtIons

a. .2 CFR Part 180 - 0M8 Guidelines to Agencies on GovernmentwIde.Debarment and Suspension

(Nonprocurerrientj.

b. 2 CFR Part 200 - Uhlform Admihistratiye Requirements, Cost Principles, and Audit.Requir'ementsfor Federal Awards;''-'

c. 2 CFR Part 1200-.Npnprpcuremeni Suspension and Debarment.

d._ 28 CFR Part,35 -p.jscriminatlph on .the Basis of Disability in State and Local Government Services.

e. .28 CFR § 50.3 - U.S.,Department of Justice Guidelines for Enforcement of Title Vl of the ClvilRights Act of 1964.

f. 29 CFR Part 1 • Procedures for predetermihatloh of wage rates. ̂

g. 29 CFR Part 3 - Contractors and subcontractors on public building or public work financed in

whole or part-by, loans or grants from the Unite_d .States,'

18

3-33-SBGP-P37-2021

h. 29 CFR Part 5 - Labor'standards.prqvisions applicable to contracts coyering Federally financedand assisted construction (also labor standardsfprovisions.applicable to non^onstructio'nrcohtPacts, subject-to'the-Contract Work:H6urs-and Safety Standards Act)'. *\

i. 41 CFR Part 60 - Office of-Federal Contract Corripllance Program's, Equal.EniplbyrhentOpportunity, pepartment of Labor (Federal and Federally assisted contracting requirements). ̂

j. 49 CFR Part 20 • New festrictlohs on lobbying.

k; 49 CFR Part 21 - Nondiscrimination in Federally-assisted.programs of the Departifient of"Transpbrtatlon - effectuation of Title; yHqf the Ciyil Rights Act of 1964.

I. 49:CFR Part 23 - Particlpatioh by Disadvahtaged Business Enterprise In.Airport Cohcessibns.,

m. 49 GFR Part 26 --Participatlon'by Disadvantaged Business Enterprises in Departmen't^ofTfanspOrtation Financial Assistance'Prograrn.s.

n. 49 CFR Part.27 - Nondiscrimination on the Basis of Disability In Programs and'Activitles Receiving

or Benefiting from Fede.ral Financial Assistance,/

0. 49..CFR Pa'rt 28 - Enfpfcemeht;bf Nohdiscrimlnatlon on.the Basis of Handicap in Prograrhs or

Activities conducted by the'Depaftment of Transportation.

p. 4? GFR Part 30 - Denial of public works contracts to suppjiers of goods.and services;pf coUhtflesthat deny'procurement rhafket access to U.S; cohtfactofs.

q. 49 CFR Part 32 - Governmeht-wlde Requirements for Drug-Free Workplace.(FinancialAssistance).

r. 49 CFR Part 37 - Transportation Services for Individuals with Disabilities (ADA),

s. 49; CFR Part 41 - Seismic Safety.

Footnotes TO.AssuRANCEAiGRGP Assurance B.l.

These; la\ys dp not apply to alrpbrt planning sponsors.These.laws doMbt-apply to pfiyate spbhsbrs.

'Cost principles established in 2 CFR Part 200 subpart E must be used as guldelihes.fordetermining the eligibility of.specific types of expenses;Audit requiremen'tsiestablished.in 2 CFR'Part 200 subpart F are the.guldelinesTor audits.

Specific AssuIrances

Specific-assurances rcqulred.to:be included ,in grant agreements by any of the above laws, regulations,of circulars are incorporated by reference in this iSrant^reement.

,1. Purpose Directly Related tb the Airport. It certifies that the.felmbursenient sought is for a purpose

directly related to^the Airport.

2. Responsibliltv and Authority of the Sponsor.

a. Public Agency Sponsor:

It has legahauthority to apply for this Grant, and to finance and carry out the proposed grant;that an offlclaj decision has been made-by the applicant's goyerr)ing body'authorizing the filing

19

:3-33-SBGP-037-2021

of the.applicatiqn, including all understandings and assurances contained therein, arid directingand authorizing the person identified as the official representative of the applicanito act Inconnection with the application and to provide such additional informatiori 'as rhay be required.

b. Private Sponsor:

It'has legal authority to apply for this.Grant and to finance and carry.out the proposed Grant andcomply with all ter'rh's, cohditlohs, and assurances of this Gr'arit Agreerhe'nt. It shall.desighate ah

official representative and^shall.in writing direct and.authorize that person to file this:appricatibh/.includirig'ell Uhderstandlngs and assurances*contained therein; to act in cohhectiohwith this application; and to provide.slich additional information as may be required.

'3;, Good Title. It. a.public agency or the Federal government; holds good title, satisfactory to.theSecretai^, to the landing area pflthe AifpOrt.or site therebfi Or will give assurance satisfactorV to.theSecretary that good title will be acquired.

4. Presen/lng Rights and Powers.

•a. It will not take or pefrhit any actidh which would operate to deprive it of any of the nghts a"ndpowers necessary to perform any or all of the terms, conditions, andiassurances'ln this GrantAgreement vyithout the written approval of the Secretary, and will acfpromptlv tojacquire,extinguish, or modify any outstanding rights or-claims.of fight of others which'would interferewith such performance by-the sponsor. This shall be done In a manner acceptable .to theSecretary.

b. If the sponsor Is a private sponsor, It will take steps satisfactory to the Secretary to ensure thatthe Airport'will continue to fuhctlOh as a public-use airportin accordance yyith this Grant

Agreement.

c. If.an arrarigefTient is iriade for management and:operatlon ofthe Airport by any agency orpefison other than the spdhsof of ah employee of the^spphsof, the 'sponsor will reserve:sufficient rights and authority to insure that the Airportvwill be operated and maintained In.accordance Title;49, UhitedjStates Code; the regulations, and the terms and conditions of thisGrant Agreement.

t

5; Consistencv with Local Plans. Any oroiect undertaken-by this Grant Agreement is reasonablycdrisisteht wjth plans (existing at'the ,time of submission of the AGGRP application or State subaward^as applicable) of.public agencies that are authofized'by the State in which the project is located fOplan for the development of the'area surroundlng.the Airport.

6. .CdnsidefatiOh of Local Interest. It hasgiven fair,consideration to .the interest of communities Ih.or

near where any project undertaken by this Grant Agreement may be located.

7. Consultation with Users. In making a decision to undertake any airport development project

uridertaken by this Graht Agreement, it has'undertaken reasonable consultations v^ith affectedparties using;the Airport at which project(s) is/are proposed.

h

8. .Pavement Preventative Maintenance. With respect to a-prOject undertaken by this GrantAgreefnent for the replacement or reconstruction ofpaverrient at the'Airport, it assures Or certifiesthat it'has implemented an effective Airport pavement maintenance-rhanagemeh't program and itassures that it wlH use'such^program for the usefuMi.fe of any pavement constructed, recoristructed,

or repaired with Federal financial assistance at the Airport, including ACR6P funds provided.under

ZD

3-33-SBGP-037^2021

this Grant Agreement: It will provide,such reports;on pavement condition and pavementniariagemeht prograrhs as the.Secretarv determines may be useful.

9. Accounting Svstem. Audit..and^Recbrd Keeping RedulrementS;

a. Itshall.ke'ep alrGrant accqyrits and records which fullydisclose the amount'and dlsposltlon by-the'recipientdf'the proceeds df,this:Grant. the total cost.ofthe.Grarit.in connection with'vyhichthis Grant is given or used, and theiamount or nature of that portion of the cost:df the Grantsupplied by other sources, and'such other flnancia|irecords peitln.ent to the Grant. The accountsand records,shalKbe kept in accordance wlth an accouhtihg-system that will facilitate aheffectiye audit inyacccrdance with the Sihgle Audit Act of 1984.

b. It shall rriake.ayailable to the Secretary.and the Comptroller General of the United States/qr any

of their duly, authorized representatives, for the purpose of audit and examination;,any books,dpcunnients; papers,.and records of the reclplent thata.re pertinent tp this Grant.-the Secretarymay require that-an appropriate audit:be cofiduCtedrby.a r,eclplent:,lh,any case In which anIndependent audit Is made of the accounts of a sponsor relating to the disposltion of theprqCeeds.of a Grarit or relating to the Grant Ih connection with which thjs Grant was given orused, Itshall file a certified copy of such audit with the Comptroller General of the United'Statesnot iate/.than six (6) months fpllpwlng the close of the.fisca! year for .Which the aydit y/asimade.

10. Minimum Wage Rates: It shall iriclude. In all contraCts In excess6f $2;000 for work on any projectsfunded under this Grant Agreement which involve labor,.provisions establishing minimum rates ofwages, to be predetermlned.by the Secretary of l.ab"or,.in;accprdance'.wlth'the.Davis-Bacbh Act, asamended (40'U:S.C. 276a-276af5), which contractors shall pay to skilled and:unskilled.labor, andsych minimum rates shall be stated ih tKe-invitatlpn for bids and shail be included in proppsals.brbids for the work.

11. -Veteran's Preference. It shall include in all contracts for work on atny project funded'.under this.Grant

Agreemeht which involve labor, such provlsiori's as are necessary to insure:that, iri.the.employnieht oflabor (except in.executive, administrative; and supervlsoryiposltions), preference shall be.given toVietnam era veterans, Persian Gulf.veterans; Afghanlstah^iraq war yeteranS; disabled veterans, andsrnalljb.usihess;Concefhs ownedrahd controlled by disabled yeterans as defihe'd in.Sectioh 47112 ofTitle 49,.United States Code. However, this preference shall apply only,-where the indlviduals.areavailab.le'and,qualifled.to-perfprm>the work to which, the emplpym.eht.rel.ates;

12. ;Operatlbn.aridMaintenance.

3; The Airport and airfacilitief which are necessary to serve the aeronautical users-of the Airport;otherithan facilities owned or confrbljed by the Uhited States; shall be pperatediat all tlmes-in.asafe;and serviceable-condition and infaccordance with the minimum,standards as may be.

required or prescribed by applicable,fiederal, state and Ipcal-agencies for maintenance and:qperati6hi lt will riot cause'or pefrhit ahy activity or action therepri, which would Iri.terfere with ItsuseTor airport purposes. It.wlll suitably operate an'd maintain the Airport and all facilities ther^n:of connected therewith, with "dye regard to.climatic and flppdicpnditiqnS. Any proposal to'Temporarily close the Airport for nonraeronautlcal purposes must^flrst be approved by the.Secretary. Iti fyrtherarice of this assyrahCe,-the sponsor will have"in effect arrangements for-

1) Operating the Airport's aeronautical facilities whenever required;.

2). Promptly marklng:ahd lighting hazards resulting frprh airport conditlo,ns. Including

teriiporarV conditions; "and

21

3-.33-S8GP-037-2021

3) Promptly, notifying airmen of any condition affecting aeronautical use of the Airport.

Nothing contained herein shall be construed to require that the-Alrpprt be operated foraerpnautical.use duHhg temporary periods when snow,.flbdd,of other climatic conditionsInterfere with such operation and maintenance. Further, nothing herein shall be

construed as requiring the rnaintenance,;fepair; restdrabq'n, or replacement of any-structure or facility which is substantially damaged or destroyed due to an:act of God or

other condition or circurnstance beyond the control of the sppnsor.

b.. It will Suitably operate and maintain noise cdmpatibility program items that it owns or controlsupon which Federal funds have been expended.

13. Hazard Removal and Mitigation. It will.takeepprppriate action to,assure thatrsuch termmal airspace

as is required to protect instrument.and visual operations to the Airport (ihdudirig establishedminirrium-fjight aititudesl.wil^ be adequately cleared and protected by-removingi lowering, relocating,marking^ or ligh'tihg.or otherwise mltlgatlhg:existing,airport,hazafdsian by preyefitlhg theestabiishmenj: or creation of future airport hazards.

14. Cbmoatlble lahd Use, it wlll take appropriate action, to the extent reaspnable, including theadoption df zoning laws, to restrict the use of land adjacerit.to of in the.imrriedi'ate vicinity of theAirport to actlvities:and purposes compatible'with normal airport operations, including landing andtakeoff of aircraft.

15. Exclusive Rights. The sponsor shall not grant an exclusive right to use an air navigation facility onwhich thiS;Graht;has-beeri"expended. However, providing services^ airport by bniy one fixed-based operator is not an exclusive right if—

a. it is unreasohabiy costly, burdensome,,or impractical for more.than one»fixed,-based operator toprovide'the seTvJces; and

b. allowing more than one fixed-based operator, to provide the.sefvices requires a reductibn inspace leased under an agreernent existing on September 3,1982, between the operator and theAifpbft.

1'6. Airport Revenues.

a. this Gfaht shall be available for any purpose for which airport revenues may lawfully be used toprevent,.pfep'afe for, arid respond to.cbrohavifus. Funds provided underthis,ACRGP State BlockGrant Agreement will only be expended for the capital or operatingjcosts of-the Airport;,thelocal airport systerh; or other ipcal facjiities which are ovyhed pf operated by the owner p.roperator of the Airport(s) subject to this Agreernent and all applicable addendums for costsrelated to" operations, personnel, cleaning;.sanitization, janitorial services, combating the spreadof pathpgehiat the Airport, and debt service payments as prescribed in the-Act.

b. For airport development, 49 U.S.C. §;47133,'applies.

17. Reports and Inspections.-

It will;

a. submit to'the Secretary such annual or special financial and operations reports as theiSecfetary may reaso.nabiy request and make such reports ayailable tb the public"; make^available to thepublic at reasonable times and places a report of .the Airport budget in a'fbrrriat pfescrlbed by the Secretary;

22

3r33-SBGP-037-2021

b. in a format and time prescribed by the Secretary, provide to the:SecretarV and makeavailable toithe public following each of Its fiscal-years, an annual report4istlhg In detail:

1. ajl amounts paid by the Airport.tq any other unit of government and the purposes forwhich each.such payment was made; and

2. alj services and property provided by the Airport to other units of government and theamount of-compehsatioh received for prbvlsidn pf .each such service arid property.

18. Land for FederarFacllitles. It.will furnish without cost to the Federal Government for use in

cphnection-vyjth'.any air traffic control or air riayigatioti actiyities, or weather-reportlng andcdrhmuhlcatioh activities related to alr tfaffic cbhtfdl, any areas of land or water,;brestate therein, orrights irt buildings of the:sponsor as the Secretary considers necessary or desirableifor construction,

operation,end maintenahce at Federal expenseorspace br facilities for such purposes. Such'areas orany portion thereof-will be.made available as provided herein within four mohths.after-feceipt of awritten request from the Secretary.

19. Airpdrt Layout Plan';.

a. Subject to the-FAAReauthorization Act of 2018, Public!Law 115-254, Section:163, It Will keep upto date" at ail tlmes>n airport layout plan of the Airpbrt showing:

1) boundaries bf the Airportiand all proposed additions thereto,'t6gethefwith the.bbuhdarlesof all offsiteereas ONvned or controlled by the sponsor for airport purposes and proposedadditlbhis.thefetb;,

2) the location and nature of all existing and proposed airport facilities-and structures(such asrunways, taxiways,-aprons/terminal buildings, hangars and roads)'/.lncluding all proposedextensibns.ahd reductions of'existing;alrport facilities;

3) the location of all existing and proposed nonraviation areas and of aiiiexisting improvementstherebh;'ahd

4) ail proposed and existing access points used to-taxi aircraft acrosstthe Airport's property'boundary: Such Airport layout p|ans and each'arnendment, revision, or modifi^tibnthereof; shall be subject to the apprbval of;th'e,Secfetafy whlch apprbval shall be-.eyidencedby the.'signature of a duly authorized representative of the Secretary, on the face pf theAirpbrt layout plan". The sponsor will,not make or permit.any changes'or alterations in the.Airport:or any of its-facilities which are.nbt jn conformity with the alfpbrt layout plan asapproved byfhe'Secretarv a.nd which might, in the opinion of the,Secretary, adversely affect

the safety, utlll^ of efficieiicy ofithe Airport.

b. SubjecttO'the FAA Reauthorization Act of'2018. Public Law llS-254,.Section 163, if a-.change oralteratibriiri the Airport or the faciiities Is.made which the Secretary, deterrriines'adversely affectsthe safety,futility, or dfficiency of any federally bwried, leased, bTfuhded;p""fbpefty'pn or off theAirport^and whlch,:ls nbt in conformity with the airport layout plan as approved by tHe.Secretary,;the owner.bVbperator will. If requested,, by.the Secretary (ij eliminate.such adveTseieffect ifr aiTianner'approved by the-Secretary; or (2) bear all'costs of relocating such property^lbrreplacement thereofj to.a'Slte acceptabi.e to the Secretary and all costs ofVestpring such property(or replacement thereof) to the level of safety, utlliW, efficiency, and costpfioperatiph existlhgbefpfe the unappfpyed chahge in the Ajrpprt.pr its facilities except ip the case of a.fejpcation orreplacemerit of an existing.airport facility due to a change.ln the Secretary's desigri.'standardsbeypnb the control of the airport sponsor.

23

;3-33-SBGP-0.37-2021

20, CIvH Rights. It will promptly takf any measures necessary to ensure ihatnp person m.the UnitedStates shall, on the.grounds of race, creed, color, national 6rijgln,.sex,,age, or disability be excludedfrom participation rn, be denied the benefits of, or be otherwise.subjected to.discrimination in anyactivity conducted with, of benefiting from, funds received frbm thls Grant';

a. Using the definitions of activity, facility, and program as found and defined in §§ 21.23 (b) and2l;23 {e)of49CFR Part 2:1, thesponsorvyilifaciJit3te;all programs, operate alJfaciiities;-orcohduct ail programs in compliance with ail no'n-discriminatibh requireme'ntslmposed by orpursuant to these assurances.

b. Appllcabiiity

1. Programs and Activities;.lf'the sponsor has received a grant (or othef.Federal assistance) forany of thesponsor'siprogram. or activities;.these requirements extend to aij of the sponsor's'programs arid activities.

2. Faclilties. Where it receives a grant or other Federal financial assistance .to construct, expand,renovate; rernodei, alter, oracquire a facility, or part of a facilltv, the^assu'rance extends tothe entire facility and facilities operated in conhectioh therewith.

3. Real Property. Where the sponsor receives a grant or other Federal financiai:assistance in theforrfi of, of for the'acquisition of, reaj prbperty or ah;inter,€St in f,eaI property;the assurancewill extend to rights to space on;.over, or under such property.

c;. Duration;

The,sponsor agreesithat it Is obligated tovthis assurance for the period dufing which Federalfinancial assistance is extended to the program, excep't.where the Federal-financial assistance isto provide, of is ih.the:forrn Of, personal property, or real property, or interest therein, orstructures or improvements thereon, in which case theiassurance obligates the sponsor; or anytransferee for the Ipnger'of the foiipwing periods:

1. So ipng aV:the;Alrpbft'js used.as an airpbft. or foranothef purpose' invblving'the.prbvisibh of.similar services or benefits; or

2. So long as the sppnsof retains ownership or possession of the property.

d. Required Soiicitatibn Language.

it-wili include,the foitowing notification in ail solicitations for bids. Request's for Proposals forwbrk,,ormaterial under this Grant and in ail proposals for agreements; includihg aifpbrt:concessions,.regardless:of funding source:

"The State of New Hampshire, in accordance with the proyisions of Title Vi of the Civil RlghtsrActof 1964 (78 Stat, 252,,42 U.SiG. §§ 20g0d tp:,2O,0pd-4) and the Reguiatlons, hereby hpti.fies'allbidders that It will-affifmativeiy ensure that for any contract entered into pursuant tothisadyertlsement,.djsadvantaged business enterprises and.airpoiTxoncessibn dlsadyantagedbusihesiehte'rpfises will be-afforded full, and fair" opportuhity to submit bidsiih response to thisinvitation and wifi not be discriminated against on the grounds of race,.cplor, or natipnai origin incorisideratibn for an award."

e. Required Contract Provisions.

1. it will Insert the hon'-discriminatlon contract clauses requiring compliance with'the acts andregulations, relative to non<iscrimination in. Federally-assisted programs of the DOT,.andincorporating the acts and regulations into the,contracts by reference in eyery'contract oragfeerhent subject to the non-discrinninatibh in .Federaiiy-aissisted programs of the DOT Acts

and regulations.

24

3-33-SBGP-037.2021,

2. It will include a llst of tHe pertinent non-discnmination authorities in every cbhtract.that.issubject to the non-dlscrimjriatb acts and reguiatlons.

I

3. It will insert hon-discrirriihatiori contract clauses'as a cbvehant running,with thejandivin.ahydeed from the United States effecting or recordihg a transfer of real property, structures, 'use, or irnpfoverheritsitherebn of interest therein to a spbnso'r,

"4. It will Insert nonTdiscrimination contract clauses.prohibiting discrimination on thejbasiSib'frace, color, natibnaliOfigin, creed, sex, age, or handicap as a Covenant r.unningfwith the'land,,in any future deeds, leases> license, permits, or similar ins'truments entered into by the;sponsor vyith other parties;

A; For the.subsequeht transfer of real property acquired orirriproved under the applicable'actiyity,:grant; of program; and

B. For the cphstfuctibri of use pf, or access to,cpace on,.over, ohunder real propertyacquired or improved under the applicable activity, grant, or program.-

f, It-wili pfpvide for such methbds of admiriistfatioh for the p/Pgram as are'fpund.by the Secreta^^^^to give reasonablefguarahtee that it,-other recipients,.sub-recipients, sub-grantees/cohtractors,subcontractbr>; cpVsultapts,"tranSferees, successors Inilnteresti and other participants of Federal.financial assistahcevuhdef such'pfbgram will corfiply with all fequifements.imposed of pufsuahtto the acts, the regulations, and th|s assurance.

•g; ,It agrees that the Uhited'Statesrhas a.right to seekjudicial enforcement with regafd}tp;ahy.matte"rarising under.the acts, the regulations, and this:assurance.

21. Fbfeigh Market Restfldlohs. It will hot allbw funds pfPvided, under this,Grant to be used to:fu'rid any'activitythat uses'any product or service ofa foreign country during the period in which such foreign

cbuhtfy is lirted by the United StateS;;Trade Representative as denyi equitabie'marker;opportunities for;products;and suppliers of the United States In procurement and construction;

.22: PbliciesfStandafds ahd.Spedficatlons.,lt.wiHParfv cut any project funded under an Airporti,Coronavlrus:Relief Program Grant in accbrdanCe with pblicies; standards; ahd specificatlbnsiappfovedby the Secretary including; but no^^^ the advisory circulars listed in the CurrenrFAA AdvisoryCirculars,fbr-AlP pfojectS;.dated March.22,.2021, and ihcluded'ih this grant, and m 'accordance with;appjlcable.state policies;,;StandardSi and specIfications;approved by the Secretary:

23. Access Bv lTitefcltv.Buses: The airpbft bwrier or op.erator wilj permit;,to the.m.aximum extentpracticable, intercity, buses or other modes of transportation;to have access to the '-^ifpb'ft; ,however,it,has ho bbiigatiPn tP'fuhd special facllitl« fpr intercity busev.br fpr other modes of transportation.

24i.Dlsadvantaged Buslriess.Enterprlses^The sponsor "shall fibt.dlkrirhinateiOn the.basis of race, color,

natlbnaj Pfigin Pr.sex in the^award and'perforrnance pf any DOT^assisted contract coyered'by 49:CFRPart'26; or in the award and pertbffhahce o.f'any concessibhactivity. cp.ntrart covered'by 49 CFR Part23; In addition, the'sponsor'shallnotdlscrimlnate on the.bas'is of race, color, nationaljoriginjor sex inthe adrhinlstfatioh of Its pisadyantaged BusihesS Enterprise (DBE):and Airport Co.ncessionsDisadvantaged Business Ehterpflise (ACDBE);programs of the fequifemerits of 49 CFR:.Parts 23 and 26.the sponsor shall take all necessary a.nd reasonable steps under 49 GFR Parts 23 and 26.'to ensurenondiscfimlnation in the^awafd^and adifiinistratibn of OOT-assisted contracts; and/or.cp.ncescbntrarts.The sponsor's;pEiE and'AGDBE programs, as required,by'49 GFR Parts 26 and;23, and as,approved by DOT, are'.lncorpbrated.by reference in this Agreement; Implementatipn 'of theseprograms is a legal obligatIon;and failure to carry out.its terms shall be tfeat'edis'a violation of thisAgreement. Upon nbtlficatlpn to the sppnspr pf its-failure to carry out its approved program, the

25

3-33-SBGP-d37-2021

Department may impose.sanctions:as provided for under Parts 26;and 23 and may, in appropriatecases, refer the matter for enforcement under 18 UiS.C. 1001 and/or the Prograrn Fraud CivilRemedies,Art-of l936 (31 U.S.C. 3801).

25. Acauiisition thresholds. The FM deems equipment to mean tangible'personal property having.auseful iifeigreater than prie year and.a pez-unit acquisitipn. cost.equal to or greater/than $5,000.Procurements by micro-purchase means "the acquisition of goods or services'for which the aggregatedollar amount does hot exceed,$10,000, unless^uthorized ih'accordance with 2 CFR.§ 20,0;32p.

Procurement by small purchase procedures means those relatively-simple and Informal procurementrriethpds:for securing goods or services thatdp not exceed the $250,0.00 threshold for simplifiedacquisitions.

26

OMS~Nucnber:40<i 6-0004.ExpMioli teU^ \2nM2Q72;

Appiicatibnifor'Fed^raJ:1^88|8.tancd

*1. type pf^Submisslbh::

□ Preapplfestfoh

^Application

□ Changed/Gbitected Applfcation

.*2..■'typelbf Application N'lf Revision; select appr6priate:ie'ttef<5):S New

Continuation tOtfier (Specify),G3 Revision

' '3. Date Received: 4. Appllcaht ideriiifier:NA ^NHB;(T1 GA Aiipbrts under-NH SBpR):Cbncbfd; NH

: *5b.. . Federal Entity'ideritirien133^16

tsb. Federai'Award Identifier.

State Use Orily:'J..-

. 6. Date'.Received by State;. 7. State'Appl^tion'ldentifieri

8. ARPLICANT INFORjpTlbN: •-

•a; Legal Narne: Stete'ef^New Harnpshire -

'?b. Employer/Taxpayerildentification:NurTiberi(E)N/TlN):'02:6000618

. 'c. ;Organizatibnai DUNS:,,8pie5?-1697

d. -'Addraas;:

•Street 1;

Street 2;.

'>City;.

Gourity/Pailsh:

'State;

'Province;

•Country:'

•Zip/.Postal Code

7 Hazen Dilve

Cpngprd

iitL

USA: United States'

03302.

e. OrganlzatlonaliUrilt:

DeparVnent Name: OMsldn Name;

-f. Namejrid contact'jhfoneatiph bf.pereonydlMrcontectod^bh rnanen;lnydlyln^Prefix:

Middle Name;:

•Last Name: iNle'^laSuffix: . . -

"filrst-Narne: Carol

Title: Deputy,Executive. Olrector-

prgarilzatipnai Affiliation:

*teleph«>r>e. Number; ^(^3) 27,171673 Fax Number

•Email; caroi;nle^la@dot;nti;QOv

0M8 Numlm xiHO-OOtM

ExpivtiM b*W:, ̂12/3^2022,

Application'for Federal: Assi^ance SF'424

*9. Type bf/Appllcaht 1::Splec:t AppllMrit Type:

X. Airport Sponsor

Type of Applicant 2:. Select Applicant Type:

Type of'Applic.ant 3:- Select Applicant Type:

•Other (Specify):

-*-10. Narnp.br Federal Agency:

Federal Aviation Administration

11. Catalog of Federal Domestic Aeslstance Number;

CFOA Title:

Airodrtlniorovement'PfoorarTi

■12v Funding Ppportunlty Nurnber'

m -

•Title:

NA -

13. Competitlonldentlfication Number:

TIHe::

£1A_

14;; A>eas Affected by Project (Cities; Countjes, State's, etcl);

'15; DbscHptive Title of Applicant's Project

See attached.breakout for each of i i airports under NH's State Slock Grant Program

Attach supportlngidocumentsias speclfled In agencyinstructlons.

0MB NumbilC 4040^0004

Exj^ttonOitt: 12/31/2022

Application for Federal Assl^'nce.SF.'^24

16. CongrtesaioharbistrictS'Of:^

'a.:Applicant: 1 •b.^Progrerr^rbject 1'

Attadi;ah'additi.qnai list^pf Prog.rXm/Rrbjed.C^r^ressional-pb if needed.

... .

17: Prbposod PrpJect:'

•a.-Start Date;-NA 'b; End Oate:- NA

18. Estimated'Fundlng (J):^

*a. Federal

*b. Applicant

*c. State

*d. Local'

•e. .Other

•f. Rro^ram Income'rg. TOTAL

$195:162.

$0

$0

'JO

$0

$195,162.

•19. la AppllMtlon Sub|ectto Revlew.By.State;Uncler E*ecutivrOra«r12372Proce8#?=

Q a. Thlsapplicatipn wQs'made aveilable'to'the Slate,under thp.Executiye'Order i2372 Pr6c©s8 for reylew.on

,□ b. PrbgramJs s'ubject to'EjO. 12372 but has not been selected by the State-for review.0 c. Pi^ram b not coyeriedJjy'E.' Or 1237.2, _

>20. Ii-the Appncaht.CSIIhquonl On Ahy:F«deral Ppbt? (If.J'Yei?. prwide explanatlomlh attachment.)□ Yes ,E NoIf "Yes"; provide ejlplanatlon and a^ch

21. '-Bysignlhgthte,application, l:a9rtfyKl);to the:statemeht$ wntalned in;me:ilst;of c'ert^^he'rein'are true; complete and'accurafe lb the.best of my khowiedge; Laisp pro^eiihe requlred;.8Muran and agrwUG^cpmply^thany resulting't^s if V Ifamtewaie'Utetany false,; fictitious, or ha.t^ulent^slatemehtaprclalms may.sCibjectme ib crimlnal.;civii. br-admlntetfatiye^penaltiM^^ (U. S. Code.; Tide 218, Section-1001)S I AGREE

fhe'list of certifications and assurance8,:0r an Internet .site where,ybumaypbtalmlhis ll8l;ls contelned.in.the:announcemem or"a^ricy spedfic inilAJCti.pns; _

AuthortzedRepreapnUUvo;

'Prefix:

Middle'Name:

'Last Name:

Suffix:

■First Name:- Patrick.

Herllhv-

•Title:.pifectbf. piv; of Aeronautics, Transit

SF-424

*15. OescripUve Title,of Applicant's Project.

TP1 • S9,0b0 for.costs related to operayons, personnel, cieaning.^sanitization. janitoriarservlces,.combating thespread, of pathogens at the alrpoft. a.nd debt service payrriehts.

2B3 - S13,000 for costs related tp ppera^s, personnel, cleaning, sahitlzatlon, janltoiial services, combating thespread of pathogens at the airport, and debt service payments-.

5B9 - S9.000 for costs related to operations, personnel, cleaning, sartitization. janlioriai serves, combating thespread of pathogahs'at the elrport.'and debt aeryice payments.

ASH - $23,660 for costs related to operations; pemprinel. deanmg. ianltiutidn, janitorial services, .combating thespread of pathogens atthe airport.'and debt service payrnents:

ASH ,-.$34.162 to.cover, only lawful expenses that support operations at FAA federal contract tower^ as defiiied by 49U.S.C..§ 47124.

BML -.$9,060 for costs.related to operatioru, personnel, cleaning, sanitizatibri. janitorial services, combating the.spread of.pathpgens-at.tKe aiiioon and debt ser>nce.payments.

CNH • $13,000 for coste related to dperetions, personnel, cleaning; sanitlzation. janitorial services, combating thespread of pa^ogens.et'the'airport, and debt service.payments.

CON - $13.000 for costs-related,to operations; personrwi.-Cieaning. sanliization. jahllrjriarserwqes. cqrnbating thespread of pathogens at'the'airpqrt. and debi;se'rvice paymente.

OAW.- $13.060.fdr costs related to operations, persprinel, deahing, sanitizaiiori. janitorial services; combating thespread of pathogens at the airpprt. and debt sehrlce pa

EEf^.- $23^000,for costs rejatedtooperatipriis,.personnel.'deanlng.'sanitizalion.,janitorial services, combating thespread of pathogens sit th^airport. and debt service payments.

HIE -$13,000 for costs.relaled^tb operations, personnel. deaningi.sanltization, janitorial services, combating thespread.of pathogens at the.airport.-arid debt servica payrhe.nts.

LCI - $23,000 for. costs related to operations, persorinel. cleaning; sanitlzation. jariitorial services, combatihg the•spread of:pathogens'.at.the aifoort, end debt service payments.-

SBG 09-18-2021

©U.S. Department

of Transportation

Federal Aviation

Administration

ArRRPRTGORONAViRUS RELIEF GRANT PROGRAM (ACRGP)

STATE BLOCK GRANT AGREEMENT

Part!-OFFER

Award,Offer Date

AITport/Piahning Area

State Block Grarit Nurribei;

Unique Entity Identifier

August 2;-2021

Lacoriiia Municipal Airport

SBG 09-18-2021

868S647S8

TO: City of Lacorila, New-HampsHire/Laconla Airport Authority(herein called the '^Spdrtsor")

FROM: The State of New'Hampshire (actlngthrough the New Hampshire Departmeht-of-Jranspprtatlon;

herein called the^Stete")

WHEREAS. the Spqnsdf has sub'mltte,d:;to the State ah Airpdrt.Corohavirus Relicf.Graht Program

(hereafter called ACRGP) Grant Application dated March 5/2021, for a Grant of Federal funds at or

associated with the Lacohia Municipal Airport, which is included as part of this GrantAgreement;

'WHEREAS, the StatCrhas.made a Grant Offer and the City of Laconia, New Hampshire/Laconia Airport

Authority h.as;acceptedtheiterrris;df the State's.Grant Offer;-

WHEREAS,.iri consjderatipn of.the prpmises, repres,eritati.phs;ahd assurances provided by the City of

Xaconla; New Hampshire/Laconia Airport Authority, the State has approved the;(3rant-App[lcation toprovide ACRGP Act Airport-Grant funds (herein calledXhe "Grant") to the City of Laconia, New.Hampshire/Laconia Airport Authority for Laconia Municipal Airport;

WHEREAS, the ACRGP GrapC p/ovided in .accordance with.the_ C.brpnayirus Resppnse'andAeliefSupplemental Appropriations Act (GRRSA Act "the Act"), Division M of Public Law 1-16-260, .as described

below, is toprovide City ofLaconia,.New Hampshire/Laconia Airport Authority who operates Laconiia

Municipal Airport the funding awarded in this Grahtlfpr costs related to operatiohs^-personhel, cleaning,sahitization, janitorial seryices,..comSating the spread orpathdgens.at the aifpprt,-;and d.ebt service,payments;

WHEREAS, the ACRGP Grant amount to Laconia Municipal Airport derived by legislative formula (See

SBG 09-18-2021

Division M, Title iV of the Act); and

WHEREAS, the purpose of this ACRGP Grant is to prevent, prepare for, and respond to corbnavirus.

Funds pfoyided underthis ACRGP Grant Agreement must only be used for purposes directly relatedltbLa'conla Municipal Airport. ,Such purp.bses'can include the reimburserheht of an airport's costs rela ted tooperatlons,,personnel, cleaning, sanitization, janitorial services, and combating the spread^of pathogensIn accordance with the limitations prescribed in.the Act and incurred no earlier thari JanuaiV 20, 2020.Subgrants under this ACRGP Grant also riiay be used to reiinburse a.Spbnsor's payrneht of debt servicewhere such payments occur bh.bf after December 27, 2020.;F.unds provided underithis AGRGRiStateBlock Grant Agreemehfjwili be governe.d b^'the same" prihclples that govern "airport revenue." Newairport development projetts not directly related to cbrnbatting the spread of pathogens may not befunded with this Grant.

NOW THEREFORE, in accordance with the, applicable provisions of the CRRSA Act, Public ta.w.116-250,the.representations contained in'the-ACRGP Grant Application, and ,|n consideration of (a) the Sponsor'sacceptance of this Offer; and (b) the benefits to accrue to. the.United States; the State; LaconiaMunicipal Airport, and the public frprn the accomplishment of the Grant and in compliance with;theconditions as herein provided;

THE NEW HAMPSHIRE DEPARTMENT OF fRANSPORTATlGN, FOR AND ON BEHALF OF THE.UNITEDSTATES AND STATE, HEREBY OFFERS AND AGREES to pay 100% pefceht bf the allowable costs incurredas a result,of and in accordance with thls Grant Agreement.

Assistance Listings Number (Fbrmefly CFDA Number): 20:105

This Offer is made on and SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:

CONDITIONS

1. Maximum bbileatlon. the maximum.obligation of the Uriited States and State payable under: thisOffer is S23,000;00 allbcated.as.foilows:

$23,000.00 Non-Primary.KU

2. Grant Performance, this ACRGP'Grant Agreement is subject to the following^Federal awardrcquirerhents:

a. Period of Performance:

1, Shall start on the date the State formally accepts this Grant Agreement and is:the datesighed by the last.State signatory to the Agreement. The end date of the perlbd.bf'performance is Mav-3,2025. The Period bf.Performance end date shall not affect, relieve orreduce State obiigatiphs and assurances that extend beyond the cloiseout of tHis'GrantAgreement.

2. Means the total'e.stihiated time interval between the start of an initial Federal award andthe planned'.end date, which may include one or more funded portions, or budget periods.(2 Code of Federal Regulations (CFR) § 200.1).

SBG, p9:18-2021

b. Budget Period:

1. For this'Grant will end bn'May 3,.,2025 and follows the same rtart-and end date as the-Period of Performance,provided In Paragrajjhe.l. Pursuant tp'2 CFR § 200.403(h), a State orcoyered^airport^Sponsor may charge.to the Grant'ohlyallbwable cbistis iricuifed 'during thebudgetrpefidd. ̂

2. Means,the time interval frorh the start date of-a.-fun.ded,portion of an avyard to-the end datebf'that funded-portion during which the State or covered airport sponsor Is authorized toexpend'the funds awarded, Including any funds car:ried forward orbtherrevlslohs pursuant

to § 200.308.

c.. Clo'seiOut and Termination:

1. Unless the.State;authorizesLa written extensibn, the.Sponspr must submit all Grant cl.bseout

dpcuirrentatibnand liquidate.(pay-off) all obligations incurred under thiSiGrat}t award;no=later-than 90 calendars-days a'fter the end.date of the perlod bf peffbrmariee.;if the Spbnsordoes hot submit all required clbseout;doeurhentatibn vyithlh this^time.period.th'e.'State wiilproceed to close out-the Granit within. 120 calendar days.after the period of performanceend date with the information available at the end of90 days.L(2.CFR § 200.344)'

2. The State may terminate the ACRGp-Grant, in whole of in part, iri accordance with the

Condi,tidns_set fbrth in.2 GFR § 200.340, or other Federal regulatory-or statutorY. aUthpiiitiesas-applicable.

3. Unallowable Costs: The Sponsor shall.not seek reimbursement for any costs that the State.has determined

to be unallowable'urider the CRRSA Act.

4. Indirect C6^ - Sponsors. The Sponsor may charge Indirect costs under this award by applying theindirect-cost rate as approved by the'State:and as Identified in the ACRGP grant application forallowable costs for Sponsor^s direct salaries and wages that are necessary for carrying out the Grant.

5. Final Federal Share of Costs:'The United,States share of allowable ACRGP Grant costs is 100%.

6. Conibletlrig the Grant without Delay an'dln Gdhforifiance wlth'Requlrements, The Sobhsof mustcarry;out'and,complete the A.CRGP Gfaht.wjthout undue.d and'ineccbrdance wJth'this ACRGP■Grant-Agreement,'the CRRSA Act, and.the;regulatlons,-por[eies; standards, andiproceduref of theUnited.States;Secretarv of Transportation (•'Secretar/') and the State. Pursuant.to.2 CFR §200.308,:the Spohsbragrees to report to the State any disengagement from funding.eligible-expenses.under the^ACRGP Grant that exceed:three months or a.25'pe.rcent reduction in tirnedeyoted;to the ACRGP Grant and requests prior approval from';FAA. The report must,Include areason for the-stoppage. ThelSpbnsbr agrees to comply with thc'attache'd assurances, which arepart 'of this Agree.ment and aqy-addend.um that may be attached hereto ata later date by mutualconsent;

7. Amendments dr Withdrawals before Grant Acceptance. The State reserves the right to amend orwithdraw this OffW at any time prior to its.acceptance by the Sponsor.

SBG 09-18-2021

8. Offer Expiration Pate. This Offer will expire and.the United States and the State wiJI hot beobligated to payfany part.of this Gfarit'S'Cdsts unless this Offer has been accepted by the iSppnsqr onor befpre August 31,2021, or such subsequentdate as rhay be prescribed in writing by the State.

9. Improper Use of Federal Fundis. The Sponsor must take ail steps,.including litigation If necessary, torecover Federal and State funds spent ffaudulent.ly, wastefuliy,:br Jn.yioiation of Federal.antitfuststatutes,:br rnisusedrin ahy.othef mahnef; including uses that violate this ACRGP Grant Agreement;the CRRSA Act or other provision of applicable, law. For the purposes of thiS;ACRGP Grant

Agreement, the terrh "Federal Funds" and "State Funds" rneahs-fuhds however used or dispersed by

the»Spbhsbr, that yyefe originally paid pursuant to thilor any other Federal grant agreement(s). The

Spbhsbf must feturh the recovered Federal arid State^shares,.including funds recovered by

settlement, order, or judgment, to the>State..The Sponsor must furnish to the State, upon request,,

all documents and.records pertaining to the determination of the amount of the^Federal and State*

sharesor to any.settlement, litigation, negotiation,.or other efforts taken to recover such funds; All

settlements or other final positions of.the Sponsor, in courfor otherwise, involving the recovery of

such Federal and State shares require advance approval by the State.

10. United States Not Liable for Damage'or Ihiurv. The United States and the State are hot:

responsible or liable for damage to prpperty oriinjury to persons whichmay arise from, or relate tothis ACRGP Grant Agreement, including, but notlimited to, ariy action taken by the Spoh^r relatedto of arising from, directly.of1ridifectly, this;ACRGP Grant Agreem'eht. NotvvitHstahdirig.theforegpjngrnpthing herein contained shall be deemed to constitute a.waiverof the sovereignimmunity of the State, which immunity is.hereby reserved to the State. This covenant;shall survive

the te'frhinatibh of,this Agfeefneht.

11. Svstehi for Award Management (SAM) Reeistratibri And Unique Entity Identifier fUEO.

a. Requirement fpr.System fbr'Award Management (SAM)::.Unje;ss;theSppnspr is exempted frpmthis requirement under 2 CFR §t25;li0, the Sponsormust maintain the currency of itsinfOfmatibh-inthe SAMPritil the;Sp6hsbr.submlts: the fitial^fihancial fepbft.requifed under'thisACRGP Grant or receives..the.ifihal payment; whichever |s later; This requires that the Sppnsor

review and update the information.at least annually after the initial registration and more

frequently if required by changes ifi infofmatibn;bf aribthef award-term. Additional infofhnationabout registration procedufes.may be fpund at the;SAM website (Currently at

http;//www.sam.gov).

b. Uhique:Entity1dehtifier (UEI) means a 12fcharacter alpha-numeric value used to Identify a

specific cbmmercial,.nohprPfit pf governmental entity, A UEI may be obtained from SAM.gov athttDs://'sam:gov/sAM/pages/pubiic/lndex.isf)'.

12. Electronic Grant Pavment(s). Unless.otherwisedirected by the FAA, the State will make.each

paymerif fequest under this Agreefnent electfbhically via the Delphi elhvbicing:System forDepartmentiof Transportation (DOT) Financlai Assistance Awa.rdees'on behalf of and using thesupporting documentatibn supplied to the State by the Sponsor.

13..Air"and Water Quality. The Sponsor,Is required to comply with all applicabie air and water.quality

.standards for all projects in this grant. If the Sp.onsOr fails to comjjiy with this-requifemerit, the State

or FAA may su.spend, canceli or terminate this Agreement.

SBG 09-18-2021

14. FinanciarRiep'ortirig ana^Pavmeht Reduiremelits. The Sponsof will cpmpiy with al| FederaJ and StatefihanGlaTrepprtihg requirements and^paymerit;requirementsi*includingtsub^accurate reports.

15. Buy American. Unless otherwise approved in advance'by the State, in accordance; with 49 U.S.C. §'5dl6l''the Sponsqrwlll:not acquire.or pentiit any contractor-'or'subcoritractpr to acquire;any steel orrrianufacturedigpbds prbduced ou ynited States to be used for apy perrnitted use fpr vyhichfunds are provided under this AGRGP Grant. The Sponsor will include a provision Irriplemehtihg Buy.American in every.cdntract.and subcontract issued under this'ACRGP-StaterBlock Grant.

16. Audits for Sponsdrs.

a. PUBLIC SPONSORS.:Public Sponsors are required to provide for a Single Audit orprogram^spedific audit inpccordance with 2 GFR § Part 200 und this AGRGP Grant.-Theiponsor.rhust submit the audit:reporting package to the Federal Audlt Clearinghouse on theFederal/Audit Glearinghbuse's Ihterhet Data Ehtiy System athttp://harvester.census.eov/facweb/..Upon request of the^State, .the/Spppspr shall prpvjde one

cppy.of the completed audit to the State.

17. Suspension:or Debarment. The Sponsor must:

■a. lmmediat'ely;disclose to the State wheneyer.the Spbnsbr:

1. Learns It has entered lhto:a co.veredl'rarisactipn vvithlan ineligible entity; or

2. Suspends'pr debars a contractor, person, orentity.

,b. Include a provision ln;ajjxpntracts issued under this'AGRGR Grant thatrequires Gontractorsentering into "covered transactions"', as.defined by'2 GFR § 1801200, to:

1. Verify the hbri-Federal.entity Iseliglbleto participateiih this Federal program by:.A. Che'ckihg the exc|uded-parties;list'systerh (EPLS) as maintained within the;Systerh-f^

Avyard Management (SAM) to determine:ifthe non-'Federalientity is;excruded ordisqualified;-br

B. Collecting a certificationjstaterneht from the non-FederaL'entity.attesting theientity\is notexcluded or disqualified'frpm partlcipating; or

G. Adding;a clause or condition to covered transactions attesting the individual br firfh iis not.excluded or disqualified frbm.participatihg; and

2. Require":pfime.cbntractbrs.an;d su'bcontractbrs;to;comply:y/ith'2.GFR § I8b.,330'w.hen entering•into fdwerrtier transactions (e.g.;Subcontracts).

x. lnsertithis.clause;on suspensibmordebarment In all coritracts.-andlsubcbntracts that resultTfbmthis AGRGP Grant;

18. Bah oh Textihg'While Driving.

a. In accordance with ExecutiveOrder 13513^ Federal Le^dership on ReducingText MessagingWhile-Dfivirig; Oetbberl,,2009, and DOT bfder.3902.10, Text-Messaging While Dfivihg,December'30, -2009, the Sponsor is-encouraged to:

1. Adopt and enforce workplace'safety policies to decrease'erashes caused by diistracted driversincluding ppliciesrto ban text messaging while driving yvhen performing any woH(.for> or on

r

SBG 09-l8-202'l

behalf of, the Federal government; ihduding work relating to this ACRGP Grant Agreementand all subgrants.funded by this AGRGP Grant;

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-eyaluatlpn of .existing programs toprohibit text messaging while driving; ancl

B. Education,laWarehess, ahd other outreach to employees about the safety risks

associated with textmg white driving.

b. The Sponsor mustinsert this clause on banning tejrting while driyingHh all contracts andsubcontracts funded by this ACRGP Grant Agreement.

19. Trafficking In Persons.

a. The Sponsor, as;the recipient, the Spo'nsdKs employees, and Sponsof using funds provided,und.er this ACRGP Grant; including subaward recipients' employees may not.—

1. Engage ih severeTorrns of trafficking in persons during the period of time that this AGRGPGrant Agreement and subaward agreements are in effect;

2. pfoGure.a commercial sex act duririg the period .bf tirhe'thatthis ACRGP Grant Agreement

and subaward agreerhehts are in effect; or

3. Use forced labor in the performance of this"ACRGP Grant /^reement and subawardagreements.

b. The FAA, as the Federal awarding agency^may unilaterally tefniihate.this ACRGP Grant

Agreement, without penalty, Sponsor that.is a priyate ehtity-

1. Is determmed to haye violated;a;prohibitibn jn paragraph 19.a.l.;qf this ACRGP GrantAgreement condition; or

2. Has an.erhployee who; Is determined by thelagency official authorized to.termihate theACRGP Grant Agreement to have yiolated a prohibition,in;pa;ragraph a. of this ACRGP Grantcondition through conduct'that is either—

A. Associated with performance under this ACRGP Grant; or

B;. Imputed'to any and all sUbawardees under this ACRGP Grant using the staridardis

and due processfp.r imputing the conduct of,an indiyiduaj to an organization thatare provided'in 2 CFR Part 180, "OMB Guidelines to Agencies on Government-wideDeb'armehtahd Suspension (Nbnprocurement),"as implemented by the FAA at 2CFR Part 1200.

c. The Sponsor must inform the State and FAA immediately of any infprrnatign received from any

source alleglrig a violation of a pfohibitibh in paragraph 19.1.a. abbve during this ACRGP Grant.Agreernent.

d. The State's right to terminate unilaterally that is described In paragraph a. above of this

condition:

1. Impleme'hts sectibn 106(g),of the Traffickihg VIctirhs Protection Act of 2000 (TVPA), as'

amended (22 U.S.C. § 7104(g)); and

SBG 09.tl8-2021

2. Is in addition ;to all other reniedies for honcditipliarice'that arer.available to the-FAA

under this ACRGP Grant'Agreement.

20. ErhploVee Prbtectibh from Reprisal.

a. prp'Hibltibn of:Rep.ri,sa|s ̂

1. In accordance with 41 U.S.C. § 4712,ian emploYee of a Sponsor Grantee of sCibgrahtee mayhot bedischarged, derhpted, or ptherw.ise,discriminated;agains^ aTrapfisarfpr disclpsingtp.a.person or body described'in sub-paragraph 2d.a.2!/lnformat:io.n that the employee'reasonably believes is evidence of:

I: Gross mismahagenienfof a Federal grant;

ji: Grpss waste of Federal funds;;

iii. An abuse pfauthprity relating to Impjementatipn or use of Federai 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. Pefsbnsarid bodies covered: The pereonsand bodies to which a disclosure by;.anem'plbyee

is cpyered'are as.fpllpws;

i; A member of Congress or a representative of a cprnrnittee pf'Gongress;

ii. An InspectbrGeneral;,

Iii. The Gbvernrhent Accduhtability Office;

ly. A Federal'pffice premployee respdnsible for oversight of a grant program;

y. A court or grand jury;

vl. A management office of the grantee or subgrantee; or

vii. A Federai or State regulatory enfofcement agency:

3. Submission of Complaint -A pefsonnWhd believes that they have been:subjected:td areprisal prohibited by paragraph a4:- above may submit'a cpmplajnt regarding.the.reprisalto the.Office of Inspector General (GIG) for the U.S. Department.of Transportation.

4. Tlfh'e UmitatiohTof Subrnittal of a'Cotfiplaint - A ■cdrtiplaiht may ridtbe brought under thissectipn.rnprethan three years after the;date.:On.whi.ch the alleged reprisaltook place,

5. Required Actions of the Inspector General>.Artions> limitations, and exceptions of theInspector General's office are established under 41 UiS.e.,§'4712{b).

6. Assumptioh bf Rightsto Civij Remedy - Upph receipt of an expjariatidh df.a deciisibh not toconduct or cpntinuejan investigation by the Office of inspector General/ the person,submitting a complaint assumes the-right to a ciyil remedy under 41 U.S.C. §;4712(c).

21. C6-Sponsor. The Sobhsor shall understand ahd- agree that it jointly and severally adopts and'ratifies!the representatibnVand'assurances contained hefejn ahd that the word "iSponsor" as used in the'application and.other assurances is deemed to include allxoTsponsprs-.

SBG 09-18-2021

.22. Limitations. Nothing provided herein shall.be construed to limit, cancel, annul, or modify the terms

of any.Federal grant agreement{s),lnc|uding all terms and assurances rejated^thereto, that.havebeeri entered into bV-the Sponsor and the FAA prior to the date of this AGRGP Grant Agreement.

23: Face Cbverihes Policy.,The Sponsor-agrees to'implement a face-covering (mask) policy to combat

the spread of pathogens, This ppjicy must include a requirement that a|l persons wear, a,mask, in

accordance with Centers for Disease Control,(CDC) guidelines and Transpprtatlpn SecurityAdministration (TSA) r:e.quifements,,as applicable, at.all times while in all public areas of the.Airport

property, except to the extent.exempted under thpse;requirementis. This special cpnditibn requifes

the airport Sponsor continue to require rnasks until Executive Order 13998, Prornpting;COyip-i9Safety in Domestic and International Travel,,ls.no longer effective.

24. Irisurahces. The sponsor shall, at its sole expense,'and shall require any subcontractor or assignee,to obtain and maintain in force, anlnsurance pplicy pr pplicies designating the State-as an additional

insured, with the following insurance:

A. Comprehensive general liability insurance against all claims of bodily injury, death or property.. damage, in amounts.of. not less than $l,000,(X)0 per,occurrence;and $2,000,000 in the

aggregate; and

B. The.pplicies described in this section shall be the standard form employed in the-State of NewHampshire, issued by underwntefs acceptable to the State, and authorized to do business in the'State of New Hampshire. Each policy shall contain a clause pfohibitingicancellatiOn ormodifications of the policy earlier than 10 days after written notice thereof-has been received by

, the State.

25. Public Meeting. By signing this form, the Sponsor certifies.that the Sponsor ha_s.complied with anypublic meeting requirement for acceptance of this grant, including^ if applicable, NH RSA31:9.5-b.

SPECIAL CONbmONS FOR Use of acrgp funds

Conditions forJRolung Stock/Equipment-

1. Eduibmeht or Vehicle Replacement. The SponsOr agrees to. treat the proceeds from the.trade-in or saleof equipment being replaced with these funds as airport.reyenue.

2. Equipment Acquisition, the Sponsor agrees and that.for any equipment acquired yyith funds provided,by this:grant,;such equipment shall'be used solely for purposes directly related to the Airport for whichthe Grant is.made.

3.; Low'Emission Svstemsrthe Sponsor .agrees that vehicles and equipment acquired using funds'providedunder this Grant:

a. Will be maintained and used at the Airport for which they were purchased; and

b. Will hot be transferred, relocated, or used at another airport without the advance consent of the

FAA;

SB6 09-18-2021

The Sponsor further agrees to.maihtaih ahhuai records bh.individual vehlcies and equipment, projectexpenditures, cost effectiveness, ancf emission reductions.

Conditions FOR UtiuTiES and Und-

1. utilities Proratioh. For pufppses'^bf computing the United States and State's share ofTheiaiiowable^airport operations^and maintehahce costs, the allowable^cbst of utiiities incurred by:thfe Sponsor tooperate',and mairitain ajrRort(s) included in this Grant must not exceed the percent attrlbutable to thecapital'or operatingxosts of thevairport.

2. "Utilitv Relocation in Grant. The Sponsor understands and agrees that:

a. ThelUnited'StateS and'State vy.il! notlpartjcipate in the cost of any. utility relocation unless and untilthe Sponsor has;submitted;evjdence.:SatisfactorY to,the State that the Sponsor is.legajly responsiblefor payrnent ofsuch costs;

,b". FAA and State, participatiph is.iimitedtb those utilities located,oh-airpbil or bff-a^ only where .the Sponsor- as.applic'able^ihas,an"reasement for the.utility;iand

c. Thelutilities rpust serve a purpose.directly related to the Airpbrt:for which the Grant is made.

3. Land Acdiiisitidh. Where fuhds pfbvided.fdr by this Graht are'used for the purpose of acquirihg;lahd, the

Sponsor agrees to record the Grant Agreement, including the.grant assurances and.any and all relatedrequirementSi' encumbrances, and restrictions that shall apply to'such land) in the public land records ofthe jurisdiction in-which.the land is located.

SBG69-18r2021

The SpohsoKs acceptance of this Offer and ratification and adoption of the ACRGP Grant Applicationincorporated herein shall be evidenced by:execut|pn pf this instrument by theiState. This Offer andAcceptance shali;cprriprise ayG/aht 'Agreemeht,. as provided.by!thevCRRSA Act, constitut ing thecontractual obligatlons and rights of the State and the.Sponsor with respect to this Grant. The effectivedate pf;this ACRGP Griant Agree'h^ 's the date of the:last signatpry pf the signs the acceptahce;of thisOffer.

W HAMPSHIRE

IT OF TRANSPORTATION

STAT

DEP TM

ISghati/re}

PitHdtCdName)

Director

Aeronautics, Rail and'TransIt(Title.of NHDOT Offkhl)

Attorney General:: This is tp certify that the above Agreement hasrbeen reviewed by lhis office.and is approved as toTorm and execution. ^

Dated: (Q/l/T-tAssistant Attp^

10

SBG 09-18r2021

pARTll-rrACaPTANa

The Sponsor does hereby ratl^^and^adopt alj assurances; staterhenb. representations; \^r/antie$>covenants, and agreements contain^ in the ACRGP State Btock.Grant Appjicatlomand Incor^rat^material^,referred to ln[the fbregplng Offer under Part i of this ACRGP.State'Blpck Gradoes hefeby accept this Offer and by siich aKeptance aj^eestb cprhpty >vith:aii of the terms andcqnditipnvin this Offer and in the.AGRGPState.Bloc^ and aji applicable'terms andcohditichs pfovided forln the CRRSA Act ami other applicable provisions ofMederal Law.,

i deciare uhder pehaity of perjury'thatthe.foregolng is true and correct;^

Executed this ^ day of— — /•2b21

f

tuijfrya^Laj

'ii AuthorUtd Offcloty

rryp^ Nome ofSponsor't Authorized Offlclai)

Title:■fpU^ ̂ S^hmot^s 'AirthorM Official)

^Kr^bwlnglyand willfuiiy providing false inforrnatloh to the Federal gpyernmeritis.a violation of 18.,U.SX..Section'1001 (Faise Statements) and couid subject you to.fines. imprisonment, or both..

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SBG;09-18-2021

CERTIFICATE OF SPONSOR'S ATTORNEY . I / J JI. , acting as Attorney for the

do hereby ceftif^

That In my opinion the Sponsor is empowered to enter into the foregpIng.GrantAgreement under the

laws of the.State of New Hampshire-Further, I have examinedItheToregoihg Grant Agreemeht:ahd theactions taken by said Sponsorand Sponsors pfficlal.representative has been;dijly. authorized and that

the execution thereof is:th all respects due and proper arid in accordance with the laws of theiaid Stateand the CRR^ Act. The Sponsor understands funding made available under this Grant Agreement may'only be used to reimburse for an airport's costs related to operations, pefs6nhel„cleaning/sanltization,janitorlai services/cbriibatihg the spread of pathogens and debt service payments at eiiglble coveredairports defined in this Agreement. Further,'it is my opinion that the said Grant Agreernent constitutes alegal and binding obligation of the Sponsor In accordance with the terms thereof;

Please read the followlngjnformation: By signing;tKis document, you are agreeing that you haverevlev/ed the:fbjl6wlng c6nsumerdiscl6sure.lnformation;ancl'consent to transact business usingele.ctronic communications, to receive notices and disclosures electronically, and'tb "utilize electronicsignatures in" lieii of using paper document! You are hot required tp recelve notices and disclosures orsigri documents electrpnicaliy: If you prefer not to do so, you may request-to receive paper copies andwithdraw your consent at any time.

Dated (location) this 3^^^- davof /firpLxX. 2021/4. U./

sAtnrney),won

(Signdtv're ofSpwior's Attorney)

12

CERTIFICATE OF VOTE

;l, Cheryl Hebert. do hereby certify'that I am the CItv Glerk-.of the.Citv of Laconia. a

municipality in-the State of New Hampshire; county of Belknao. in the UhitedlStates of

America. I do further certifv'that Andrew HoSmer. is Mayor of the.munlcipality.and is duly

:authorized.by .the by-laws arid Jaws of the,State-of New Hampshire .to execute and deliver

for .ori behalf of the municipality any acts with the State bf'New Hampshire; This authority

was given durihg ah officiarmeeting oTthe City Councii of the City of Laconia on the

fojiowing date: August 23.-2021.

r further certify that:such authority haeriot been repeajed, rescinded or amended.

IN WITNESS WHEREOF, I have hereunto set hiy hand and attached the seal.of the City ofLaconia on this 24''' day of August 2021. -v Vt ' L ^

r\ O" ' ' * ' •

Signature q • - SEAL ' . -

City Clerk

Title of Signatory

NOTARY §f ATEf\flENT

As Notary Publjc and/or Justice of the Peace; registered, i.n the State of New Hampshire,

county of Beikhap, upon this-date August 24, 2021, appeared before me: Stacy Anders, the

above signediPfficer personally appeared Chervl Hebert of the City of Lacoriia, New.

Hampshire, and that beirig authorized to do so, he/she.executed the foregoing ihstmrnent-

for the purposes;therein contained, by sighing by him/herself in the name of the City of

Laconia-, New Hsnipshire. I.n witness:whereof, I hereunto :set my hand/and officjal seal.

ikcio[3Signature of^ot^ or Justice of the Peace

Stacy Anders, Notary. Public

Name of Notary of Justice of the. PeaceS^L

3,Date of Expiration of Cbmrriission

H U B B CHUBB-

ICIALTY CASUALTY '• AVIAtiONV •• ■

Energy Centre

ilOp poydrars SueetSutehsONew Orleans LA 70163

S0431p|36p0rrtoln504 310^3610/ox

www,diubb.com

Au^st'24v2()2d

1.^ s

ACE PROPERTY & CASUALTY^INSUI^CE COMPAQ

CERTIEICATE OF INSURANCE (PAGE TOF 2)^ V ':j * ■■'"'U-'r- ■ >

THlS;eERTIFieATE:OFfINSURANGE:lS.ISSl!ED AS f MAi;rERiOF^INEORMATION ONLY ANDGONFERS'NO RlGHTSr#»6N THE'cMTnaiCATE H

INSURiwVCE d6eS NOT AEFliUsi\T!VELY6THE GOVTlRAGE-AFFORDEDaY THE mSUKANGE PGEICY BEEOW. THIS CERTIFICATE OF

INSUI&NGEjlSjESNGTGON^mUTE-^GbNil^GTMTW^^^AUTHOWZEb^PRESENTATIVE ORPROBUGEI^ Aife irffi

' , - •"i> - ■ I " • ff ii ••f - T " • 'ij- 'r •••« vv ■

.'K .

TWS,: IS TO CERTIFY that the Insured -set forth below is at this date inured with AGE PROPERTY &CA;SU^l5Y:INS]URANGE.G01^ANYas:indicatcd,uridCT^

bESCRTPiWExSd^^

Named Insur^:Address:Polic}'Number:Pollicy peiiod:Location:

CaconiaAi^prt,Authority , . , •(55 AviationOrivc, Gilford,,Ncw'HampsHire 03249AAPMQ?75655 013From: March.5v'2020 To; March 5, 2023';(b6th-datcs at 12".01;am LSI)

Airport pwhersiandOpmtore Liability i^urariw--LimitS'pfJnsurance:: Bo^y'Injuiy;]Personal Injuiy/Adverrisin^-lnjury'.and^i^perty Danugeco

$ i0^6(W,W0;;eackoam^r(c'e/offt

Prpducte-Gompleted pperat^^Pereohal Injury and A^ertisingiliijury Ag^^te Limit....; $ 1.0,000,000N^practice Aggregate Limit,,;.. ;.:;.:.,......;$lp;OOO^i^^HahgaricccpcreLimit Any"One Occurrence $ 10,0.00,000Hangarki^CTf Limit.Any. One Aircraft- $10,000,000

D^iiitlble:

Ag^cgatc limits shown may have'becn-reduced by paid claims.

Sl.OOO applicabIc only lo.HangarkcepersLiability

•Addition^'AgrMmM respect to the agreeraeht,between theNafned'Insured andHolder showriin-this Certificate of Insurance, WHO IS AN INSURED-is:amcnded'by endorsement to include"as an msur^'perspn or qrgamzatipn the Certifiute'Hplder shp\^m(in tWs.Ccrt^ificate Insurance. w.an insuredibut,only with rcspKt^tb liability to which-the insurance provided under the; above/Policy'applies that is cauised,b whole or in-part, by die Named Insured's acU or qmissions-.pr the acts 'o.r onussipns pfthose acting.on'theNamed",Ihsiired's bchhif ifiithe^ib'rfdrnibice of the.Named Itisured's ''aiipprt.opcratioiis".

HUBS

August-247.2020

ACE PROPERTY & CASUALTY INSURANCE COMPANY

CERTmCATE OF INSURANCE (PAGE 2 OF 2)

This OTrtifiMte if? issued at the f^uest of the followiog.Certificflte.Holder:

■ Slate of New Hampshire, Department of TransportationP.O. Box 483 'Cohcord, New;Hamp^irc:03302-0483

I

This Certificate of Insurance neither affirmatively nor negatively amends, alteis, or extends the coveragesafforded by the policy described above. We Have made provision to provide you with thirty (30) days priorwritten notice in" the event of canccilation'of the above described policy, except;that such notice wilj be ten (10)days for non-payment of premium, or, such shorter periods as may be required by the; automatic, termination,review and cancellation provisions of the,Nuclear Risks Exclusion Clause in thcpoljcy.

w. £.1

"Roddy McMuUcn(Authorized representative).

Page 2/2

SBG 09-18-2021

AIRPORT:e0RQNAV:iRUS RELIEF GRANT PROGRAM (AGRGP)

ASSURANCES

Airport Sronsors

A. General.

1. These" AiriJo'rt Cofonavirus.Relief Gfaht.Program (ACRGP).Assurances are required to besubrnitted asipart pfthe application by sponsors requesting funds under the provisions of theCoronavlrus Rellef and Relief Supplemental Appropriations Act of 2020 (CRRSA Act or "the Act"),Public Lavv'Nurhber, Public Law 116-260. As used,herein, the term "public,agency sponsor"mea.ns a'pUblic agency^with cpntrol of a public-use airport; the term "private spppspr" means aprivate pvyner of a public-use airportj and the term "sponsor" Includes both.publicagencysponsors:and private sponsors.

2. lUpori acceptahce'of this Graht;subaward offer by the Sponsor, these assurances areincorporated Into and become;part oifrthis Grant Agreement.

8. Sponsor Certification.

The Sppnsor;hereby assures and:certifies, with respect to.this AGR6R Grant that:

fit will-comply with all applicable .Federal laws, regulations, executive orders,, policies, guidelines,lahd requirements as theyVrelate.to the applicatlon,iacceptance, and use of Federal funds for thisACRGP Graht including but not'lirnited to the following:

Federal Legislation

a. 49 U.S.C.;Chapter.471,;as applicable

b.; Davis-Bacon Act-40 U.S;G.276(a);.etjefl.

p. Federal,Fair Labor Standards Act - 29 U.S.G. 201. etiseg.

d. Hatch Act - 5:'U,S;C. 1501; et sea.'

67 |jnifbrm;Relocatip,n.Assistance and Real PropertyAcquisitioh Policies Act"oTl9.70Title 42 U.S.G.460Tiet sed.

f. National Historic Preservatioh Aet:ofi966 - Section.106 -16 U.SiG. 470(f);

g. Archeological arid, HistoriCiPreservatiop Act pf 1974, t.16',U,S.C. 469 through 469c.

h.. Native Arnencans^Grave Repatriation Act - 25.U.S.G.'SeGtibn-300l, et seq.,

i; Glean Air Act, P.L. 90-148, as amended.

j. Coastal Zone Mariagemerit A^» P-L- 93-205, as ahiended.

,k. Flood Disaster Protection Act of 1973 - Section i02(a) - 42 U.S.G. 4012a.-

I. Title 49,,'U.S.G., Section 303, (formerly known as Sectibfi.4(f)).

, m. Rehabilitation Act of 1973- 29 U.S.G. 794.

n. Title VI of the Civil Rights .Act Of 1964 (42 U.S.G. § 20b0d et seq., 78 stat. 252) (prohibits,discrimination on the basiiof race, color, national origin);

IS

SBG 09-18-2021

,0. Americans with Disabilities Act of 1990, as amended, (42 .U.S.C. § 12101 et seq.), prohibitsdiscrimination on the basis of disability),

p. Age Discriminatipn Act of 1975 -.42 U.S.C. 6101. et seo.

q. American lndian Religious Freedom Act, P.L.-95-34i, as-amended.

r. Architectural Barriers Act of 1968 - 42 U.S.C. 4151. et sea.

s. Power plant and Industrial Fuel Use Act of 1978 - Sectibn-403- 2 UiS.C. 8373.

t. Contract Work;Hburs and Safety Standards Act - 40 U.S.C. 327, efseb.

u. Copeland A.ntlrkickback Act -18 U.S^^

V. National Environmental Policy Act.pf 1969 - 42 U.S;C. 4321; et seo.

w. Wild and'Scenic Rivers Act, P.L 90-542, as amended:

X. SihgleAudit Act of 1984.- 31 U.S.C. 7501. et seo.'

y. Drug-Free Workplace Act of 1988 - 41 U.S.C. 702.through 706.

z, The Federal Funding Accountabiiity and Trarisparency Act of 2006, as amehded.(Pub. L. 109.-282,as amended by section 6202 of Rub. L. 110-252).,

Executive Orders

a. Executive Order 11246 - Equal Ernployment Opportunity

b. Executive Order 11990 - Protection.of Wetlands

c. Executive Order 11998 - FIbod Plain Management

d. Executiye Order i2372 - Intergovernmental Review of Federal Programs

e. Executive Order 1269? - Seisrnic Safety of Federal and Federially Assisted New Building.Construction

f. Executiye Order 12898 - Environmental Justice

g. Executive Order 14005-^ Ensuring the Future Is Made in All of America by AH of America'sWorkers.

Federal Regulations

a. 2 CFR Part 180 - 0MB Guidelines to Agencies on Goverrimehtwide Debarment and Suspension(Nbnpfbcurement).

b. :2 CFR Part 200 - Uniform Administfative Requifemerits, Cost Principles, and Audit Requirementsfor Federal Awards.'-*

c. 2 CFR.Part:l200 - Nbnpfocurement Suspension and Debarment;

d. 28 CFR Part'35- Discrimination';on the Basis of Disability in State and Local Government Services.

e. 28'CFR § 50.3 ̂ U.S. Department of Justice Guidelines for Enforcement of Title VI of the Civil

Rjghts Act-of 1964.

f. 29 CFR Part 1 - PrOcedures.for predeterifiiriatibn of wage rates.'

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:g. 29.CFR Part 3 - Contractors and'subcohtractbrs on public building or jjubli.c.work financed Inwhble:,or part by lo'ansbrgrahts.from the United States. ̂

h." 29:CFR^Part 5 - Ubpr standards-provisions applicable to contVactsrcovering Federally financed-and assisted construction (also-labor standards provisions applicable to hoh-constructibricontracts subject to the Contract Work:Hours and Safety Standards Act). ̂

i: 41 CFR;Part 60 - Office ofFederal Contract Compliance Programs; Equal Employment:

Opportunity, Department of Labor (Federal and Federally, assiisted contracting requirements).^

].. 49 CFR Part 20- New restrictions on Ibbbyihg.

k. 49 CFR Part 21 - Nohdiiscflminatloh In Federally-assisted,pfogramspftheiOepartmeht oftransportation - effectuation of title VI of the Civil Rights Act of 1954.

I. 49 CFR Part 23 - Participation by. Dlsadvantaged Business Enterprise In Airport Concessions.

m. 49 CFR;Part 26 -!Rarticipatloh by Disadvahtaged Business Ehtefpfiseis in Departrheht of

Tfanspbrtatiph Flnanclai'Asslstance'Prpgfams,

ri: 49 CFR'Part 27 • Npndlscriminatipn.on the Basis pf Disability In Prpgrams-and Activities Receivingor Benefiting fromtederal FinancialAssistance.^

0. 49 CFR;Pait 28-IEhforcernerit of Nbiidiscriminatlon on the Basis; of Handicap In Programs or

Actlylties.cbhducted by the Department of tfahsportatioh.

p. 49 CFR Part 30 - Denial of public works cpntrarts to suppljersipf goods and services of countries

that deny procurement market access to U;S. contractors.

q. 49. CFR.Part 32 -^Gbvernment-.wlde Requirements for Drug-Freb;Workplace (FinahcialAssistance);

r-. 49. CFR-Part 37 - Transportatipn'Serylces for Individuals vyjth Disabilities (ADA);

s. 49 CFR .Part 41 - Seismic Safety.

Footnotes to AssuRANa-ACRGP AssuRANce B.l.

^ These.laws do not apply to airport planning sponsors.^ These laws do not apply tp'private sponsors.^ Cost principles.established in 2-.CFR Part 200 subpart E must bemused as guidelines for-

determining the eUgibility of specific types of expenses.* Audi.tTequlrernents establlshed In 2 CFR Part 200 subpart F are the guidelines for audits.

Specific Ai^URANCES

Specific assurahces.required to. be included.in grant.agreerne.nts by:an.y; of the above lay/S; regulations,or circulars are Incorporated, by reference In this Grant Agreement;

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1. Purpose Directly Related to the Airport. It certifies fhat^the reimbursernent sought is for a purposedirectly related.to' the Airport.

,2. Responslbnitv and Authority of the Sponsor,

a. publlc;Agency Sponsor:

It has legal authority to apply for this Grant; and to finance and carry out the prbposed grant;that an officiaideclsion has been.madeiby the applicant's gpyerning bodyiauthorizing the filing,of the application, including all understandings and assurances contained therein, and directingand authpriz'Ing th'e perspn identified.asthe official representative.of.the;app!icant to act.in-connection with the application and to provide such additional informalipn as may be required.

b. Private Sponsor

It has legar.aUthority to apply for this Grant and to finance and carry out the.proposed Grant and

comply with all terms; conditions, and assurances of.this Grant Agreement. It shall designate anofficial representative.and shall.in writing direct and authorize tha.t.persp.n to file thisapplication, including^all understahdihgs and assurances contained therein; to.act in connection

with this application; and tO provide.such additional irifOrmation as may be required.

3. Good Title. It, a public agency or the Federaj'government, holds gppd title, satisfactpry to the

Secretary, to.the-landing area of the Airport or site thereof; or willigive assurance satisfactory to theSecretary that gOpd title will be acquired.

4. Preserving Rights and Powers;

a. It will npt'take or permlt any. action vyhich .wpuld operate to deprive.it of any of the rights and

powers necessary to perform any.or all of the terms, conditions, and assurances in this Grant

Agfeerrierit without the written appfoval of the Secretary, and will act prbmptly to acquire,,extihguish;'Or modify any outstanding rights or claims of right of others whibh would interferewith such; performance by the sponsor: This shall be done in a manner acceptable to theSecretary.

b. If thejSponsor is a private sponsor; it yvijl take:Steps;satisfactory'to the Secretary to ensure that"the Airport'will continue to function as a public-use airport in accordance with this Grant

.Agreement.

C. If aniarrangement'ismade for managemehtahd operation of "the Airport by any agency orperson other than the'sppnsor or an employee of the sponsor, the Sppnspr will reserve

sufficient rights ahd authority to insure that the Airport will be operated'and maintained inaccordance Title 49. United States Code, the regulations, and the terms and conditions of thisGrant Agreement;

5. Consistency with Local Plans. Anv project undertaken by this Grant Agreement is reasonablyconsistent with plans (existing at thb time ofsubmission of the ACRGP application.or State subaward

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-as applicable) of;publioagenGies that are authofized by the.State,ln:which the prpject is located toplan for the-cleveippmentof the area surfouriding the" Airport.

6. Cbnsidet^tion of Locallnterest: It has Riven'fair:cdnsideration to the interestjof communities in ornear where anyfprbject uhdertaken by this GrantAgreement may be located;

7. consiiltatioh with Users- Inrmaking a decision to undertake any airport development projectundertaken by this GranrAgre.ement, It has undertaken.reasonable consultatlohs with affected ,parties-u.sing'the.-Airport-at which projectis) is/are proposed.

8: Pavement Preventatlve Maintenance. With^respect to a project gndertakeri.by this GrantAgreement'tor the replacement dr'reco'nstfuctiori of pavement at,the^Alrport, it assures or certifies'thatilt has implemented.an effectlve Airpprt payement maintenarice-managernent prograrn and it ̂assures,that it will use,such program for the useful life of any pavement constructed,^.reconstructed,or repaired y/ith Federarfinancial.assistance at.the Airpo.rt; including ifliGRGR funds provided underthis Grant Agreement It will prdvide.such reports on pavement condition and'pavement,management;prograhis as,the Secretary-determines may be useful.

9. Accounting System: Audit.;andiRecord Keeping Requirements.

a. it.shalfkeep'all'Grant accounts and recordswhich.fuily disclose the amountand disposition bythe recipient of the prbcdeds bf.this.Graht, the total cost pf.the Grant in connection with which-this Grant is given orused, and the amourit.or.nature of that portion of .the cost.of the Grant;supplied.by".bther;sources.-.,and such other financial records pertinent to the Grant The accountsand records shall be;kept in accordance with an accounting system that wjll facilitate aneffective audit in accordance with the Single'Audit Act of 1984.

b. it shall make available to the'Secre;taTY*and,the;Gomptroller General of the .United States; ,or'anyOf their duly authorized representatives, for the purpbse 'of audit.and examination, any books,■documents; pape.rs;;andTecords of the fecipientithatare pertinent to-tHls Grant. The Secretarymay require that anappfopfiate audit be conducted by a recipient. In any case in which anindependent audit is rnade.of the accounts of a sponsor relatingfotheidisppsitiqn,of theproceeds of a Grant or relating to the Grant inxonhection with which this Grant y/as given orused; it,'shall fije axertifiedcopyofsuch'audit with.the Comptroller General of the United Statesnot later than six (6) months fbllowingThe close pf th year-forwhich-the audit was 'inade,

in Minimum Wage Rates. It shall inciude; in all contracts In excess of $2,G00 for work on any projectsfunded under this Grant Agreement vyhich involve labor, provisions establishing minirnum rates ofvvages, to. be predetermined bythe Secretary of Labor,' irt'accordance with the Davls=Bacon Acti as:amended (40.U.S;C.'276a-276a-5), which contractors shall pay to skilled and uhskllledJabor. andsuch minimum fates shali' be.stated in the inyltation for bids and shall be'-ihcluded in proposals orbids for the work.

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11. Veteran's Preiference; It shall include in all cpntracts-fbr work on any. project funded under this GrantAgreement which involve labor; such provisions as are necessat?/ to insure that, in the employment oflabor (except in executive, adrfiihistrative, and:supervisorv positions), preference shall be given toVietnam era veterans, Pef^ian-.Gulf veterans, Afghanistan-Iraq war yeteraris,:disabled veterans, and

small business concerns ovyned and controlled by disabled yeterans'as defihed in^ction-47112 of"Title49,.United States Code. However, this preference shall applyonly where-the'individuals are

availableerid qualifjed tO perfdrrh the'work to which the employment relates.

iZ;. Operation and Maintenance.

a. The Airport and,all facilities vyhich are:neceSsary,to serve the aerohautical users of'the Airport,

other than facilities owned or controlled by the Onite.dStates, shall be operated at all.timeS in asafe and serviceable.condition and in accordance with the minimum standards as may be

' required or preScribed-by-'applicable Federal, state and local agencies for maintenance andoperation. It wiirnot.cause or permit any activity or'action thereon which would interfere.with Its

use for airport purposes: It-will suitably operate and maintain the Airport and al) facilities thereonor conne'cted.therewith; withdue regard to climatic and flood conditions. Any proposal totemporarily close the. Airport for npn-aeronautlcal purppseS;must:first be approved by theSecretary. In furtherance.of-thls assurance, the sponsor will have jn effect arrangemehts'for-

1) Operating the Airport's aeronautical facilities whenever required;,

2) Promptly niafking and lighting hazards resultihg;from airport conditions, includingtemporaryppnditions; and

3) Promptly notifying a jrmen of any donditiph affecting aeronautical Use of the Airport.Nothing-contained herein shall be construed to require:that the Airport be,operated foraeronautical,use during terhpora^ periods when snow, flood or other climatic conditions^Interfere with;sUchoperatiOn and maintenancev.Further, ridthihg hereih shall beconstrued as requiring the maintenance, repair; restoration, or replacement of anystructure or facility, which is substantially damaged.or destroyed due to an act, of God Orother condition or circumstance beyond the controfof the sponsor.

b. It will suitably operate and maihtain.nolSe'compatibility prograrri iterhs that it owns or controlsupon which Federal funds:have been expended.

13. Hazard Removal and Mitigation. It will take appropriate actiopjto assure that such terminal airspaceas Is'required to protect instrument and viisual operations to thcAirport (includingrestablishedminjmurn flight,altitudes) W'li-be adepuately cleared and prbtected.byVemdving, lowering, relocating;,marking, or lighting or otherwise mjtigating existing .aj.fport hazards and by preventihg'theestablishment or creatlon-of future airport hazards:

14j Compatlbleland Use. It will take apprpprlate.actidh, to the extent.reasonable. Including the^ adoption of zoning laws, to restnct the use of land adjacent to Or In the imriiediate vicihity of the

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SBG 09-18-2021

Airport to activities and purposes compatible with normal airport operations, including landing andtakeoff of aircraft;

15. ExclusiveiRights.The sponsor shaN not gra^t an exclusiye.right to use an air navigation facilityon

which this Grant has been expended. However; providing services at an airport^by only-one fixed-•base'd operatoCis not ariiexclusive right if—

a. it'is uhfeasonably costly, burderisoroe, or Impractical fdr.more-thah one •fixed-based operator toprovide the services; and

b. allowing more than one fixed-based operator to provide the^rvices requires a reduction inspace leased under an agreemen'toxistihgon September 3,1982, between the bperatof and theAirport.

16. AirbbrtRevenues.

a. This Grahtshall be available fof any purpose for which alrport.revenues .may iawfujly be used topreyent, prepare for; and respond:to"coronayirus. Funds provided under this AGRGP State BlockGrarit Agreement-will only be expended for the capital of ope'rating,costs of the Airport; the-(local airport system; or other local facilities which'are owned or'opefated by the owner oroperator of the Airport(sj subject tp.this Agreemenra.nd alliapplicable addendums for. costs ■related to operations; personnel, cleaning, sanitizatipn. Janitorial services; combating the;spfeadof pathogens at the Airport, and debt service payments-as prescribed in the Act.

b: For airport development, 49 U.S.C. § 47133 applies.

17. Rebbrts and Insbections.

Itwiil:

a. submitto the Secretary such annual or special financial and-op.erafionsTeports-as theSecretary rnay reasonably request and make such reports available.to.the public; friake•available to the public at.reasonable timeS.ahd places a report of the Airpbrt budget in aformat prescribed.by the Secretary;

•b, iin a format and tirne prescribed by the Se.cretary, provide to the Secretaryand makeavailable ,to the public following each of its fiscal years, an annual report Jistihg in detail;

1. all amounts, paid'by the Airport to.ahybther uriit of government and the purposes forwhich each such payment was made; and

2;, ail SeiviceS;anipfoperty provided by the Alfpprt toother units of government and theamount of compensation received for provision of.each such service arid>roperty.

18. Land for Federal Facilities, it will furnish without cost to the Federal Government for use inconnection.with any air traffic.control or air navigation activities, of weather-repbrtingrandcommunication activities related to air traffic control, any areas of land-or water, or estate therein, orrights In bui|dings of the sponsoras the Secretary considers necessary ordesirable fbr.construction,operation, and maintenance at'Federal expense of space or facilities for such'purposes.iSuch areas orany portion thereof will be.made available asproyided herein within four months after receipt of awritten request from the Secretary.

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19.-Airport Layout Plan.

a. Subjectito'the FAA Reauthorizatibn Act of 2018, Public Law 115-254,.Section 163„-it will keep upto date atalrtiities an airport fayout plan of the. Airport showing:

1) boundarie.s'of the.Airport.and a|l proposed additions thereto, together.wlth the boundariesof all offsite areas owned pr controlled by the sponsor for airport purposes and proposedaddltions'thefeto;

2) the.lo'catioh and nature of all existing and prbposed airport facilities and structures(such asrunways; ta.xiways,^ aprons, terminal buildings, hangars and roardsj, inclu'dihg all pfoppsedextensions and reductions of existing airport facilities;

3) the location of all existing and proposed non-aviation areas and of all existing Improvements

th;efeOn;:ahd

-4) aJJ.p.fpppsed and existing access points used tO;taxi aircraft acrOss.the. Airport's propertybo,unda|7; Such Airport: layout plans and each'amendment,-revision, or modificatiorithereof, shall be subject.to:the'approval of the Secretary which approval shall be evidencedby the,signature Of a dulyoutHOrlzed representative, of the SecretaiY Oh the face of the

Airport layout,plan. The sponsor will npt'make of. permit any changes or alterations in theAirport orany of its facilities which are not inxonformity with the airport layout plan asapproved by the Secretai^.and which might, in the opinion of-the Secretary, adversely affectthe safety, utility or efficiency of the Airport.

b.. Subject to the FAA Reauthgfization Act of i018, Public Law 115-2S4„Secti0n 163; If a chafige or•alteration In the Alrport or the facilities is made which the Secretatv. determines adyefsely af^^^theiMfety; utility, or efficiency Of any federally owned, leased, Gr funded property on or off theAirport'a.nd which is not In cohfOfmity with the airport layout plarii a's approved by the Secretary,'the owner or operator will, if requested, by the Secretary (1) eliminate suchodVefse effect in amahher approved by the Secretary; or (2) bear all costs of relocati'ng.such property, (orreplacement.thereof) to a site acceptable to the Secretary and all.costs of restorlng such property.(or replaceme.r)t thereof) to the level pfsafety, utility; efficiericy, and cost of Operation existingbefore the unapproved change in the Airport or its facj|ities,exceptTn thexaseo.f a relocation orreplacernent of ain existing aifpOrt facility due tO a change in the Secretary's design,standardsbeyond the control of the alrport spOnsOr.

2Q- Civil Rights, it 'will promptiv. take anv rrieasures necessary to ensure that nO person in the UnitedStates shall,.on.the grounds of race; creed, color, national origin,-sex, age, or disability be excludedfrom'participation.in, be denied the benefits of, or be otherwise subjected to discriminatjpn in anyactivity conducted with, or benefiting from,-funds received from this Grant.,

a. Using'the definittons.'of activity; facility, and program as found and .defined in, §§.21.23 (b) and21.23 (e) of49'CFR Part 21, the sponsor will facilitate all programs, operateoll facilities, orconduct all programs In compliance with all hon-discfirnination requirehnents imposed by orpursuant to these assurances.

b. Applicability

1. Programs and Activities. If the sponsor has received a grant (or other Federal assistance) forany of the sponsor's program or activities, these requirements extend to all of the sponsor'sprograms and activities-

2. Facilities. Where it receives a grant or other Federal financial assistance tp construct) expand,

22

.S8G,09-18-2021

renovate, rernodel, alter, or acquire a facility, or part qf a facility, the assurance extends tothe entire ,facility and facilities operated in connection therewith.

3. Real Property. Where the sponsor receives a grant-.of other Federal firianciaLassistance in theform"of,.6r'for the acq'uisition of, real property or ah interest in real property, the assurance

vyiH 'extend to rights to space on, over, or under such;prpperty,-

c. Duration..

The sponsor agrees that it ilbhligated to this assiifance for the piehod duringwhich Federalfinancial assistance-is-extende'd to the program, except where the Federai-financial assistance isto provide; or is in the form of; personal property, or real property, or interest therein, or

■structures or improvements thereon, in which.case the assurance obligatesithesponsbf, or anytransferee for the longer, of the follovying periods:

1. So jong.as the.Airport is.-used as an airport, or for another purpose involving the.prpyision ofsirnilar services or benefits; or

2. So long-as the sponsor retains' ownership.or possession of the property.

d. Required Solicitation Language.

It y/ijl, include the fpllPwinginptification in all solicitations for bidS/iRequests for Proposals forwork, or rnaterial under this Grant and in all proposals for agreements, including'airportconcessions, regardless of funding source:

The City of Laconla,'New.Hampshire/Laconia Alrport^Authority, In accordance \yith the-provisions of Title Vi;of,the Ciyit Rightis'Act of 1964 (78 St'at. 252,.42 UiS.C. §§ 2000d to 2000d-4)ahdThe Regulations, hereby notifies all bidders that it will.affirmatively ensure that'fof anycontract entered into pursuant to this advertisement, disadvantaged.business enterprlses andairppftcpncession disadvantaged business enterprises wijl be afforded full,and fair opportunityto submit bidsinresponse to this invitation and will not be discriminated agaihstoh the groundsof face.-cblof, ormational origin in consideration for an a,ward;''

e. Required Contfact:Prpvisions.

1; It.wil,! insert the non-discriminatjpn cpntract clauses requiring.compliancewith^the aets.andregulations relative to non^lscriminatibh in Federally-assisted prbgrams.of the DOT, andincorporating the arts and fegulatiohSinto .the contracts by reference'in everyvcontrartora'greement'subject to the non-discrimination in Federally-assisted programs of the DOT. Arts-and regulations.

2. Itwill include a lisit of the pertinent non-dlscriminatioh authorities in every contract'that issubjert'tb the npn-discrimination acts and regulations.

3. It will lnsert npn-dlscrimlnation contract clauses as a cpvenant running with the land, in anydeed from the United States:effertihg or recording a transfer of real pfopertY>'Strurtures,use,^or impfovem'ents'thefeon pr interest therein to a sponsor.

. . . . .

4. It will insert nonjdiscrimination contract clauses prohibiting discrimination on-the basis ofrace, color, nationa'Torigln, creed,-sex,:age, or handicap asra covenant runriing'with the land,in any fiiture.deeds, leases, license, permits, or sihnllar instruments entered into by the

■sponsor vylthbther-parties:'

A. For the subsequent transfer of real property acquired or irnproved under the applicableactivity, grant, or program; and

23

SBG 09-18:2021

B. For the constructlpn pr .use.of; or access to, space ph, over, or under real propertyacquired or improved under the applicable acUvity, grant, or prograrn:

f. It will prbyide for such methods of administration for the program as.are ,found by the Secretaryto giyeteaspnable guarantee that It, otRer.recipients, sub-recipients, sub-grantees,.contractors,subcontractors, consultants, transferees, successors in interest, and other partjcipants.bf Federal

financial assistance under such program will comply with all requirements imposed or pursuantto the arts; the regulatibhs,.and this assurance.

g. It agrees that-the Unjted States has a right to seek judicial enforcement with regard to affy rnatterarising under the arts, the regulations, and this assurance.

21. Foreign Market Restrirtlohs. It will,not allow funds provided under this Grant to be used to fund any

activity that useS any product or service of a fbreign.couhtiV durihg .the period in which such foreign^country is listed by the United States Trade Representative as.denying fair and equitable rharket

ppportLinities'fbr products and suppliers of the United States in procurement and construction.

22. Policies. Standards and Specificatloiis; It will carry but any project funded under an AirportGoronavirus Relief P/ogram Grant'i.n accordance with policies, standards, and specifications approvedby the Secretary.lncluding. but npt limited to, the advisory.circularsjisted. in.the:Gurrent..F/^;AdvisoryCirculars for AIR prbjerts, dated.August 2, 2021, and included In this;grant„and in accordance'vyfth,applicable state policies, standards, and specifications approved by the Secretary.

23. Access Bv Iritercitv Buses. The airoort owner,orbperator will perfnlt. to the maximurfi exteht

practicable;.intercity busesorother modes of transportation to have access tb the Airport;'however,it has ho'.bbligatioh to fund special fadlitles for intercity buses or for other modes of transportation.

24. Disadvantaged Business Enterprises;'The sponsor shall hot discfimihate Oh the basis of race, color,national origin or sex in the avyard and performance of any DdT-assisted'cbntfactcbvered by'49 CFRPart 26, of in the award^and performance of any concession activl^ coritract covered by 49" CFR.Part23. In addition,,the sponsbf.sh3l]:hbt diScfimiriate bh the basis of race, color, national origin or sex In.the adrnlnistratlon of its: Disadvantaged Business Enterprise (DBp,and Airport ConcessionsDisadvantaged Business Enterprise (ACDBE) programs or the requirements of 49 CFR Parts 23:and:26.The;sponsbr shall take all necessary ahd fea''sonable steps under 49 CFR Parts 23 and 26-to ensure

nondiscrimlnatipn in the award and adrninistration of DOT-asdsted contracts, ,and/bf cbnces'slohcontracts; The sponsor^s DBE and ACDBE programs, as required by4? CFR Parts 26 and 23, and.asapprbyed by'OOT,''are incbfpbfated by-reference in this Agreement. Implementation of these-

programs is a jegal obngatipn and failure, to carry-out its'terms shall be tfeated-as a violation of thisAgreement. Upon notification to the.sponspr of its failure to carry out:its':approyed prograrn, theDepartment mayimpbse sanctions as provided for under Part's 26 and;23 and may, in appropriate-cases, refer the matter for enforcement under 18 U.S;G. ioo.l and/of the Program Fraud CivilRemedies Act of 1936 (31 U.S:C. 3801).-

25. Acdulsitibn Thresholds. The FAA deerhs equipment to mean-tangible personal property hayihg auseful life greater than one year and a per-unit acquisition cost equal tb or greater than $5,000.Procurements by micro-purchase mea.ns the acquisition of goods priservlces for vyhich the aggregatedollar amount does not exceed $10,000, unless authorizedln accordance with 2:CFR § '200.320.-

Procureme.nt by.small purchase prbcedUres:m'eans those relatively simple and informal procurement-methods for securing goods or services'that do not exceed the,$250,000 threshold for simplifiedacquisitions.

24

Explretion bate: 1^1/2022

Application for Federal^Asslsiance SF-424

*1. Type of Submission:

□ Preapplication

0 AppHcatlpn

Q Changed/Corrected Application

*2. TyP^.of Application.. • if Revision, select appropriate letter(s):(3! New

□ ConUnualJon -Other (Spedly)Q Revision

*3. Date Received: 4. Applic^ht IdehtifiengB'GTO^;^O0

•5b. Federal Eritity Identifier •5b. Federal Award Identifier;

State;Use Only:

^6. Date Receiyed.by State: 7: State Application IdenUfier SB6t09^l'^2Q2)ll8; APPLICANT INFCRNWTIpN:

•a^ Legal Name: City of Lacpnla.; New Hampshlre/Laconia-Airport-Authority•*b. Employer/Taxpayer IdeniJfication Nurriber(EIN/tlN):02-044'3324

*0. Organizational DUNS:86^56-4758

d. Address:

•Street 1:

Street 2:

•City;.

County:

'State:

Province:

' 'Cbuhtiy;•Zip'/ Postal Code

65 Aviation Drive

.Gilford

Belknab

NH

USA: United States'

03249

e. Organizational Unit:

Department Name:Lacohia.Muriiclpal;Alrpprt'

plosion Name:

Lacpnia Airport Authority

f. Name and;c6ritact Iriformatlon of person to bie contacted on matters InypMng this application:

Prefix:

Middle Name:

•Last Name:

Suffix:

Mr. •Pirst'Narhe; Marv

Everson

Title:. Airport Manager

Organizational Affiliation:;

•TelephoneNumber" 603^524-5003 Fax Number ,603-528r0428

•Email: marv.eversoh@lac»nla.airF>ort:cpm

0MB Numb^ 4040-0004Expiration Date: 12/31/2022

Application for Federai Assistance SF^24

*9. Type of Applicant 1: Select Applicant Type:

C. City or Township Government

Type" of Applicant 2: Select Applicant Type:

Type of Applicant 3:, Select Applicarit Type:

•Other (Specify)

•10..Name of Federal Agency:

Federal Aviation Administration

11. Catalog of Federal Domestic Assistance Number:

20.106

CFDA Title:

Airport Imorovemeht Prboram

•12; Funding Opportunity Number:

t^A

title;

NA

13. Competition identification Numt>er:

NA

TiUe:

NA

i4. Areas Affected by Project (Cities, Counties, States, etc.):

Belkiiap County

•15. Descriptiye Title of AppMcant's Project:

$23,000 for costs related .to ppeiatipns, personnel, cleanihg, sanlll.^tlon. janitorial ̂ h/ices; combatjrig the. spread of pathogens at

the.airport and debt service payrhents.

Attach supporting documents as specified in agency instructions.

OMS Nurnben 4040-0004

Expiralion Date: -12/31/2022

Application for Federal Asslstance"'SF^24'

16. Congressional Districts.Of:

'•*a;-Applicant: 01

Attach ari addltibnaj list of Prx)gfam/Project,epngreMionarDistri^^ if needed.

17. Proposed Project:

•a. Start Date: NA *b: End Date: NA

18. Estimated Fuhdlng'($):

•a. Federal, $23,000:00

*b; Applicant ■$o

•c. State iSO•d. Local

'e; Otheri$0

*f. Prograrri Income $0

'g. TOTAL $23,000.00

•19. Is Application Subject to Review By State Under Executive Order 12372 Process?□ a, '"This application was made available to the State under Uip ^ecutive Order 12372 Process for review oh,□ b. Program;is;8ubject to E.G. 12372''but has^not been selected by the State^for review.(3 c. Program is not'covered_by'E;.p. 12372

•20. Is the Applicant Delinquent On Any Federal pebt? (If "Yes"; provide explanation in attachment.)□ Xes' 0. No:if "Yes-, provide explahatipn and.attech

21 'Bv sianlha this application; I certlfyd) to.theistatements contained Irf the llst'of certifications^* and (2).that the statementsherein are tme; complete and accufate tp theVbest of my knowledge. I also provide the rebVlred,a^Mrahces'*'a,nd to cornplyvirtlh any resulting temis'if 1 accept an award. .1 am aware that any falM; fictitious, or fraudulentstatements or claims.may subjectrhe to CT'mXhal. civili or administrative penalties,. (U. S. C<rfe. Title 218. Section,1001)0 " I AGREE-" The list of certifications and assurances, or an internet site where yo'u may obtain this list; is cpntained in'the announcement oragencyspeclfic instructions. -

Auth 0 rized - Rep resentatI ve:

Prefix:

Middle NVrne:

'Last Name:

Suffix:

Ml •First Name: Andrew

Hosmer

•Title: Mayor, City of Laconia/Chair.Xaconia'Airport Authority

•Telephon6;Number, 603r630-4484 Fax'Number 603r527-1292

' Email:, lacoriiamayor@gmail.cpm

fS^a^felhf;-; e:-