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^tw Tfnhingtsr Sldr DGpxrtrsnt of Trflrifrrlrl itn ,it "+!lnr I'ir.r,l r*: I nstructions Aviation Revital ization Loan Program Application (Dor Form eoo-031) ''i Sf l|+ iry1 t',',.i,:t ^ rL'.t,H l, i r'..t r:n .t;.t l'.:.x 1. Applicant The name of the municipality or person who legally owns and is responsible for managing the airport "airport sponsor". The Applicant's Authorized Representative is the individual who may be duly authorized by the public entity to act on its' behalf in the performance of duties overseeing the airport. Typically this is a mayor, city manager, county commissioner, city councilperson, port director, or tribal council member. The authorized representative should be the same individual who will sign the Aviation Revitalization Loan Program agreement, if awarded funding. The airport manager should only be listed if he or she has the authority to negotiate contracts on behalf of the applicant. Name, Title, Address, Phone, Cell, Email Address, and Federal Tax lD. This should be the contact information for the applicant's authorized representative. 2. Project to be Managed by is the individual who will be responsible for the dayto-day management of the project and will be the appropriate contact for WSDOTAviation to communicate matters relating to the loan. This person could be an employee of the airport sponsor. lf the airport sponsor would like to authorize their consultant to communicate directly with WSDOTAviation on their behalf, than this would be that individual. 3. Airport is the approved name of the airport. Check if the airport is included in the National Plan of lntegrated Airport Systems (NPIAS) or whether it is designated as a Non-NPIAS airport. Select the appropriate FAA and State classifications from the dropdown lists. Select the appropriate Legislative and Congressional districts for the airport from the dropdown lists (lf you are unsure of your districts, click on the hyperlink and enter the airport sponsor's address). 4. Project Name and Description, along with Project Funding Sources Submit only one (1) oroject per application. Enter the numerical application project number starling with '1'. lf submitting more than one application, subsequent applications should be numbered in-ascending order (i.e. 2,3,4, etc.). The Project Name should be descriptive and be similar to the Project Title entered in the State Capital lmprovement Program (SCIP), if applicable. Projects not included in the SCIP can be considered for funding. Give a brief but accurate description of the project. You will have the opportunity to expand upon this in the Project Data Sheets to follow. lnsert the full cost of the project, the amount of funds from other local, state, or federal sources, if any, and the amount you are requesting from the Aviation Division. The total of the first column must equal the total of all other columns. Please make these amounts as accurate as you can. Actual project bid amounts or negotiated consultant fees are preferable. lf precise amounts are not yet available you are encouraged to use professional engineering estimates. lf these estimates turn out to be an understatement and inadequate to cover the cost of the actual project, WSDOT Aviation may not be able to cover the additional costs which may have to be borne by the applicant. You will be asked to provide additional information supporting these costs and the source on the project data sheets. 5. Other Questions and Required Documentation Master Plan / ALP Narrative Report - Please indicate if the airport has an approved Airport Master Plan or Airport Layout Plan (ALP) Narrative Report by checking 'Yes'or'No'. lf 'Yes' insert the month and year the report is dated. Airport Layout Plan (ALP) - Please indicate if the project is included in an approved Airport Layout Plan (ALP) by checking 'Yes' or'No'. lf 'Yes'insert the month and year the plan was approved. The project you are requesting funding for does NOT need to be shown on the ALP in order to be considered for funding. lf the project is not included in an approved ALfl the sponsor should indicate where the project is to be located on airport property. Airport Information System (AlS) - Please indicate by checking 'Yes' or'No' if the airport sponsor met the requirement to review and update their data in the AIS for the preceding calendar year by the December 31 deadline DOT Form 900-031 lnstructions Revised 0112020