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[APPENDIX A. REQUIRED FORMS]{.underline}

Standard Form 424, Application for Federal Assistance.

###### FAA Form 9550-1, Cover Sheet for Proposals to the FAA

FAA Form 9550-3, Current and Pending Support for Research in Science and
Engineering

Assurance of Compliance with the Civil Rights Act of 1964

SF-LLL, Disclosure of Lobbying Activities

Certification Regarding Drug-Free Workplace Requirements

<table style="width:100%;">
<colgroup>
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 12%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 14%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 6%" />
<col style="width: 3%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="47"><strong>OMB Approval No. 0348-0043</strong></td>
</tr>
<tr class="even">
<td colspan="19"><p><strong>APPLICATION FOR</strong></p>
<p><strong>FEDERAL ASSISTANCE</strong></p></td>
<td colspan="16"><p><strong>2. DATE SUBMITTED</strong></p>
<p>     </p></td>
<td colspan="12"><p>Applicant Identifier</p>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="7"><p>1. TYPE OF SUBMISSION</p>
<p><em>Application</em></p></td>
<td colspan="12"><em>Preapplication</em></td>
<td colspan="16"><p><strong>3. DATE RECEIVED BY STATE</strong></p>
<p>     </p></td>
<td colspan="12"><p>State Applicant Identifier</p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="7"><p>Construction</p>
<p>Non-Construction</p></td>
<td colspan="12"><p>Construction</p>
<p>Non-Construction</p></td>
<td colspan="16"><strong>4. DATE RECEIVED BY FEDERAL
AGENCY</strong></td>
<td colspan="12">Federal Identifier</td>
</tr>
<tr class="odd">
<td colspan="47">5. APPLICANT INFORMATION</td>
</tr>
<tr class="even">
<td colspan="31"><p>Legal Name:</p>
<p>     </p></td>
<td colspan="16"><p>Organizational Unit:</p>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="31"><p>Address <em>(give city, county, state, and zip
code)</em>:</p>
<p>     </p>
<p>     </p></td>
<td colspan="16"><p>Name and telephone number of the person to be
contacted on matters involving this application <em>(give area
code)</em></p>
<p>Technical:      </p>
<p>Budgetary:      ,      </p>
<p>Contractual:      ,      </p></td>
</tr>
<tr class="even">
<td colspan="31"></td>
<td colspan="10"></td>
<td colspan="2"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="31"><strong>6. EMPLOYER IDENTIFICATION NUMBER
(EIN):</strong></td>
<td colspan="13"><strong>7. TYPE OF APPLICANT:</strong>
<em><strong>(enter appropriate letter in box)</strong></em></td>
<td> </td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="2"> </td>
<td colspan="2"> </td>
<td colspan="2">—</td>
<td> </td>
<td colspan="3"> </td>
<td colspan="2"> </td>
<td colspan="3"> </td>
<td colspan="5"> </td>
<td colspan="3"> </td>
<td colspan="2"> </td>
<td colspan="4"></td>
<td colspan="5">A. State</td>
<td colspan="11">H. Independent School Dist.</td>
</tr>
<tr class="odd">
<td colspan="31"></td>
<td colspan="6">B. County</td>
<td colspan="10">I. State Controlled Institution of Higher Learning</td>
</tr>
<tr class="even">
<td colspan="31">8. TYPE OF APPLICATION:</td>
<td colspan="6">C. Municipal</td>
<td colspan="10">J. Private University</td>
</tr>
<tr class="odd">
<td colspan="31"></td>
<td colspan="6">D. Township</td>
<td colspan="10">K. Indian Tribe</td>
</tr>
<tr class="even">
<td colspan="31">New Continuation Revision</td>
<td colspan="6">E. Interstate</td>
<td colspan="10">L. Individual</td>
</tr>
<tr class="odd">
<td colspan="31"></td>
<td colspan="6">F. Intermunicipal</td>
<td colspan="10">M. Profit Organization</td>
</tr>
<tr class="even">
<td colspan="13">If Revision, enter appropriate letter(s) in
box(es):</td>
<td colspan="3"> </td>
<td colspan="4"></td>
<td colspan="4"> </td>
<td colspan="7"></td>
<td colspan="7">G. Special District</td>
<td>N. Other (Specify)</td>
<td colspan="7"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="31">A. Increase Award B. Decrease Award C. Increase
Duration</td>
<td colspan="16"></td>
</tr>
<tr class="even">
<td colspan="31">D. Decrease Duration Other <em>(specify):</em></td>
<td colspan="16"><strong>9. NAME OF FEDERAL AGENCY:</strong></td>
</tr>
<tr class="odd">
<td colspan="31"></td>
<td colspan="16">     </td>
</tr>
<tr class="even">
<td></td>
<td colspan="28">     </td>
<td colspan="3"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="31"></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="11"><p><strong>10. CATALOG OF FEDERAL DOMESTIC</strong></p>
<p><strong>ASSISTANCE NUMBER:</strong></p></td>
<td colspan="4"> </td>
<td colspan="3"> </td>
<td colspan="3"></td>
<td colspan="5"> </td>
<td colspan="2"> </td>
<td colspan="3"> </td>
<td colspan="16" rowspan="7"><strong>11. DESCRIPTIVE TITLE OF
APPLICANT’S PROJECT:</strong></td>
</tr>
<tr class="odd">
<td colspan="31"></td>
</tr>
<tr class="even">
<td colspan="31">TITLE:      </td>
</tr>
<tr class="odd">
<td colspan="31"></td>
</tr>
<tr class="even">
<td colspan="31"><strong>12. AREAS AFFECTED BY PROJECT</strong>
<em><strong>(cities, counties, states, etc.):</strong></em></td>
</tr>
<tr class="odd">
<td colspan="31"></td>
</tr>
<tr class="even">
<td colspan="31">United States</td>
</tr>
<tr class="odd">
<td colspan="31"></td>
<td colspan="16"></td>
</tr>
<tr class="even">
<td colspan="31"></td>
<td colspan="16"></td>
</tr>
<tr class="odd">
<td colspan="10"><strong>13. PROPOSED PROJECT:</strong></td>
<td colspan="37"><strong>14. CONGRESSIONAL DISTRICTS OF:</strong></td>
</tr>
<tr class="even">
<td colspan="3">Start Date</td>
<td colspan="7">Ending Date</td>
<td colspan="24">a. Applicant</td>
<td colspan="13">b. Project</td>
</tr>
<tr class="odd">
<td colspan="23"><strong>15. ESTIMATED FUNDING:</strong></td>
<td colspan="24"><strong>16. IS SPPLICATION SUBJECT TO REVIEW BY STATE
EXECUTIVE ORDER 12372 PROCESS?</strong></td>
</tr>
<tr class="even">
<td colspan="5">a. Federal</td>
<td colspan="18">$      .00</td>
<td colspan="24"><p>a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE
AVAILABLE TO THE</p>
<p>STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:</p></td>
</tr>
<tr class="odd">
<td colspan="5">b. Applicant</td>
<td colspan="18">$      .00</td>
<td colspan="10">DATE</td>
<td colspan="9">     </td>
<td colspan="5"></td>
</tr>
<tr class="even">
<td colspan="5">c. State</td>
<td colspan="18">$      .00</td>
<td colspan="24">b. NO. PROGRAM IS NOT COVERED BY E.O. 12372</td>
</tr>
<tr class="odd">
<td colspan="5">d. Local</td>
<td colspan="18">$      .00</td>
<td colspan="24">OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR
REVIEW</td>
</tr>
<tr class="even">
<td colspan="5">e. Other</td>
<td colspan="18">$      .00</td>
<td colspan="24"></td>
</tr>
<tr class="odd">
<td colspan="5">f. Program Income</td>
<td colspan="18">$      .00</td>
<td colspan="24"><strong>17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL
DEBT?</strong></td>
</tr>
<tr class="even">
<td colspan="5">g. TOTAL</td>
<td colspan="18">$      .00</td>
<td colspan="24">Yes If “Yes,” attach an explanation. No</td>
</tr>
<tr class="odd">
<td colspan="47"><p><strong>18. TO THE BEST OF MY KNOWLEDGE AND BELIEF,
ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE
DOCUMENT HAS BEEN DULY</strong></p>
<p><strong>AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE
APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS
AWARDED.</strong></p></td>
</tr>
<tr class="even">
<td colspan="30"><p>a. Typed Name of Authorized Representative</p>
<p>     </p></td>
<td colspan="10"><p>b. Title</p>
<p>     </p></td>
<td colspan="7"><p>c. Telephone number</p>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="40">d. Signature of Authorized Representative</td>
<td colspan="7">e. Date Signed</td>
</tr>
</tbody>
</table>

<table style="width:100%;">
<colgroup>
<col style="width: 23%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 2%" />
<col style="width: 13%" />
<col style="width: 3%" />
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 7%" />
</colgroup>
<tbody>
<tr class="odd">
<td><img src="media/image1.png"
style="width:1.65417in;height:0.71181in" /></td>
<td colspan="11"><p>COVER SHEET FOR PROPOSALS</p>
<p>TO THE</p>
<p id="federal-aviation-administration" class="heading">FEDERAL AVIATION
ADMINISTRATION</p></td>
<td colspan="6"><p>Form Approved:</p>
<p>O.M.B. No 2120-0559</p></td>
</tr>
<tr class="even">
<td colspan="7"><p id="for-consideration-by-faa-organization-unit"
class="heading">FOR CONSIDERATION BY FAA ORGANIZATION UNIT</p>
<p>Indicate the most specific unit known i.e. program, division,
etc.</p></td>
<td colspan="11"><p id="solicitation-number"
class="heading">SOLICITATION NUMBER</p></td>
</tr>
<tr class="odd">
<td colspan="4">EMPLOYER IDENTIFICATION NUMBER (EIN) or TAXPAYER
IDENTIFICATION NUMBER (TIN)</td>
<td colspan="5">SHOW PREVIOUS GRANT NUMBER IF THIS IS A SUPPLEMENT TO AN
EXISTING GRANT</td>
<td colspan="9">IS THIS PROPOSAL BEING SUBMITTED TO ANOTHER FEDERAL
AGENCY? YES____. NO____. IF YES, LIST ACRONYM(S)</td>
</tr>
<tr class="even">
<td colspan="11">NAME OF ORGANIZATION TO WHICH AWARD SHOULD BE
MADE:</td>
<td colspan="7">INSTITUTION NAME (IF KNOWN)</td>
</tr>
<tr class="odd">
<td colspan="18">ADDRESS OF ORGANIZATION (INCLUDE ZIP CODE)</td>
</tr>
<tr class="even">
<td colspan="18">CONGRESSIONAL
DISTRICT_________________________________________
COUNTY________________________________________</td>
</tr>
<tr class="odd">
<td colspan="2">SUBMITTING ORGANIZATION</td>
<td colspan="4">ACADEMIC INSTITUTION</td>
<td colspan="2">NON-PROFIT ORG</td>
<td colspan="6">FOR-PROFIT ORG</td>
<td colspan="4">OTHER</td>
</tr>
<tr class="even">
<td colspan="18">BRANCH/CAMPUS/OTHER COMPONENT (Where work is performed,
if different from above)</td>
</tr>
<tr class="odd">
<td colspan="18">TITLE OF PROPOSED PROJECT:</td>
</tr>
<tr class="even">
<td colspan="5">REQUESTED AMOUNT:</td>
<td colspan="5"><p id="proposed-duration" class="heading">PROPOSED
DURATION</p></td>
<td colspan="8"><p id="requested-starting-date"
class="heading">REQUESTED STARTING DATE</p></td>
</tr>
<tr class="odd">
<td colspan="5"><p id="pipd-department" class="heading">PI/PD
DEPARTMENT</p></td>
<td colspan="5"><p id="pipd-phone-number" class="heading">PI/PD PHONE
NUMBER</p></td>
<td colspan="8"><p id="pipd-fax-number" class="heading">PI/PD FAX
NUMBER</p></td>
</tr>
<tr class="even">
<td colspan="18"></td>
</tr>
<tr class="odd">
<td colspan="3">NAMES (TYPED)</td>
<td colspan="4">SOCIAL SECURITY NO.</td>
<td colspan="6">HIGHEST DEGREE &amp; YEAR</td>
<td colspan="5">SIGNATURE</td>
</tr>
<tr class="even">
<td colspan="3">PI/PD</td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="5"></td>
</tr>
<tr class="odd">
<td colspan="3">E:MAIL ADDRESS</td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="5"></td>
</tr>
<tr class="even">
<td colspan="3">CO-PI/PD</td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="5"></td>
</tr>
<tr class="odd">
<td colspan="3">CO-PI/PD</td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="5"></td>
</tr>
<tr class="even">
<td colspan="3">CO-PI/PD</td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="5"></td>
</tr>
<tr class="odd">
<td colspan="18"></td>
</tr>
<tr class="even">
<td colspan="18">By signing and submitting this proposal, the authorized
official of the applicant institution is providing certification
regarding federal debt status, debarment and suspension, drug-free
workplace, and lobbying activities</td>
</tr>
<tr class="odd">
<td colspan="16">(If answering “yes” to either, please provide
explanation.)</td>
<td>YES</td>
<td>NO</td>
</tr>
<tr class="even">
<td colspan="16">Is the organization delinquent in any Federal
debt?</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="16">Is the organization or its principals presently
debarred, suspended, proposed for debarment, declared ineligible, or
voluntary excluded from covered transactions by any Federal department
or agency?</td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="18"></td>
</tr>
<tr class="odd">
<td colspan="7">AUTHORIZED INSTITUTIONAL REPRESENTATIVE</td>
<td colspan="8">SIGNATURE</td>
<td colspan="3">DATE</td>
</tr>
<tr class="even">
<td colspan="7">NAME/TITLE (TYPED)</td>
<td colspan="8"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="7">TELEPHONE NUMBER</td>
<td colspan="11">FAX NUMBER</td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 17%" />
<col style="width: 2%" />
<col style="width: 15%" />
<col style="width: 15%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 17%" />
</colgroup>
<tbody>
<tr class="odd">
<td><img src="media/image1.png"
style="width:1.27847in;height:0.54722in" /></td>
<td colspan="9"><p>CURRENT AND PENDING SUPPORT FOR</p>
<p>RESEARCH IN SCIENCE AND ENGINEERING</p></td>
<td colspan="5"><p>Form Approved:</p>
<p>O.M.B. No. 2120-0559</p></td>
</tr>
<tr class="even">
<td colspan="15">The following information should be provided for each
investigator and other senior personnel. Failure to provide this
information may delay consideration of this proposal.</td>
</tr>
<tr class="odd">
<td colspan="2">I. Name of Principal Investigator</td>
<td>Source of Support</td>
<td>Project Title</td>
<td><p>Award</p>
<p>Amount (or</p>
<p>Annual</p>
<p>rate)</p></td>
<td colspan="2"><p>Period</p>
<p>Covered</p>
<p>by Award</p></td>
<td colspan="6"><p>Person-months or %</p>
<p>of Effort Committed to</p>
<p>the Project</p></td>
<td colspan="2">Location of Research</td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="2">ACAD.</td>
<td colspan="3">SUMM</td>
<td colspan="2">CAL</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"><p>A. Current Support</p>
<p>List - if none, report none</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"><p>B. Proposals Pending</p>
<p>1. List this Proposal</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>2. Other pending proposals,</p>
<p>including renewal applications.</p>
<p>If none, report none.</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"><p>3. Proposals planned to be</p>
<p>submitted in the near future.</p>
<p>If none, report none.</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>II. Name of co-principal investigator</p>
<p>and/or faculty associate.</p>
<p>A. _____________________</p>
<p>B. _____________________</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"><p>III. Transfer of Support</p>
<p>If this project has previously been</p>
<p>funded by another agency, please</p>
<p>list and furnish information for im-</p>
<p>mediately preceding funding period.</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>IV. Other agencies to which this</p>
<p>proposal has been/will be</p>
<p>submitted.</p></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="15">AGENCY DISPLAY OF ESTIMATE BURDENS</td>
</tr>
<tr class="odd">
<td colspan="15"><p>The public reporting burden for this collection of
information is estimated to average 2 hours per response. If you wish to
comment on the accuracy of the estimate or make suggestions for reducing
this burden, please</p>
<p>direct your comments to OMB and the FAA at the following
addresses:</p>
<p>Office of Management and Budget Federal Aviation Administration</p>
<p>Paperwork Reduction Project (2120-0559) Office of Research and
Technology Application, AAR-201</p>
<p>Washington, DC 20503 Atlantic City International Airport, NJ
08405</p></td>
</tr>
</tbody>
</table>

ASSURANCE OF COMPLIANCE

with

######### FEDERAL AVIATION ADMINISTRATION {#federal-aviation-administration-1}

UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(hereinafter called the \"Applicant\")

(Name of Applicant)

HEREBY AGREES THAT It will comply with Title VI of the Civil Rights Act
of 1964 (P.L. 88-352) and all requirements imposed by or pursuant to the
Regulation of the Federal Aviation Administration (49 CFR Part 21)
issued pursuant to that title, to the end that, in accordance with Title
VI of the Act and the Regulation, no person in the United States shall,
on the ground of race, color, or national origin, be excluded from
participation in, be denied the benefits of, or be otherwise subjected
to discrimination under any program or activity for which the Applicant
receives Federal financial assistance from the FAA; and HEREBY GIVES
ASSURANCE THAT it will immediately take any measures necessary to
effectuate this agreement.

If any real property or structure thereon is provided or improved with
the aid of Federal financial assistance extended to the Applicant by the
FAA this Assurance shall obligate the Applicant, or in the case of any
transfer of such property, any transferee, for the period during which
the real property or structure is used for a purpose for which the
Federal financial assistance is extended or for another purpose
involving the provision of similar services or benefits. If any personal
property is so provided, this Assurance shall obligate the Applicant for
the period during which it retains ownership or possession of the
property. In all other cases, this Assurance shall obli­gate the
Applicant for the period during which the Federal financial assistance
is extended to it by the FAA.

THIS ASSURANCE is given in consideration of and for the purpose of
obtaining any and all Federal grants, cooperative agreements, loans,
contracts, property, discounts or other Federal financial assistance
extended after the date hereof to the Applicant by the FAA, including
install­ment payments after such date on account of applications for
Federal financial assistance which were approved before such date. The
Applicant recognized and agrees that such Federal finan­cial assistance
will be extended in reliance on the representations and agreements made
in this Assurance. This Assurance is binding on the Applicant, its
successors, transferees, and assignees.

  -----------------------------------------------------------------------
  **PLEASE TYPE OR PRINT**

  NAME OF APPLICANT, STREET ADDRESS OR P.O. BOX, CITY, STATE, ZIP CODE

  I CERTIFY THAT THE ABOVE INFORMATION IS COMPLETE AND CORRECT TO THE
  BEST OF MY KNOWLEDGE

  SIGNATURE AND TITLE OF AUTHORIZED OFFICIAL DATE
  -----------------------------------------------------------------------

**THIS PAGE MUST BE SUBMITTED AS PART OF THE PROPOSAL**

**CERTIFICATION REGARDING LOBBYING**

**Certification for Contracts, Grants, Loans, and Cooperative
Agreements.**

The undersigned\* certifies, to the best of his or her knowledge and
belief, that:

\(1\) No Federal appropriated funds have been paid or will be paid, by
or on behalf of the undersigned,\* to any person for influencing, or
attempting to influence an officer or employee of any agency, a Member
of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal
loan, the entering into any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of and Federal
contract, grant, loan, or cooperative agreement.

\(2\) If any funds other than Federal appropriated funds have been paid
or will be paid to any person for influencing or attempting to influence
an officer or employee of any agency, a Member of Congress, an officer
or employee of Congress or an employee of

a Member of Congress in connection with this Federal contract, grant,
loan or cooperative agreement, the undersigned\* shall

complete and submit standard Form-LLL, "Disclosure Form to Report
Lobbying," in accordance with its instructions.

\(3\) The undersigned\* shall require that the language of this
certification b included in the award documents for all subawards at all
tiers (including subcontracts, subgrants, and contracts under grants,
loans, and cooperative agreements) and that all subrecipients shall
certify and disclose accordingly.

This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, U. S.
Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than \$10,000 and not more than
\$100,000 for each such failure.

**Statement for Loan Guarantees and Loan Insurance**

The undersigned\* states, to the best of his or her knowledge and
belief, that:

If any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with this commitment
providing for the United States to insure or guarantee a loan, the
undersigned\* shall complete and submit Standard Form-LLL, "Disclosure
Form to Report Lobbying," in accordance with its instructions.

Submission of this statement is a prerequisite for making or entering
into this transaction imposed by section 1352, title 31, U.S. Code. Any
person who fails to file the required certification shall be subject to
a civil penalty of not less than \$10,000 and not more than \$100,000
for each such failure.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\*By signing the Cover Sheet and submitting this page as part of the
proposal, the applicant is providing Certification Regarding Lobbying

**AGENCY DISPLAY OF ESTIMATED BURDEN**

**The Public report burden for this collection of information is
estimated to average 2 hours or less per response. If you wish to
comment**

on the accuracy of the estimate or make suggestions for reducing this
burden, please direct your comments to OMB and the FAA at the following
address:

+-----------------------+-------------------+--------------------------+
| Office of Management  | and               | U.S. Department of       |
| and Budget            |                   | Transportation           |
|                       |                   |                          |
| Paperwork Reduction   |                   | Federal Aviation         |
| Project               |                   | Administration           |
|                       |                   |                          |
| 2120-0559             |                   | Office of Research and   |
|                       |                   | Technology, AAR-201      |
| Washington, DC 20503  |                   |                          |
|                       |                   | Atlantic City            |
|                       |                   | International Airport,   |
|                       |                   | NJ 08405                 |
+-----------------------+-------------------+--------------------------+

FAA Form 9550-1 (10-95) Supersedes Previous Edition

**DISCLOSURE OF LOBBYING ACTIVITIES**

Complete this form to disclose lobbying activities pursuant to 31 U.S.C.
1352

(See reverse for public burden disclosure.)

+---+------------------+----+-----+-----------+---+------------------+
| 1 |                  | 2  |     |           | 3 |                  |
| \ |                  | \. |     |           | \ |                  |
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+---+------------------+----+-----+-----------+---+------------------+
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|   |                  |    |   i |           |   | rter\_\_\_\_\_\_ |
|   | f.  loan         |    | nit |           |   | date of last     |
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+---+------------------+----+-----+-----------+---+------------------+
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+---+------------------+----+-----+-----------+---+------------------+
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+---+------------------+----+-----+-----------+---+------------------+
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| n |                  |    |     |           |   |                  |
| e |                  |    |     |           |   |                  |
| c |                  |    |     |           |   |                  |
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| ) |                  |    |     |           |   |                  |
+---+------------------+----+-----+-----------+---+------------------+
| 1 |                  |    |     | 13\. Type |   |                  |
| 1 |                  |    |     | of        |   |                  |
| \ |                  |    |     | Payment   |   |                  |
| . |                  |    |     | (check    |   |                  |
| A |                  |    |     | all that  |   |                  |
| m |                  |    |     | apply):   |   |                  |
| o |                  |    |     |           |   |                  |
| u |                  |    |     |           |   |                  |
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| e |                  |    |     |           |   |                  |
| n |                  |    |     |           |   |                  |
| t |                  |    |     |           |   |                  |
| ( |                  |    |     |           |   |                  |
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| h |                  |    |     |           |   |                  |
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| k |                  |    |     |           |   |                  |
| a |                  |    |     |           |   |                  |
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| t |                  |    |     |           |   |                  |
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| : |                  |    |     |           |   |                  |
+---+------------------+----+-----+-----------+---+------------------+
| \ |                  |    |     | a\.       |   |                  |
| $ |                  |    |     | retainer  |   |                  |
| \ |                  |    |     |           |   |                  |
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| a |                  |    |     |           |   |                  |
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| t |                  |    |     |           |   |                  |
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| n |                  |    |     |           |   |                  |
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| d |                  |    |     |           |   |                  |
+---+------------------+----+-----+-----------+---+------------------+
| 1 |                  |    |     | b\.       |   |                  |
| 2 |                  |    |     | one-time  |   |                  |
| \ |                  |    |     | fee       |   |                  |
| . |                  |    |     |           |   |                  |
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| r |                  |    |     |           |   |                  |
| m |                  |    |     |           |   |                  |
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| e |                  |    |     |           |   |                  |
| n |                  |    |     |           |   |                  |
| t |                  |    |     |           |   |                  |
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| y |                  |    |     |           |   |                  |
| ) |                  |    |     |           |   |                  |
| : |                  |    |     |           |   |                  |
+---+------------------+----+-----+-----------+---+------------------+
|   |                  |    |     | c\.       |   |                  |
|   |                  |    |     | c         |   |                  |
|   |                  |    |     | ommission |   |                  |
+---+------------------+----+-----+-----------+---+------------------+
| a |                  |    |     | d\.       |   |                  |
| \ |                  |    |     | c         |   |                  |
| . |                  |    |     | ontingent |   |                  |
| c |                  |    |     | fee       |   |                  |
| a |                  |    |     |           |   |                  |
| s |                  |    |     |           |   |                  |
| h |                  |    |     |           |   |                  |
+---+------------------+----+-----+-----------+---+------------------+
| b |                  |    |     | e\.       |   |                  |
| \ |                  |    |     | deferred  |   |                  |
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+---+------------------+----+-----+-----------+---+------------------+
| v |                  |    |     | f\.       |   |                  |
| a |                  |    |     | other,    |   |                  |
| l |                  |    |     | specify:  |   |                  |
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+---+------------------+----+-----+-----------+---+------------------+
|   |                  |    |     |           |   |                  |
+---+------------------+----+-----+-----------+---+------------------+
| 1 |                  |    |     |           |   |                  |
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+---+------------------+----+-----+-----------+---+------------------+
| 1 |                  |    |     |           |   |                  |
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+---+------------------+----+-----+-----------+---+------------------+
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+---+------------------+----+-----+-----------+---+------------------+
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+---+------------------+----+-----+-----------+---+------------------+

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whether
subawardee or prime Federal recipient, at the initiation or receipt of a
covered Federal action, or a material change to a previous filing,
pursuant to title 31 U.S.C. section 1352. The filing of a form is
required for each payment or agreement to make payment to any lobbying
entity for influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with a covered
Federal action. Use the SF-LLL-A Continuation Sheet for additional
information if the space on the form is inadequate. Complete all items
that apply for both the initial filing and material change report. Refer
to the implementing guidance published by the Office of Management and
Budget for additional information.

1\. Identify the type of covered Federal action for which lobbying
activity is and/or has been secured to influence the outcome of a
covered Federal action.

2\. Identify the status of the covered Federal action.

3\. Identify the appropriate classification of this report. If this is a
follow-up report caused by a material change to the information
previously reported, enter the year and quarter in which the change
occurred. Enter the date of the last previously submitted report by this
reporting entity for this covered Federal action.

4\. Enter the full name, address, city, state and zip code of the
reporting entity. Include Congressional District, if known. Check the
appropriate classification of the reporting entity that designates if it
is, or expects to be, a prime or subaward recipient. Identify the tier
of the subawardee, e.g., the first subawardee of the prime is the 1st
tier. Subawards include but are not limited to subcontracts, subgrants
and contract awards under grants.

5\. If the organization filing the report in item 4 checks "Subawardee",
then enter the full name, address, city, state and zip code of the prime
Federal recipient. Include Congressional District, if known.

6\. Enter the name of the Federal agency making the award or loan
commitment. Include at least one organizational level below agency name,
if known. For example, Department of Transportation, United States Coast
Guard.

7\. Enter the Federal program name or description for the covered
Federal action (item 1). If know, enter the full Catalog of Federal
Domestic Assistance (CFDA) number for grants, cooperative agreements,
loans, and loan commitments.

8\. Enter the most appropriate Federal identifying number available for
the Federal action identified in item 1 (e.g., Request for Proposal
(RFP) number; Invitation for Bid (IFB) number; grant announcement
number; the contract, grant, or loan award number; the
application/proposal control number assigned by the Federal agency).
Include prefixes, e.g., \"RFP-DE-90-001\".

9\. For a covered Federal action where there has been an award or loan
commitment by the Federal agency, enter the Federal amount of the
award/loan commitment for the prime entity identified in item 4 or 5.

10\. (a) Enter the full name, address, city, state and zip code of the
lobbying entity engaged by the reporting entity identified in item 4 to
influence the covered Federal action.

\(b\) Enter the full names of the individual(s) performing services, and
include full address if different from 10 (a). Enter Last Name, First
Name, and Middle Initial (MI).

11\. Enter the amount of compensation paid or reasonably expected to be
paid by the reporting entity (item 4) to the lobbying entity (item 10).
Indicate whether the payment has been made (actual) or will be made
(planned). Check all boxes that apply. If this is a material change
report, enter the cumulative amount of payment made or planned to be
made.

12\. Check the appropriate box(es). Check all boxes that apply. If
payment is made through an in-kind contribution, specify the nature and
value of the in-kind payment.

13\. Check the appropriate box(es). Check all boxes that apply. If
other, specify nature.

14\. Provide a specific and detailed description of the services that
the lobbyist has performed, or will be expected to perform, and the
date(s) of any services rendered. Include all preparatory and related
activity, not just time spent in actual contact with Federal officials.
Identify the Federal official(s) or employee(s) contacted or the
officer(s), employee(s), or Member(s) of Congress that were contacted.

15\. Check whether or not a SF-LLL-A Continuation Sheet(s) is attached.

16\. The certifying official shall sign and date the form, print his/her
name, title, and telephone number.

Public reporting burden for this collection of information is estimated
to average 30 minutes per response, including time for reviewing
instruction, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other
aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork
Reduction Project (0348-0046), Washington, D.C. 20503.

+-----------------------------------------------------------------------+
| CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS              |
|                                                                       |
| (GRANTEES OTHER THAN INDIVIDUALS)                                     |
+-----------------------------------------------------------------------+

This certification is required by the regulations implementing the
Drug-Free Workplace Act of 1986, 49 CFR 29, Subpart F. These require
certification by grantees, prior to award, that they will maintain a
drug-free workplace. The certification set out below is a material
representation of fact upon which reliance will be placed when the
agency determines to award the grant. False certification or violation
of the certification shall be grounds for suspension of payment,
suspension or termination of grants, or governmentwide suspension or
debarment

The grantee certifies that it will provide a drug-free workplace by:

a)  Publishing a statement notifying employees that the unlawful
    manufacture, distribution, dispensing, possession or use of a
    controlled substance is prohibited in the grantee's workplace and
    specifying the actions that will be taken against employees for
    violation of such prohibition;

b)  Establishing a drug-free awareness program to inform employees
    about-

    1.  The dangers of drug abuse in the workplace;

    2.  The grantee's policy of maintaining a drug-free workplace;

    3.  Any available drug counseling, rehabilitation, and employee
        assistance programs; and,

    4.  The penalties that may be imposed upon employees for drug abuse
        violation occurring in the workplace;

c)  Making a requirement that each employee to be engaged in the
    performance of the grant be given a copy of the statement required
    by paragraph (a);

d)  Notifying the employee in the statement required by paragraph (a)
    that, as a condition of employment under the grant, the employee
    will-

    1.  Abide by the terms of the statement; and

    2.  Notify the employer of any criminal drug statute conviction for
        a violation occurring in the workplace no later than five days
        after such conviction:

e)  Notifying the agency within ten days after receiving notice under
    subparagraph (d) (2), from an employee or otherwise receiving actual
    notice of such conviction;

f)  Taking one of the following actions, within 30 days of receiving
    notice under subparagraph (d) (2), with respect to any employee who
    is convicted-

    1.  Taking appropriate personnel action against such an employee, up
        to and including termination; or

    2.  Requiring such employee to participate satisfactorily in a drug
        abuse assistance or rehabilitation program approved for such
        purposes by a Federal, State or local health, law enforcement,
        or other appropriate agency;

g)  Making a good faith effort to continue to maintain a drug-free
    workplace through implementation of paragraphs (a), (b), (c), (d),
    (e), and (f).