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PAYROLL SUPPORT PROGRAM 3 AGREEMENT 

Recipient: [Signatory Entity Name and 

Address]

PSP Participant Number: [ ]

Employer Identification Number: [ ]

DUNS Number: _____________________________

Additional Recipients: [ ]

Amount of Initial Payroll Support Payment: $[ ]

The Department of the Treasury (Treasury) hereby provides Payroll Support (as defined herein) under 

section 7301 of the American Rescue Plan Act of 2021. The Signatory Entity named above, on behalf of 

itself and its Affiliates (as defined herein), agrees to comply with this Agreement and applicable Federal 

law as a condition of receiving Payroll Support. The Signatory Entity and its undersigned authorized 

representatives acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or 

omission of a material fact) in connection with this Agreement may result in administrative remedies as 

well as civil and/or criminal penalties. 

The undersigned hereby agree to the attached Payroll Support Program 3 Agreement.

_______________________________________

Department of the Treasury

Name: 

Title: 

Date:

 

[Signatory Entity]

Signature of First Authorized Representative Date

 

 

Print Name of First Authorized Representative Title

 

[Signatory Entity]

Signature of Second Authorized Representative Date

 

 

Print Name of Second Authorized Representative Title

OMB Approval No. 1505-0263 

PAPERWORK REDUCTION ACT NOTICE

The information collected will be used for the U.S. Government to process requests for support. The estimated 

burden associated with this collection of information is 2 hours per response. Comments concerning the accuracy of 

this burden estimate and suggestions for reducing this burden should be directed to the Office of Privacy, 

Transparency and Records, Department of the Treasury, 1500 Pennsylvania Ave., N.W., Washington, D.C. 20220. 

DO NOT send the form to this address. An agency may not conduct or sponsor, and a person is not required to 

respond to, a collection of information unless it displays a valid control number assigned by OMB.
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PAYROLL SUPPORT PROGRAM 3 AGREEMENT

INTRODUCTION

Section 7301 of the American Rescue Plan Act of 2021 (ARP) directs the Department of the 

Treasury (Treasury) to provide Payroll Support (as defined herein) to passenger air carriers and 

certain contractors that must be exclusively used for the continuation of payment of Employee 

Salaries, Wages, and Benefits (as defined herein). The ARP requires certain assurances from the

Recipient (as defined herein). 

This Payroll Support Program 3 Agreement, including all supporting documents submitted by 

the Recipient and the Payroll Support Program 3 Certification attached hereto (collectively, 

Agreement), memorializes the binding terms and conditions applicable to the Recipient. 

DEFINITIONS

As used in this Agreement, the following terms shall have the following respective meanings, 

unless the context clearly requires otherwise. In addition, this Agreement shall be construed in a 

manner consistent with any public guidance Treasury may from time to time issue regarding the 

implementation of section 7301 of the ARP.

Additional Payroll Support Payment means any disbursement of Payroll Support occurring after 

the first disbursement of Payroll Support under this Agreement.

Affiliate means any Person that directly or indirectly controls, is controlled by, or is under 

common control with, the Recipient. For purposes of this definition, “control” of a Person shall 

mean having the power, directly or indirectly, to direct or cause the direction of the management 

and policies of such Person, whether by ownership of voting equity, by contract, or otherwise.

ARP means the American Rescue Plan Act of 2021.

Benefits means, without duplication of any amounts counted as Salary or Wages, pension

expenses in respect of Employees, all expenses for accident, sickness, hospital, and death 

benefits to Employees, and the cost of insurance to provide such benefits; any Severance Pay or 

Other Benefits payable to Employees pursuant to a bona fide voluntary early retirement program 

or voluntary furlough; and any other similar expenses paid by the Recipient for the benefit of 

Employees, including any other fringe benefit expense described in lines 10 and 11 of Financial 

Reporting Schedule P-6, Form 41, as published by the Department of Transportation, but 

excluding any Federal, state, or local payroll taxes paid by the Recipient.

Corporate Officer means, with respect to the Recipient, its president; any vice president in 

charge of a principal business unit, division, or function (such as sales, administration or 

finance); any other officer who performs a policy-making function; or any other person who 

performs similar policy making functions for the Recipient. Executive officers of subsidiaries or 
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parents of the Recipient may be deemed Corporate Officers of the Recipient if they perform such 

policy-making functions for the Recipient. 

Employee means an individual who is employed by the Recipient and whose principal place of 

employment is in the United States (including its territories and possessions), including salaried, 

hourly, full-time, part-time, temporary, and leased employees, but excluding any individual who 

is a Corporate Officer or independent contractor.

Involuntary Termination or Furlough means the Recipient terminating the employment of one or 

more Employees or requiring one or more Employees to take a temporary suspension or unpaid 

leave for any reason, including a shut-down or slow-down of business; provided, however, that 

an Involuntary Termination or Furlough does not include a Permitted Termination or Furlough.

Maximum Awardable Amount means the amount determined by the Secretary with respect to the 

Recipient pursuant to section 7301(b)(2) of the ARP.

Payroll Support means funds disbursed by the Secretary to the Recipient under this Agreement, 

including the first disbursement of Payroll Support and any Additional Payroll Support Payment.

Permitted Termination or Furlough means, with respect to an Employee, (1) a voluntary 

furlough, voluntary leave of absence, voluntary resignation, or voluntary retirement, (2) 

termination of employment resulting from such Employee’s death or disability, or (3) the 

Recipient terminating the employment of such Employee for cause or placing such Employee on 

a temporary suspension or unpaid leave of absence for disciplinary reasons, in either case, as 

reasonably determined by the Recipient acting in good faith.

Person means any natural person, corporation, limited liability company, partnership, joint 

venture, trust, business association, governmental entity, or other entity.

PSP1 means the Payroll Support Program established under Division A, Title IV, Subtitle B of 

the Coronavirus Aid, Relief, and Economic Security Act (Pub. L. No. 116-136).

PSP2 means the Payroll Support Program Extension established under Subtitle A of Title IV of 

Division N of the Consolidated Appropriations Act, 2021.

Recipient means, collectively, the Signatory Entity; its Affiliates that are listed on the signature 

page hereto as Additional Recipients; and their respective heirs, executors, administrators, 

successors, and assigns. 

Salary means, without duplication of any amounts counted as Benefits, a predetermined regular 

payment, typically paid on a weekly or less frequent basis but which may be expressed as an 

hourly, weekly, annual or other rate, as well as cost-of-living differentials, vacation time, paid 

time off, sick leave, and overtime pay, paid by the Recipient to its Employees, but excluding any 

Federal, state, or local payroll taxes paid by the Recipient.

Secretary means the Secretary of the Treasury.
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Severance Pay or Other Benefits means any severance payment or other similar benefits, 

including cash payments, health care benefits, perquisites, the enhancement or acceleration of the 

payment or vesting of any payment or benefit or any other in-kind benefit payable (whether in 

lump sum or over time, including after October 1, 2022) by the Recipient to a Corporate Officer 

or Employee in connection with any termination of such Corporate Officer’s or Employee’s 

employment (including, without limitation, resignation, severance, retirement, or constructive 

termination), which shall be determined and calculated in respect of any Employee or Corporate 

Officer of the Recipient in the manner prescribed in 17 CFR 229.402(j) (without regard to its 

limitation to the five most highly compensated executives and using the actual date of 

termination of employment rather than the last business day of the Recipient’s last completed 

fiscal year as the trigger event).

Signatory Entity means the passenger air carrier or contractor that has entered into this 

Agreement. 

Taxpayer Protection Instruments means warrants, options, preferred stock, debt securities, notes, 

or other financial instruments issued by the Recipient or an Affiliate to Treasury as compensation 

for the Payroll Support under this Agreement, if applicable. 

Total Compensation means compensation including salary, wages, bonuses, awards of stock, and 

any other financial benefits provided by the Recipient or an Affiliate, as applicable, which shall 

be determined and calculated for the 2019 calendar year or any applicable 12-month period in 

respect of any Employee or Corporate Officer of the Recipient in the manner prescribed under 

paragraph e.6 of the award term in 2 CFR part 170, App. A, but excluding any Severance Pay or 

Other Benefits in connection with a termination of employment. 

Wage means, without duplication of any amounts counted as Benefits, a payment, typically paid 

on an hourly, daily, or piecework basis, including cost-of-living differentials, vacation, paid time 

off, sick leave, and overtime pay, paid by the Recipient to its Employees, but excluding any 

Federal, state, or local payroll taxes paid by the Recipient.

PAYROLL SUPPORT PAYMENTS 

1. Upon the execution of this Agreement by Treasury and the Recipient, the Secretary shall 

approve the Recipient to receive Payroll Support.

2. The Recipient may receive Payroll Support in multiple payments up to the Maximum 

Awardable Amount, and the amounts (individually and in the aggregate) and timing of such 

payments will be determined by the Secretary in her sole discretion. The Secretary may, in 

her sole discretion, increase or reduce the Maximum Awardable Amount consistent with 

section 7301 of the ARP.

3. The Secretary may determine in her sole discretion that any Payroll Support shall be

conditioned on, and subject to, compliance by the Recipient with all applicable requirements 

under (a) PSP2 and (b) PSP1 if the Recipient received financial assistance in PSP1, and such

additional terms and conditions (including the receipt of, and any terms regarding, Taxpayer 

Protection Instruments) to which the parties may agree in writing. 
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TERMS AND CONDITIONS

Retaining and Paying Employees

4. The Recipient shall use the Payroll Support exclusively for the continuation of payment of 

Wages, Salaries, and Benefits to the Employees of the Recipient.

a. Furloughs and Layoffs. The Recipient shall not conduct an Involuntary Termination 

or Furlough of any Employee between the date of this Agreement and September 30, 

2021 or the date on which the Recipient has expended all of the Payroll Support, 

whichever is later. 

b. Employee Salary, Wages, and Benefits

i. Salary and Wages. Except in the case of a Permitted Termination or 

Furlough, the Recipient shall not, between the date of this Agreement and 

September 30, 2021 or the date on which the Recipient has expended all of the 

Payroll Support, whichever is later, reduce, without the Employee’s consent, 

(A) the pay rate of any Employee earning a Salary, or (B) the pay rate of any 

Employee earning Wages.

ii. Benefits. Except in the case of a Permitted Termination or Furlough, the 

Recipient shall not, between the date of this Agreement and September 30, 

2021 or the date on which the Recipient has expended all of the Payroll 

Support, whichever is later, reduce, without the Employee’s consent, the 

Benefits of any Employee; provided, however, that for purposes of this 

paragraph, personnel expenses associated with the performance of work 

duties, including those described in line 10 of Financial Reporting Schedule P6, Form 41, as published by the Department of Transportation, may be 

reduced to the extent the associated work duties are not performed.

Dividends and Buybacks

5. Through September 30, 2022, neither the Recipient nor any Affiliate shall, in any transaction,

purchase an equity security of the Recipient or of any direct or indirect parent company of 

the Recipient that, in either case, is listed on a national securities exchange.

6. Through September 30, 2022, the Recipient shall not pay dividends, or make any other 

capital distributions, with respect to the common stock (or equivalent equity interest) of the 

Recipient.

Limitations on Certain Compensation

7. Beginning April 1, 2021, and ending April 1, 2023, the Recipient and its Affiliates shall not 

pay any of the Recipient’s Corporate Officers or Employees whose Total Compensation 

exceeded $425,000 in calendar year 2019 (other than an Employee whose compensation is 

determined through an existing collective bargaining agreement entered into before March 

11, 2021):
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a. Total Compensation which exceeds, during any 12 consecutive months of such twoyear period, the Total Compensation the Corporate Officer or Employee received in 

calendar year 2019; or

b. Severance Pay or Other Benefits in connection with a termination of employment 

with the Recipient which exceed twice the maximum Total Compensation received 

by such Corporate Officer or Employee in calendar year 2019.

8. Beginning April 1, 2021, and ending April 1, 2023, the Recipient and its Affiliates shall not 

pay, during any 12 consecutive months of such two-year period, any of the Recipient’s 

Corporate Officers or Employees whose Total Compensation exceeded $3,000,000 in 

calendar year 2019 Total Compensation in excess of the sum of:

a. $3,000,000; and

b. 50 percent of the excess over $3,000,000 of the Total Compensation received by such 

Corporate Officer or Employee in calendar year 2019.

9. For purposes of determining applicable amounts under paragraphs 7 and 8 with respect to 

any Corporate Officer or Employee who was employed by the Recipient or an Affiliate for 

less than all of calendar year 2019, the amount of Total Compensation in calendar year 2019 

shall mean such Corporate Officer’s or Employee’s Total Compensation on an annualized 

basis.

Service and Eligibility

10.1.If the Recipient is an air carrier, until March 1, 2022, the Recipient shall comply with any 

applicable requirement issued by the Secretary of Transportation under section 407 of the 

PSP Extension Law to maintain scheduled air transportation service to any point served by 

the Recipient before March 1, 2020.

10.2. The Recipient represents, warrants, and certifies that as of March 31, 2021, the Recipient:

a. provided air transportation as an air carrier, as defined under 49 U.S.C. § 40102; or

b. (i) performed, under contract with a passenger air carrier conducting operations under 

14 CFR part 121, (A) catering functions; or (B) functions on the property of an airport 

that were directly related to the air transportation of persons, property, or mail, 

including the loading and unloading of property on aircraft, assistance to passengers 

under 14 CFR part 382, security, airport ticketing and check-in functions, 

groundhandling of aircraft, or aircraft cleaning and sanitization functions and waste 

removal; or (ii) was a subcontractor that performed such functions.

10.3. The Recipient represents, warrants, and certifies that between March 31, 2021, and the 

effective date of this Agreement, it has not:

a. conducted an Involuntary Termination or Furlough;
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b. reduced, without the Employee’s consent, (i) the pay rate of any Employee earning a 

Salary, or (ii) the pay rate of any Employee earning Wages; or

c. except in the case of a Permitted Termination or Furlough, reduced, without the 

Employee’s consent, the Benefits of any Employee (provided, however, that for 

purposes of this subparagraph, personnel expenses associated with the performance of 

work duties, including those described in line 10 of Financial Reporting Schedule P6, Form 41, as published by the Department of Transportation, may be reduced to the 

extent the associated work duties are not performed).

Effective Date

11. This Agreement shall be effective as of the date of its execution by both parties.

Reporting and Auditing

12. Until the calendar quarter that begins after the later of January 1, 2023, and the date on which 

no Taxpayer Protection Instrument is outstanding, not later than 45 days after the end of each 

of the first three calendar quarters of each calendar year and 90 days after the end of each 

calendar year, the Signatory Entity, on behalf of itself and each other Recipient, shall certify 

to Treasury that it is in compliance with the terms and conditions of this Agreement and 

provide a report containing the following:

a. the amount of Payroll Support funds expended during such quarter;

b. the Recipient’s financial statements (audited by an independent certified public 

accountant, in the case of annual financial statements); 

c. a copy of the Recipient’s IRS Form 941 filed with respect to such quarter; and

d. a detailed summary describing, with respect to the Recipient, (a) any changes in 

Employee headcount during such quarter and the reasons therefor, including any 

Involuntary Termination or Furlough, (b) any changes in the amounts spent by the 

Recipient on Employee Wages, Salary, and Benefits during such quarter, and (c) 

any changes in Total Compensation for, and any Severance Pay or Other Benefits 

in connection with the termination of, Corporate Officers and Employees subject 

to limitation under this Agreement during such quarter; and the reasons for any 

such changes.

13. If the Recipient or any Affiliate, or any Corporate Officer of the Recipient or any Affiliate,

becomes aware of facts, events, or circumstances that may materially affect the Recipient’s 

compliance with the terms and conditions of this Agreement, the Recipient or Affiliate shall

promptly provide Treasury with a written description of the events or circumstances and any 

action taken, or contemplated, to address the issue.

14. In the event the Recipient contemplates any action to commence a bankruptcy or insolvency 

proceeding in any jurisdiction, the Recipient shall promptly notify Treasury.
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15. The Recipient shall:

a. Promptly provide to Treasury and the Treasury Inspector General a copy of any

Department of Transportation Inspector General report, audit report, or report of 

any other oversight body, that is received by the Recipient relating to this 

Agreement.

b. Immediately notify Treasury and the Treasury Inspector General of any indication 

of fraud, waste, abuse, or potentially criminal activity pertaining to the Payroll 

Support.

c. Promptly provide Treasury with any information Treasury may request relating to 

compliance by the Recipient and its Affiliates with this Agreement.

16. The Recipient and Affiliates will provide Treasury, the Treasury Inspector General, and such 

other entities as authorized by Treasury timely and unrestricted access to all documents, 

papers, or other records, including electronic records, of the Recipient related to the Payroll 

Support, to enable Treasury and the Treasury Inspector General to make audits, 

examinations, and otherwise evaluate the Recipient’s compliance with the terms of this 

Agreement. This right also includes timely and reasonable access to the Recipient’s and its 

Affiliates’ personnel for the purpose of interview and discussion related to such documents. 

This right of access shall continue as long as records are required to be retained. In addition, 

the Recipient will provide timely reports as reasonably required by Treasury, the Treasury 

Inspector General, and such other entities as authorized by Treasury to comply with 

applicable law and to assess program effectiveness.

Recordkeeping and Internal Controls

17. If the Recipient is a debtor as defined under 11 U.S.C. § 101(13), the Payroll Support funds, 

any claim or account receivable arising under this Agreement, and any segregated account 

holding funds received under this Agreement shall not constitute or become property of the 

estate under 11 U.S.C. § 541.

18. The Recipient shall expend and account for Payroll Support funds in a manner sufficient to:

a. Permit the preparation of accurate, current, and complete quarterly reports as 

required under this Agreement.

b. Permit the tracing of funds to a level of expenditures adequate to establish that 

such funds have been used as required under this Agreement.

19. The Recipient shall establish and maintain effective internal controls over the Payroll 

Support; comply with all requirements related to the Payroll Support established under 

applicable Federal statutes and regulations; monitor compliance with Federal statutes, 

regulations, and the terms and conditions of this Agreement; and take prompt corrective 
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actions in accordance with audit recommendations. The Recipient shall promptly remedy 

any identified instances of noncompliance with this Agreement. 

20. The Recipient and Affiliates shall retain all records pertinent to the receipt of Payroll Support 

and compliance with the terms and conditions of this Agreement (including by suspending 

any automatic deletion functions for electronic records, including e-mails) for a period of 

three years following the period of performance. Such records shall include all information 

necessary to substantiate factual representations made in the supporting documents submitted 

by the Recipient related to the Payroll Support, including ledgers and sub-ledgers, and the 

Recipient’s and Affiliates’ compliance with this Agreement. While electronic storage of 

records (backed up as appropriate) is preferable, the Recipient and Affiliates may store 

records in hardcopy (paper) format. The term “records” includes all relevant financial and 

accounting records and all supporting documentation for the information reported on the 

Recipient’s quarterly reports.

21. If any litigation, claim, investigation, or audit relating to the Payroll Support is started before 

the expiration of the three-year period, the Recipient and Affiliates shall retain all records 

described in paragraph 20 until all such litigation, claims, investigations, or audit findings 

have been completely resolved and final judgment entered or final action taken.

Remedies

22. If Treasury believes that an instance of noncompliance by the Recipient or an Affiliate with 

(a) this Agreement, (b) section 7301 of the ARP, or (c) the Internal Revenue Code of 1986 as 

it applies to the receipt of Payroll Support has occurred, Treasury may notify the Recipient in 

writing of its proposed determination of noncompliance, provide an explanation of the nature 

of the noncompliance, and specify a proposed remedy. Upon receipt of such notice, the 

Recipient shall, within seven days, accept Treasury’s proposed remedy, propose an 

alternative remedy, or provide information and documentation contesting Treasury’s 

proposed determination. Treasury shall consider any such submission by the Recipient and 

make a final written determination, which will state Treasury’s findings regarding 

noncompliance and the remedy to be imposed.

23. If Treasury makes a final determination under paragraph 22 that an instance of 

noncompliance has occurred, Treasury may, in its sole discretion, withhold any Additional 

Payroll Support Payments; require the repayment of the amount of any previously disbursed 

Payroll Support, with appropriate interest; require additional reporting or monitoring; initiate 

suspension or debarment proceedings as authorized under 2 CFR Part 180; terminate this 

Agreement; or take any such other action as Treasury, in its sole discretion, deems 

appropriate. 

24. Treasury may make a final determination regarding noncompliance without regard to 

paragraph 22 if Treasury determines, in its sole discretion, that such determination is 

necessary to protect a material interest of the Federal Government. In such event, Treasury 

shall notify the Recipient of the remedy that Treasury, in its sole discretion, shall impose, 

after which the Recipient may contest Treasury’s final determination or propose an 
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alternative remedy in writing to Treasury. Following the receipt of such a submission by the 

Recipient, Treasury may, in its sole discretion, maintain or alter its final determination.

25. Any final determination of noncompliance and any final determination to take any remedial 

action described herein shall not be subject to further review. To the extent permitted by law, 

the Recipient waives any right to judicial review of any such determinations and further 

agrees not to assert in any court any claim arising from or relating to any such determination 

or remedial action.

26. Instead of, or in addition to, the remedies listed above, Treasury may refer any

noncompliance or any allegations of fraud, waste, or abuse to the Treasury Inspector General.

27. Treasury, in its sole discretion, may grant any request by the Recipient for termination of this 

Agreement, which such request shall be in writing and shall include the reasons for such 

termination, the proposed effective date of the termination, and the amount of any unused 

Payroll Support funds the Recipient requests to return to Treasury. Treasury may, in its sole 

discretion, determine the extent to which the requirements under this Agreement may cease 

to apply following any such termination.

28. If Treasury determines that any remaining portion of the Payroll Support will not accomplish 

the purpose of this Agreement, Treasury may terminate this Agreement in its entirety to the 

extent permitted by law. 

Debts

29. Any Payroll Support in excess of the amount which Treasury determines, at any time, the 

Recipient is authorized to receive or retain under the terms of this Agreement constitutes a 

debt to the Federal Government.

30. Any debts determined to be owed by the Recipient to the Federal Government shall be paid 

promptly by the Recipient. A debt is delinquent if it has not been paid by the date specified 

in Treasury’s initial written demand for payment, unless other satisfactory arrangements have 

been made. Interest, penalties, and administrative charges shall be charged on delinquent 

debts in accordance with 31 U.S.C. § 3717, 31 CFR 901.9, and paragraphs 31 and 32. 

Treasury will refer any debt that is more than 180 days delinquent to Treasury’s Bureau of 

the Fiscal Service for debt collection services.

31. Penalties on any debts shall accrue at a rate of not more than 6 percent per year or such other 

higher rate as authorized by law.

32. Administrative charges relating to the costs of processing and handling a delinquent debt 

shall be determined by Treasury.

33. The Recipient shall not use funds from other federally sponsored programs to pay a debt to 

the government arising under this Agreement.
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Protections for Whistleblowers

34. In addition to other applicable whistleblower protections, in accordance with 41 U.S.C. 

§ 4712, the Recipient shall not discharge, demote, or otherwise discriminate against an 

Employee as a reprisal for disclosing information to a Person listed below that the Employee 

reasonably believes is evidence of gross mismanagement of a Federal contract or grant, a 

gross waste of Federal funds, an abuse of authority relating to a Federal contract or grant, a 

substantial and specific danger to public health or safety, or a violation of law, rule, or 

regulation related to a Federal contract (including the competition for or negotiation of a 

contract) or grant:

a. A Member of Congress or a representative of a committee of Congress;

b. An Inspector General;

c. The Government Accountability Office;

d. A Treasury employee responsible for contract or grant oversight or management;

e. An authorized official of the Department of Justice or other law enforcement 

agency;

f. A court or grand jury; or

g. A management official or other Employee of the Recipient who has the 

responsibility to investigate, discover, or address misconduct.

Lobbying

35. The Recipient shall comply with the provisions of 31 U.S.C. § 1352, as amended, and with 

the regulations at 31 CFR Part 21. 

Non-Discrimination

36. The Recipient shall comply with, and hereby assures that it will comply with, all applicable 

Federal statutes and regulations relating to nondiscrimination including: 

a. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), including 

Treasury’s implementing regulations at 31 CFR Part 22;

b. Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794); 

c. The Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101–6107), 

including Treasury’s implementing regulations at 31 CFR Part 23 and the general 

age discrimination regulations at 45 CFR Part 90; and

d. The Air Carrier Access Act of 1986 (49 U.S.C. § 41705).
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Additional Reporting

37. Within seven days after the date of this Agreement, the Recipient shall register in SAM.gov, 

and thereafter maintain the currency of the information in SAM.gov until at least January 1, 

2023. The Recipient shall review and update such information at least annually after the 

initial registration, and more frequently if required by changes in the Recipient’s information. 

The Recipient agrees that this Agreement and information related thereto, including the 

Maximum Awardable Amount and any executive total compensation reported pursuant to 

paragraph 38, may be made available to the public through a U.S. Government website, 

including SAM.gov.

38. For purposes of paragraph 37, the Recipient shall report total compensation as defined in 

paragraph e.6 of the award term in 2 CFR part 170, App. A for each of the Recipient’s five 

most highly compensated executives for the preceding completed fiscal year, if:

a. the total Payroll Support is $25,000 or more;

b. in the preceding fiscal year, the Recipient received:

i. 80 percent or more of its annual gross revenues from Federal procurement 

contracts (and subcontracts) and Federal financial assistance, as defined at 

2 CFR 170.320 (and subawards); and

ii. $25,000,000 or more in annual gross revenues from Federal procurement

contracts (and subcontracts) and Federal financial assistance, as defined at 

2 CFR 170.320 (and subawards); and

c. the public does not have access to information about the compensation of the 

executives through periodic reports filed under section 13(a) or 15(d) of the

Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of 

the Internal Revenue Code of 1986. To determine if the public has access to the 

compensation information, the Recipient shall refer to U.S. Securities and 

Exchange Commission total compensation filings at 

http://www.sec.gov/answers/execomp.htm.

39. The Recipient shall report executive total compensation described in paragraph 38:

a. as part of its registration profile at https://www.sam.gov; and

b. within five business days after the end of each month following the month in 

which this Agreement becomes effective, and annually thereafter. 

40. The Recipient agrees that, from time to time, it will, at its own expense, promptly upon 

reasonable request by Treasury, execute and deliver, or cause to be executed and delivered, 

or use its commercially reasonable efforts to procure, all instruments, documents and 

information, all in form and substance reasonably satisfactory to Treasury, to enable Treasury 

to ensure compliance with, or effect the purposes of, this Agreement, which may include, 
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among other documents or information, (a) certain audited financial statements of the 

Recipient, (b) documentation regarding the Recipient’s revenues derived from its business as 

a passenger air carrier or regarding the passenger air carriers for which the Recipient 

provides services as a contractor (as the case may be), and (c) the Recipient’s most recent 

quarterly Federal tax returns. The Recipient agrees to provide Treasury with such documents 

or information promptly. 

41. If the total value of the Recipient’s currently active grants, cooperative agreements, and 

procurement contracts from all Federal awarding agencies exceeds $10,000,000 for any 

period before termination of this Agreement, then the Recipient shall make such reports as 

required by 2 CFR part 200, Appendix XII. 

Other

42. [Reserved]

43. Notwithstanding any other provision of this Agreement, the Recipient has no right to, and 

shall not, transfer, pledge, mortgage, encumber, or otherwise assign this Agreement or any 

Payroll Support provided under this Agreement, or any interest therein, or any claim, account 

receivable, or funds arising thereunder or accounts holding Payroll Support, to any party, 

bank, trust company, or other Person without the express written approval of Treasury.

44. The Signatory Entity will cause its Affiliates to comply with all of their obligations under or 

relating to this Agreement.

45. Unless otherwise provided in guidance issued by Treasury or the Internal Revenue Service, 

the form of any Taxpayer Protection Instrument held by Treasury and any subsequent holder 

will be treated as such form for purposes of the Internal Revenue Code of 1986 (for example, 

a Taxpayer Protection Instrument in the form of a note will be treated as indebtedness for 

purposes of the Internal Revenue Code of 1986).

46. This Agreement may not be amended or modified except pursuant to an agreement in writing 

entered into by the Recipient and Treasury, except that Treasury may unilaterally amend this 

Agreement if required in order to comply with applicable Federal law or regulation.

47. Subject to applicable law, Treasury may, in its sole discretion, waive any term or condition 

under this Agreement imposing a requirement on the Recipient or any Affiliate.

48. This Agreement shall bind and inure to the benefit of the parties and their respective heirs, 

executors, administrators, successors, and assigns. 

49. The Recipient represents and warrants to Treasury that this Agreement, and the issuance and 

delivery to Treasury of the Taxpayer Protection Instruments, if applicable, have been duly 

authorized by all requisite corporate and, if required, stockholder action, and will not result in 

the violation by the Recipient of any provision of law, statute, or regulation, or of the articles 

of incorporation or other constitutive documents or bylaws of the Recipient, or breach or 

constitute an event of default under any material contract to which the Recipient is a party.
14

50. The Recipient represents and warrants to Treasury that this Agreement has been duly 

executed and delivered by the Recipient and constitutes a legal, valid, and binding obligation 

of the Recipient enforceable against the Recipient in accordance with its terms.

51. This Agreement may be executed in counterparts, each of which shall constitute an original, 

but all of which together shall constitute a single contract. 

52. The words “execution,” “signed,” “signature,” and words of like import in any assignment 

shall be deemed to include electronic signatures or the keeping of records in electronic form, 

each of which shall be of the same legal effect, validity or enforceability as a manually 

executed signature or the use of a paper-based recordkeeping system, as the case may be, to 

the extent and as provided for in any applicable law, including the Federal Electronic 

Signatures in Global and National Commerce Act, the New York State Electronic Signatures 

and Records Act, or any other similar state laws based on the Uniform Electronic 

Transactions Act. Notwithstanding anything herein to the contrary, delivery of an executed 

counterpart of a signature page of this Agreement by electronic means, or confirmation of the 

execution of this Agreement on behalf of a party by an email from an authorized signatory of 

such party, shall be effective as delivery of a manually executed counterpart of this 

Agreement.

53. The captions and paragraph headings appearing herein are included solely for convenience of 

reference and are not intended to affect the interpretation of any provision of this Agreement.

54. This Agreement is governed by and shall be construed in accordance with Federal law. 

Insofar as there may be no applicable Federal law, this Agreement shall be construed in 

accordance with the laws of the State of New York, without regard to any rule of conflicts of 

law (other than section 5-1401 of the New York General Obligations Law) that would result 

in the application of the substantive law of any jurisdiction other than the State of New York.

55. Nothing in this Agreement shall require any unlawful action or inaction by either party.

56. The requirement pertaining to trafficking in persons at 2 CFR 175.15(b) is incorporated 

herein and made applicable to the Recipient.

57. This Agreement, together with the attachments hereto, including the Payroll Support 

Program 3 Certification and any attached terms regarding Taxpayer Protection Instruments,

constitute the entire agreement of the parties relating to the subject matter hereof and 

supersede any previous agreements and understandings, oral or written, relating to the subject 

matter hereof. There may exist other agreements between the parties as to other matters, 

which are not affected by this Agreement and are not included within this integration clause.

58. No failure by either party to insist upon the strict performance of any provision of this 

Agreement or to exercise any right or remedy hereunder, and no acceptance of full or partial 

Payroll Support (if applicable) or other performance by either party during the continuance of 

any such breach, shall constitute a waiver of any such breach of such provision.
15

ATTACHMENT

Payroll Support Program 3 Certification of Corporate Officer of Recipient
PAYROLL SUPPORT PROGRAM 3

CERTIFICATION OF CORPORATE OFFICER OF RECIPIENT

In connection with the Payroll Support Program 3 Agreement (Agreement) between [Signatory 

Entity] and the Department of the Treasury (Treasury) relating to Payroll Support being provided 

by Treasury to the Recipient under section 7301 of the American Rescue Plan Act of 2021, I 

hereby certify under penalty of perjury to the Treasury that all of the following are true and 

correct. Capitalized terms used but not defined herein have the meanings set forth in the 

Agreement.

(1) I have the authority to make the following representations on behalf of myself and the 

Recipient. I understand that these representations will be relied upon as material in the 

decision by Treasury to provide Payroll Support to the Recipient. 

(2) The information, certifications, attachments, and other information provided by the 

Recipient to Treasury related to the Payroll Support are true and correct and do not contain 

any materially false, fictitious, or fraudulent statement, nor any concealment or omission of 

any material fact.

(3) The Recipient has the legal authority to apply for the Payroll Support, and it has the 

institutional, managerial, and financial capability to comply with all obligations, terms, and 

conditions set forth in the Agreement and any attachment thereto.

(4) The Recipient and any Affiliate will give Treasury, Treasury’s designee or the 

Treasury Office of Inspector General (as applicable) access to, and opportunity to examine, 

all documents, papers, or other records of the Recipient or Affiliate pertinent to the provision 

of Payroll Support made by Treasury to the Recipient, in order to make audits, examinations, 

excerpts, and transcripts. 

(5) No Federal appropriated funds, including Payroll Support, have been paid or will be 

paid, by or on behalf of the Recipient, to any person for influencing or attempting to 

influence an officer or employee of an 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 of any cooperative agreement, and the extension, continuation, 

renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative 

agreement.

(6) If the Payroll Support exceeds $100,000, the Recipient shall comply with the 

disclosure requirements in 31 CFR Part 21 regarding any amounts paid 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 Payroll Support.

I acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or 

omission of a material fact) in this certification may be the subject of criminal prosecution 
and also may subject me and the Recipient to civil penalties and/or administrative remedies 

for false claims or otherwise.

_____________________________________ _____________________________________

Corporate Officer of Signatory Entity

Name:

Second Authorized Representative

Name:

Title: Title:

Date: Date: