### Scott Faulk US Department of Transportation Office of Aviation Analysis 202-366-9967 EAS@ dot.gov July 25 , 2014

Propo sal to Provide Essential Air Service at lake Minchumina, Alaska, Docket DOT-2008-0237 Wright Air Service, In c
. would provide two non-stop round trips per week, year-round, between lake Minchumina and Fairbanks

. Service would be provided one time per week, with a nine-seat I.F.R

. certified Cessna 208 Caravan aircraft QI 

### an I.F

. R. certified Piper PA-31 twin-engine aircraft

. Service would also be provided one time per week in a single
- engine, four-seat Cessna 206 or 3 seat Beechcraft Bonanza A36.
TOTAL Annual Subsidy amount requested: $102 , 300. 

### The total annual subsidy amount requested is the same as requested in 2012, as is projected block hours

. This proposal provides sufficient capacity to accommodate historical levels

. Thank you,

# ___,...-~~**~** 7 Bob Bursiel , President

Cc: scott.fa ulk@dot

. gov

### UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION OFFICE OF THE SECRETARY OFFICE OF AVIATION ANALYSIS CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS IN THE PERFORMANCE OF SUBSIDIZED ESSENTIAL AIR SERVICE
A. The subsidized essential air service carrier cert ifies that it will, or will continue, to prov ide a dru gfree workplace by: (a) Publishing a statement notifYing employees that the unlawful manufacture , distribution, dispens ing , possession or use of a controlled s ubstance is prohibited in the carrier's workplace, and specifYing the actions that will 

### be taken against employees for violation of such prohibition ; (b) Esta blishing an ongoing drug-free awareness program to inform employees about-

- ( 1) The danger s of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workpl ace; (3) Any available drug counseling, rehabilitati on, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violatio ns occurring in the workplace; (c) Making it a requirement that each e mp loyee to be engaged in the performance of work supported by the s ubs idy 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 supported by the s ubsidy, the employee will-- (1) Abide by the terms of the s tatement; and (2) Notify the employer in writing of his or her conviction for a vio lation of a criminal drug statute occurring in the workplace no later than five calendar day s after such conviction; (e) Notifying the agency in writing, within ten calendar days after receiving notice under paragraph (d)(2) from an employee or otherwise receiving actual notice of conviction. Employers of convicted employee s must provide notice, including position title, 

### to the Office ofAviation Analysis. Notice shall include the order number of each affected subs idized service; (f) Taking one of the following actions, within 30 days ofreceiving notice under paragraph (d)(2), with respect to any employee wh o is so convicted-- ( ! ) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requir e ments ofthe Rehabilitation Act of 1973 , as amended, or (2) Requirin g such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for s uch 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 paragraph s (a), (b), (c), (d), (e) and 

### (t)

.
B. The s ubsidized essential air service carrier 

### may, but is not req uired to , insert in the space pro vided below the s ite for the perfonnance of work done in connection with the specific grant.

Places of Perfonnance (street address, city, c ounty , sta te, zip code). For the provision of essential air service, workplaces include outstations, maintenance si tes, headquarters office locati o ns, trai ning si tes and any other worksites where work is performed that is supported by the subs idy

. 

## .;e'l;;? /)_pi**v&~srrt** 

### ftv'E, 

### 5**$1~M.lks Ak.**  

# 197dl**~5~** 

## tU/ftiG1:-51fl1 

# At¥ 6

### 61-r,(.~IMJ::S. 

## 4k._ 

# tt'1 7o'l
1 I

Check [ ] ifthere are workplaces on file that are not identifi ed here

.



# .**~~** 7- 2-r Signature Date

### INSTRUCTIONS FOR CERTIFICATION

I. By signing and/or submitting this application or grant agreement, the subsidized essential air service carrier is providing the certification. 2. The certification is a material representation of tact upon which reliance is placed when the agency awards the subs idy. If it is later determined that the subsidized carrier knowingly rendered a false certification, or otherwise violated the requirements of the Drug-Free Workplace Act, the agency, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. 3. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the subs idy application. If the subsidized carrier does not identify the workplaces at the time of application, or upon award if there is no application , the carrier must keep the identity of the workplaces on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the subsidized carrier's drug-free workplace requirements. 4. Workplace identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used 

### (e.g., all counters at the airports served by the carrier). 5. If the workplace identified to the agency changes during the performance of the subsidized service , the subsidized carrier shall inform the agency of the c hange, if it previously identified the workplace i

.n question.
6. Definitions of terms in the Nonprocurement Suspension and Debarment common rule (49 CFR Part 29) and Drug-Free Workplace common rule (49 CFR Part 29, Subpart F) apply to this certification. Carriers' attention is called, in particular, to the following definitions from these rules: 

### Controlled substance means a controlled substance in Schedules 1through V of the Controlled Substances Act (21 USC 812) and as furth e r defined by regulation (21 CFR 1308.1 l throu g h 1308.1 5); 

### Conviction means a finding of guilt (including a plea of

### nolo contendere) or imposition of sentence, or both, by anyjudicial body charged with the responsibility to detennine violations ofthe Federal or State criminal dru g stat utes; 

### Criminal drug statute means a Federal or non-Federal criminal statute involving the manufacture , distribution, dispensing, use, or possession of any controlled substance; 

### Employee means the employee of a subsidized carrier directly engaged in the performance of work supported by the subsidy, including: (i) All 

### direct charge e mpl oyees; (ii) All 

### indirect charge employees unless their impact or involvement is insi gnificant to the perfonnance of subsidized service; and (iii) Temporary personnel and consultants who are directly engaged in the performance of work supported by the subsidy and who are on the subsidized carrier's payroll. This definition does not include workers not on the payroll of the s ubsidized carrier 

### (e.g. , volunteers , even if used to meet a matching requirement; consultants or independent contractors not on the subsidized carrier's payroll; or employees of subrecipients or s ubcontractors in cove r ed workpl aces).

### UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION OFFICE OF THE SECRETARY OFFICE OF AVIATION ANALYSIS CERTIFICATION REGARDING INFLUENCING ACTIVITIES Certification for Contracts, Grants, Loans, and Cooperati've Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid o r 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 em ployee of Congress, or an employee of a Member of Congress in connection with the awardi ng 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 cooperat ive 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 Memb er of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the unders igned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Influencing Activities," in accordance with its instructions

. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loan s and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certificat ion is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission ofthis certification is a prerequi site 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 fai lure.

Title 

## h/_/CtCitT 

# /tf£ $Ef!.ti1CE •• ;l{c · Air Carrier

Essential Air Service Point( s) To Which Certification App 1es

### UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION OFFICE OF THE SECRETARY OFFICE OF AVIATION ANALYSIS TITLE VI ASSURANCE (Implementing Title VI of the Civil Rights Act of 1964, as amended) ASSURANCE CONCERNING NOND ISCRIMINATION ON THE BASIS OF DISABILITY IN FEDERALLY-ASSISTED PROGRAMS AND ACTMTIES R ECE .lVING OR BENEFITING FROM FEDERAL FINANCIAL ASSISTANCE (Implemen ting the Rehabilitation Act of 1973, as amended, and the Air Carrier Acce ss Act of 1986) 49 CFR Parts 21 and 27 and 14 CFR Parts 271, and 382

'-M'-'-W_A ....;_ '6#-'--r: ..:.... A-'-'- ;._'1<._.5Bl.

_ _ 

### J/Ji

_ _ C£.-+) 

## _.PfA

_c...

_ ._ _ (the Recipient) HEREBY AGREES THAT, (Name of Recipierif) I. As a condition to receiving any Federal fmancial assistance from the D epartment ofTransportation, it will comply: with Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d--42 U.S.C. 2000d-4; all requirements imposed by or pursuant to: Title 49, Code of Federal Regulation s, Part 21, Nondiscrimination in Federally-Ass isted Pro grams of the Department ofTransportation--Effectuation ofTitle VI of the Civil Rights Act of 1964; and other pertinent directives so that no person in the United States shall, on the grounds of race, color, or national origin, 

### be excluded from participation in, be denied the benefits of, or be otherwise s ubjected to discrimination under any program or activity for which the Recipi ent receives Federal financial assistance from the Department of Transportation. This assurance is required by Title 49, Code of F ederal Regulations, section 21.7(a) and Title 14, Code of Federal Regu lations, section 271.9{c). 

### £1. As a condition to recei ving any Federal finan cial assistance from the Department ofTransportation, it will comply with: section 504 ofthe Rehabilitation Act of 1973, as amended (29 U.S.C. 794); the Air Carrier Access Act of 1986 (49 U.S.C. 1374(c)); and a ll requirements imposed by or purs uant to Title 49 , Code of Federal Regu lations, Part 27, Nondiscrimination on the Basis of Handicap in Programs and Activities Receiving or Benefitting from Federal Financial Assistance, Title 14, Code ofFederal Regulations, Part 382, Nondiscrimination on the Basi s of Handicap in Air Travel; and other pertinent dir ecti ves -,so that no otherwise qualified person with a disability, 

### be excluded from participation in, be denied the benefi ts of, 

### be di scrimi nated against by reason of such handicap in the provision of air transportation, or otherwise 

### be subjected to d iscrimination under any program for whkh the Recipient receives Federal financial assistance from the Department of Transportation. This assurance is required by Title 49, Code of Federal Regula tions , section 27.9 and Title 14, Code ofFederal Regulations, sections 271.9(c) and 382.9. III

. It will promptly take any meaures necessary to effectuate this agreement. The Recipient further agrees that it shall take reasonable actions to guarantee that it, its contractors and subcontractors subject to the Department of Transportation regulations cited above, transferees, and successors in interest will comply with all requirements imposed or pursuant to the statutes and Department ofTransportation regulations cited above, other pertinent directives, and the above assurances. IV. These assurances obligate the Recipient for the period during which Federal financial assistance is extended. The Recipient agrees that the United States has a right to seek judicial enforcement with regard to any matte r arising under the statutes and Department ofTransportation regulations cited above, other pertinent directives, and the aoove assurances. V. These assurances are given for the purpose of obtaining Federal subsidy under the Essenti al Air Service Program and are binding on the Recipient, contractors, subcontractors, transferees, successors in interest, and all other participants receiving Federal subsidy in the Essential Air Service Program. The person or persons whose signatures appear below are authorized to sign this agreement on behalf of the Recipi ent. VI. In addition to these assurances, the Recipient agrees to file: a summary ofall complaints filed against it within the past year that allege violation(s) by the Recipient of Title 

### VJ of the Civil Rights Act of 1964, as amended, section 504 ofthe Rehabilitation Act of 1973 , as amended, or the Air Carrier Access Act of 1986; or a statement that there have been no complaints filed against it. The summary should include the date the complaint was filed, the nature of the complaint, the status or outcome of the complaint(!&, whether it is still pending or how it was resolved).

Date 

### M1611T**It!~** :3E:Je

### ~:) 

### .2/V C-

.

# 4;S'¥y~·**--:;:2:~~=g=ai:::N=am==-e-of~~~e::::c=ip i=~=t=--_::.**  __

# ~ /Signature of Authorized Official