# Wrigh t

Ai r Service ^ Inc

. Pos t Offic e Bo x 6014 2 • Fairbanks , Alask

a 9970 6 (907 ) 474-050 2
Unite d State s o f Americ a , _ . Departmen t o f Transportatio n Offic e o f tli e Secret

a r y Si ; 4 > ^ : '- B Washingto n D.C

. i .oi-" ^ EAS(S)dot.gO

V - ^ i:Bi::3QJ u

•-•' 1 Februar y 27 , 201 2 Proposa l t o Provid e Essentia l Ai rServic e a t Heal y Lake , Alask a Docke t OOT-OST-1998-354 6

Wrigh t Ai rService , inc

. submit s th e followin g proposa l fo r^f t consideration :

"J\'-

- ••• • • • A Tw o non-sto p roun d t#&jlghtj»^eel ^ b^v\^rg=alrbiik s an d Healflak e i n r 4 passenger , • wWee l equippedXessn a 2 ^ o* a 3psslnger^,wfie^sl4equr|»p ^ Heff e Courie raircraft , wit h a n annualsubsld y rat e o f $87,360

. . e " *

••'*•

. , " ' i

- •
. ' Aircraf t typ e wil l b e detefmira^ d prio r^ eac^fllghian i wil l b e base d o n runwa y conditions , weathe rcondition s and'loadTiz ^ i'

- ^*'

- "' « ^
- '• '

• Freight , Mai l an d Passenge rServic e wil l b e offere d o n thi s schedule d route

.

• Wrigh t Ai rServic e storag e facilitie s includ e larg e freez e an d chil l area s fo rfreigh t order s an d passenge rbaggage

.

• Customer s wil l hav e th e adde d convenienc e o f connectin g servic e t o fiftee n othe r Wrigh t Ai rServic e destinations

.

Than k you ,

Bo b Bursiel , Presiden tUNITE D STATE S O F AMERIC A DEPARTMEN T O F TRANSPORTATIO N OFFIC E O F TH E SECRETAR Y OFFIC E O F AVIATIO N ANALYSI S CERTIFICATIO N REGARDIN G DRUG-FRE E WORKPLAC E REQUIREMENT S I N TH E PERFORMANC E O F SUBSIDIZE D ESSENTIA L AI RSERVIC E A

. Th e subsidize d essentia l ai r sovic e carria

r cotiJBe s tha

t i t wiU , o r will contimie , t

o provid e adnig

free woriqplace by : (a) PubUsdbin

g astatemen

t notifyin g employe s tha

t th e unlawfu

l tnanu&ctute , distribution , dispensing , possessio n o r

us e o f acontrolle d substanc e i s prohibited i n di e caitiei^ s woriq}Iace , an d specifyin g th e ajtion s tha

t wil l b e takra

i agains t en^loye ^ fo

r violation o f

aic h prohibition ; (b ) Establishin

g a n oiigoin g dmg-fire e awarenes s progra

mto infor memployee s about

— (1 ) Th e danger s ofdru g abus e i n the workplace ; (2 ) Tt e grantee' s polic y ofmaintainin g adrug-free workplace ; (3 ) An y availabl e dru g counseling , rehabilitation , an d employee assistanc e jnograms ; an d (4 ) Th e penaltie s tfiat

ma y b e imposed upo n employee s fijr dru g abus e vioMon s occurrin g i n th e workplace ; (c ) Making i t

arequiremen

t tha t eac h employe e to b e engaged i n th e perfonnanc e o f wor k siq}porte d b y th e subsid

y b e given acopy o f

th e statemen

t require d b y paragrap h (a) ; (d ) Notifyin

g th e enqiloye e in th e statonot t require d b y paragrap

h (a) that , a s aconditio n o f empbyment

supported b y the subsidy , th e eniployee will

- (1 ) Abid e b y di e term s o f

di e statement ; an

d (2 ) Notif y di e employe

r in writing o f

hi s or ha t conviction fo

r avioMb n o f

acrimina l dru g statut e occurrin g i n di e woiiqilac e n o late r tha n five calenda

r day s afte r such convktioji ; (e ) Notifyin

g th e ^eiK y i n writing , withi n ten calenda r day s afte r receivit ^ notic e unde

r paragraph (dX2) fioman employee o r otherwis e receivin g actua

l notic e o f convictio a Employers o f

convicted em|>loyees mus t

provid e notice

^ includin g pc^tio n tide , t o tt e OfiBc e o f Aviatio n Analysis

. Notic e shall include th e orde r numbe r o f eac h affecte

d subsidize d service ; (f ) Taking on e o f

the followin

g actbns , v^diin 3 0 day s o f receiving notic e unde

r paragn ^ (dX2) , wit h respec t t o an y employee who i s s o convicted

- (1 ) Takin g a|^[»T>priat

e psoonne l actio n agains t

suc h a n enq>loyee , u p t o an d including termination , consistoi t

wit h di e requirement s o f

th e Rehabilitatio n Ac t

o f 1973 , a s amended , o r (2 ) Requiring suc h employe e t o participat e satis&ctoril

y i n adru g abus e assistanc e or rehabilitatico

i progra mapprove d fo

r suc h purpose s b y aFederal , Stat e o r loca l health , la w enforcanent , o r

other appropriat e agency ;(g ) Nfekin g agoo d feidi effor

t t o continu e t

o maintai aadrug-lSre

e workplac e throug h inqilramentatio

n o f par^^gn^h s (a) , (b) , (c) , (d) , (e ) and (f)

.
B

. Th e subsidize d essentia l ai r servic e carrie

r may , but i s iK> t require d to , inser

t i n the spac e providai belo w th e sit

e for th e poformanc e o f

wor k don e in coimection wit

h di e specific gran t

Place s o f Performanc e (street

address , city , county , state , zip code)

. Fo r th e provisio n o f

essentia l ai r service , woriqplace s ii»;lud

e outstations , maintenanc e sites , headquarter s office locations , training site s an d an y other worksite s what

J wor k i s perfonne d tiiat

i s siqiported b y the subsidy

. 384 2 Universit yAvenue , Sout h
385 2 Universit yAvenue , Sout h Fairbanks , AK 9970 9
Fairbanks , AK 9970 9

Chec k [ ] i f there are workplace s o n fil e dia t ar e no t idmtifie d here

.



### F£3

. ^l^^i ^ Signatur e Dat eUNITE D STATE S O F AMERIC A DEPARTMEN T O F TRANSPORTATIO N OFFIC E O F TH E SECRETAR Y OFFIC E O F AVIATIO N ANALYSI S CERTIFICATIO N REGARDIN G INFLUENCIN G ACnVITIE S

Certiflcatio n fo r

Contract s Grants , Loans , an d Cooperativ e Agreement s Th e undersigne d certifies , to th e bes t o f hi s o r her knowledg e an

d behe ^ diat : (1 ) N o Fedeara

l apptopiisie d funds hav e been pai d or wU l b e paid , b y o r

o n bdial f o f th e undendgned , to any perso n for influencin g o r attempting to influenc e a

n office r o r employee o f any agency , aMembo * o f

Congress , a

n office r o r employee o f

Congress , o r

a n onaptoye e of aM«nbe r

o f Congres s i n cormection wifl i th e awardib g o f

an y Federa l coatr^Jt , the making o f an y Vedea l grant , th e makir ^ o f an y Federa l kmn , tl » entering int

o o f an y cooperativ e agreement , and di e extension , continuation , renewal , amendmoit , o r modification o f

an y Federa l contract , grant , loan , or

cooperativ e agreement (2 ) I f an y fimd s other dia n Federa l apptopmte d fuiKl

s hav e bee n pai d o r will b e pai d to an

y poison fo r influencin g o r attraixptin g to influenc e a

n office r o r enq)loyee o f

an y agency , a Membe r o f Congr^s , a

n office r o r employe s o f

Congress , o r

a n enq>loye e o f aMembe r o f Congres s i n connectio n widi thi s Federa l contract , grant , loan , or

cooperativ e agreement , di e undesigne d shall complet

e an d submit

Standar d Fonn-LLL , "Disclosur

e For mt o Rqx}r t InflueiKin g Activities, " i n accordanc e wit h it s ii^tructions

. (3 ) The undersigne d shall requir e dia t the toiguage o f

tins certification b e included in the awar d document s fo

r al l subaward s £

^ al l tiers (includin g subcontracts , subgran ^ and contract s unde

r grants , toans ac d cooperativ e agreements ) an d tha t al l subiecipiaat s shal l certif y an d disclos e accordingfy

. Thi s certificatio n i s amateria l representatio n o f

fac t upo n whi^

h relianc e wa s place d when thi s transactio n wa s made o r e^itere d into

. Submission o f

thi s c^rtificaticst

i s aprerequisit

e fo r making o r

entering int

o tfiis tzansaK^tio

n imposed b y section 1352 , titt e 31 , U.S

. Code

. An y peraj n wh o Mi s to file th e require d certification shall b e subjec t t o acivil penaif

y o f no t les s dia n $10,00 0 and no t

mor e dia n $100,00 0 fo

r eac h suc h faihire

.

/ ^

. J2-7 ^ .^LQ /

3 > Signatur e Dat e Presiden t

Wrigh t Ai r Serviie , Inc

. Tid e Ai r Carrie r Heal y Lake , Alask a Essentia l Air Servic e Point(s ) T o Which Certification Applie sUNITE D STATE S O F AMERIC A DEPARTMEN T O F TRANSPORTATIO N OFFIC E O F TH E SECRETAR Y OFFIC E O F AVLiTIO N ANALYSI S TITL E V I ASSURANC E (Implementin g Titl e V I o f th e Civi l Right s Ac t

o f 1964 , a s amended ) ASSURANC E CONCERNIN G NONDISCRIMINATIO N O N TH E BASI S O F DISABILIT Y I N FEDERALLY-ASSISTE D PROGRAM S AND ACTIVITIE S RECEIVIN G O RBENEFITIN G FRO M

FEDERA L FINANCIA L ASSISTANC E (Implementin g th e Rehabilitatio n Ac t o f 1973 , a s amended , an d th e Ai r Carrie r Acces s Ac t

o f 1986 ) 4 9 CF RPart s 2 1 an d 2 7 an d 1 4 CF RPart s 271 , an d 38 2

Wrigh t Ai r Service , Inc

. (di e Recipient ) HEREB Y AGREE S THAT , (Nam e o f Recipient ) I

. A s acorKhtio

n to receiving any Federa

l financial assistanc e fromth e Departmm t o f Transportation , i t

will conqily : wid

i Tid e V I o f

tiie Civil R^ht s i ^ o f

1964 , a s amended , 4 2 U.S.C

. 2000d--4 2 U.S.C

. 2000d-4 ; al l requirranait s imposed b y o r pursuan t to : Tide 49 , Cod

e o f Federa l Regulatk>ns , Par

t 21 , Nondiscrimination in FedaaUy-Assiste d Progratn s o f

th e Departmen

t o f Transportation-Effectuatio n o f Titl e VI o f

the Civil Rights Ac t o f 1964 ; an d otibe r pertinen t directive s s o dia

t n o perso n i n di e United State s shall , o n th e ground s o f race , coknr

, o r nationa l origin , b e exclud» l fiomparticii»tio n in , b e denie d the benefit s of , o r b e otherwis e subjected to discriminatio n unde r an y proj^s mo r

activit y fo r which th e Recipien

t receive s Federa

l fmancia l assistanc e fiomdi e Departmen t o f Transportation

. Thi s assuranc e i s required b y Tid e 49 , Code o f Federa l Regulations , section 21.7(a ) an d Tide 14 , Code o f

Federa l l^ulations , sectio n 271.9(c)

. II

. A s aconditio n to receiving any Federa l financial assistanc e fiomd ^ Departmen

t o f Tran^x>rtation , i t

wil l compl

y with : section 50

4 o f d » Rehabilitation Ac

t o f 1973 , a s amende d (2 9 U.S.C

. 794) ; di e Ai r Carrier Acces s Ac t

o f 198 6 (4 9 U.S.C

. 1374(c)) ; an d al l requironent s inc^wse

d b y o r pumiair t to Tid e 49 , Cod

e of Federa l R<^ilations , Par

t 27 , Nondiscrimination on the Basi s o f Handica p i n Program s aiK

l Activitie s Receiving o r Benefittin g fiomFedera

l Finaru:ia l Assistance , Tid e 14 , Cod e o f Federa l Regulations , Par

t 382 , Nondiscrmdnation o n th e Basi s o f Handica p i n Ai r Travel ; an d othe r pertbnen t directive ss o di ^ n o otherwis e qualifie d poso n widi adisability , b e exchided fisMtn participation in , b e denied di e benefit s o ^ h e disoriminated agains t b y reason o f

suc h handic: ^ i n th e provisio n o f ai r ttan^iortation , o r

otherwis e b e subjecte

d to discaiminatio

n unde r an y {Hogra mfo r whic h di e Recipien

t receive s Federa

l finaiKnal assistanc e fiomdi e Departmen t o f Transportation

. Thi s assuranc e i s ropure d b y Tid e 49 , Cod e o f Feda:a l Regulations , sectio n 27. 9 and Tid e 14 , Code o f

Federa l Regulations , section s 271.9(c ) and 382.9

. III

. I t wil l pittmpd

y tak e an y meaure s necessar

y t o effectuat

e thi s agreemen t

Th e Ro^ipien t fitrther agree s dia t i t shall tak e reasonabl e action s to guarante e dia t it , it s contractor s and subcontractor s subject to th e Departmen

t o f Tran^xirtatio n regulation s cite d above , transfaees , an d successor s i n inteares t wil l compl

y vrit h all requirement s imposed or pursuan t to the statute s and Departm^ t o f Transportatio n regulation s cite d above , other pertinen t directives , and th e abov e assurar^es

. IV

. Thes e assurance s obligat e th e Recipien

t fo r th e perio d durin g whic h Federa l financial assistanc e i s extendo L Th e Recipien t agree s tha t di e Urute d Stat ^ ha s aright

to see k judicial oiforcement

widi regar

d to an y matte

r arisin g unde

r th e statute s and Departmen t of Transportatio n regulation s cite d above , othe r pertinen t directives , an

d d w above assurances . V

. Thes e assirance s are giva i fo r th e purpos e o f

obtainin g Feda:a

l subsid y unde r th e Essentia

l Ai r Servic e Progra

mand are biiidin g o n the Recipient , contractors , subcontr»;tors , transferees , su(x:essor s i n interest , and a

U other participant s receivin g Federa l subsid y i n di e Essentia

l Ai r Servic e Program

. Th e perso n o r person s whos e signature s ^pea r belo w at e audiorize d t o sigpn t dii s agreemen

t o n behalf o f the Recipien t VI

. I n additico

i t o thes e assurances , di e Recipien t agree s to file: asummar

y o f al l complaint s filed agains t

i t wiflri n di e pas t yea r tha t alleg e vk)lation(s ) b y th e Recipien t o f Tide V I o f di e Civ U Right s Ac t

o f 1964 , a s anended , sectio n 50 4 o f di e Rehabilitation Ac t

o f 1973 , a s amended , o r

th e Ai r Carrie r Acces s Ac t

o f 1986 ; o r astatanen t

tha t dtere hav e bee n n o complaint s filed agains t

i t Th e summar

y should includ

b the dat e th e comprin t

wa s filed, th e natur e o f di e complaint , th e statu s or outcom e o f th e complain

t (i.e. , v/bd^yi

^ i t i s stil l pending o r ho w i t wa s resolved)

.

Dat e ' Lega l Nam e o f Recipien t

Sipatur e o f

Authorized Officia

l