Walla/Master Plan Update Project Request for ReimbursementJWJZ Breffing
Engineesw� Inc.
Engineering
planning Transportation e Wastewater 0 Airports 9 Water e Site Development @ Structures
rafflffulr'ngKalispell Office
1372 Airport Road
Kalispell, MT 59901
406.755.8602 FAX 406.755.8710
Email: Mail@stellinginc.com
March 8, 2012
Mr. Charles Harball, Acting City Manager
Attn: Fred Leistiko
City of Kalispell
201 1st Avenue East
Kalispell, MT 59901
RE: Kalispell City Airport —Master Plan Update Project
AIP 3-30-0043-003-2010
Dear Mr. Harball:
Please find enclosed Request for Reimbursement (RFR) No. 5 and updated Progress Report for the
Kalispell City Airport Master Plan Update, AIP 3-30-0043-003-2010. Please sign the RFR and
mail it with the enclosed letter and invoices directly to Gary Gates at the FAA. I have also
enclosed a copy of the RFR package for your files. RFR No. 5 includes the following:
Engineering Fees
Task 1 — Master Plan Update
Task 2 — ALP Update
Task 3 — Public Outreach Program
Total Allowable Costs
Federal Share (95% of Allowable)
Sponsor Share (5%)
$9,900.00
7,500.00
3,699.76
Subtotal Engineering Fees $21,099.76
$21,099.76
$20,045.00
$1,054.76
In approximately two (2) to three (3) weeks, you will receive a direct deposit from the FAA
in the amount of $20,045.00 The Federal government requires you to make payment on
outstanding claims within five (5) business days of receiving your reimbursement. Upon receipt
of your FAA payment on RFR No. 5, please make the following payments:
Stelling Engineers, Inc. $21,099.76
Sincerely,
Jeff Walla, P.E.
Stelling Engineers, Inc.
JW:aa
Enclosure
Z:\Project-Active\Airports\0043 -Kalispell City\003-2010\Grants\RFR's\RFR No 5\0043-003-2010 RFR No 5 Transmit Harball.doc
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HEEnginee
Engineering -
Planning 0 Transportation
ransuiring Kalispell Office
1372 Airport Road
Kalispell, MT 59901
406.755.8602 FAX 406.
Email: Mail@stellinginc.(
March 8, 2012
Mr. Gary Gates, PE
Helena Airports Division Office
Federal Aviation Administration
FAA Building, Suite 22725 Skyway Drive
Helena, MT 59601
RE: Kalispell City Airport — Master Plan Update
AIP 3-30-0043-003-2010
Dear Mr. Gates:
Please find enclosed Request for Reimbursement (RFR) No. 5 for the Kalispell City Airport
Master Plan Update, AIP 3-30-0043-003-2010 project.
RFR No. 5 includes the following:
Engineering Fees
Task 1 — Master Plan Update
Task 2 — ALP Update
Task 3 — Public Outreach Program
Total Allowable Costs
Federal Share (95% of Allowable)
Sponsor Share (5%)
Sincerely,
Jeff Walla, P.E.
Stelling Engineers, Inc.
JW:aa
Enclosure
$9,900.00
7,500.00
3,699.76
Subtotal Engineering Fees $21,099.76
$21,099.76
$20,045.00
$1,054.76
Z:\Project-Active\Airports\0043 -Kalispell City\003-2010\Grants\RFR's\RFR No 5\0043-003-2010 RFR No 5 Transmit Gates.doc
Brelling
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Engineering
laff Iniff 29 9 Transportation
f:0noulting Kalispell Office
1372 Airport Road
Kalispell, MT 59901
406.755.8602 FAX 406.
Email: Mail@stellingina.i
City of Kalispell
306 1st Avenue East
PO Box 1997
Kalispell, MT 59903
For Professional Services through March 02, 2012
Tax I D#: 81-0513236
Invoice number 2852
Date 03/08/2012
Project 0043-003 KALISPELL CITY AIRPORT
MASTER PLAN UPDATE
In accordance with the Master Agreement dated February 1, 2010 and Contract Amendment No. 1 dated July 20, 2010 between City
of Kalispell and Stelling Engineers, Inc. for City of Kalispell Master Plan Update Project:
Invoice Summary
Contract
Percent
Total
Prior
Remaining
Current
Description
Amount
Complete
Billed
Billed
Percent
Billed
Task 1 Master Plan Update
$45,000.00
97.00
$43,650.00
$33,750.00
3.00
$9,900.00
Task 2 ALP Update
12,500.00
85.00
10,625.00
3,125.00
15.00
7,500.00
Task 3 Public Outreach Program
37,000.00
95.00
35,149.76
31,450.00
5.00
3,699.76
Task 4 Project Closeout
3,300.00
0.00
0.00
0.00
100.00
0.00
Total
$97,800.00 91.44
$89,424.76 $68,325.00
8.56 $21,099.76
Amount
Task 1 Master Plan Update
Contract Amount
$45,000.00
Percent Complete
97.00
Total Billed
$43,650.00
Prior Billed
$33,750.00
Remaining Percent
3.00
Current Billed
$9,900.00
Task 2 ALP Update
Contract Amount
$12,500.00
Percent Complete
85.00
Total Billed
$10,625.00
Prior Billed
$3,125.00
Remaining Percent
15.00
Current Billed
$7,500.00
Task 3 Public Outreach Program
Contract Amount
$37,000.00
Percent Complete
95.00
Total Billed
$35,149.76
Prior Billed
$31,450.00
Remaining Percent
5.00
Current Billed
$3,699.76
City of Kalispell
Invoice number 2852
Invoice date 03/06/2012
Page 1 of 2
Project 0043-003 KALISPELL CITY AIRPORT MASTER PLAN UPDATE Date 03/06/2012
Task 4 Project Closeout
Contract Amount $3,300.00
Percent Complete 0.00
Total Billed $0.00
Prior Billed $0.00
Remaining Percent 100.00
Current Billed $0.00
Total $21,099.76
Invoice total $21,099.76
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
2796
2852
Approved by:
Jeffrey J. Walla
Branch Office Manager
12/16/2011 $20,500.00
03/06/2012 21,099.76 21,099.76
Total $41,599.76 $21,099.76
$20,500.00
$0.00 $20,500.00 $0.00 $0.00
City of Kalispell Invoice number 2852 Invoice date 03/06/2012
Page 2 of 2
.-.. • •-r. • • — _11 I _ 11ca — 1-1 ROIVIO URJCIVIGItl I
FOR CONSTRUCTION PROGRAMS
OMB APPROVAL N0. 0348-0002
PAGE OF
1 PAGES
1. TYPE OF REQUEST
Z BASIS OF REQUEST
(See instructions on back)
[ ] FINAL [ X ] PARTIAL
[X ] CASH [ ] ACCRUAL
3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO
4. FEDERAL GRANT OR OTHER
5. PARTIAL PAYMENT REQUEST NO.
WHICH THIS REPORT IS SUBMITTED
IDENTIFYING NUMBER
DOT -FAA
ASSIGNED BY FEDERAL AGENCY
Five (5)
DOT-FA10NM-2032
S. EMPLOYER IDENTIFICATION
17. RECIPIENT'S ACCOUNT NUMBEF
PERIOD COVERED BY THIS REQUEST
FROM (Month, day, year)
(Month, day, year)
NUMBER
OR IDENTIFYING NUMBER
81-6001281
3-30-0043-003-2010
12/17/2011
ITO
3/2/2012
9. RECIPIENT ORGANIZATION
10. PAYEE (Where check is to be sent if different than Item 9)
Vame: City of Kalispell
Name:
Vo. and street: 201 1st Avenue East
No. and Street:
:ity, State and Kalispell, MT 59901
City, State and
JP Code:
ZIP Code:
11. STATUS OF FUNDS
CLASSIFICATION
TOTAL
No. 1-3
No.4
No.5
a. Administrative expense
$0.00
�. Preliminary expense
$0.00
:. Land, structures, right-of-way
$0,00
i. Architectural engineering basic fees
$47,825.00
$20,500.00
$21,099.76
$89,424.76
I. Other architectural engineering fee
$0.00
Project inspection fees
$0.00
I. Land development
$0.00
Relocation expense
$0.00
Relocation payments to individuals and businesses
$0.00
Demolition and removal
$0.00
Construction and project improvement cost
$0.00
Equipment
$0.00
I. Miscellaneous cost
$0.00
Total cumulative to data (sum oflines a thru m)
$47,825.00
$20,500.00
$21,099.76
$89,424.76
Deductions for program income
$0.00
Net cumulative to date (line n minus line o)
$47,825.00
$20,500.00
$21,099.76
$89,424.76
Federal share to date
$84,953.00
Rehabilitation grants (100% reimbursement)
$0.00
Total Federal share (sum of lines q and r)
$84,953.00
Federal payments previously requested
$64,908.00
Amount requested for reimbursement
$20,045.00
Percentage of physical completion of project (Grant Amount $92,910.00)
91.4%
'. CERTIFICATION
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
DATE REPORT SUBMITED
a. RECIPIENT
Z
:'/j L L_
I certify that to the best of my knowledge and
d
TYPEDO E DTITLE
TELEPHONE(area toes. number,
belief the billed costs or disbursements are in
accordance with the terms of the project and that
`
ene eaensonl
the reimbursement represents the Federal share
P
Charles Harba ll
(406) 758-7703
due which has not been previously requested and
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
DATE SIGNED
that an inspection has been performed and all
work is in accordance with the terms of the award.
3/8/2012
b.
REPRESENTATIVE
TYPED OR PRINTED NAME AND TITLE
TELEPHONE (aee code, number.
CERTIFYING TO LINE 11
end ez�envonl
Jeff Walla, PE
406-755.8602
THORIZED FOR LOCAL REPRODUCTION STANDARD FORM 271 (Rev. 7-97)
EVIOUS EDITION USABLE Prescribed by OMB Circular A-102 and A-110
-103
Z:\Project-Active\Airports\0043 - Kalispell City\003-2010\Grants\RFR's\RFR No 5\0043-003-2010 RFR No 5.xis