04/25/12 RFR No. 6&JM7 X-rellinq
Ehgineeiw� Inc.
Engineering
planningTransportation 0 Wastewater 0 Airports 9 Water 0 Site Development 9 Structures
Consulting Kalispell Office
1372 Airport Road
Kalispell, MT 59901
406.755.8602 FAX 406.755.8710
Email: Mail@stellinginc.com
April 25, 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. 6 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. 6 includes the following:
Engineering Fees
Task 1 — Master Plan Update — 100% Complete $1,350.00
Task 3 — Public Outreach Program — 100% Complete 1,850.24
Subtotal Engineering Fees $3,200.24
Total Allowable Costs $3,200.24
Federal Share (95% of Allowable) $3,040.00
Sponsor Share (5%) $160.24
In approximately two (2) to three (3) weeks, you will receive a direct deposit from the FAA
in the amount of $3,040.00 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. 6, please make the following payments:
Stelling Engineers, Inc. $3,200.24
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. 6\0043-003-2010 RFR No 6 Transmit Harball.doc
NESrelling
Enginee
E-g
i Sri . Transportath
Great Faiis Office
�i
614 Park Drive South
Great Falls, MT 59405
406.452.8600 • Fax: 406.452.8;
Email: mail@stellinginc.com
City of Kalispell
306 1 st Avenue East
PO Box 1997
Kalispell, MT 59903
For Professional Services through April 20, 2012
Tax I D#: 81-0513236
Invoice number 2881
Date 04/25/2012
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
45,000.00 100.00
45,000.00
43,650.00
0.00
1,350.00
Task 2 ALP Update
12,500.00 85.00
10,625.00
10,625.00
15.00
0.00
Task 3 Public Outreach Program
37,000.00 100.00
37,000.00
35,149.76
0.00
1,850.24
Task 4 Project Closeout
3,300.00 0.00
0.00
0.00
100.00
0.00
EA Update
0.00 0.00
0.00
0.00
0.00
0.00
Marketing
0.00 0.00
0.00
0.00
0.00
0.00
Total
97,800.00 94.71
92,625.00
89,424.76
5.29
3,200.24
Amount
Task 1 Master Plan Update
Contract Amount
45,000.00
Percent Complete
100.00
Total Billed
45,000.00
Prior Billed
43,650.00
Remaining Percent
0.00
Current Billed
1,350.00
Task 2 ALP Update
Contract Amount
12,500.00
Percent Complete
85.00
Total Billed
10,625.00
Prior Billed
10,625.00
Remaining Percent
15.00
Current
Billed
0.00
City of Kalispell Invoice number 2881 Invoice date 04/25/2012
Page 1 of 2
City of Kalispell
Project 0043-003 KALISPELL CITY AIRPORT MASTER PLAN UPDATE
Invoice number 2881
Date 04/25/2012
Task 3 Public Outreach Program
Task 4 Project Closeout
Amount
Contract Amount
37,000.00
Percent Complete
100.00
Total Billed
37,000.00
Prior Billed
35,149.76
Remaining Percent
0.00
Current Billed 1,850.24
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 3,200.24
Invoice total 3,200.24
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
2881
Approved by:
Jeffrey J. Walla
Branch Office Manager
04/25/2012
Total
3,200.24 3,200.24
3,200.24 3,200.24 0.00 0.00 0.00 0.00
City of Kalispell Invoice number 2881 Invoice date 04/25/2012
Page 2 of 2
AWAC stenin-q
Eng1heerin
planning Transportation 9 Wastewater Airports 9 Water e Site Development 0 Structures
r Kalispell Office
1372 Airport Road
Kalispell, MT 59901
406.755.8602 FAX 406.755.8710
Email: Mail@stellinginc.com
April 25, 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. 6 for the Kalispell City Airport
Master Plan Update, AIP 3-30-0043-003-2010 project.
RFR No. 6 includes the following:
Engineering Fees
Task 1 — Master Plan Update — 100% Complete $1,350.00
Task 3 — Public Outreach Program —100% Complete 1,850.24
Subtotal Engineering Fees $3,200.24
Total Allowable Costs $3,200.24
Federal Share (95% of Allowable) $3,040.00
Sponsor Share (5%) $160.24
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. 6\0043-003-2010 RFR No 6 Transmit Gates.doc
OUTLAY REPORT AND REQUEST FOR REIMBURSEMENT
FOR CONSTRUCTION PROGRAMS
(see instructions on back)
OMB APPROVAL NO. 0348-0002
PAGE OF
1 1 1 PAGES
1. TYPE OF REQUEST
[ ] FINAL [ X ] PARTIAL
2. BASIS OF REQUEST
[X ] CASH [ ] ACCRUAL
3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO
WHICH THIS REPORT IS SUBMITTED
DOT -FAA
4. FEDERAL GRANT OR OTHER
IDENTIFYING NUMBER
ASSIGNED BY FEDERAL AGENCY
DOT-FA1 ONM-2032
5. PARTIAL PAYMENT REQUEST NO.
Six (6)
6. EMPLOYER IDENTIFICATION
NUMBER
81-6001281
7. RECIPIENT'S ACCOUNT NUMBEF
OR IDENTIFYING NUMBER
3-30-0043-003-2010
PERIOD COVERED BY THIS REQUEST
FROM (Month, day, year)
3/3/2012
TO (Month, day, year)
4/2012012
9. RECIPIENT ORGANIZATION
Name, City of Kalispell
No. and Street: 201 1 st Avenue East
City, State and Kalispell, MT 59901
ZIP Code:
10. PAYEE (Where check is to be sent if different than Item 9)
Name:
No. and Street:
City, State and
ZIP Code:
11. STATUS OF FUNDS
CLASSIFICATION
TOTAL
No. 1-4
No.5
No.6
a. Administrative expense
$0,00
b. Preliminary expense
$0.00
c. Land, structures, right-of-way
$0.00
d. Architectural engineering basic fees
$68,325.00
$21,099.76
$3,200.24
$92,625.00
e. Other architectural engineering fee
$0.00
f. Project inspection fees
$0.00
g. Land development
$0.00
h. Relocation expense
$0.00
i. Relocation payments to individuals and businesses
$0.00
j. Demolition and removal
$0.00
k. Construction and project improvement cost
$0.00
1. Equipment
$0.00
m. Miscellaneous cost
$0.00
n. Total cumulative to data (sum of lines a thru m)
$68,325.00
$21,099.76
$3,200.24
$92,625.00
o. Deductions for program income
$0.00
p. Net cumulative to date (line n minus line o)
$68,325.00
$21,099,76
$3,200.24
$92,625.00
q. Federal share to date
$87,993.00
r. Rehabilitation grants (100% reimbursement)
$0.00
s. Total Federal share (sum oflines q and r)
$87,993.00
t. Federal payments previously requested
$84,953.00
u. Amount requested for reimbursement
$3,040.00
v. Percentage of physical completion of project (Grant Amount $92,910.00)
94.7%
12. CERTIFICATION
I certify that to the best of my knowledge and
belief the billed costs or disbursements are In
accordance with the terms of the project and that
the reimbursement represents the Federal share
due which has not been previously requested and
that an inspection has been performed and all
work is in accordance with the terms of the award.
a. RECIPIENT
SIGNATURE OF AUTHORIZED CERTI N CIAL
DATE REPORT SUBMITED
TYPEDAME AND TITLE(
Charles Harball
TELEPHONE(Arn co d, numbe,
ends ren�n^)
(406) 758-7703
b. REPRESENTATIVE
CERTIFYING TO LINE 11
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
DATE SIGNED
3/8/2012
TYPED OR PRINTED NAME AND TITLE
Jeff Walla, PE
TELEPHONE (Area rode. numbe,
andene iv )
406-755-8602
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 271 (Rev. 7-97)
PREVIOUS EDITION USABLE Prescribed by OMB Circular A-102 and A-110
271-103
Z:\Project-Active\Airportsk0043 - Kalispell City\003-2010\Grants\RFR's\RFR No. 6\0043-003-2010 RFR No 6.xis