12/16/11 RFR No. 4Iftelling
Kalispell Office
1372 Airport Road
Kalispell, MT 59901
406,755,8602 FAX 406,755,E710
Email. Mail@.stellinginc.com
December 16, 2011
Ms. Jane Howington, 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 Ms. Howington:
Please find enclosed Request for Reimbursement (RFR) No. 4 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. 4 includes the following:
Engineering Fees 'Ri7,/
Task 1 — Master Plan Update ll $11,250.00 �5 °
0
Task 3 — Public Outreach Program 00, 500 9,250.00 �S o
Subtotal Engineering Fees $20,500.00
Total Allowable Costs $20,500.00
Federal Share (95% of Allowable) l B767 $19,475.00
Sponsor Share (5%) 1%4 75 � $1,025.00
In approximately two (2) to three (3) weeks, you will receive a direct deposit from the FAA
in the amount of $19,475.00 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. 4, please make the following payments:
Stelling Engineers, Inc.
Sincerely,
Jeff Walla, P.E.
Stelling Engineers, Inc.
JW:aa
Enclosure
$20,500.00
Z:\Project-ActiveWrports\0043 - Kalispell City\003-2010\Grants\RFR's\RFR No 4\0043-003-2010 RFR No 4 Transmit Howington.doc
NEBreffing
Enginee
Engineesing = —
planning * Transpottation
Consulting Kalispell Office
1372 Airport Road
Kalispell, IVIT 59901
406,755,8602 FAX 406,
Emaik Mai(@ste(ffnginc.(
December 16, 2011
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. 4 for the Kalispell City Airport
Master Plan Update, AIP 3-30-0043-003-2010 project.
RFR No. 3 includes the following:
Engineering Fees
Task I — Master Plan 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
$11,250.00
9,250.00
Subtotal Engineering Fees $20,500.00
$20,500.00
$19,475.00
$1,025.00
Z:\Project-Active\Airports\0043 -Kalispell City\003-2010\Grants\RFR's\R_FR No 4\0043-003-2010 RFR No 4 Transmit Gates.doc
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Engineers, ffmc.
Transportation e Wastewater o Airports o Water ® Site Development o Structures
Great Falls Office Helena Office Kat�eli Office
614 Park Drive South 2205 Lime Kiln Street 1372 Airport Road
Great Falls, MT 59405 Helena, MT 59601 Kalispell, MT 59901
406.452.8600 e Fax: 406.452.8700 406.443.0611 o Fax: 406.443.0755 406.755.8602 m Fax: 406.755.8710
Email: mail@stellinginc.com Email: kharris@stellinginc.com Email:jwalla@stellinginc.com
City of Kalispell
306 1 st Avenue East
PO Box 1997
Kalispell, MT 59903
For Professional Services through December 16, 2011
Invoice number 2796
Date 12/16/2011
Project 0043-003 KALISPELL CITY AIRPORT
MASTER PLAN UPDATE
Tax ID#:81-0513236
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 75.00
33,750.00
22,500.00
25.00
11,250.00
Task 2 ALP Update
12,500.00 25.00
3,125.00
3,125.00
75.00
0.00
Task 3 Public Outreach Program
37,000.00 85.00
31,450.00
22,200.00
15.00
9,250.00
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 69.86
68,325.00
47,825.00
30.14
20,500.00
Amount
Task 1 Master Plan Update
Contract Amount
45,000.00
Percent Complete
75.00
Total Billed
33,750.00
Prior Billed
22,500.00
Remaining Percent
25.00
Current
Billed
11,250.00
Task 2 ALP Update
Contract Amount
12,500.00
Percent Complete
25.00
Total Billed
3,125.00
Prior Billed
3,125.00
Remaining Percent
75.00
Current Billed
0.00
City of Kalispell
Invoice number 2796
Invoice date
12/16/2011
Page 1 of 2
Project 0043-003 KALISPELL CITY AIRPORT MASTER PLAN UPDATE Date 12/16/2011
Amount
Task 3 Public Outreach Program
Contract Amount 37,000.00
Percent Complete 85.00
Total Billed 31,450.00
Prior Billed 22,200.00
Remaining Percent 15.00
Current Billed 9,250.00
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 20 .nn nn
Invoice total 20,500.00
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
2796 12/16/2011 20,500.00 20,500.00
Total 20,500.00 20,500.00 0.00 0.00 0.00 0.00
Approved by:
Jeffrey J. Walla
Branch Office Manager
City of Kalispell Invoice number 2796 Invoice date 12/16/2011
Page 2 of 2
FOR CONSTRUCTION PROGRAMS
u VIQ Ar- VAL IVU. U040.000Z
1 PAGES
1. TYPE OF REQUEST
2. BASIS OF REQUEST
(See instructions on back)
[ ] FINAL [ X ] PARTIAL
] CASH X [ [ ]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
Four (4)
DOT-FAI ONM-2032
S. EMPLOYER IDENTIFICATION 7. RECIPIENT'S ACCOUNT NUMBEf
PERIOD COVERED
BY THIS REQUEST
FROM (Month, day, year)
TO (Month, day, year)
NUMBER OR IDENTIFYING NUMBER
81-6001281 3-30-0043-003-2010
6/30/2011
12/1612011
9. RECIPIENT ORGANIZATION
10. PAYEE (Where check is to be sent it different than item 9)
Vame: City of Kalispell
Name:
Vo, and street: 201 1 st Avenue East
No. and Street:
:ity, State and Kalispell, MT 59901
City, State and
?IP Code:
ZIP Code:
11. STATUS OF FUNDS
CLASSIFICATION
TOTAL
No. 1-2
No.3
No.4
r. Administrative expense
$0.00
/. Preliminary expense
$0.00
:. Land, structures, right-of-way
$0.00
!. Architectural engineering basic fees
$31,825.00
$16,000.00
$20,500.00
$68,325.00
Other architectural engineering fee
$0.00
Project inspection fees
$0.00
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
Miscellaneous cost
$0.00
Total cumulative to data (sum oflines a thru m)
$31,825.00
$16,000.00
$20,500.00
$68,325.00
Deductions for program income
$0.00
Net cumulative to date (line n minus line o)
$31,825.00
$16,000.00
$20,500.00
$68,325.00
Federal share to date
$64,908.00
Rehabilitation grants (100% reimbursement)
$0.00
Total Federal share (sum oflines q and r)
$64,908.00
Federal payments previously requested
$45,433.00
Amount requested for reimbursement
$19,475.00
Percentage of physical completion of project (Grant Amount $92,910.00)
69.9%
,CERTIFICATION
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
DATE REPORT SUBMITED
a.
RECIPIENT
I certify that to the best of my knowledge and
TYPED OR PRINTED NAME AND TITLE
TELEPHONE 02a coec, numbar.
belief the billed costs Or disbursements are In
accordance with the terms of the project and that
andortan:onl
the reimbursement represents the Federal share
P
Jane Howington
(406) 758-7703
due which has not been previously requested and
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
that an inspection has been performed and all
DATE SIGNED
work is in accordance with the terms of the award.
�/���
12/16/2011
b.
REPRESENTATIVE
TYPED OR PRINTED NAME AND TITLE
TELEPHONE (area code, number,
CERTIFYING
TO LINE 1
andeMensioy
Jeff Walla, PE
406-755-8602
HORIZED FOR LOCAL REPRODUCTION STANDARD FORM 271 (Rev. 7-97)
:VIOUS EDITION USABLE Prescribed by OMB Circular A-102 and A-110
103
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CITY OF KALISPELL
02/23/12 3:11 PM trs
RECEIPT NO:A218767 AMOUNT
FMSM FAA PLANNING GRT 19,475.00
PAYMENT RECEIVED AMOUNT
AE ACH 19475.00
TOTAL 19:475.00