08/26/10 RFR No. 1HEEnyineerm, Inc.
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pla"I"ing e Transportation 0 Wastewater 9 Airports 9 Water 9 Site Development 9 Structures
Cau/te Kalispell Office
1372 Airport Road
Kalispell, MT 59901
406.755.8602 FAX 406.755.8710
Email: Mail@stellinginc.com
August 26, 2010RECEf"T"D
Ms. Jane Howington, City Manager SEP
Attn: Fred Leistiko
City of Kalispell
P.O. Box 1997 FINANCE OPl"ICE
Kalispell, MT 59901
KAL.ISPEL , I�;C pi'ANA
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. 1 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. I includes the following:
Engineering Fees 01 ecaw9/�7�iv J q? e°
Task 1 — Master Plan Update 10/11 I //� ga $9,000.00
Task 2 — ALP Update i�, /0 1,250.00
Task 3 — Public Outreach Program 1,850.00
Subtotal Engineering Fees $12,100.00
Total Allowable Costs $12,100.00 fE 0
Federal Share (95% of Allowable) $11,495.00'
Sponsor Share (5%) tl,1 q $605.00yA 91 2'? I to
In approximately two (2) to three (3) weeks, you will receive a direct deposit from the FAA
in the amount of $11,495.00 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. 1, please make the following payments:
Stelling Engineers, Inc.
Sincerely,
Jeff Walla, P.E.
Stelling Engineers, Inc.
Enclosure
$12,100.00
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Engineers,
Franning e Transportation 9 Wi
canouirmg Kalispell Office
1372 Airport Road
Kalispell, IVIT 59901
406.755.8602 FAX 406.755.871
Email: Mail@stellingine.com
August 26, 2010
Ms. Jane Howington, City Manager
Attn: Fred Leistiko
City of Kalispell
P.O. Box 1997
Kalispell, MT 59901
M�� =M
Please find enclosed Request for Reimbursement (RFR) No. 1 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. 1 includes the following:
Engineering Fees
Task 1 — Master Plan Update $9,000.00
Task 2 — ALP Update 1,250.00 X
Task 3 — Public Outreach Program 1,850.00—
Subtotal Engineering Fees $12,100.00
Total Allowable Costs
In approximately two (2) to three (3) weeks, you will receive a direct deposit from the FAA
in the amount of $11,495.00 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. 1, please make the following payments:
Stelling Engineers, Inc. $12,100.00
Sincerely,
Jeff Walla, P.E.
Stelling Engineers, Inc.
Enclosure
Z:\Project-Active\Airports\0043 -Kalispell City\003-2010\Grants\RFR!s\0043-003-2010 RFR No 1 Transmit Howington.doc
eers, Inc.
Transportation ! Wastewater e Airports 9 Water ® Site Development e Structures e
Kalispell Office
1372 Airport Road
Kalispell, MT 59901
406.755.8602 FAX 406.755.8710
Email: Mail@stellingine.com
August 26, 2010
Ms. Jane Howington, City Manager
Attn: Fred Leistiko
City of Kalispell
P.O. Box 1997
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. 1 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. 1 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%)
$9,000.00
1,250.00
1,850.00
Subtotal Engineering Fees $12,100.00
$12,100.00
$11,495.00
$605.00
In approximately two (2) to three (3) weeks, you will receive a direct deposit from the FAA
in the amount of $11,495.00 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. 1, please make the following payments:
Stelling Engineers, Inc. $12,100.00
Sincerely,
Jeff Walla, P.E.
Stelling Engineers, Inc.
Enclosure
Z:\Project-Active\Airports\0043 - Kalispell City\003-2010\Grants\RFR's\0043-003-2010 RFR No I Transmit Howington.doc
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planning eTransportation 9 Wastewater e Airports 9 Water 9 Site Development 0 Structures
consulting Kalispell Office
1372 Airport Road
Kalispell, MT 59901
406.755.8602 FAX 406.755.8710
Email: Mail@stellinginc.com
August 26, 2010
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. 1 for the Kalispell City Airport
Master Plan Update, AIP 3-30-0043-003-2010 project.
RFR No. 1 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%)
Enclosure
$9,000.00
1,250.00
1,850.00
Subtotal Engineering Fees $12,100.00
$12,100.00
$11,495.00
$605.00
Z:\Project-Active\Airports\0043 - Kalispell City\003-2010\Grants\RFR's\0043-003-2010 RFR No 1 Transmit Gates.doc
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614 Park Wve South
Great Fags. MT 59405
406.452UW - Fax: 406.452.8700
Email: mallbstellfton-com
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Hateria office
2205 Lime Kiln Street
Helena, MT 59601
40&443.0611 - FaX 405.443.0755
Email'. wraftesteflingimcom
August 25, 2010
City of Kalispell
201 1st Avenue East
Kalispell, MT 59901
Professional Services Invoice#:
KALISPELL CITY AIRPORT MASTER PLAN UPDATE TAXID #:
KALISPELL, MONTANA PROJECT NO:
A.I.P. 3-30-0043-003-2010
KafiSpell OffiCe
1372 Al Wft Road
Kalispell, MT 59901
406.755.8602 - F= 406.755,8710
Email., Imllacastellinilimcom
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Plan Update Project.
Services through August 20, 2010
Project Completion
Total Amount Earned to Date
Total Amount Billed Previously
$45,000.00
20%
$9,000.00
0.00
--------------
$9,000.00
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Engineers, tivir.
® Transportation a Wastewater e Airports -plater a Site Development a Structures
t Falls
614 Park Drive South
Great Falk, MT 59405
406A52.UW - FaX: 406ASZ8700
Email: mallostellini0mcom
=5 Lime Win Street
Helena, MT S9601
406.443.0611 - Fax: 406.443.0755
Email: khanisestellftinccoat
August 25, 2010
City of Kalispell
201 1 st Avenue East
Kalispell, MT 59901
Professional Services Invoice#:
KALISPELL CITY AIRPORT MASTER PLAN UPDATE TAX ID #:
KALISPELL, MONTANA PROJECT NO
A.I.P. 3-30-0043-003-2010
Kallsvell Office
1372 Airport Road
KalispelL MT 59901
406.7552602 - Fa)c406.7552710
EM8ll:Jwal!aQStell[V=com
In accordance with the Master Agreement dated February 1, 20 10 and Contract Amendment No. I dated July
20, 20 10, between the City of Kalispell and Stelling Engineers, Inc. for the City of Kalispell Master Plan
Update Project.
Services through August 20, 2010
Total Amount of Contract (Lump Sum)
Project Completion
Total Amount Earned to Date
Total Amount Billed Previously
$12,500.00
10%
$1,250.00
0.00
--------------
$1,250.00
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Engineers, mir.
a Transportation e Wastewater a Airports ® Water a Site Development ® Structures
614 Park Drive South
Great Fads, W S9405
406.452,8600 - Rx 406.452.8700
EMB11: Maff@Stelffng!nC.CDM
Helena mce
2205 Llme Kiln Street
Helena, Mr 59601
406.443.0611 - FaX 406.443.0755
Email: kharrisastellhalgirr-com
August 25, 2010
City of Kalispell
201 1st Avenue East
Kalispell, MT 59901
Professional Services Invoice#:
KALISPELL CITY AIRPORT MASTER PLAN UPDATE TAXIED #.-
KALISPELL, MONTANA PROJECT NO:
A.I.P. 3-30-0043-003-2010
I = L �#
1372 A#M Road
KallSpall, Mr 59901
406ISSAM - Fax. 406.755.8710
Email: 1wallaOstallinginc.com
In accordance with the Master Agreement dated February 1, 2010 and Contract Amendment No. I dated
July 20, 2010, between the City of Kalispell and Stelling Engineers, Inc. for the City of Kalispell Master
Plan Update Project.
Services through August 20, 2010
Total Amount of Contract (Lump Sum)
Project Completion
Total Amount Earned to Date
Total Amount Billed Previously
$37,000.00
5%
$1,850.00
0.00
-----------------
$1,850.00
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OUTLAY REPORT AND REQUEST FOR REIMBURSEMENT
OMB APPROVAL NO.0348-0002
PAGE OF
FOR CONSTRUCTION PROGRAMS
1 1 1 PAGES
TYPE OF REQUEST
2. BASIS OF REQUEST
1.
(See instructions on back)
[ ] FINAL [ X ] PARTIAL
[ X ] CASH [I 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
One (1)
DOT-FAI ONM-2032
6. 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
7/15/2010
8/25/2010
9. RECIPIENT ORGANIZATION
10. PAYEE (Where check is to be sent if different than Item 9)
Name: City of Kalispell
Name:
No. and Street: 201 1st Avenue East
No. and Street:
City, State and Kalispell, MT 59901
City, State and
ZIP Code:
ZIP Code:
11. STATUS OF FUNDS
CLASSIFICATION
TOTAL
No. 1
a. Administrative expense
$0.00
b. Preliminary expense
$0.00
c. Land, structures, right-of-way
$0.00
d. Architectural engineering basic fees
$12,100.00
$12,100.00
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
I. Equipment
$0.00
m. Miscellaneous cost
$0.00
n. Total cumulative to data (sum oflines a thru m)
$0.00
$0.00
$12,100.00
$12,100.00
o. Deductions for program income
$0.00
p. Net cumulative to date (line n minus line c)
$0.00
$0.00
$12,100.00
$12,100.00
q. Federal share to date
$11,495.00
r. Rehabilitation grants (100% reimbursement)
$0.00
s. Total Federal share (sum of lines q and r)
$11,495.00
I. Federal payments previously requested
$0.00
u. Amount requested for reimbursement
$11,495.00
v. Percentage of physical completion of project (Grant Amount $92,910.00)
12.4%
12. CERTIFICATION
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
DATE REPORT SUBMITED
a. RECIPIENT
I certify that to the best of my knowledge and
PED OR PRINTED NAME AND TITLE
TELEPHONE (Area code, number,
belief the billed Costs or disbursements are in
accordance with the terms of the project and that
and-t-ftr)
the reimbursement represents the Federal share
Jane Howington
(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.
8/2512010
b. REPRESENTATIVES'
r P
CERTIFYING TO LINE 11
TYPFD O6AD TITLE
TELEPHONE (Area code, number,
and -Mansion)
Jeff Walla, PE
406-755-8602
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION USABLE
271-103
STANDARD FORM 271 (Rev. 7-97)
Prescribed by OMB Circular A-102 and A-110
C:\Users\Jeff\Desktop\0043-003-2010 RFR No 1.xls