Federal Aviation Administration (FAA) - Transfer of Entitlements 2015 Contract Tracking>Thank You http://intraweb.ci.boulder.co.us/ContractTracking/servlet/Controller
CITY Gf ``'` "•l".--iT OFFICE OF THE CITY ATTORNEY
CITY ATT''.R( FILE
CES'RA `` `"''$ MAR 2 4 2015
2015 MAR 31 PM 4: 56 TO:
STANDARD
Contract Routing Cover Sheet
Please print and attach to your document
You can view the status of your contract using the Contract Tracking Status Paoe.
Routing Number 20150318-0436
Originating Dept Public Works
Contact Person Tim Head Phone Number 303-441-3108
Project Manager/ Contract Tim Head E-mail headt@bouldercolorado.gov
Administrator
Counter Parties Federal Aviation Administration (FAA)
Contract Title/ Type Transfer of FAA funds
Number
Description Please see attached cover sheet for information. NOTE: Please date CAO signature so that it's of
after date of City Manager's signature.
Special Instructions Please sign all four originals and return three originals to Tim Head
Amount $150,000 Expense Type OUTGOING
• Dept. Head Signature
NOTE; Originating Depa : I enb with a h ck mark all areas document needs to be routed.
•.WKchackrg,
••.5aFe�. Tax,
• CAO
• City Manager
• Central Records
rontract Trackincl Home I Signature Routina Form I Track Contract Status I Update Contract Status
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1 of 1 3/18/2015 1:58 PM
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U.S. Department
of Transportation
Federal Aviation
Administration
AGREEMENT FOR TRANSFER OF ENTITLEMENTS
In accordance with section 47117(c)(2)of Tide 49 U.S.C.(hereinafter called the"Act"):
CITY OF BOULDER,COLORADO
Hereby waives receipt of the following amount of funds apportioned to it for each fiscal year specified under section
47114(c)(1)of the Act.
Amount Fiscal Year
$150,000 NP2015
TOTAL $ $150,000
On the condition that the Federal Aviation Administration makes the waived amount available to:
COUNTY OF ARCHULETA,COLORADO
For eligible projects under section 47104(a)Act. This waiver shall expire on earlier of September 30,2015 or when the
availability of apportioned funds would lapse under section 47117(b) of the Act.
FOR THE UNITED STATES OF AMERICA FOR: CITY OF BOULDER,COLORADO
FEDERAL AVIATION ADMINISTRATION
BY: BY: �JGw S
(Sponsor'ys�Official Designated R presentadve)
TITLE: MaraglDenver Airports District Office TITLE: I-JV
DATE: DATE: `11' ltc�� 201 r,
CERTIFICATE OF SPONSOR'S ATTORNEY
I,
/aO4 g as Attorney for the Sponsor do hereby certify:
That I have examined the foregoing Agreement and find that the Sponsor has been duly authorized to make such transfer and
that the execution thereof is in all respects due and proper and in accordance with the laws of the State of Colorado and the
Act
Dated at—,,. this day of ,2015
BY:
(Signature of Sponsor's-IN ttoroey
FAA Form 5100-110(12/90)