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<br />DEPARTMENT OF TRANSPORTATION. FEDERAL AVIATION ADMINISTRATION <br /> <br />OM1!\ NO. III)-R(¡1114 <br /> <br />PART III - BUDGET INFORMATION - CONSTRUCTION <br />SECTION A - GENERAL <br />1. Federal Domestic Assistance Catalog No. . . . . . . . . . . .. lO.106 <br /> <br />2. Functional or Other Breakout. . . . . . . . . . . . . . . . . . .. <br /> <br />SECTION B - CALCULATION OF FEDERAL GRANT <br /> Use only for revisions <br /> Total <br />Cos' ClossHicøtian Amount <br /> lotest Approved Ad justment Required <br /> Amount + or (-) <br />1. Administration expense S $ $ 500 <br />2. Prel,11inaryexpense <br />3. Lartd,structures, right-oJ-way <br />4. Architectural engineering basic fees 53,879 <br />5. Other architectural engineering fees (Testing) 17,842 <br />6. Project .nspection tees 3R fiR':! <br />7. Land development <br />8. Relocation Expenses <br />9. Relocation payments to Indivitluals ana Businesses <br />10. Demolition and removal <br />11. Construction and project improvement 889,096 <br />12. Equipment <br />3. Miscellaneous <br />4. Total (Lines 1 through 13) 1,000,000 <br />15. Estimated Income (if applicable) <br />16. Net Project Amount (Line 14 minus IS) 1,000,000 <br />17. Less: Ineligible Exclusions <br />la. Add: Contingencies <br />19. Total Project Amt. (Excluding Rehabilitation Grants) 1,000,000 <br />20. Federal Share requested of Line 19 900,000 <br />21. Add Rehæilitation Grants Requested (lOa Percent) <br />22. Total Federal grant re~ested (Lines 20 & 21) 900,000 <br />23. Grantee share 100,000 <br />24. Other shares <br />25. Total pfoject (Lines 22, 23 & 24) $ $ $ 1,000,000 <br /> <br />FM Form 5100.100 1673) SUPERSEDES FAA FORM 1'00 -'0 PAGES' THRU 7 <br /> <br />Page 4 <br />