Supplemental Information for Contractor Applicants

OMB Approved No. 1505-0263

Expiration Date: 09/30/2020

SUPPLEMENTAL INFORMATION FOR CONTRACTOR APPLICANTS

CONTRACTOR OR SUBCONTRACTOR

To be eligible, an applicant must be a contractor or subcontractor to a passenger air carrier conducting operations under 14 CFR part 121. Such passenger air carriers have a Part 121 certificate authorizing them to operate scheduled air service, and they are generally large, U.S.-based airlines, or regional air carriers. For more information, see Regularly Scheduled Air Carriers (Part 121), available here.

Is the applicant a direct contractor to a passenger air carrier conducting operations under 14 CFR part 121?

• [Y/N]

If yes, identify the air carrier(s) to which the applicant is a direct contractor.

• [Alphanumeric Field]

Is the applicant a subcontractor to a passenger air carrier conducting operations under 14 CFR part 121?

• [Y/N]

If yes, identify the air carrier(s) to which the applicant is a subcontractor and the company or companies that are the direct contractors.

• Air Carriers: [Alphanumeric Field]

• Direct Contractors: [Alphanumeric Field]

FUNCTIONS

To be eligible, an applicant, under its contract or subcontract with the passenger air carrier, must perform either (1) catering functions or (2) functions on the property of an airport that are directly related to the air transportation of persons, property, or mail.

Catering functions mean preparation, assembly, or both, of food, beverages, provisions and related supplies for delivery, and the delivery of such items, directly to aircraft or to a location on or near airport property for subsequent delivery to aircraft.

Other eligible functions may include, but are not limited to: (1) loading and unloading of property on aircraft; (2) assistance to passengers under 14 CFR part 382 (e.g., wheelchair and similar services to passengers with a disability); (3) security; (4) airport ticketing and check-in; (5) ground-handling of aircraft; and (6) aircraft cleaning and sanitization functions and waste removal.

If the applicant performs catering functions under its contract or subcontract with the air carrier, describe the nature of those functions.

• [Alphanumeric Field]

If the applicant performs non-catering functions under its contract or subcontract with the air carrier, describe the nature of those functions and explain how they are directly related to the transportation of persons, property, or mail.

• [Alphanumeric Field]

Are the functions described in the previous response performed on the property of an airport?

• [Y/N]

• Explain: [Alphanumeric Field]

• Identify the Airport(s): [Alphanumeric Field]

CONTRACT

Provide a copy of the contract under which the applicant performs the functions previously described. If the applicant is a subcontractor, provide both the subcontract and the direct contract with the air carrier.

If the applicant has more than one such contract, the applicant need only provide the largest one.

• [File Selection and Upload Function]

CERTIFICATION

I certify under penalty of perjury that the information and certifications provided in the application and its attachments are true and correct. WARNING: Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties, including confinement for up to 5 years, fines, and civil penalties. (18 U.S.C. §§ 287, 1001; 31 U.S.C. §3729, 3802).

Name of First Certifying Official
Title of First Certifying Official
Signature of First Certifying Official
Name of Second Certifying Official
Title of Second Certifying Official
Signature of Second Certifying Official
Borrower Name
Date

PAPERWORK REDUCTION ACT NOTICE

The information collected will be used for the U.S. Government to process requests for support. The estimated burden associated with this collection of information is two hours per response. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to the Office of Privacy, Transparency and Records, Department of the Treasury, 1500 Pennsylvania Ave., N.W., Washington, D.C. 20220. DO NOT send the form to this address. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid control number assigned by OMB.