Appendix A to Part 23 - Uniform Report of ACDBE Participation
49:1.0.1.1.16.7.3.1.8 : Appendix A
Appendix A to Part 23 - Uniform Report of ACDBE Participation
Instructions for Uniform Report of ACDBE Participation
1. Insert name of airport receiving FAA financial assistance and
AIP number.
2. Provide the name and contact information (phone, fax, e-mail)
for the person FAA should contact with questions about the
report.
3a. Provide the annual reporting period to which the report
pertains (e.g., October 2005-September 2006).
3b. Provide the date on which the report is submitted to
FAA.
4. This block and blocks 5 and 6 concern non-car rental
goals and participation only. In this block, provide the overall
non-car rental percentage goal and the race-conscious (RC) and
race-neutral (RN) components of it. The RC and RN percentages
should add up to the overall percentage goal.
5. For purposes of this block and blocks 6, 8, and 9, the
participation categories listed at the left of the block are the
following: “Prime Concessions” are concessions who have a direct
relationship with the airport (e.g., a company who has a
lease agreement directly with the airport to operate a concession).
A “subconcession” is a firm that has a sublease or other agreement
with a prime concessionaire, rather than with the airport itself,
to operate a concession at the airport. A “management contract” is
an agreement between the airport and a firm to manage a portion of
the airport's facilities or operations (e.g., manage the
parking facilities). “Goods/services” refers to those goods and
services purchased by the airport itself or by concessionaires and
management contractors from certified DBEs.
Block 5 concerns all non-car rental concession activity
covered by 49 CFR part 23 during the reporting period, both new or
continuing.
In Column A, enter the total concession gross revenues for
concessionaires (prime and sub) and purchases of goods and services
(ACDBE and non-ACDBE combined) at the airport. In Column B, enter
the number of lease agreements, contracts, etc. in effect or taking
place during the reporting period in each participation category
for all concessionaires and purchases of goods and services (ACDBE
and non-ACDBE combined).
Because, by statute, non-ACDBE management contracts do not count
as part of the base for ACDBE goals, the cells for total management
contract participation and ACDBE participation as a percentage of
total management contracting dollars are not intended to be filled
in blocks 5, 6, 8, and 9.
In Column C, enter the total gross revenues in each
participation category (ACDBEs) only. In Column D, enter the number
of lease agreements, contracts, etc., in effect or entered into
during the reporting period in each participation category for all
concessionaires and purchases of goods and services (ACDBEs
only).
Columns E and F are subsets of Column C: break out the total
gross revenues listed in Column C into the portions that are
attributable to race-conscious and race-neutral measures,
respectively. Column G is a percentage calculation. It answers the
question, what percentage of the numbers in Column A is represented
by the corresponding numbers in Column C?
6. The numbers in this Block concern only new non-car
rental concession opportunities that arose during the current
reporting period. In other words, the information requested in
Block 6 is a subset of that requested in Block 5. Otherwise, this
Block is filled out in the same way as Block 5.
7. Blocks 7-9 concern car rental goals and participation. In
Block 7, provide the overall car rental percentage goal and the
race-conscious (RC) and race-neutral (RN) components of it. The RC
and RN percentages should add up to the overall percentage
goal.
8. Block 8 is parallel to Block 5, except that it is for car
rentals. The instructions for filling it out are the same as for
Block 5.
9. Block 9 is parallel to Block 6, except that it is for car
rentals. The information requested in Block 9 is a subset of that
requested in Block 8. The instructions for filling it out are the
same as for Block 6.
10. Block 10 instructs recipients to bring forward the
cumulative ACDBE participation figures from Blocks 5 and 8,
breaking down these figures by race and gender categories.
Participation by non-minority women-owned firms should be listed in
the “non-minority women” column. Participation by firms owned by
minority women should be listed in the appropriate minority group
column. The “other” column should be used to reflect participation
by individuals who are not a member of a presumptively
disadvantaged group who have been found disadvantaged on a
case-by-case basis.
11. This block instructs recipients to attach five information
items for each ACDBE firm participating in its program during the
reporting period. If the firm's participation numbers are reflected
in Blocks 5-6 and/or 8-9, the requested information about that firm
should be attached in response to this item.
Uniform Report of ACDBE Participation
1. Name of Recipient and AIP Number:
2. Contact Information:
3a. Reporting Period:
3b. Date of Report:
4. Current Non-Car Rental ACDBE Goal: Race Conscious Goal __%
Race Neutral Goal __% Overall Goal __%
5. Non-car rental
Cumulative ACDBE participation |
A
Total
dollars
(everyone) |
B
Total
number
(everyone) |
C
Total to ACDBEs
(dollars) |
D
Total to ACDBEs
(number) |
E
RC to ACDBEs
(dollars) |
F
RN to ACDBEs
(dollars) |
G
% of
dollars to
ACDBEs |
Prime
Concessions |
|
|
|
|
|
|
|
Subconcessions |
|
|
|
|
|
|
|
Management
Contracts |
XXXXXXX |
XXXXXXX |
|
|
|
|
XXXXXX |
Goods/Services |
|
|
|
|
|
|
|
Totals |
|
|
|
|
|
|
|
6. Non-Car rental
New ACDBE participation
this period |
A
Total
dollars
(everyone) |
B
Total
number
(everyone) |
C
Total to ACDBEs
(dollars) |
D
Total to ACDBEs
(number) |
E
RC to ACDBEs
(dollars) |
F
RN to ACDBEs
(dollars) |
G
% of
dollars to
ACDBEs |
Prime
Concessions |
|
|
|
|
|
|
|
Subconcessions |
|
|
|
|
|
|
|
Management
Contracts |
XXXXXXX |
XXXXXXX |
|
|
|
XXXXXX |
|
Goods/Services |
|
|
|
|
|
|
|
Totals |
|
|
|
|
|
|
|
7. Current Car Rental ACDBE Goal: Race Conscious Goal __% Race
Neutral Goal __% Overall Goal __%
8. Car rental
Cumulative ACDBE participation |
A
Total
dollars
(everyone) |
B
Total
number
(everyone) |
C
Total to ACDBEs
(dollars) |
D
Total to ACDBEs
(number) |
E
RC to ACDBEs
(dollars) |
F
RN to ACDBEs
(dollars) |
G
% of
dollars to
ACDBEs |
Prime
Concessions |
|
|
|
|
|
|
|
Subconcessions |
|
|
|
|
|
|
|
Goods/Services |
|
|
|
|
|
|
|
Totals |
|
|
|
|
|
|
|
9. Car rental
New ACDBE participation this period |
A
Total
dollars
(everyone) |
B
Total
number
(everyone) |
C
Total to ACDBEs
(dollars) |
D
Total to ACDBEs
(number) |
E
RC to ACDBEs
(dollars) |
F
RN to ACDBEs
(dollars) |
G
% of
dollars to
ACDBEs |
Prime
Concessions |
|
|
|
|
|
|
|
Subconcessions |
|
|
|
|
|
|
|
Goods/Services |
|
|
|
|
|
|
|
Totals |
|
|
|
|
|
|
|
10. Cumulative ACDBE
participation by race/gender |
A
Black Americans |
B
Hispanic Americans |
C
Asian-Pacific Americans |
D
Asian-Indian Americans |
E
Native Americans |
F
Non-minority Women |
G
Other |
H
Totals |
Car Rental |
|
|
|
|
|
|
|
|
Non-Car
Rental |
|
|
|
|
|
|
|
|
Totals |
|
|
|
|
|
|
|
|
11. On an attachment, list the following information for each
ACDBE firm participating in your program during the period of this
report: (1) Firm name; (2) Type of business; (3) Beginning and
expiration dates of agreement, including options to renew; (4)
Dates that material amendments have been or will be made to
agreement (if known); (5) Estimated gross receipts for the firm
during this reporting period.