49 CFR Appendix A to Part 23 - Appendix A to Part 23—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.
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.