Appendix A to Subpart F - Size Standards for Airport Concessionaires

Maximum Average Annual Gross Receipts in Preceding 3 Years[In millions of dollars]ConcessionAmountFood and beverage 30.00Book stores 30.00Auto rental 40.00Banks 1 100.00Hotels and motels 30.00Insurance machines and counters 30.00Gift, novelty, and souvenir shop 30.00Newstands 30.00Shoe shine stands 30.00Barber shops 30.00Automobile parking 30.00Jewelry stores 30.00Liquor stores 30.00Travel agencies 30.00Drug stores 30.00Pastries and baked goods 30.00Luggage cart rental 30.00Coin-operated T.V.'s 30.00Game rooms 30.00Luggage and leather goods stores 30.00Candy, nut, and confectionery stores 30.00Toy stores 30.00Beauty shops 30.00Vending machines 30.00Coin-operated lockers 30.00Florists 30.00Advertising 30.00Taxicab 30.00Limousines 30.00Duty free shops 30.00Pay telephones 21,500Gambling machines 30.00Other concessions not shown above 30.001 As measured by total assets2 As measured by number of employees. Schedule A—Information for Determining Minority Business Enterprise Eligibility 1. Name of firm 2. Address of firm 3. Phone Number of firm 4. Indicate whether firm is sole proprietorship, partnership, joint venture, corporation or other business entity (please specify) — 5. Nature of firm's business 6. Years firm has been in business

7. Ownership of firm: Identify those who own 5 percent or more of the firm's ownership. Columns e and f need be filled out only if the firm is less than 100 percent minority owned.

a—Nameb—Racec—Sexd—Years of ownershipe—Ownership percentagef—Voting percentage With firms less than 100 percent minority owned, list the contributions of money, equipment, real estate, or expertise of each of the owners.

8. Control of firm: (a) Identify by name, race, sex, and title in the firm those individuals (including owners and non-owners) who are responsible for day-to-day management and policy decisionmaking, including, but not limited to, those with prime responsibility for:

(1) Financial decisions

(2) Management decisions, such as—

a. Estimating b. Marketing and sales c. Hiring and firing of management personnel d. Purchases of major items or supplies (3) Supervision of field operations

9. For each of those listed in question 8, provide a brief summary of the person's experience and number of years with the firm, indicating the person's qualifications for the responsibilities given him or her.

10. Describe or attach a copy of any stock options or other ownership options that are outstanding, and any agreements between owners or between owners and third parties which restrict ownership or control of minority owners.

11. Identify any owner (see item 7) or management official (see item 8) of the named firm who is or has been an employee of another firm that has an ownership interest in or a present business relationship with the named firm. Present business relationships include shared space, equipment, financing, or employees as well as both firms having some of the same owners.

12. What are the gross receipts of the firm for each of the last two years?

Year ending $ Year ending $ 13. Name of bonding company, if any: — Bonding limit Source of letters of credit, if any

14. Are you authorized to do business in the state as well as locally, including all necessary business licenses?

15. Indicate if this firm or other firms with any of the same officers have previously received or been denied certification or participation as an MBE and describe the circumstances. Indicate the name of the certifying authority and the date of such certification or denial.

Affidavit

“The undersigned swears that the foregoing statements are true and correct and include all material information necessary to identify and explain the operations of ———— (name of firm) as well as the ownership thereof. Further, the undersigned agrees to provide through the prime contractor or, if no prime, directly to the grantee current, complete and accurate information regarding actual work performed on the project, the payment therefor and any proposed changes, if any, of the foregoing arrangements and to permit the audit and examination of books, records and files of the named firm. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements.”

Note:

If, after filing this Schedule A and before the work of this firm is completed on the contract covered by this regulation, there is any significant change in the information submitted, you must inform the grantee of the change through the prime contractor or, if no prime contractor, inform the grantee directly.

Signature Name Title Date

Corporate Seal (where appropriate).

Date State of County of

On this — day of ——, 19—, before me appeared (Name) ————, to me personally known, who, being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (Name of firm) ———— to execute the affidavit and did so as his or her free act and deed.

[Seal] Notary Public Commission expires Schedule B—Information for Determining Joint Venture Eligibility

(This form need not be filled in if all joint venture firms are minority owned.)

1. Name of joint venture 2. Address of joint venture 3. Phone number of joint venture 4. Identify the firms which comprise the joint venture. (The MBE partner must complete Schedule A.) (a) Describe the role of the MBE firm in the joint venture. (b) Describe very briefly the experience and business qualifications of each non-MBE joint venturer: 5. Nature of the joint venture's business

6. Provide a copy of the joint venture agreement.

7. What is the claimed percentage of MBE ownership?

8. Ownership of joint venture: (This need not be filled in if described in the joint venture agreement, provided by question 6.)

(a) Profit and loss sharing.

(b) Capital contributions, including equipment.

(c) Other applicable ownership interests.

9. Control of and participation in this contract. Identify by name, race, sex, and “firm” those individuals (and their titles) who are responsible for day-to-day management and policy decisionmaking, including, but not limited to, those with prime responsibility for:

(a) Financial decisions

(b) Management decisions, such as:

(1) Estimating (2) Marketing and sales (3) Hiring and firing of management personnel (4) Purchasing of major items or supplies

(c) Supervision of field operations

Note:

If, after filing this Schedule B and before the completion of the joint venture's work on the contract covered by this regulation, there is any significant change in the information submitted, the joint venture must inform the grantee, either directly or through the prime contractor if the joint venture is a subcontractor.

Affidavit

“The undersigned swear that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the grantee current, complete and accurate information regarding actual joint venture work and the payment therefor and any proposed changes in any of the joint venture arrangements and to permit the audit and examination of the books, records and files of the joint venture, or those of each joint venturer relevant to the joint venture, by authorized representatives of the grantee or the Federal funding agency. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements.”

————————— —————————Name of Firm Name of Firm ————————— —————————Signature Signature ————————— —————————Name Name ————————— —————————Title Title ————————— —————————Date Date Date State of County of

On this — day of ——, 19—, before me appeared (Name) ————, to me personally known, who, being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (Name of firm) ———— to execute the affidavit and did so as his or her free act and deed.

Notary Public Commission expires [Seal] Date State of County of

On this — day of ——, 19—, before me appeared (Name) ————, to me personally known, who, being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (Name of firm) ———— to execute the affidavit and did so as his or her free act and deed.

Notary Public Commission expires [Seal]