Mobile Service Provider Permit

10 JOHNSTON REGIONAL AIRPORT MOBILE SERVICE PROVIDER APPLICATION AND PERMIT Company Applicant Name ___________________________________________________ Authorized Representative Title _______________________________________________ Address ___________________________________________________________________ Telephone ___________________________ E - Mail _______________________________ Service or work to be performed ________________________________________________ Date _________________________________ The Applicant shall provide the following information to Johnston Regional Airport 1 The Applicant’s Articles of Incorporation , Articles of Organization , or Certificate of Limited Partnership filed with the Secretary of State , or , if the Applicant is a general partnership , a copy of the partnership agreement 2 If the name of the person making the application is not listed on the Applicant ’ corporate documents as having the authority to legally bind the Applicant , then the Applicant must provide a letter signed by one of the Applicant’s officers , including contact information , that the representative is authorized to act on behalf of and bind the Applicant 3 A detailed explanation of the intended type and scope of services to be provided by the Applicant 4 A copy of any certificate s or rating s required by the FAA for the service s to be provided or the work to be performed 4 A statement as to why it is impossible or impractical for the Applicant to lease space at the Airport to provide the service s or work to be performed { 00526370 DOCX V J136024288 ; } 1 Last Revised 2023 - 10 - 04 4827 - 8457 - 4946 , v 1Page5 A certificate of insurance in the amount s required by the Airport’s Minimum Standards for the service s provided or work to be performed , listing the Johnston County Airport Authority and Johnston Regional Airport as additional insureds Upon the granting of this Permit , the Applicant agrees as follows 1 FEE PAYMENT The Applicant agrees to pay all fees as set forth in the Johnston County Airport Authority Schedule of Fees , as may be amended from time to time , as well as any late fees , interest and penalties The Applicant shall not provide services at the Airport unless and until it makes payment of all applicable fees to the Authority Failure to make payment of the applicable fees to the Authority within thirty 30 days of the granting of a Permit by the Authority shall cause the Permit to be void and require the Applicant to submit a new application to the Authority 2 TRANSFER This Permit may not be assigned or transferred , and the Applicant cannot provide any services other than those approved by the Authority as set forth in this Permit 3 INFORMATION CHANGES The Applicant will notify the Airport Director within ten 10 days of any change to the information provided pursuant to this Application and Permit 4 SECURITY AND SAFETY Applicant will abide by all security and safety procedures at the Airport and shall not enter any area of the Airport unnecessary to perform the services provided 5 RULES AND REGULATIONS Applicant acknowledges that it has been provided with a copy of the Rules and Regulations and Minimum Standards of the Airport and will abide by the Rules and Regulations and Minimum Standards , as well as all applicable state and federal laws , ordinances and regulations If Permittee has more than three 3 cured violations of the Authority’s Rules and Regulations or Minimum Standards in any twelve 12 month time period , the fourth such violation shall be deemed to be uncurable and will result in the immediate termination of this Permit 6 RELEASE OF LIABILITY It is understood and agreed that Applicant’s activities shall be at the sole risk of the Applicant and that the Authority and Airport will not be held responsible for the Applicant’s activities or damage caused by Applicant to any person or property 7 INDEMNITY Applicant agrees to indemnify and hold the Authority and the Airport , and their officers , agents , employees , insurers , successors and assigns , harmless from and against any and all liabilities , judgments , costs , damages , expenses , claims , actions or demands of any kind and nature , by any person whatsoever on account of property damage , injury or death of a person arising from Applicant’s activities , use or occupation of the Airport , including acts of Applicant’s agents , and Lessee shall give the Authority prompt notice of any such claims filed against Applicant or the Authority or the Airport { 00526370 DOCX V J136024288 ; } 2 Last Revised 2023 - 10 - 04 4827 - 8457 - 4946 , v 1Page8 INSURANCE Applicant agrees to keep in effect during the term of this Permit insurance as required by the Minimum Standards and to immediately notify the Airport of any changes to its insurance 9 FEDERAL OBLIGATIONS A Grant Agreements The parties acknowledge that the Airport and the Authority are subject to the terms of those certain sponsors assurances made to guarantee the public use of the Airport as incidental to grant agreements between the Authority and the United States of America as amended This Permit shall be subordinate to the provisions of any existing or future sponsor assurances B Modifications to Comply with State or Federal Laws Should the United States or any instrumentality thereof having authority to do so , or the State of North Carolina , require that any provision of this Permit that is in violation of any federal or state law or regulation or grant assurance or any provision of an existing grant agreement between the Authority and the United States or any instrumentality thereof , or the State of North Carolina , be changed or deleted or should any such change or deletion be required in order for the Airport to continue to retain its eligibility to receive federal funds or to participate in federal or state programs or to avoid forfeiture of previous financial assistance , Applicant agrees to accept such changes C Non - Discrimination Permittee agrees that in its operation and use of the Airport no person shall be excluded from participation in , denied the benefit of , or be otherwise subjected to discrimination in the use of the Airport’s facilities because of his or her race , color , sex or national origin and that Permittee shall not , on the grounds of race , color or national origin , discriminate or permit discrimination against any person or group of persons in any manner prohibited by 49 CFR Part 21 of the Department of Transportation Regulations A breach of this provision shall constitute an event of default under the terms of this Permit and result in immediate termination 10 TERM This Permit shall be valid for a period of one 1 year from the date signed by the Airport Director APPLICANT JOHNSTON REGIONAL AIRPORT _________________________________ ________________________________ Airport Director Authorized Representative _________________________________ ________________________________ Date of Permit Title { 00526370 DOCX V J136024288 ; } 3 Last Revised 2023 - 10 - 04 4827 - 8457 - 4946 , v 1Page