Uniform Certification Application-annotated



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uniform-certification-application 2.8.2021
Airport Name
Concession Type
(e.g., F&B, News & Gift, Retail, Duty Free, Advertising, etc)
Number of
Leases
Number of
Locations
Annual Gross
Receipts
Generated
Lease Type
(e.g. Direct Lease, Subcontract
Management Agreement, etc. enter
all that apply to the leases listed)
D. Does the applicant firm have any affiliates Yes Nob iIf Yes, provide the following information concerning

any locations owned/operated by affiliate firms.
Airport Name
Concession Type
(e.g., F&B, News & Gift, Retail, Duty Free,
Advertising, etc)
Number of
Leases
Number of
Locations
Annual Gross
Receipts
Generated
Lease Type
(e.g. Direct Lease, Subcontract
Management Agreement, etc. enter
all that apply to the leases listed)
E. Is the ACDBE applicant firm a participant in any joint ventures Yes Nob iIf Yes, attach all original and
any amended Joint Venture Agreements and any amendments to the agreements.
U.S. DOT Uniform DBE / ACDBE Certification Application • Page 13 of 15




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