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140 APPENDIX K Sample Aerial Agricultural Operator Agreement Source: Agricultural Aircraft Operations on Municipal Airports: A Guidebook for Municipal Airport Managers (AirTAP 2009). PUBLIC AIRPORT AERIAL APPLICATION OPERATION AGREEMENT Date:________________________ Name:________________________________________________ Company:___________________________________________________________________________ Address:_____________________________________________________________________________ Phone Number:_____________________ Aircraft N Number:_________________ Hired By:____________________________________________________________________________ Effective Dates of Operation:_____________________________________________________________ All requesting pilots must submit all documentation necessary to legally conduct aerial applications off the public airport. The following items must be submitted with this agreement: ⢠Minnesota Department of Agriculture Commercial Pesticide License ⢠Minnesota Department of Transportation Commercial License ⢠Proof of liability insurance on all aircraft (The minimum insurance coverage for each aircraft shall be the following types and amounts: $100,000 per person and $300,000 per occurrence for bodily injury and $100,000 for property damage. Airport named as additional insured.) ⢠Proof of liability insurance on all trucks and equipment ⢠Site-specific Chemical Storage Plan and Material Data Safety Sheet for all chemicals stored on the airport property for more than 24 hours ⢠Site-specific Incident Response Plan Requesting pilots hereby certify possession of the following current documents: ⢠FAA Operating Certificate ⢠Commercial Pilotâs License ⢠Current Pilot Medical Certificate ⢠Bi-Annual Log Entries ⢠Current Aircraft Registration and Air Worthiness Certificate with Annual Inspection The operating agreement must be completed and submitted to the public airport manager at least 48 hours prior to operations. Transient permits shall not exceed 60 (sixty) days without authorization from the public airport manager. âOperatorâ is defined as anyone possessing a Minnesota Commercial Pesticide Applicator License and engaged in the activities of chemical storage, mixing, and/or aerial application. 1. No persons or vehicles are allowed on the runway(s) or taxiway(s). Operators will use storage, water sources, and operation areas as designated by Public Airport Manager. 2. Operators must obey all security regulations including using proper access points, closing gates and doors, and securing aircraft, equipment, and storage containers. 3. The arrival and departure building may not be used as the operatorâs place of business to con- duct meetings with clients. Operator and employees may use the arrival and departure building (e.g., bathrooms, vending machines, phone) but must keep said building clean and orderly. 4. Operator is responsible for spills, chemical theft, damages, and any injury caused by chemicals and normal operation of aerial application while conducting business at Public Airport. 5. Operator shall notify Public Airport Manager immediately of any spills, injuries, vandalism, incidents, or accidents. 6. Operator shall not dump, rinse, or pour chemicals on the airport grounds. 7. Operator must abide by Public Airportâs fueling rules and regulations. 8. Operator shall abide by all rules and regulations set by the Federal Aviation Administration (FAA), Environmental Protection Agency (EPA), Food and Drug Administration (FDA), Occupational Safety and Health Administration (OSHA), Minnesota Department of Agriculture (MDA), Minnesota Department of Transportation (MN/DOT), and all other pertinent regulations. 9. Public Airport may secure bond to ensure proper operations, damage control, and clean-up respon- sibilities are met prior to departure. 10. Prior to departing the airport premises, Operator shall notify Public Airport Manager that operations are terminated.