ALL CITY MANAGEMENT SERVICES, INC. 2 - 2006

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JIPIr. ~- . ~-~.=~ ;~...r.._.... ~'7:~.:.:\:;~. EXHIBIT "D" SCHOOL CROSSING GUARD CERTIFICATION 2002-2003 oyee Name Dept Intersection :LE ONLY ONE SCORE FOR EACH SECTION OF THE EV ALVA TION ~TION I - Uniform ve the Crossing Guard in uniform at the site: ,uard is using regulation stop sign, is wearing Company issued vest and hat, has ,ppropriate shoes, is neat, clean and has an overall professional appearance, score___n__n__n_____n_n_ 20 ]uard is using all Company issued items, is wearing appropriate shoes, ,ut does NOT have a neat, clean, professional appearanc,e, score _nn__._____n_n____nn_____nn______ 10 ]uard is NOT using one or more Company issued items or is not wearing appropriate shoes, score 000000__ 5 :TlON II - Securing the Intersection -ve the Crossing Guard in the act of crossing pedestrians: Juard gives clear instructions to pedestrians to wait on curb until called, () look both ways before stepping from curb, AND successfully holds all pedestrians ) curb until intersection is secured, score ___n______n__n__n________nnn__n_nn___n_n___n_n' 40 .oITHER Guard gives clear instructions but pedestrians do not wait OR pedestrians wait without guard ~ving clear instructions, scoren__n____ _ __ 00____ nn _____ n_n____ _ _0000__ _ __n__nn_n___n__n_o__ 20 'Juard fails to give instruction and does not hold pedestrians to curb until intersection is secured, score _00 0 ":TlON III - Safety Agility Assessment I is required to walk at a rate off our (4) feet per second_ (Supervisor to use computation card) :num allowed Safety Agility Score for this intersection _ Score obtained by Guard _ If Guard's score is lower than maximum allowed, score __nn_n_______nn________o__nn___n_____ 40 If Guard's score is higher than maximum allowed, score ____n__nOn____n__n_nn_____n__nno__. 0 Passing Score is 65 points TOTAL SCORE EARNED 0 'reviewed the above information with my Supervisor and understand that if I have not earned a passing score will be re-evaluated and must earn a passing score at that time or be subject to termination. nployee Signature Date 'ea Supervisor Signature Date ISSUED: 3..{l3 1::J 11.'-;