ORANGE, COUNTY OF - BICYCLE HELMET - 2006

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I III. SF:RVICES 2 A. ADMINISTRATOR shall provide bicycle hclmets to CONTRACTOR. CONTRACTOR and 3 ADMlNlSTRA TOR shall mutually agree, in writing, to the number of bicycle helmets to bc provided. 4 B. CONTRACTOR shall distribute hicycle helmets provided by ADMINISTRATOR to low- S income children under 18 years of age living in Orange County who meet criteria approved by 6 COUNTY. Bicycle helmets shall be provided at no cost to said children. Prior to distribution o[ each 7 bicycle hclmet, CONTRACTOR shall: 8 1. Provide bicycle safety education and one-on-one bicycle helmet fitting to each bicycle 9 helmet recipient and/or parent or guardian o[ recipient. Education and fittings shall be provided by a 10 COlmty of Orange Health Care Agency certified Trained Helmet Fitter. II 2. Obtain for each bicycle helmet recipient, completed forms provided by ADMlNlSTRATOR 12 including, but not limited to, the Bicycle Helmet Program Voluntary Release - Asswnption of Risk and 13 Indemnity Agrecment Form and the Bicycle Helmet Consent Form provided as Attachments A and B to 14 this Agreement. IS C. CONTRACTOR shall keep an inventory and include at a minimum, the following information: 16 number of bicycle helmets received and distributed, sizes, quantities and helmet model; datc each 17 bicycle helmet was distributed to each bicycle helmet recipient; and the name, address, and phone ] 8 number of each bicycle helmet recipient. Upon written request by ADMlNlSTRATOR, 19 CONTRACTOR shall provide to ADMINISTRATOR information and/or copies of completed forms [or 20 each bicycle helmet distributed. 21 D. ADMlNlSTRATOR may request the return of undistributed bicycle helmets received by 22 CONTRACTOR at any time. Upon written request by ADMlNlSTRATOR, CONTRACTOR shall 23 return undistributed bicycle belmets to ADMlNlSTRA TOR. 24 E. CONTRACTOR shall state on all materials produced for this project that bicycle belmets were 25 provided by the County of Orange Health Care Agency. 26 F. CONTRACTOR shall not conduct any proselytizing activities, regardless of funding sources, 27 with respect to any person who has been referred to CONTRACTOR by COUNTY under the terms of 28 this Agreement. Furtber, CONTRACTOR agrees that the funds provided hereunder shall not be used to 29 promote, directly or indirectly, any religion, religious crecd or cult, denomination or scctarian institution, 30 or religious belief. 31 32 IV. STAFFING 33 A. CONTRACTOR shall designate at least two (2) staff persons meeting one (I) of the [ollowing 34 criteria to administer tlle bicycle helmet tasks required in accordance with this agrecment: 35 I. Presently certified as a County of Orange Health Care Agency Bicycle Helmct Fitter; or 36 2. Able to obtain County of Orange Health Care Agency Bicycle Helmet Fitter certification by 37 a date specified by ADMTNISTRATOR. 20f3 EXHIBIT A KK07 X:\CONTRACT 2006_07\BckHlmtSfty-Santa Ana City-06-07-HHcloc