HomeMy WebLinkAboutCALIFORNIA, STATE OFFICE OF TRAFFIC SAFETYState of California — Office of Traffic Safety
GRANT AGREEMENT - Page I
OTS -38 (Rev. 4116)
A- 2016 -194
GRANT NuNU3Ea
PT17117
1. GRANTTITLE
SELECTIVE TRAFFIC ENFORCEMENT PROGRAM (STEP)
2. NAME OF AGENCY
4. GRANT PERIOD
CITY OF SANTA ANA
From: 1011116
3. AGENCY UNIT TOADMINISTER GRANT
SANTA ANA POLICE DEPARTMENT, TRAFFtc DIVISION
To: 9130117
5. GRANTDESCRH`T1ON
Best practice strategies will be conducted to reduce the number of persons killed and injured in traffic collisions
involving impairment and other primary collision factors. The funded strategies may include enforcement
operations focusing on impaired driving, distracted driving, nighttime seat belt use, motorcycle safety, and
pedestrian and bicycle safety. Operations are conducted in areas with disproportionate numbers of traffic
collisions. Other funded strategies may include public awareness, educational programs and training for law
enforcement.
6. FEDERAL FUNDsALLOCACEDUNDERTntsAGREEMENT SHALL Nor EXCEEDS $ 400,000.00
7. TERNIS AND CONDITIONS: The parties agree to comply with the terms and conditions of the following which are by this
reference made a part of the Agreement:
• Schedule A (OTS -38b) — problem Statement, Goals and • Exhibit A— Certifications and Assurances
Objectives and Method of Procedure • Exhibit B* - OTS Grant Program Manual t^1
• Schedule B (OTS -38d) — Detailed Budget Estimate and
Sub - Budget Estimate (if applicable)
• Schedule B -1 (OTS 38f) — Budget Narrative and Sub -
Budget Narrative (if applicable) N
*Items shown with an asterisk(*), are hereby incorporated by reference and made a part of this agreement as if attached hereto. gI1
These documents can be viewed at the OTS home web page under Grants: www.ots.ca.nov. f~..
Q
.
We, the officials named below, hereby swear under penalty of perjury under the laws of the State of California that we are duly
authorized to legally bind the Grant recipient to the above described Grant terms and conditions.
IN WITNESS WBEREOF, this Agreement has been executed by the parties hereto.
A. GRANT DIRECTOR D. AUTHORIZING OFFICIAL OF AGENCY
NAME: Enrique Esparza PHONE: 714 -245 -8210 NAme: David Cavazos PHoN& 714- 647 -5200
Trr,.E: Commander FAx: 714 - 245 -8140 ! THLE: City Manager FAR: 714- 647 -6956
ADDRESS: 60 Civic Center Plaza ADDRESS: 20 Civic Center Plaza, 8d' Floor
P.O. Box 1981 P.O. Box 1988
Santa Ana, Ca 92702 Santa Ana, Ca 92702
E -MA Es arza rsanta- ana.org E- a nta -a . org
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I b
Signature) _,. (Dare) (Signature) (Date)
C. FISCAL OR ACCOUNTING OFFICIAL 714_647 -5295 D. OrF10EAU7'IIORIAEDTo RECFIVEPAVMENTS
NAME: Biiehoweyng T_a PRONE; - A4-64$ -5+34 NAmm r' lnanee Department
T,TLE, AACOutida9t tlduuger- FAx: ADDRESS: 20 Civic Center Plaza, 3`4 Floor
AouREss: 20 Civic Center Plaza, 3rd Floor P.O. Box 1988
P.O. Box 1988 Santa Ana, Ca 92702
San Ana, Ca 92702 9. DUNSNuNIBER
EAIAM : b a attaorg SVidal @santa— ana.org DuNS#: 83.153 -3247
pj ifi REGISTEErD 20 Civic Center Plaza, nd Floor, PO BOX
ADDRESS& 1988 Santa Ana, CA 92702
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( t natttt'2) (Date)
Sergio Vidal I a
Assistant Director 1 y� I � ,,e A �s 4-v g 3 " t t_
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Page 2 (Office of Traffic Safety Use Only)
EFFECTIVE DATE OF AGREEMENT: 10/11/201
GRANTEE CITY OF SANTA ANA
GRANT NO. PT17117
10. Fin Action No.
Revision No.
Date: 6/28/2016
Date:
12. TYPE OF AGREEMENT Initial
X Revision Cont.
PAID MEDIA
PROGRAM INCOME
TASK
1 2 2017
11. Action Taken
Initial approval of 2017 HSP funds obligated.
13. FUNDING DISPOSITION
& STATUS
Fiscal Year Amount
2016 -17 400,000.00
2015 -16
2014 -15
2013 -14
Total 400,000.00
Obligated This Action 400,000.00
Previously Obligated 0100
Total Amount Obligated 400,000.00
TOTAL FUNDS PROGRAMMED 400,000.00
14. FUNDING DETAIL • FISCAL YEAR GRANT. PERIOD
ENDING:
>:.91302017
FUND
CFDA
ITEM /APPROPRIATION
F.Y.
CHAPTER
STATUTE
PROJECTED EXPENDITURES
164AL
20.608
0521 -0890 -101 (10/15)
2015
10115
2015
$
164,700.00
402PT
20.600
0521 -0890 -101 10/15
2015
10115
2015
$
75,300.00
164AL
20.608
0521 - 0890.101 BA/16)
2016
DAM
2016
$
109,800.00
402PT
20.600
0521.0890 -101 BA/16
2016
BA116
2016
$
50,200.00
$
TOTAL FEDERAL FUNDS:
$
400,000.00
1 S. GRANT APPROVAL & AUTHORIZATION TO EXPEND OBLIGATED FUNDS
NAME: JULIE SCHILLING
TITLE: Program Coordinator
PHONE: (916) 509 -3018
E -MAIL: julie.schilling @ots.ca.gov
Office of Traffic Safety
2208 Kausen Drive, Suite 300
Elk Grove, CA 95758
Signature
OTS -38a* (Rev. 01116)
NAME: RHONDA L. CRAFT
TITLE: Director
Signature
Office of Traffic Safety
2208 Kausen Drive, Suite 300
Elk Grove, CA 95758
GRANTS MADE EASY- STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT17117
1. PROBLEM STATEMENT
PAGE l
The city of Santa Ana is a dynamic and diverse city. It is a hub of employment within the county drawing
hundreds of thousands of persons to the city on a daily basis. With features like the Bowers Museum, Orange
County High School for the Arts, Cal State University Fullerton Center for the Arts it is a popular destination of
arts aficionados and students. The downtown area has become a popular destination on weekend nights. Over
the last few years numerous chic restaurants and bars have opened their doors to welcome patrons. This influx
of patrons has greatly increased the number of drivers on the road in the evenings. Many of whom have been
drinking.
The city of Santa Ana is the home of approximately 330,000 residents. It has approximately 477 miles
of local, arterial, and collector roads. They are patrolled by approximately 150 sworn police officers that are
fielded either in a patrol assignment or traffic enforcement. The Traffic Division has 17 sworn officers. This
includes two Sergeants, three Corporals and twelve officers. Two sworn officers and a corporal are assigned as
collision investigators and are not fielded daily for the purpose of traffic enforcement. There are 12 motor
officers who are tasked with traffic enforcement, and collision investigation.
Since 2011 there has been a dramatic increase if fatality traffic collisions. Many of these fatalities have
been the result of alcohol related collisions and pedestrian & bicycle collisions, Injury traffic collisions have
also increased although not as dramatic as fatalities. Nearly one half of all injury traffic collisions have been
caused by three PCF's, Right of Way, Unsafe Speed, and Signs & Signals.
Our City has committed itself to Traffic Safety. In a recently published five year strategic plan, traffic
safety was outlined to be a top priority, specifically pedestrian and bicycle safety. In response, the Traffic
Division has already begun education programs targeting all children and adults alike. We have published
printed material and recorded a public safety program.
Through our efforts in education, both grant funded and internally funded measures, we hope to reduced
impaired driving and make the roadway safe for all users. The educational efforts, in conjunction with
enforcement activities will have a positive effect on the community and make our streets safer. We are looking
forward to a successful partnership with the California Office of Traffic Safety as we make our streets safer.
OTS -38b (Rev. 4116)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT17117
PAGE 2
A. Traffic Data Summary-
Collision
2013
2014
2015
Type
Collisions
Victims
Collisions
Victims
Collisions
Victims
Fatal
19
21
18
20
22
23
Injury
1324
1916
1343
1993
1405
2038
Fatal
I Injury
Kilted
Injured
Fatal
Injury
Killed
Injured
Fatal
Injury
Killed
Injured
Alcohol-
3
78
3
126
8
139
8
222
6
128
7
187
Involved
Hit & Run
5
165
6
212
2
194
5
259
4
175
4
221
Nighttime
5
130
5
185
5
139
5
214
7
160
7
217
(2100 -0259 hours)
Top 3 Primary Collision Factors
Fatal
Injury
Killed
Injured
#1-
Right o' Way
1
316
1
316
#2 -
Unsafe Speed
2
310
2
310
#3 -
Signals & Signs
1
170
1
170
2. PERFORMANCE MEASURES
A. Goals:
1) Reduce the number of persons killed in traffic collisions.
2) Reduce the number of persons injured in traffic collisions.
3) Reduce the number of persons killed in alcohol - involved collisions.
4) Reduce the number of persons injured in alcohol - involved collisions.
5) Reduce the number of persons killed in drug - involved collisions.
6) Reduce the number of persons injured in drug - involved collisions.
7) Reduce the number of persons killed in alcohol /drug combo - involved collisions.
8) Reduce the number of persons injured in alcohol /drug combo - involved collisions.
9) Reduce the number of motorcyclists killed in traffic collisions.
10) Reduce the number of motorcyclists injured in traffic collisions.
OTS -38b (Rev. 4116)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANTNO. PT17117
PAGE 3
11) Reduce hit & tun fatal collisions.
12) Reduce hit & run injury collisions.
13) Reduce nighttime (2100 - 0259 hours) fatal collisions.
14) Reduce nighttime (2100 - 0259 hours) injury collisions.
15) Reduce the number of bicyclists killed in traffic collisions.
l6) Reduce the number of bicyclists injured in traffic collisions.
17) Reduce the number of pedestrians killed in traffic collisions.
18) Reduce the number of pedestrians injured in traffic collisions.
B. Objectives:
1) Issue a press release announcing the kick -off of the grant by November 15. The kick- offpress
releases and media advisories, alerts, and materials must be emailed to the OTS Public Information
Officer at pioCa�ots.ca.gov, and copied to your OTS Coordinator, for approval 14 days prior to the
issuance date of the release.
2) Participate in the following campaigns
• National Walk to School Day — October 5, 2016
• National Teen Driver Safety Week — October 16 -22, 2016
• NFITSA Winter Mobilization — December 16, 2016 to January 1, 2017
• National Distracted Driving Awareness Month —April 2017
• National Bicycle Safety Month — May 2017
• National Motorcycle Safety Month — May 2017
• National Click It or Ticket Mobilization — May 17 -20, 2017
• NHTSA Summer Mobilization — August 19, 2017 to September 6, 2017
• National Child Passenger Safety Week -- September 17 -23, 2017
• California's Pedestrian Safety Month -- September 2017
3) Develop (by December 31) and/or maintain a "HOT Sheet" program to notify patrol and traffic
officers to be on the lookout for identified repeat DUI offenders with a suspended or revolted license
as a result of DUI convictions. Updated HOT sheets should be distributed to patrol and traffic
officers monthly.
4) Send 4 law enforcement personnel to the NHTSA Standardized Field Sobriety Testing (SFST)
(minimum 16 hour) POST- certified training.
OTS -381b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT17117
PACE 4
5) Send 2 law enforcement personnel to the NHTSA Advanced Roadside Impaired Driving
Enforcement (ARIDE) 16 hour POST - certified training.
6) Send 1 law enforcement personnel to the Drug Recognition Expert (DRE) training.
7) Send 1 law enforcement personnel to the DRE Recertification training.
8) Send I law enforcement personnel to SFST Instructor training.
9) Send I law enforcement personnel to DRE Instructor training.
10) Conduct 15 DUI/DL Checkpoints. Note: A minimum of I checkpoint should be conducted during
the NHTSA Winter Mobilization and I during the NHTSA Summer Mobilization. To enhance the
overall deterrent effect and promote high visibility, it is recommended the grantee issue an advance
press release and conduct social media activity,for each checkpoint operation. For combination
DUJIDL checkpoints, departments should issuepress releases that mention DL's will be checked at
the DUUDL checkpoint. Signs forDUL /DL checkpoint operations should read "DUUDriver's
License Checkpoint Ahead. " OTS floes not fiord or support independent DL checkpoints. Only on all
exception basis and with OTS pre - approval will OTSfrmd checkpoint operations that begin prior to
1800 hours.
11) Conduct 50 DUI Saturation Patrol operation(s).
12) Conduct 35 Traffic enforcement operation(s), including but not limited to, primary collision factor
violations.
13) Conduct 12 Distracted Driving enforcement operation(s) targeting drivers using hand held cell
phones and texting.
14) Conduct 2 highly publicized Motorcycle Safety enforcement operation(s) in areas or during events
with a high number of motorcycle incidents or collisions resulting from unsafe speed, DUI,
following too closely, unsafe lane changes, improper taming, and other primary collision factor
violations by motorcyclists and other drivers. Note: It is recommended the grantee issue an advance
press release and conduct social media activity prior to each operation to publicize and raise
awareness about motorcycle safety issues.
15) Conduct 2 Night -time (1800 - 0559 hours) Click It or Ticket enforcement operation(s).
OTS -38b (Rev. 4/16)
GRANTS MADE EASY- STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT17117
PAGE
16) Conduct 14 highly publicized Pedestrian and Bicycle enforcement operation(s) in areas of or during
events with a high number of pedestrian and /or bicycle collisions resulting from violations made by
pedestrians, bicyclists, and drivers. Note: It is recommended the grantee issue an advance press
release and conduct social media activity prior to each operation to publicize and raise awareness
about pedestrian and bicycle safety issues.
17) Conduct 5 Traffic Safety educational presentations with an effort to reach 1,000 community
members, Note: Presentations may include topics such as distracted driving, DUI, speed,
pedestrian and bicycle safety, seatbelts and child passenger safety.
NOTE: Nothing in this "agreement "shall be interpreted as a requirement, formal or informal, that
particular lavv enforcement officer issue a specified or predetermined number of citations in. pursuance
of the goals and objectives hereunder,
3. METHOD OF PROCEDURE
A. Phase I - Program Preparation, Training and Implementation (1" Quarter of Grant Year)
• The department should develop operational plans to implement the "best practice" strategies outlined
in the objectives section.
• All training should be conducted this quarter.
• All grant- related purchases should be made this quarter.
• In order to develop /maintain the "HOT Sheets," research will be conducted to identify the "worst -of-
the- worst" repeat DUI offenders with a suspended or revoked license as a result of DUI convictions.
The HOT Sheets may include the driver's name, last known address, DOB, description, current
license status, and the number of times suspended or revoked for DUI. HOT Sheets should be
updated and distributed to traffic and patrol officers at least monthly.
• Implementation of the STEP grant activities will be accomplished by deploying personnel at high
collision locations.
B. Phase 2 - Program Operations (Throughout Grant Year)
• The department will work to create media opportunities throughout the grant period to call attention
to the innovative program strategies and outcomes.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY- STEP
SCHEDULE A
GRANT DESCRIPTION
GRANTNo. PT17117
Media Requirements
PAGE 6
• Submit all grant - related activity press releases, media advisories, alerts and general public materials
to the OTS Public Information Officer (PIO) at pio oots.ca.gov, with a copy to your OTS
Coordinator.
a) If an OTS template -based press release is used, the OTS PIO and Coordinator should be copied
when the release is distributed to the press. If an OTS template is not used, or is substantially
changed, a draft press release shall be sent to the OTS PIO for approval. Optimum lead time
would be 10 -20 days prior to the release date to ensure adequate turn- around time.
b) Press releases reporting the results of grant activities such as enforcement operations are exempt
from the recommended advance approval process, but still should be copied to the OTS PIO and
Coordinator when the release is distributed to the press.
c) Activities such as warrant service operations and court stings that could be compromised by
advanced publicity are exempt from pre - publicity, but are encouraged to offer embargoed media
coverage and to report the results.
• Use the following standard language in all press, media, and printed materials: Funding for this
program was provided by a grant from the California Office of Traffic Safety, through the National
Highway Traffic Safety Administration.
• Email the OTS PIO at lQilots.ca.eov and copy your OTS Coordinator at least 30 days in advance, a
short description of any significant grant- related traffic safety event or program so OTS has sufficient
notice to arrange for attendance and/or participation in the event.
• Submit a draft or rough -cut of all printed or recorded material (brochures, posters, scripts, artwork,
trailer graphics, etc.) to the OTS PIO at piola),ots.ca.gov and copy your OTS Coordinator for approval
14 days prior to the production or duplication.
• Include the OTS logo, space permitting, on grant - funded print materials; consult your OTS
Coordinator for specifics.
C. Phase 3 — Data Collection & Reuortine (Throughout Grant Year)
• Agencies are required to collect and report quarterly, appropriate data that supports the progress of
goals and objectives.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT17117
PAGE 7
• Statistical data relating to the grant goals and objectives will be collected, analyzed, and incorporated
in Quarterly Performance Reports (QPRs). QPRs for the quarter ending September 30 will include
yeah -to -date comparisons of goals and objectives. if required, a separate quarterly data reporting
form will be completed each quarter and submitted as part of the QPR.
• Reports will compare actual grant accomplishments with the planned accomplishments. They will
include information concerning changes made by the Grant Director in planning and guiding the
grant efforts.
Reports shall be completed and submitted in accordance with OTS requirements as specified in the
Grant Program Manual.
4. METHOD OF EVALUATION
Using the data compiled during the grant, the Grant Director will complete the "Final Evaluation" section in
the fourtlilfinal Quarterly Performance Report (QPR). The Final Evaluation should provide a brief summary
of the grant's accomplishments, challenges and significant activities. This narrative should also include
whether goals and objectives were met, exceeded, or an explanation of why objectives were not completed.
5. ADMINISTRATIVE SUPPORT
This program has full support of the City of Santa Ana. Every effort will be made to continue the activities
after the grant conclusion,
OTS -38b (Rev. 4/16)
SCHEDULE
DETAILED BUDGET ESTIMATE
GRANT NO. PT17117
FUND NUMBER
CATALOG
NUMBER(CFDA)
FUND DESCRIPTION
TOTAL
AMOUNT
A. PERSONNEL COSTS
CFDA
Minimum Penalties for Repeat Offenders for
164AL
20.608
Driving While Intoxicated
$ 274,500.00
402PT
20.600
State and Community Highway Safety
$ 125,500.00
COST CATEGORY
FISCAL YEAR ESTIMATES
10/1/16 thru 9/30/17
TOTAL COST
TO GRANT
A. PERSONNEL COSTS
CFDA
FY -I
Positions and Salaries
Overtime
DUI / Driver's License Checkpoints
DUI Saturation Patrols
Traffic Enforcement Operations
Distracted Driving Operations
Motorcycle Safety Operations
Nighttime CLOT Operations
Traffic Safety Education Presentations
Bike / Pedestrian Safety Operations
SFST /ARIDE/DRE Instruction &Certificatio
20.608
20.608
20.600
20.600
20.600
20.600
20.600
20.600
20.600
$ 132,000.00
$ 142,500.00
$ 69,850.00
$ 15,600.00
$ 2,600.00
$ 2,600.00
$ 3,500.00
$ 18,200.00
$ 3,650.00
$ 132,000.00
$ 142,500.00
$ 69,850.00
$ 15,600.00
$ 2,600,00
$ 2,600.00
$ 3,500.00
$ 18,200.00
$ 3,650.00
Category Sub -Total
$ 390,500.00
$ 390,500.00
B. TRAVEL EXPENSE
In -State
Out -of -State
20.600
20.600
$ 2,500.00
$ 3,000.00
$ 2,500.00
$ 3,000.00
Cate ory Sub -Total
$ 5,500.00
$ 5,500.00
C. CONTRACTUAL SERVICES
None
$
$
Category Sub -Total
$
$
D. EQUIPMENT
None
$ _
$
Category Sub - Total
$
$
E. OTHER DIRECT COSTS
Multi -Media Presentations
20.600
$ 4,000.00
$ 4,000.00
Category Sub - Total
$ 4,000.00
$ 4,000.00
F. INDIRECT COSTS
None
$ -
$
Category Sub -Total
$
$
GRANT TOTAL
$ 400,000.00
$ 400,000.00
OTS -38d (Rev. 4/15) Page I of l
SCHEDULE B -1
GRANT No. PT17117
BUDGET NARRATIVE Page 1
PERSONNEL COSTS
Overtime
Overtime for grant funded law enforcement operations may be conducted by personnel such as a
Lieutenant, Sergeant, Caporal, Deputy, Officer, Reserve Officer, Community Services Officer,
Dispatcher, etc., depending on the titles used by the agency and the grantees overtime policy. Personnel
will be deployed as needed to accomplish the grant goals and objectives.
Costs are estimated based on an overtime hourly rate range of $50.00 hour to $99.00 /hour.
Overtime reimbursement will reflect actual costs of the personnel conducting the appropriate operation
up to the maximum range specified.
No benefits will be paid in this grant.
TRAVEL. EXPENSE,
In State
Costs are included for appropriate staff to attend conferences and training events supporting the grant
goals and objectives and /or traffic safety. Local mileage for grant activities and meetings is included.
Anticipated travel may include the California Narcotics Officers Association annual conference. All
conferences, seminars or training not specifically identifed in the Schedule B -1 (Budget, Narrative) must
be approved by OTS. All travel claimed must heat the agency approved rate. Per Diem may not be
claimed for meals provided at conferences when registration, fees are paid with OTS grant f ands.
Out -Of -State
Appropriate staff may attend the International Association of Chiefs of Police Annual DRE Conference
in support of the grant goals and objectives. All out -of -state travel not specifically identified in the
Schedule B -1 (Budget Narrative) must receive written approval frond OTS. All travel claimed must be at
the agency approved rate. Per Diem may not be claimed for meals provided at conferences when
registration fees are paid with OTS grant f aids.
CONTRACTUAL SERVICES
None
EQULPMSNT
None
OTS -38f (Rev. 4/16)
SCHEDULE I1 -1
GRANT No. PT 171.17
BUDGET NARRATIVE Page 2
OTHER DIRECT COSTS
4 Multi -Media Presentations - to provide high- impact traffic safety presentations to convey the message
about the consequences of drinking and driving, distracted driving and making the right choices when
behind the wheel.
INDIRECT COSTS
None
PROGRAM INCOME
There will be no program income generated from this grant.
OTS -38f (Rev. 4/16)
ExilIUIT A
CERTIFICATIONS AND ASSURANCES
Page I
Failure to comply with applicable Federal statutes, regulations, and directives may subject Grantee Agency
officials to civil or criminal penalties and /or place the State in a high risk grantee status in accordance with 49
CFR § 18.12.
The officials named on the grant agreement, certify by way of signature on the grant agreement signature page,
that the Grantee Agency complies with all applicable Federal statutes, regulations, and directives and State
rules, guidelines, policies and laws in effect with respect to the periods for which it receives grant funding.
Applicable provisions include, but Eire not limited to, the following:
• 23 U.S.C. Chapter 4— Highway Safety Act of 1966, as amended
• 49 CFR Part 18— Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments
• 23 CFR Part 1200 — Uniform Procedures for State Highway Safety Grant Programs
NONDISCRIMINATION
The Grantee Agency will comply with all Federal statutes and implementing regulations relating to
nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (Pub. L. 88-
352), which prohibits discrimination on the basis of race, color or national origin (and 49 CFR Part 21); (b)
Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681 -1683 and 1685- 1686), which
prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29
U.S.C. 794), and the Americans with Disabilities Act of 1990 (Pub. L. 101 -336), as amended (42 U.S.C. 12101,
et seq.), which prohibits discrimination on the basis of disabilities (and 49 CFR Part 27); (d) the Age
Discrimination Act of 1975, as amended (42 U.S.C. 6101- 6107), which prohibits discrimination on the basis of
age; (e) the Civil Rights Restoration Act of 1987 (Pub. L. 100 -259), which requires Federal -aid recipients and
all sub - recipients to prevent discrimination and ensure nondiscrimination in all of their programs and activities;
(f) the Drug Abuse Office and Treatment Act of 1972 (Pub. L. 92 -255), as amended, relating to
nondiscrimination on the basis of drug abuse; (g) the comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970 (Pub. L. 91.616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; (h) Sections 523 and 527 of the Public Health
Service Act of 1912, as amended (42 U.S.C. 290dd -3 and 290ee -3), relating to confidentiality of alcohol and
drug abuse patient records; (i)'ritle VIII of the Civil Rights Act of 1968, as amended (42 U.S.C. 3601, etseq.),
relating to nondiscrimination in the sale, rental or financing of housing; 0) any other nondiscrimination
provisions in the specific statute(s) under which application for Federal assistance is being made; and (k) the
requirements of any other nondiscrimination statute(s) which may apply to the application.
Certifications and Assurances (Rev. 5116)
EXHIBIT A
CERTIFICATIONS AND ASSURANCES
BUYAMERICAACT
The Grantee Agency will comply with the provisions of the Buy America Act (49 U.S.C. 53230)), which
contains the following requirements:
Only steel, iron and manufactured products produced in the United States may be purchased with Federal funds
unless the Secretary of Transportation determines that such domestic purchases would be inconsistent with the
public interest, that such materials are not reasonably available and of a satisfactory quality, or that inclusion of
domestic materials will increase the cost of the overall project contract by more than 25 percent. Clear
justification for the purchase of non - domestic items must be in the form of a waiver request submitted to and
approved by the Secretary of Transportation,
POLITICAL ACTIVITY (HATCH ACT)
The Grantee Agency will comply with provisions of the Hatch Act (5 U.S.C. 1501 -1508) which limits the
political activities of employees whose principal employment activities are funded in whole or in part with
Federal funds.
CERTIFICATION REGARDING FEDERAL LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
No Federal appropriated finds have been paid or will be paid, by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with
the awarding of any Federal contract, the making of any Federal grant, the snaking of any Federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal
contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -
LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award documents for
all sub -award at all tiers (including subcontracts, sub - grants, and contracts tinder grant, loans, and
cooperative agreements) and that all sub- recipients shall certify and disclose accordingly,
This certification is a material representation of fact upon which reliance was placed when this transaction
was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Corte. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each
such failure.
Certifications and Assurances (Rev, 5116)
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CERTIFICATIONS AND ASSURANCES
Glkl
Page 3
None of the funds under this program will be used for any activity specifically designed to urge or influence a
State or local legislator to favor or oppose the adoption of any specific legislative proposal pending before any
State or local legislative body. Such activities include both direct and indirect (e.g., "grassroots ") lobbying
activities, with one exception. This does not preclude a State official whose salary is supported with NHTSA
funds from engaging in direct communications with State or local legislative officials, in accordance with
customary State practice, even if such communications urge legislative officials to favor or oppose the adoption
of a specific pending legislative proposal.
CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
Instructions for Primary Certification
1. By signing and submitting this grant agreement, the Grantee Agency Official is providing the certification
set out below.
2. The inability of a person to provide the certification required below will not necessarily result in denial of
participation in this covered transaction. The prospective participant shall submit an explanation of why it
cannot provide the certification set out below. The certification or explanation will be considered in
connection with the department or agency's determination whether to enter into this transaction. However,
failure of the Grantee Agency Official to furnish a certification or an explanation shall disqualify such
person from participation in this transaction.
3. The certification in this clause is a material representation of fact upon which reliance was placed when the
department or agency determined to enter into this transaction. If it is later determined that the Grantee
Agency Official knowingly rendered an erroneous certification, in addition to other remedies available to
the Federal Government, the department or agency may terminate this transaction for cause or default.
4. The Grant Agency Official shall provide immediate written notice to the department or agency to which this
grant agreement is submitted if at anytime the Grantee Agency Official learns its certification was
erroneous when submitted or has become erroneous by reason of changed circumstances.
5. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant,
person, primary covered transaction, principal, grant agreement, and voluntarily excluded, as used in this
clause, have the meaning set out in the Definitions and coverage sections of 49 CFR Part 29. You may
contact the department or agency to which this grant agreement is being submitted for assistance in
obtaining a copy of those regulations.
6. The Grantee Agency Official agrees by submitting this grant agreement that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person
who is proposed for debarment under 48 CFR Part 9, subpart 9.4, debarred, suspended, declared ineligible,
or voluntarily excluded from participation in this covered transaction, unless authorized by the department
or agency entering into this transaction.
Certifications and Assurances (Rev. 5116)
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CERTIFICATIONS AND ASSURANCES
Page 4
I lie tirantee Agency vttwial further agrees by submitting this grant agreement that it will include the clause
titled "Certification Regarding Debarment, Suspension, ineligibility and Voluntary Exclusion -Lower Tier
Covered Transaction," provided by the department or agency entering into this covered transaction, without
modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower
tier covered transaction that it is not proposed for debarment under 48 CFR Part 9, subpart 9.4, debarred,
suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the
certification is erroneous. A participant may decide the method and frequency by which it determines the
eligibility of its principals. Each participant may, but is not required to, check the list of Parties Excluded
from Federal Procurement and Non - procurement Programs.
9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in
order to render in good faith the certification required by this clause. The knowledge and information of a
participant is not required to exceed that which is normally possessed by a prudent person in the ordinary
course of business dealings.
10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered
transaction knowingly enters into a lower tier covered transaction with a person who is proposed for
debarment under 48 CFR Part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from
participation in this transaction, in addition to other remedies available to the Federal Government, the
department or agency may terminate this transaction for cause or default.
Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered
Transactions
(1) The Grantee Agency Official certifies to the best of its knowledge and belief, that its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
by any Federal department or agency;
(b) Have not within a three -year period preceding this grant agreement been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (Federal, State or local) transaction or contract tinder a public
transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery,
bribery, falsification or destruction of record, making false statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal,
State or Local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and
(d) Have not within a three -year period preceding this application/grant agreement had one or more public
transactions (Federal, State, or local) terminated for cause or default.
(2) Where the Grantee Agency Official is unable to certify to any of the Statements in this certification, such
prospective participant shall attach an explanation to this grant agreement.
Certifications and Assurances (Rev. 5116)
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Instructions for Lower Tier Certification
1. By signing and submitting this grant agreement, the prospective lower tier participant is providing the
certification set out below.
2. The certification in this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into. if it is later determined that the prospective lower tier participant knowingly
rendered an erroneous certification, in addition to other remedies available to the Federal government, the
department or agency with which this transaction originated may pursue available remedies, including
suspension and /or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to which this
grant agreement is submitted if at any time the prospective lower tier participant learns that its certification
was erroneous when submitted or has become erroneous by reason of changed circumstances.
4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant,
person, primary covered transaction, principal, grant agreement, and voluntarily excluded, as used in this
clause, have the meanings set out in the Definition and Coverage sections of 49 CFR Part 29. You may
contact the person to whom this grant agreement is submitted for assistance in obtaining a copy of those
regulations,
5. The prospective lower tier participant agrees by submitting this grant agreement that, should the proposed .
covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with
a person who is proposed for debarment under 48 CFR Part 9, subpart 9.4, debarred, suspended, declared
ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the
department or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this grant agreement that it will include
the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion —
Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all
solicitations for lower tier covered transactions. (See below)
A participant in a covered transaction may rely upon a certification of a prospective participant in a lower
tier covered transaction that it is not proposed for debarment under 48 CFR Pail 9, subpart 9.4, debarred,
suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the
certification is erroneous. A participant may decide the method and frequency by which it determines the
eligibility of its principals. Each participant may, but is not required to, check the List of Parties Excluded
from Federal Procurement and Non- procurement Programs.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in
order to render in good faith the certification required by this clause. The knowledge and information of a
participant is not required to exceed that which is normally possessed by a prudent person in the ordinary
course of business dealings.
Certifications and Assurances (Rev. 5 /16)
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CERTIFICATIONS AND ASSURANCES
Page 6
transaction knowingly enters into a lower tier covered transaction with a person who is proposed for
debarment under 48 CFR Part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from
participation in this transaction, in addition to other remedies available to the Federal government, the
department or agency with which this transaction originated may pursue available remedies, including
suspension and /or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion —Lower Tier
Covered Transactions:
1. The prospective lower tier participant certifies, by submission of this grant agreement, that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency.
2, Where the prospective lower tier participant is unable to certify to any of the statements in this certification,
such prospective participant shall attach an explanation to this grant agreement.
Certifications and Assurances (Rev. 5/16)