HomeMy WebLinkAbout13 - CC-7 - Attachment 3 - 9/20/2016State of California - Office of Traffic Safety
GRANT AGREEMENT - Page t
OTS -38 (Rev. 4/16)
GRANT NumBF11
PT 1728
1. GRANT TITLE
SELECTIVE TRAFFIC ENFORCEMENT PROGRAM (STEP)
2. NAME OF AGENCY 4. GRANT PERIOD
CITY OF COSTA MESA
3. AGENCY UNIT TO ADMINISTER GRANT From: 10/1/16
COSTA MESA POLICE DEPARTMENT To: 9/30/17
5. GRANT DESCRIPTION
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 FUNDS ALLOCATED UNDER TRIS AGREEMENT SHALL NOT EXCEED: $ 165,000.00
7. TERMS 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
• Schedule B (OTS -38d) - Detailed Budget Estimate and
Sub -Budget Estimate (if applicable)
• Schedule B -I (OTS -380 - Budget Narrative and Sub -
Budget Narrative (if applicable)
*Items shown with an asterisk (*), are hereby incorporated by reference and made a part of this agreement as if attached hereto.
These documents can be viewed at the OTS home web page under Grants: ww%v.otS.ca.t ov.
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 WHEREOF, this Agreement has been executed by the parties hereto.
A. GRANT DIRECTOR
NAME: Zach Hoferitza PHONE: 714-754-5125
TITLE: Sergeant FAX: 714-754-5124
Special Police Services
B. AUTIIORIZING OFFICIAL OF AGENCY
NAME: Robert Sharpnack
TITLE: Police Chief
PiIoNE: 714-754-5117
FAX: 714-754-5002
ADDRESS: Costa Mesa Police Department, Traffic Division ! ADDRESS: Costa Mesa Police Depart., Office of the Chief
99 Fair Drive 99 Fair Drive
Costa Mesa, Ca 92626 Costa Mesa, Ca 92626
E-MAu: ;Zhoeritz costamesaca.gov E-MAIL: rsharonack@costamesaca.gov
0) L � lip, 11 (0i
ature) -- -- (Date) - - (Signature) _Date) _ —
C—T ISCAL OR ACCOUNTING OFFICIAL D. OFFICE AUTHORIZED TO RECEIVE PAYMENTS~
NAME: Colleen O'Donoghue PHONE: 714-754-5219 NAME: Costa Mesa City Hall, Finance Dept.
T,n.E: Assistant Finance Director FAX: 714-754-5040 ADDRESS: 77 Fair Dr.
ADDRESS: Costa Mesa City Hall, Finance Dept. ; Costa Mesa, Ca 92626
77 Fair Dr.
Costa Mesa, Ca 92626 9. DUNS NUMBER
E-MAIL:c 'donoghue@ stamesaca.gov DUNS 4: 06-614-8016
'L—.� %/1A REGISTERED 99 Fair Drive
l ADDRESS &
zip: Costa Mesa, CA 92626-6520
Page 2 (Office of Traffic Safety Use Only)
EFFECTIVE DATE OF AGREEMENT: 10/1/2016 GRANTEE CITY OF COSTA MESA GRANT NO. PT1728
10. Fin Action No. 1 Date: 7/19/2016 12. TYPE OF AGREEMENT I Initial X I Revision Cont.
PAID MEDIA PROGRAM INCOME TASK NO. F.F.Y.
Revision No. Date: 1 2 2017
11. Action Taken 13. FUNDING DISPOSITION & STATUS
Fiscal Year Amount
Initial approval of 2017 HSP funds obligated.
2016-17 165,000.00
2015-16
2014-15
2013-14
Total 165,000.00
Obligated This Action 165,000.00
Previously Obligated 0.00
Total Amount Obligated 165,000.00
TOTAL FUNDS PROGRAMMED 165,000.00
14. FUNDING DETAIL - FISCAL YEAR GRANT PERIOD ENDING: 9/30/2017
FUND
CFDA
ITEM/APPROPRIATION
F.Y.
CHAPTER
STATUTE
PROJECTED EXPENDITURES
164AL
20.608
0521-0890-101 (10/15)
2015
10/15
2015
$ 69,300.00
402PT
20.600
0521-0890-101 (10/15)
2015
10/15
2015
$ 29,700.00
164AL
20.608
0521-0890-101 (10/15)
2015
10/15
2015
$ 46,200.00
402PT
20.600
0521-0890-101 (23/16)
2016
23/16
2016
$ 19,800.00
OTS -38a* (Rev. 01/16)
TOTAL FEDERAL FUNDS:
$ 165,000.00
15. GRANT APPROVAL & AUTHORIZATION TO EXPEND OBLIGATED FUNDS
A. APPROVAL RECOMMENDED BY
B. AGREEMENT & FUNDING AUTHORIZED BY
NAME:
JULIE SCHILLING
NAME: RHONDA L. CRAFT
TITLE:
Program Coordinator
TITLE: Director
PHONE:
(916) 509-3018
E-MAIL:
julie.schilling@ots.ca.gov
Office of Traffic Safety
Office of Traffic Safety
2208 Kausen Drive, Suite 300
2208 Kausen Drive, Suite 300
Elk Grove, CA 95758
Elk Grove, CA 95758
Signature
Signature
OTS -38a* (Rev. 01/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT1728
1. PROBLEM STATEMENT
FATAL TRAFFIC COLLISIONS:
PAGE 1
In 2013, California's traffic fatalities continued to rise, increasing 1.2% to 3,000. Although this is still one of
the lowest years on record, it is far too many. Much work needs to be done in California and nationally to reach
NHTSA's goal of "Zero Deaths."
In Costa Mesa, our recent success of ZERO fatalities in 2012 was followed by one of the highest fatality rates in
the past 5 years, with 8 fatal traffic collision in 2013. Those numbers remained consistent in 2014 and 2015,
with 5 fatalities and 8 fatalities respectively. These fatalities involved a mix of factors including: DUI, unsafe
speed, motorcycles, pedestrians and bicyclists. The largest factors being DUI (5) and Motorcycle (5).
According to SWITRS (2013), Costa Mesa ranked 3rd worst for total fatal and injury collisions out of 56 other
cities in our population group.
DUI Traffic Collisions:
Statewide, alcohol -impaired driving fatalities increased from 802 in 2012 to 867 in 2013. As a percent of total
fatalities, alcohol -impaired driving fatalities remained the same in 2012 and 2009 at 29 percent. This number
has remained virtually unchanged in the past four years. California is better than the national average of 31
percent. However, a large portion of motorists still do not heed the message that drinking and driving do not
mix.
In Costa Mesa, DUI continues to be a major problem. In 2013, there were 3 alcohol involved fatal traffic
collisions, marking the first DUI fatal collisions since 2010. In 2014, that number increased to 4 and in 2015 3
alcohol involved fatal traffic collisions. Costa Mesa has always had a serious DUI problem due to numerous
ABC establishments, a highly traveled freeway terminating in our city and our city roadways being used for
freeway access to two large beach cities. Unfortunately, due to a decline in personnel our full-time DUI Team
assignment ended after 2013. Since that date our DUI enforcement efforts have been severely limited and
mostly reactive to traffic collisions. This has been evident with the decline in DUI arrest numbers during that
time: 916 (2012), 787 (2013), 380 (2014), and 383 (2015).
According to SWITRS (2013), Costa Mesa ranked 6t' worst for alcohol involved collisions out of 56 other cities
in our population group.
Distracted Drivers:
In 2012 Nationwide, 3,328 people were killed and an estimated additional 421,000 were injured in motor
vehicle collisions involving a distracted driver. An OTS Statewide Intercept Opinion Survey revealed that 36.3
percent of Californians stated that texting and talking are the biggest safety concerns on California roadways.
Although we are unable to quantify the number of traffic collisions in Costa Mesa related to distracted driving,
we believe that it is responsible for a major portion of our unsafe speed rear -end traffic collisions.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT1728
DUID Drivin
PAGE 2
The problem of drugged driving continues to rise. Twenty-nine percent of all drivers killed in motor vehicle
crashes, who were tested, tested positive for legal and/or illegal drugs. This percentage has been increasing
every year since 2006.
With the 2014 addition of the DUID law subsections (CVC 23152(e) and CVC 23152(f)) we are now be able to
accurately track the DUID problem in Costa Mesa. In 2014, 37 arrests were made for DUID or combinations of
drugs/alcohol and that number nearly doubled in 2015 to 63. This increase is in part due to the continued
training of officers regarding DUID.
Motorcyclists:
Motorcycle fatalities in California have been on the increase for the past 10 -years, peaking in 2008. Motorcycle
fatalities increased 1.4% from 447 in 2012 to 453 in 2013. In Costa Mesa, have had a consistent number of
motorcyclists killed in the last several years, 3 in 2013, 2 in 2014 and 2 in 2015.
According to SWITRS (2013), Costa Mesa ranked 4th worst for total motorcycle injury collisions out of 56
other cities in our population group.
Pedestrian & Bicyclists:These groups are the most vulnerable to injury and death in motor vehicle traffic collision and additional
enforcement of pedestrian laws and bicycle safety laws needs to be completed to ensure compliance. After zero
pedestrian or bicycle fatalities in 2014, we had 2 pedestrians killed in 2015. The two fatalities were pedestrian
right of way violations in our downtown area.
According to SWITRS (2013), Costa Mesa ranked 11th worst for pedestrian injury collisions and 3rd worst for
bicycle injury collisions out of 56 other cities in our population group.
Traffic Enforcement Staffing:
Police Department budgets and staffing levels have continued to reduce the number of officers on the street
enforcing traffic laws. Costa Mesa has been extremely impacted by these issues and over the past five years we
have seen a decrease in sworn and civilian personnel year -after -year. As of 2016, our actual working numbers
are below I I I officers out of a budgeted 135 positions. This down from a high of 160, 10 years ago. With
these staffing limitations, the Traffic Enforcement Bureau has had to downsize as well. As of 2016, the Traffic
Bureau consist of three officers, a traffic investigator and one Sergeant. This is down from 16 traffic officers 5
years ago. The reduced staffing has made duties more responsive to collisiond, then proactive enforcement to
prevent collisions.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT1728
PAGE 3
A. Traffic Data Summary:
Collision
2013
2014
2015
Type
Collisions
Victims
Collisions
Victims
Collisions
Victims
Fatal
8
8
5
5
8
8
Injury
569
778
569
829
655
914
Fatal
Injury
Killed
Injured
Fatal
Injury
Killed
Injured
Fatal
Injury
Killed
Injured
Alcohol-
2
58
2
76
2
57
2
84
4
57
4
83
Involved
Hit & Run
0
35
0
43
0
59
0
85
0
64
0
75
Nighttime
4
71
4
91
3
72
3
112
4
86
4
118
(2100-0259 hours)
Top 3 Primary Collision Factors
Fatal
Injury
Killed
Injured
#1-
VC 22350 — UNSAFE SPEED
0
139
0
208
#2 -
VC 21801 — AUTO RIGHT OF WAY
2
138
2
194
#3 -
DUI
4
57
4
83
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.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT1728
PAGE 4
10) Reduce the number of motorcyclists injured in traffic collisions.
11) Reduce hit & run 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.
16) 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-off press
releases and media advisories, alerts, and materials must be emailed to the OTS Public Information
Officer at pio&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
• NHTSA 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 revoked license
as a result of DUI convictions. Updated HOT sheets should be distributed to patrol and traffic
officers monthly.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT1728
PAGE 5
4) Send 6 law enforcement personnel to the NHTSA Standardized Field Sobriety Testing (SFST)
(minimum 16 hour) POST -certified training.
5) Send 3 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) Conduct 4 DUFDL 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 DUI/DL
checkpoints, departments should issue press releases that mention DL's will be checked at the
DUI/DL checkpoint. Signs for DUI/DL checkpoint operations should read "DUI/Driver's License
Checkpoint Ahead. " OTS does not fund or support independent DL checkpoints. Only on an
exception basis and with OTS pre -approval will OTS fund checkpoint operations that begin prior to
1800 hours.
9) Conduct 45 DUI Saturation Patrol operation(s).
10) Conduct 1 Stakeout operation that employ police officers to observe "worst -of -the -worst" repeat
DUI offender probationers with suspended or revoked driver licenses.
11) Conduct 8 Traffic enforcement operation(s), including but not limited to, primary collision factor
violations.
12) Conduct 5 Distracted Driving enforcement operation(s) targeting drivers using hand held cell phones
and texting.
13) Conduct 2 Night-time (1800 - 0559 hours) Click It or Ticket enforcement operation(s).
14) Conduct 4 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.
NOTE: Nothing in this "agreement" shall be interpreted as a requirement, formal or informal, that a
particular law enforcement officer issue a specified or predetermined number of citations in pursuance
of the goals and objectives hereunder.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT1728
3. METHOD OF PROCEDURE
PAGE 6
A. Phase 1 - Program Preparation, Training and Implementation (18t 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.
Media Requirements
• Submit all grant -related activity press releases, media advisories, alerts and general public materials
to the OTS Public Information Officer (PIO) at pio(&,,ots.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.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT1728
PAGE 7
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 pioAots.ca.gov 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 piogots.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 & Reporting (Throughout Grant Year)
• Agencies are required to collect and report quarterly, appropriate data that supports the progress of
goals and objectives.
• 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
year-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 fourth/final 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.
OTS -38b (Rev. 4/16)
GRANTS MADE EASY - STEP
SCHEDULE A
GRANT DESCRIPTION
GRANT No. PT1728
5. ADMINISTRATIVE SUPPORT
PAGE 8
This program has full support of the City of Costa Mesa. Every effort will be made to continue the activities
after the grant conclusion.
OTS -38b (Rev. 4/16)
SCHEDULE B
DETAILED BUDGET ESTIMATE
GRANT NO. PT1728
FUND NUMBER
CATALOG
NUMBER (CFDA)
FUND DESCRIPTION
TOTAL
AMOUNT
COST
GRANT
A. PERSONNEL COSTS
Minimum Penalties for Repeat Offenders for
FY -1
164AL
20.608
Driving While Intoxicated
$ 115,500.00
402PT
20.600
State and Community Highway Safety
$ 49,500.00
COST CATEGORY
FISCAL YEAR ESTIMATES
10/1/16 thru 9/30/17
TOTAL
TO
COST
GRANT
A. PERSONNEL COSTS
CFDA
FY -1
Positions and Salaries
Overtime
DUI / Driver's License Checkpoints
DUI Saturation Patrols
Stakeout Operations
Traffic Enforcement Operations
Distracted Driving Operations
Nighttime CIOT Operations
Bike / Pedestrian Safety Operations
20.608
20.608
20.608
20.600
20.600
20.600
20.600
$
$
$
$
$
$
$
35,900.00
76,100.00
3,500.00
22,000.00
11,000.00
4,500.00
9,000.00
$
$
$
$
$
$
$
35,900.00
76,100.00
3,500.00
22,000.00
11,000.00
4,500.00
9,000.00
Category Sub -Total
$
162,000.00
$
162,000.00
B. TRAVEL EXPENSE
In -State
Out -of -State
20.600
$
$
3,000.00
-
$
$
3,000.00
-
Category Sub -Total
FS
3,000.00
$
3,000.00
C. CONTRACTUAL SERVICES
None
$
-
$
-
Category Sub -Total
$
-
$
D. EQUIPMENT
None
$
-
$
-
Category Sub -Total
$
-
$
E. OTHER DIRECT COSTS
None
$
-
$
-
Category Sub -Total
$
-
$
F. INDIRECT COSTS
None
$
-
$
-
Category Sub -Total
$
-
$
-
GRANT TOTAL
1
1$
165,000.00 1
$ 165,000.00
OTS -38d (Rev. 4/15) Page 1 of 1
SCHEDULE B -I
GRANT No. PT1728
BUDGET NARRATIVE Page 1
PERSONNEL COSTS
Overtime
Overtime for grant funded law enforcement operations may be conducted by personnel such as a
Lieutenant, Sergeant, Corporal, 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 $44.60 /hour to $98.91/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.
All conferences, seminars or training not specifically identified in the Schedule B-1 (Budget Narrative)
must be approved by 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 funds.
CONTRACTUAL SERVICES
None
EQUIPMENT
None
OTHER DIRECT COSTS
None
INDIRECT COSTS
None
PROGRAM INCOME
There will be no program income generated from this grant.
OTS -38f (Rev. 4/16)
ExIIIBIT A
CERTIFICATIONS AND ASSURANCES
Page 1
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 are 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) Title VIII of the Civil Rights Act of 1968, as amended (42 U.S.C. 3601, et seq.),
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. 5/16)
EXHIBIT A
CERTIFICATIONS AND ASSURANCES
Page 2
BUY AMERICA ACT
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:
1. No Federal appropriated funds 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 making 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 under 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. Code. 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. 5/16)
ExIIIBIT A
CERTIFICATIONS AND ASSURANCES
RESTRICTION ON STATE LOBBYING
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 any time 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. 5/16)
ExIIIBIT A
CERTIFICATIONS AND ASSURANCES
Page 4
7. The Grantee Agency Official 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 under 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. 5/16)
EXMBIT A
CERTIFICATIONS AND ASSURANCES
Page 5
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)
7. 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.
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)
EXMBIT A
CERTIFICATIONS AND ASSURANCES
Page 6
9. Except for transactions authorized under paragraph 5 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 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)