HomeMy WebLinkAboutCalif State of - Office of Traffic Safety Grant Agreement #PS24014 - 12-4-23 State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS24014
1. GRANT TITLE
Pedestrian and Bicycle Safety Program
2. NAME OF AGENCY 3. Grant Period
Fresno From: 10/01/2023
4. AGENCY UNIT TO ADMINISTER GRANT To: 09/30/2024
Fresno PARCS
5. GRANT DESCRIPTION
Best practice strategies will be conducted to reduce the number of persons killed and injured in crashes
involving pedestrians and bicyclists. The funded strategies may include classroom education, bicycle rodeos,
community events, presentations, and workshops. These countermeasures should be conducted in
communities with high numbers of pedestrian and/or bicycle related crashes including underserved
communities, older adults, and school-aged children. Coordinated efforts such as Safe Routes to School
initiatives, Safe System Approach, and working with community based organizations are highly encouraged to
prevent fatalities and injuries of vulnerable non-motorized road users.
6. Federal Funds Allocated Under This Agreement Shall Not Exceed: $223,130.00
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—Problem Statement, Goals and Objectives and Method of Procedure
• Schedule B—Detailed Budget Estimate and Sub-Budget Estimate(if applicable)
• Schedule B-1 —Budget Narrative and Sub-Budget Narrative(if applicable)
• Exhibit A—Certifications and Assurances
• Exhibit B*—OTS Grant Program Manual
• Exhibit C—Grant Electronic Management System (GEMS)Access
*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: www.ots.ca.gov.
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.
8. Approval Signatures
A. GRANT DIRECTOR B. AUTHORIZING OFFICIAL
NAME: Kayla Garcia-Shields ADDRESS: Georgeanne White
TITLE: Program Manager, Sports City Manager
EMAIL: kayla.shields@fresno.gov georgeanne.white@fresno.gov
PHONE: (559)621-6610 (559)621-7900
ADDRESS: 1515 E.Divisadero Street 2600 Fresno Street
Fresno, CA 93721-1115 Fresno, CA 93721
Nov 1,2023 Dec 1,2023
(Signature) (Date) (Signature) (Date)
C. FISCAL OFFICIAL D. AUTHORIZING OFFICIAL OF OFFICE OF TRAFFIC SAFETY
ADDRESS: Tou Fue Xiong ADDRESS: Barbara Rooney
Senior Management Analyst Director
toufue.xiong@fresno.gov barbara.rooney@ots.ca.gov
(559)621-2920 (916)509-3030
1515 E.Divisadero Street 2208 Kausen Drive,Suite 300
Fresno, CA 93721-1115 Elk Grove,CA 95758
Nov 15,2023 Dec 4,2023
(Signature) (Date) (Signature) (Date)
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E. ACCOUNTING OFFICER OF OFFICE OF TRAFFIC SAFETY 9. SAM INFORMATION
NAME: Carolyn Vu SAM#: ELPGKCJ7DJK7
ADDRESS: 2208 Kausen Drive,Suite 300 REGISTERED
Elk Grove, CA 95758 ADDRESS: 2600 Fresno Street
CITY: Fresno
ZIP+4: 93721-3620
10. PROJECTED EXPENDITURES
FUND CFDA ITEM/APPROPRIATION F.Y. CHAPTER STATUTE PROJECTED
EXPENDITURES
402PS-24.1 20.600 0521-0890-101 2022 43/22 BA/22 $75,864.00
402PS-24 20.600 1 0521-0890-101 2023 12/23 BA/23 $147,266.00
AGREEMENT $223,130.00
TOTAL
AMOUNT ENCUMBERED BY THIS DOCUMENT
$223,130.00
I CERTIFY upon my own personal knowledge that the budgeted PRIOR AMOUNT ENCUMBERED FOR THIS
funds for the current budget year are available for the period and AGREEMENT
purpose of the expenditure stated above.
$0.00
OTS ACCOUNTING OFFICER'S SIGNATURE DATE SIGNED TOTAL AMOUNT ENCUMBERED TO DATE
Dec 1,2023 $223,130.00
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State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS24014
Schedule A
1. PROBLEM STATEMENT
The City of Fresno continues to rank amongst the highest number of pedestrian and bicycle crashes
compared to other cities nationwide. In September 2020, the City of Fresno completed a Systemic Local
Roadway Safety Plan which analyzed crash patterns citywide. The report found that pedestrians are
involved in 6 percent of all crashes citywide but reflect 38 percent of fatal and injury crashes. Additionally,
bicyclists are involved in 4 percent of all crashes citywide but reflect 11 percent of fatal and injury crashes.
Systemic data analysis also found that, among fatal or severe injury pedestrian crashes, 47 percent
occurred while a pedestrian was crossing a roadway outside a crosswalk.
Local crash data indicates that the frequency of pedestrian-and bicyclist-involved crashes is growing. In
2021, the Fresno Police Department recorded 22 fatal pedestrian-involved crashes and 3 fatal bicyclist-
involved crashes. In 2022, those numbers climbed to include 28 fatal pedestrian-involved crashes(a 27
percent year-over-year increase) and 7 fatal bicyclist-involved crashes(a 133 percent year-over-year
increase).
The Systemic Local Roadway Safety Plan includes recommendations to improve pedestrian and bicyclist
safety, including engineering, enforcement and safety education programs. Given the historically high rate of
crashes involving bicyclists and pedestrians, the City will implement safety education programs for all ages
tailored to increase both public and individual awareness of safe walking and biking behaviors, knowledge of
laws, safe crossing practices, helmet use. visibility and other safety strategies.
2. PERFORMANCE MEASURES
A. Goals:
1. Reduce the number of persons killed in traffic crashes.
2. Reduce the number of persons injured in traffic crashes.
3. Reduce the number of pedestrians killed in traffic crashes.
4. Reduce the number of pedestrians injured in traffic crashes.
5. Reduce the number of pedestrians killed under age 15 in traffic crashes.
6. Reduce the number of pedestrians injured under age 15 in traffic crashes.
7. Reduce the number of pedestrians killed over age 65 in traffic crashes.
8. Reduce the number of pedestrians injured over age 65 in traffic crashes.
9. Reduce the number of bicyclists killed in traffic crashes.
10. Reduce the number of bicyclists injured in traffic crashes.
11. Reduce the number of bicyclists under age 15 killed in traffic crashes.
12. Reduce the number of bicyclists under age 15 injured in traffic crashes.
13. Increase bicycle helmet usage.
B. Objectives: Target Number
1. Issue a press release announcing the kick-off of the grant by November 15. The 1
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 traffic safety fairs and/or community events with an effort to reach 10
individuals.
3. Work closely with community-based organizations at both the neighborhood and 3
community level with an effort to reach individuals.
4. Participate in the following campaigns: National Walk to School Day, National 4
Bicycle Safety Month, California's Pedestrian Safety Month and National
Pedestrian Safety Month.
5. Conduct pedestrian and/or bicycle safety presentations with an effort to reach 20
youth.
6. Distribute pedestrian/bicycle safety items at no cost to youth or community 1
members in need, during bicycle rodeos, presentations, workshops, trainings, and
communi events to increase safety and visibilit .
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7. Distribute crossing guard safe kits at no cost to schools. 80
8. Develop bicycle and pedestrian safety educational materials to be distributed 1
during classroom presentations, workshops, and community events.
9. Conduct community outreach events with an effort to reach adults. 4
10. Collaborate with health care providers and/or senior centers to promote pedestrian 1
safety.
11. Conduct pedestrian safety presentations with an effort to reach older adults. 7
12. Conduct pre and post-grant activities bicycle helmet usage surveys during the 2
months of October(start of the grant) and September(end of the grant). A pre-
survey will be required to determine the base year helmet use rate and a post-
survey will be required to determine the operational rate. Upload completed survey
to GEMS.
13. Distribute and properly fit bicycle helmets at no cost to community members in 854
need, at bicycle rodeos, schools, workshops, and community events.
14. Purchase bicycle helmets. 854
15. Train individuals to be League Certified Instructors. 3
16. Collaborate with law enforcement agencies to increase knowledge and awareness 1
of pedestrian and bicycle safety.
17. Conduct bicycle rodeos with an effort to reach youth. 14
18. Conduct pedestrian Walking Field Trips or on-foot safety training with an effort to 2
reach youth.
19. Identify straight time personnel and report on activities completed. Include any 4
vacancies or staff changes that have occurred.
20. Conduct pedestrian safety trainings with local School Crossing Guards to promote 80
student pedestrian safety. When reporting, include date/location, total number of
trainings completed. and total number of crossing guard kits distributed at each
training event.
21. Execute subcontract referenced in the budget. Prior to finalizing the subcontract, 2
grantee will work with the OTS to ensure all costs in the subcontract are allowable.
Upon execution of subcontract, upload a copy of the subcontract and request a
revision to the grant budget to add new budget line items for associated costs
under contractual services. If not yet executed, provide ETA.
22. Participate in local Art Hop community events to provide bicycle and pedestrian 6
safety education to attendees. When reporting, include date/location, length of
each event, and number of individuals reached.
3. METHOD OF PROCEDURE
A. Phase 1 —Program Preparation (15'Quarter of Grant Year)
• Develop operational plans to implement the "best practice"strategies outlined in the objectives
section.
• All training needed to implement the program should be conducted in the first quarter.
• All grant related purchases needed to implement the program should be made in the first
quarter.
Media Requirements
• Issue a press release approved by the OTS PIO announcing the kick-off of the grant by
November 15, but no sooner than October 1. The kick-off release must be approved by the OTS
PIO and only distributed after the grant is fully signed and executed. If you are unable to meet the
November 15 deadline to issue a kick-off press release, communicate reasons to your OTS
coordinator and OTS PIO.
B. Phase 2--Program Operations (Throughout Grant Year)
Media Requirements
The following requirements are for all grant-related activities:
• Send all media advisories, alerts, videos, graphics, artwork, posters, radio/PSA/video scripts,
storyboards, digital and/or print educational materials for grant-related activities to the OTS PIO
at piopots.ca.gov for approval and copy your OTS coordinator. Optimum lead time would be 7
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days before the scheduled release but at least 3 business days prior to the scheduled release
date for review and approval is appreciated.
• The OTS PIO is responsible for the approval of the design and content of materials. The agency
understands OTS PIO approval is not authorizing approval of budget expenditure or cost. Any
cost approvals must come from the Coordinator.
■ Pre-approval is not required when using any OTS-supplied template for media advisories, press
releases, social media graphics, videos or posts, or any other OTS-supplied educational material.
However, copy the OTS PIO at pio@ots.ca.gov and your OTS coordinator when any material is
distributed to the media and public, such as a press release, educational material, or link to social
media post. The OTS-supplied kick-off press release templates and any kickoff press releases
are an exception to this policy and require prior approval before distribution to the media and
public.
■ If an OTS-supplied template, educational material, social media graphic, post or video is
substantially changed, the changes shall be sent to the OTS PIO at pio@ots.ca.gov for approval
and copy to your OTS Coordinator. Optimum lead time would be 7 days prior to the scheduled
release date, but at least 3 business days prior to the scheduled release date for review and
approval is appreciated.
• Press releases, social media posts and alerts on platforms such as NextDoor and Nixie reporting
immediate and time-sensitive grant activities (e.g. enforcement operations, day of event
highlights or announcements, event invites) are exempt from the OTS PIO approval process. The
OTS PIO and your Coordinator should still be notified when the grant-related activity is
happening (e.g. car seat checks, bicycle rodeos, community presentations, DUI checkpoints,
etc.).
■ Enforcement activities such as warrant and probation sweeps, court stings, etc. that are
embargoed or could impact operations by publicizing in advance are exempt from the PIO
approval process. However, announcements and results of activities should still be copied to the
OTS PIO at pio@ots.ca.gov and your Coordinator with embargoed date and time or with
"INTERNAL ONLY: DO NOT RELEASE" message in subject line of email.
■ Any earned or paid media campaigns for TV, radio, digital or social media that are part of a
specific grant objective, using OTS grant funds, or designed and developed using contractual
services by a subgrantee, requires prior approval. Please send to the OTS PIO at
pio@ots.ca.gov for approval and copy your grant coordinator at least 3 business days prior to the
scheduled release date.
• Social media posts highlighting state or national traffic safety campaigns (Distracted Driving
Month, Motorcycle Safety Awareness Month, etc.), enforcement operations(DUI checkpoints,
etc.), or any other grant-related activity such as Bicycle rodeos, presentations, or events, are
highly encouraged but do not require prior approval.
• Submit a draft or rough-cut of all digital, printed, recorded or video material (brochures, posters,
scripts, artwork, trailer graphics, digital graphics, social posts connected to an earned or paid
media campaign grant objective)to the OTS PIO at pio@ots.ca.gov and copy your OTS
Coordinator for approval prior to the production or duplication.
• Use the following standard language in all press, media, and printed materials, space permitting:
Funding for this program was provided by a grant from the California Office of Traffic Safety,
through the National Highway Traffic Safety Administration.
• Space permitting, include the OTS logo on all grant-funded print materials, graphics and paid or
earned social media campaign grant objective; consult your OTS Coordinator for specifics,
format-appropriate logos, or if space does not permit the use of the OTS logo.
• Email the OTS PIO at pio@ots.ca.gov and copy your OTS Coordinator at least 21 days in
advance, or when first confirmed, a short description of any significant grant-related traffic safety
event or program, particularly events that are highly publicized beforehand with anticipated media
coverage so OTS has sufficient notice to arrange for attendance and/or participation in the event.
If unable to attend, email the OTS PIO and coordinator brief highlights and/or results, including
any media coverage (broadcast, digital, print) of event within 7 days following significant grant-
related event or program. Media and program highlights are to be reflected in APRs.
• Any press releases, work plans, scripts, storyboards, artwork, graphics, videos or any
educational or informational materials that received PIO approval in a prior grant year needs to
be resubmitted for approval in the current grant year.
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• Contact the OTS PIO or your OTS Coordinator for consultation when changes from any of the
above requirements might be warranted.
C. Phase 3—Data Collection & Reporting (Throughout Grant Year)
1. Prepare and submit grant claim invoices (due January 30, April 30, July 30, and October 30)
2. Prepare and submit Quarterly Performance Reports (QPR) (due January 30, April 30, July 30, and
October 30)
• Collect and report quarterly, appropriate data that supports the progress of goals and objectives.
• Provide a brief list of activity conducted, procurement of grant-funded items, and significant
media activities. Include status of grant-funded personnel, status of contracts, challenges, or
special accomplishments.
• Provide a brief summary of quarterly accomplishments and explanations for objectives not
completed or plans for upcoming activities.
• Collect, analyze and report statistical data relating to the grant goals and objectives.
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.
5. ADMINISTRATIVE SUPPORT
This program has full administrative support, and every effort will be made to continue the grant activities
after grant conclusion.
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State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS24014
Schedule B
FUND NUMBER CATALOG FUND DESCRIPTION TOTAL AMOUNT
NUMBER CFDA _
402PS-24 20.600 State and Community Highway $223,130.00
Safety
COST CATEGORY FUND UNIT COST OR UNITS TOTAL COST TO
NUMBER RATE I GRANT
A. PERSONNEL COSTS
Straight Time
Service Aides 402PS-24 $17.50 3,120 $54,600.00
Benefits- Service Aides @ 1.08% 402PS-24 $54,600.00 1 $590.00
Recreation Specialist 402PS-24 $23.22 2,080 $48,298.00
Benefits- Recreation Specialist P, 35.00% 402PS-24 $48,298.00 1 $16,904.00
Community Recreation Assistant 402PS-24 $21.45 1,040 $22,308.00
Benefits- Community Recreation 402PS-24 $22,308.00 1 $241.00
Assistant @ 1.08%
Community Services & Recreation 402PS-24 $35.13 520 $18,268.00
Supervisor
Benefits- Community Services & 402PS-24 $18,268.00 1 $6,394.00
Recreation Supervisor @ 35.00%
Overtime
$0.00
Category Sub-Total $167,603.00
B. TRAVEL EXPENSES
In State Travel 402PS-24 $1,750.00 1 $1,750.00
$0.00
Category Sub-Total $1,750.00
C. CONTRACTUAL SERVICES
$0.00
Category Sub-Total $0.00
D. EQUIPMENT
$0.00
Category Sub-Total $0.00
E. OTHER DIRECT COSTS
Safety Patrol/Crossing Guard Kits 402PS-24 $200.00 80 $16 000.00
Bicycle Helmets 402PS-24 $15.00 854 $12,810.00
Pedestrian/Bicycle Safety Items 402PS-24 $8,500.00 1 $8,500.00
Display Booth 402PS-24 $6,825.00 1 $6,825.00
Translation and Interpretation Services 402PS-24 $4,400.00 1 $4,400.00
Pedestrian and Bicycle Safety Activity 402PS-24 $2,500.00 1 $2,500.00
Supplies
LCI Instructor Fees 402PS-24 $1,830.00 1 $1,830.00
Educational Materials 402PS-24 $912.00 1 $912.00
Category Sub-Total $53,777.00
F. INDIRECT COSTS
$0.00
Category Sub-Total $0.00
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GRANT TOTAL $223,130.00
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State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS24014
Schedule B-1
BUDGET NARRATIVE
PERSONNEL COSTS
Service Aides-Assigned service aides'will be facilitating educational presentations to youth and adults with
the goal of informing participants about bicycle and pedestrian safety. Educational tools that will be used are
visual as well as interactive. Staff assigned will also facilitate bike rodeo courses to those individuals that
have received the safety presentation. Our goal is to reach the youth at our nearby community centers and
schools by having a presentation at a minimum of 20 locations. Assigned staff will also be tasked with
community outreach by participating in traffic safety fairs and community events. Additionally, staff will be
tasked with implementing an educational training program for crossing guards across various elementary
schools prior to supplying schools with a brand-new crossing guard safety kit. Claim should reflect actual
costs up to the rate specified.
3 Staff x 20 HoursNVeek x 52 Weeks= 1,040 Units
Benefits- Service Aides @ 1.08% - Claimed amounts must reflect actual benefit costs for straight time or
overtime hours charged to the grant. _
Recreation Specialist-The Recreation Specialist will assist at grant-funded events. Claim should reflect
actual costs up to the rate specified.
1 Staff x 8 Hours/Day x 260 Days =2,080 Units
Benefits- Recreation Specialist @ 35.00% - Claimed amounts must reflect actual benefit costs for straight
time or overtime hours charged to the grant.
Community Recreation Assistant-A part-time Community Recreation Assistant will assist at grant-funded
events. Claim should reflect actual costs up to the rate specified.
1 Staff x 20 Hours/Week x 52 Weeks = 1,040 Units
Benefits- Community Recreation Assistant @ 1.08% -Claimed amounts must reflect actual benefit costs for
straight time or overtime hours charcjed to the grant.
Community Services & Recreation Supervisor-The Community Services and Recreation Supervisor will
manage staff and prepare grant-funded events. Claim should reflect actual costs up to the rate specified.
1 Staff x 2 Hours/Day x 260 Days = 520 Units
Benefits- Community Services & Recreation Supervisor @ 35.00% -Claimed amounts must reflect actual
benefit costs for straight time or overtime hours charged to the grant.
TRAVEL EXPENSES
In State Travel -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 Traffic Safety Conference, Fresno
International Transportation Innovations 2023 Pedal Summit, and 3-day League Cycling Instructor(LCI)
training for the appropriate grant staff. All conferences, seminars or training not specifically identified in the
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
EQUIPMENT
OTHER DIRECT COSTS
Safety Patrol/Crossing Guard Kits- Costs may include reflective vests, whistles, and traffic controls such as
handheld stop signs, portable crosswalk signage, traffic cones, barricades, bollards/chains, and pick up/drop
off signage. Additional items may be purchased if approved by OTS.
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Bicycle Helmets- Helmets to be distributed at no cost during bicycle rodeos and other bicycle safety related
events. Cost per helmet not to exceed an average price of$15, including shipping, handling and tax. More
expensive helmets may be purchased if approved by OTS.
Pedestrian/Bicycle Safety Items- Cost may include reflective arm and leg bands, tape, zipper pulls, bicycle
headlights/taillights, and reflectors to be distributed at no cost during bicycle rodeos, presentations,
workshops, trainings, and community events to increase safety and visibility. Additional items may be
purchased if approved by OTS.
Display Booth - Display/information booth or pop-up tent at venues such as conferences, state and local
fairs, and community events. Costs may include fees and supplies such as lighting, fans. displays, banners,
tablecloths and rental of the following: tables, chairs, generators and electrical service. Costs may not
include furniture such as but not limited to tables and chairs. Additional items may be purchased if approved
by OTS.
Lumpsum:
$4,500 x 1 Display Booth = $4,500
$200 x 1 Rolling Storage Bag = $200
$250 x 2 Tablecloths= $500
$200 x 1 Lighting = $200
$450 x 2 Banners =$900
$175 x 2 Flags =$350
$175 X 1 = $175 Art Hop Vendor Fee
Total = $6,825
Translation and Interpretation Services-Vendors will be retained from the City's pre-approved vendor list to
provide interpretation and translation services for meetings, educational materials and event fliers.
Languages translated/interpreted will be Spanish, Hmong, Punjabi, and other languages as needed.
Lumpsum:
$1,400 x 1 = $1,400 Total Interpretation Cost
$200 x 15 Hours =$3,000 Total Translation Cost
Total = $4,400
Pedestrian and Bicycle Safety Activity Supplies - On-scene supplies to conduct pedestrian and bicycle
safety activities such as but not limited to bike rodeos, community bike rides, walking field trips, and walking
school buses. Costs may include bullhorns, whistles, reflective safety vests, cones, pop-up tents, chalk,
event signage, bikes, training wheels, and items to repair and maintain bikes such as tires, tubes, brakes.
handle grips, tire pumps, tire patch kits and chain oil. Additional items may be purchased if approved by
OTS.
LCI Instructor Fees- Certification fees for technicians who successfully complete League of American
Bicyclists Instructor Certification courses.
Lumpsum:
$65 x 3 = $195 LAB Membership &Annual Renewal
$500 x 3 = $1,500 LCI Seminar Registration
$30 x 3 = $90 LCI Prerequisite Class
$15 x 3 = $45 Fresno Bicycle Coalition Membership Fee
Total = $1,830
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Educational Materials- Costs of purchasing, developing or printing brochures, pamphlets, fliers, coloring
books, posters, signs, and banners associated with grant activities, and traffic safety conference and training
materials. Items shall include a traffic safety message and if space is available the OTS logo. Additional
items may be purchased if approved by OTS.
INDIRECT COSTS
STATEMENTS/DISCLAIMERS
There will be no program income generated from this grant.
Salaries may include wages, salaries, special compensations, or authorized absences such as annual leave
and sick leave provided the cost for the individual employee is (a) reasonable for the services rendered, and
(b)follows an appointment made in accordance with state or local laws and rules and meets federal
requirements.
Any non-grant funded vacancies created by reassignment to a grant-funded position must be filled at the
expense of the grantee agency.
Benefits for personnel costs can only be applied to strai ht time or overtime hours charged to the grant.
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State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS24014
Exhibit A
Certifications and Assurances for Fiscal Year 2024 Highway Safety Grants(23 U.S.C.Chapter 4 or Section 1906,Public Law
109-59,as amended by Section 25024,Public Law 117-58)
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:
GENERAL REQUIREMENTS
The State will comply with applicable statutes and regulations,including but not limited to:
• 23 U.S.C.Chapter 4—Highway Safety Act of 1966,as amended;
• Sec. 1906,Public Law 109-59,as amended by Sec.25024,Public Law L 17-58;
• 23 CFR part 1300—Uniform Procedures for State Highway Safety Grant Programs;
• 2 CFR part 204—Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards;
• 2 CFR part 1201—Department of Transportation, Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards.
NONDISCRIMINATION
(applies to all subrecipients as well as States)
The State highway safety agency[and its subrecipients]will comply with all Federal statutes and implementing regulations relating to
nondiscrimination("Federal Nondiscrimination Authorities").These include but are not limited to:
■ Title VI of the Civil Rights Act of 1964(42 U.S.C.2000d et seq.,78 stat.252),(prohibits discrimination on the basis of race,
color,national origin);
■ 49 CFR part 21 (entitled Non-discrimination in Federally-Assisted Programs of the Department of Transportation—
Effectuation of Title VI of the Civil Rights Act of 1964);
■ 28 CFR 50.3(U.S.Department of Justice Guidelines for Enforcement of Title VI of the Civil Rights Act of 1964);
• The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C.4601), (prohibits unfair
treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects);
• Federal-Aid Highway Act of 1973, (23 U.S.C. 324 et seq.),and Title IX of the Education Amendments of 1972, as amended
(20 U.S.C. 1681-1683 and 1685-1686)(prohibit discrimination on the basis of sex);
• Section 504 of the Rehabilitation Act of 1973, (29 U.S.C.794 et seq.),as amended,(prohibits discrimination on the
basis of disability)and 49 CFR part 27;
• The Age Discrimination Act of 1975, as amended,(42 U.S.C.6101 et seq.),(prohibits discrimination on the basis of
age);
■ The Civil Rights Restoration Act of 1987,(Pub.L. 100-209),(broadens scope,coverage,and applicability of Title VI of the
Civil Rights Act of 1964,The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973,by
expanding the definition of the terms"programs or activities"to include all of the programs or activities of the Federal aid
recipients,subrecipients and contractors,whether such programs or activities are Federally-funded or not);
• Titles H and III of the Americans with Disabilities Act(42 U.S.C_ 12131-12189)(prohibits discrimination on the basis of
disability in the operation of public entities,public and private transportation systems,places of public accommodation,
and certain testing)and 49 CFR parts 37 and 38;
• Executive Order 12898,Federal Actions to Address Environmental Justice in Minority Populations and Low-Income
Populations(preventing discrimination against minority populations by discouraging programs,policies,and activities
with disproportionately high and adverse human health or environmental effects on minority and low-income
populations);
• Executive Order 13166.Improving Access to Services for Persons with Limited English Proficiency(requiring that recipients
of Federal financial assistance provide meaningful access for applicants and beneficiaries who have limited English
proficiency(LEP));
■ Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities through the Federal
Government(advancing equity across the Federal Government); and
• Executive Order 13988.Preventing and Combating Discrimination on the Basis of Gender Identity or Sexual
Orientation(clarifying that sex discrimination includes discrimination on the grounds of gender identity or sexual
orientation).
The preceding statutory and regulatory cites hereinafter are referred to as the"Acts"and"Regulations,"respectively.
GENERAL ASSURANCES
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In accordance with the Acts,the Regulations,and other pertinent directives,circulars,policy,memoranda,and/or guidance, the
Recipient hereby gives assurance that it will promptly take any measures necessary to ensure that:
"No person in the United States shall, on the grounds of race, color, or national origin, be excluded f•om participation in, be denied
the benefits of,or be otherwise subjected to discrimination under any program or activity,for which the Recipient receives Federal
financial assistance f om DOT, including NHTSA."
The Civil Rights Restoration Act of 1987 clarified the original intent of Congress,with respect to Title VI of the Civil Rights Act of
1964 and other non-discrimination requirements(the Age Discrimination Act of 1975,and Section 504 of the Rehabilitation Act of
1973),by restoring the broad,institutional-wide scope and coverage of these nondiscrimination statutes and requirements to include all
programs and activities of the Recipient,so long as any portion of the program is Federally assisted.
SPECIFIC ASSURANCES
More specifically,and without limiting the above general Assurance,the Recipient agrees with and gives the following Assurances
with respect to its Federally assisted Highway Safety Grant Program:
1. The Recipient agrees that each"activity,""facility,"or"program,"as defined in S 21.23(b) and (e) of 49 CFR part 21
will be(with regard to an"activity")facilitated,or will be(with regard to a"facility")operated,or will be(with regard to
a"program")conducted in compliance with all requirements imposed by,or pursuant to the Acts and the Regulations.
2. The Recipient will insert the following notification in all solicitations for bids,Requests For Proposals for work,or
material subject to the Acts and the Regulations made in connection with all Highway Safety Grant Programs and,in
adapted form,in all proposals for negotiated agreements regardless of funding source:
"The[name of Recipient], in accordance with the provisions of Title VI of the Civil Rights Act of 1964(78 Slat.252, 42
U.S.0 2000d to 2000d-4)and the Regulations, hereby notifies all bidders that it will affirmatively ensure that in any
contract entered into pursuant to this advertisement,disadvantaged business enterprises will be afforded f ill and fair
opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race,
color,or national origin in consideration for an award."
3. The Recipient will insert the clauses of appendix A and E of this Assurance(also referred to as DOT Order 1050.2A) in
every contract or agreement subject to the Acts and the Regulations.
4. The Recipient will insert the clauses of appendix B of DOT Order 1050.2A,as a covenant running with the land,in any
deed from the United States effecting or recording a transfer of real property,structures,use,or improvements thereon or
interest therein to a Recipient.
5. That where the Recipient receives Federal financial assistance to construct a facility,or part of a facility,the Assurance
will extend to the entire facility and facilities operated in connection therewith.
6. That where the Recipient receives Federal financial assistance in the form of,or for the acquisition of,real property or an
interest in real property,the Assurance will extend to rights to space on,over,or under such property.
7. That the Recipient will include the clauses set forth in appendix C and appendix D of this DOT Order 1050.2A,as a
covenant running with the land,in any future deeds,leases,licenses,permits,or similar instruments entered into by the
Recipient with other parties:
a. for the subsequent transfer of real property acquired or improved under the applicable activity,project,or
program;and
b. for the construction or use of,or access to,space on,over,or under real property acquired or improved under the
applicable activity,project,or program.
8. That this Assurance obligates the Recipient for the period during which Federal financial assistance is extended to the
program,except where the Federal financial assistance is to provide,or is in the form of,personal property,or real
property,or interest therein,or structures or improvements thereon,in which case the Assurance obligates the Recipient,or
any transferee for the longer of the following periods:
a. the period during which the property is used for a purpose for which the Federal financial assistance is extended,
or for another purpose involving the provision of similar services or benefits;or
b. the period during which the Recipient retains ownership or possession of the property.
9. The Recipient will provide for such methods of administration for the program as are found by the Secretary of
Transportation or the official to whom he/she delegates specific authority to give reasonable guarantee that it,other
recipients,sub-recipients,sub-grantees,contractors,subcontractors,consultants,transferees,successors in interest,and
other participants of Federal financial assistance under such program will comply with all requirements imposed or pursuant
to the Acts,the Regulations,and this Assurance.
10. The Recipient agrees that the United States has a right to seek judicial enforcement with regard to any matter arising
under the Acts,the Regulations,and this Assurance.
By signing this ASSURANCE,the State highway safety agency also agrees to comply(and require any sub-recipients,sub-grantees,
contractors,successors,transferees,and/or assignees to comply)with all applicable provisions governing NHTSA's access to records,
accounts,documents,information,facilities,and staff.You also recognize that you must comply with any program or compliance
reviews,and/or complaint investigations conducted by NHTSA.You must keep records,reports,and submit the material for review
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upon request to NHTSA,or its designee in a timely,complete,and accurate way.Additionally,you must comply with all other
reporting,data collection,and evaluation requirements,as prescribed by law or detailed in program guidance.
The State highway safety agency gives this ASSURANCE in consideration of and for obtaining any Federal grants,loans,contracts,
agreements,property,and/or discounts,or other Federal-aid and Federal financial assistance extended after the date hereof to the
recipients by the U.S.Department of Transportation under the Highway Safety Grant Program.This ASSURANCE is binding on the
State highway safety agency,other recipients,sub-recipients,sub-grantees,contractors,subcontractors and their subcontractors',
transferees,successors in interest,and any other participants in the Highway Safety Grant Program.The person(s)signing below is/are
authorized to sign this ASSURANCE on behalf of the Recipient.
THE DRUG-FREE WORKPLACE ACT OF 1988(41 U.S.C.8103)
The Subgrantee will provide a drug-free workplace by:
a. Publishing a statement notifying employees that the unlawful manufacture,distribution,dispensing,possession or use of
a controlled substance is prohibited in the grantee's workplace, and specifying the actions that will be taken against
employees for violation of such prohibition;
b. Establishing a drug-free awareness program to inform employees about:
1. The dangers of drug abuse in the workplace;
2. The grantee's policy of maintaining a drug-free workplace;
3. Any available drug counseling,rehabilitation,and employee assistance programs;
4. The penalties that may be imposed upon employees for drug violations occurring in the workplace;
5. Making it a requirement that each employee engaged in the performance of the grant be given a copy of the
statement required by paragraph(a);
c. Notifying the employee in the statement required by paragraph(a)that,as a condition of employment under the grant,the
employee will-
1. Abide by the terms of the statement;
2. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no
later than five days after such conviction;
d. Notifying the agency within ten days after receiving notice under subparagraph(c)(2)from an employee or otherwise
receiving actual notice of such conviction;
e. Taking one of the following actions,within 30 days of receiving notice under subparagraph(c)(2),with
respect to any employee who is so convicted-
1. Taking appropriate personnel action against such an employee,up to and including termination;
2. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved
for such purposes by a Federal, State,or local health,law enforcement,or other appropriate agency;
f. Making a good faith effort to continue to maintain a drug-free workplace through implementation of all of the
paragraphs above.
POLITICAL ACTIVITY(HATCH ACT)
(applies to all subrecipients as well as States)
The State 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
(applies to all subrecipients as well as States)
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-
awards at all tiers(including subcontracts, subgrants,and contracts under grant,loans,and cooperative agreements)and
that all subrecipients shall certify and disclose accordingly.
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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.
RESTRICTION ON STATE LOBBYING
(applies to subrecipients as well as States)
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
(applies to all subrecipients as well as States)
INSTRUCTIONS FOR PRIMARY TIER PARTICIPANT CERTIFICATION(STATES)
1. By signing and submitting this proposal,the prospective primary tier participant is providing the certification set out below
and agrees to comply with the requirements of 2 CFR parts 180 and 1200.
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 primary tier 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 prospective primary tier participant
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 prospective primary tier participant
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 or may pursue suspension or debarment.
4. The prospective primary tier participant shall provide immediate written notice to the department or agency to which
this proposal is submitted if at any time the prospective primary tier participant learns its certification was erroneous
when submitted or has become erroneous by reason of changed circumstances.
5. The terms covered transaction,civil judgment,debarment,suspension,ineligible,participant,person,principal,
and voluntarily excluded,as used in this clause,are defined in 2 CFR parts 180 and 1200.You may contact the
department or agency to which this proposal is being submitted for assistance in obtaining a copy of those regulations.
6. The prospective primary tier participant agrees by submitting this proposal 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.
7. The prospective primary tier participant further agrees by submitting this proposal that it will include the clause titled
"Instructions for Lower Tier Participant Certification"including the"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 and will require lower tier participants to comply with 2 CFR parts 180 and 1200.
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 9tsubpart 9.4,debarred,suspended,ineligible,or
voluntarily excluded from the covered transaction,unless it knows that the certification is erroneous.A participant is
responsible for ensuring that its principals are not suspended,debarred,or otherwise ineligible to participate in covered
transactions.To verify the eligibility of its principals,as well as the eligibility of any prospective lower tier participants,
each participant may,but is not required to,check the System for Award Management Exclusions website
(h16R 1Ayi4aL.sam..go>>Il.
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 the transaction for cause or
default.
CERTIFICATION REGARDING DEBARMENT,SUSPENSION,AND OTHER RESPONSIBILITY MATTERS—
PRIMARY TIER COVERED TRANSACTIONS
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1. The prospective primary tier participant certifies to the best of its knowledge and belief,that it and its principals:
a. Are not presently debarred,suspended,proposed for debarment,declared ineligible,or voluntarily excluded
from participating in covered transactions by any Federal department or agency;
b. Have not within a three-year period preceding this proposal 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 records,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/proposal had one or more public transactions
(Federal,State,or local)terminated for cause or default.
2. Where the prospective primary tier participant is unable to certify to any of the Statements in this certification,such
prospective participant shall attach an explanation to this proposal.
INSTRUCTIONS FOR LOWER TIER PARTICIPANT CERTIFICATION
1. By signing and submitting this proposal,the prospective lower tier participant is providing the certification set out below
and agrees to comply with the requirements of 2 CFR parts 180 and 1200.
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 or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal 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,civil judgment,debarment,suspension,ineligible,participant,person,principal,and
voluntarily excluded,as used in this clause,are defined in 2 CFR parts 180 and 1200.You may contact the person to
whom this proposal is submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal 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 12art 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 proposal that it will include the clause titled
"Instructions for Lower Tier Participant Certification"including the"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 and will require lower tier participants to comply
with 2 CFR parts 180 and 1200.
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 is
responsible for ensuring that its principals are not suspended,debarred,or otherwise ineligible to participate in covered
transactions.To verify the eligibility of its principals,as well as the eligibility of any prospective lower tier participants,
each participant may,but is not required to,check the System for Award Management Exclusions website
(https://www.sam.gov�.
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.
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 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 proposal,that neither it nor its principals is presently
debarred,suspended,proposed for debarment,declared ineligible,or voluntarily excluded from participating in covered
transactions by any Federal department or agency.
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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 proposal.
BUY AMERICA
(applies to subrecipients as well as States)
The State and each subrecipient will comply with the Buy America requirement(23 U.S.C.313)when purchasing items using
Federal funds.Buy America requires a State,or subrecipient,to purchase with Federal funds only steel,iron and manufactured
products produced in the United States,unless the Secretary of Transportation determines that such domestically produced items
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.In order to use Federal
funds to purchase foreign produced items,the State must submit a waiver request that provides an adequate basis and justification for
approval by the Secretary of Transportation.
CERTIFICATION ON CONFLICT OF INTEREST
(applies to subrecipients as well as States)
GENERAL REQUIREMENTS
No employee,officer,or agent of a State or its subrecipient who is authorized in an official capacity to negotiate,make, accept,or
approve,or to take part in negotiating,making,accepting,or approving any subaward,including contracts or subcontracts,in
connection with this grant shall have,directly or indirectly,any financial or personal interest in any such subaward. Such a financial
or personal interest would arise when the employee,officer,or agent,any member of his or her immediate family,his or her partner,
or an organization which employs or is about to employ any of the parties indicated herein,has a financial or personal interest in or a
tangible personal benefit from an entity considered for a subaward.Based on this policy:
1. The recipient shall maintain a written code or standards of conduct that provide for disciplinary actions to be applied for
violations of such standards by officers,employees,or agents.
a. The code or standards shall provide that the recipient's officers,employees,or agents may neither solicit nor
accept gratuities,favors,or anything of monetary value from present or potential subawardees,including
contractors or parties to subcontracts.
b. The code or standards shall establish penalties,sanctions,or other disciplinary actions for violations,as
permitted by State or local law or regulations.
2. The recipient shall maintain responsibility to enforce the requirements of the written code or standards of conduct.
DISCLOSURE REQUIREMENTS
No State or its subrecipient,including its officers,employees,or agents,shall perform or continue to perform under a grant or
cooperative agreement,whose objectivity may be impaired because of any related past,present,or currently planned interest,
financial or otherwise,in organizations regulated by NHTSA or in organizations whose interests may be substantially affected by
NHTSA activities.Based on this policy:
1. The recipient shall disclose any conflict of interest identified as soon as reasonably possible, making an immediate and
full disclosure in writing to NHTSA.The disclosure shall include a description of the action which the recipient has taken
or proposes to take to avoid or mitigate such conflict.
2. NHTSA will review the disclosure and may require additional relevant information from the recipient.If a conflict of
interest is found to exist,NHTSA may(a)terminate the award,or(b)determine that it is otherwise in the best interest of
NHTSA to continue the award and include appropriate provisions to mitigate or avoid such conflict.
3. Conflicts of interest that require disclosure include all past,present,or currently planned organizational,financial,
contractual,or other interest(s)with an organization regulated by NHTSA or with an organization whose interests may be
substantially affected by NHTSA activities,and which are related to this award.The interest(s)that require disclosure
include those of any recipient,affiliate,proposed consultant,proposed subcontractor,and key personnel of any of the
above.Past interest shall be limited to within one year of the date of award.Key personnel shall include any person
owning more than a 20 percent interest in a recipient,and the officers,employees or agents of a recipient who are
responsible for making a decision or taking an action under an award where the decision or action can have an economic
or other impact on the interests of a regulated or affected organization.
PROHIBITION ON USING GRANT FUNDS TO CHECK FOR HELMET USAGE
(applies to all subrecipients as well as States)
The State and each subrecipient will not use 23 U.S.C. Chapter 4 grant funds for programs to check helmet usage or to
create checkpoints that specifically target motorcyclists.
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POLICY ON SEAT BELT USE
In accordance with Executive Order 13043, Increasing Seat Belt Use in the United States,dated April 16, 1997,the
Grantee is encouraged to adopt and enforce on-the-job seat belt use policies and programs for its employees when
operating company-owned, rented, or personally-owned vehicles.The National Highway Traffic Safety Administration
(NHTSA) is responsible for providing leadership and guidance in support of this Presidential initiative. For information
and resources on traffic safety programs and policies for employers, please contact the Network of Employers for
Traffic Safety(NETS), a public-private partnership dedicated to improving the traffic safety practices of employers and
employees.You can download information on seat belt programs,costs of motor vehicle crashes to employers, and
other traffic safety initiatives at www.trafficsafety.org. The NHTSA website(www.nhtsa.gov)also provides information
on statistics, campaigns, and program evaluations and references.
POLICY ON BANNING TEXT MESSAGING WHILE DRIVING
In accordance with Executive Order 13513, Federal Leadership On Reducing Text Messaging While Driving, and DOT
Order 3902.10, Text Messaging While Driving, States are encouraged to adopt and enforce workplace safety policies
to decrease crashes caused by distracted driving, including policies to ban text messaging while driving company-
owned or rented vehicles, Government-owned, leased or rented vehicles, or privately-owned vehicles when on official
Government business or when performing any work on or behalf of the Government. States are also encouraged to
conduct workplace safety initiatives in a manner commensurate with the size of the business, such as establishment of
new rules and programs or re-evaluation of existing programs to prohibit text messaging while driving, and education,
awareness,and other outreach to employees about the safety risks associated with texting while driving.
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