HomeMy WebLinkAboutState of California - Office of Traffic Safety - 2020-10-01 State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS21006
1. GRANT TITLE
Pedestrian and Bicycle Safety Program
2. NAME OF AGENCY 3. Grant Period
Huntington Beach From: 10/01/2020
4. AGENCY UNIT TO ADMINISTER GRANT To: 09/30/2021
Huntington Beach Police Department
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, Vision Zero campaigns, 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: $50,000.00
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— 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: Thoby Archer ADDRESS: Robert Handy
TITLE: Sergeant Chief of Police
EMAIL: tarcher@hbpd.org rhandy@hbpd.org
PHONE: (714)374-1610 714-536-5903
ADDRESS: 2000 Main Street 2000 Main St.
Huntington Beach, CA 92648 Huntington Beach, CA 92648
r�Gu Jul 29,2020 _ — Aug 5,2020
(Signature) (Date) (Signature) (Date)
C. FISCAL OFFICIAL D. AUTHORIZING OFFICIAL OF OFFICE OF TRAFFIC SAFETY
ADDRESS: Kathy Baldwin ADDRESS: Barbara Rooney
Accounting Technician II Director
kbaldwin@hbpd.org barbara.rooney@ots.ca.gov
(714)536-5935 (916) 509-3030
2000 Main Street 2208 Kausen Drive Suite 300
Huntington Beach, CA 92648 Elk Grove, CA 95758
Jul 29,2020 'r-+ •. :t_ r - Aug 5,2020
(Signature) (Date) (Signature) (Date)
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E. ACCOUNTING OFFICER OF OFFICE OF TRAFFIC SAFETY 9. DUNS INFORMATION
NAME: Carolyn Vu DUNS#: 078143948
ADDRESS: 2208 KauSen Drive, Suite 300 REGISTERED
Elk Grove, CA 95758 ADDRESS: 2000 Main Street
CITY: Huntington Beach
ZIP+4: 92648-2763
10. PROJECTED EXPENDITURES
FUND CFDA ITEM/APPROPRIATION F.Y. CHAPTER STATUTE PROJECTED
EXPENDITURES
402PS-21 20.600 0521-0890-101 2020 2020 BA/20 $50,000.00
AGREEMENT $50,000.00
TOTAL
AMOUNT ENCUMBERED BY THIS DOCUMENT
$50,000.00
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
��rolxn yu Aug 5,2020 $50,000.00
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State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS21006
Schedule A
1. PROBLEM STATEMENT
Huntington Beach is a city with a population of over 200,000. During the summer and tourist months, we
attract a transient population of over 500,000. Huntington Beach is host to a number of major special events
such as the Surf City Marathon, 1 OK, AVP Volleyball competition, 4th of July Parade and Firework Show, US
Open of Surfing (9-day event), weekly Main Street Fair, two-day Jazz Festival, multiple car shows, The
Great Pacific Airshow with an attendance estimated in excess of 2 million over the three-day event. In
addition, there are plans to add a jet ski competition and other events, which create a draw for pedestrians
and cyclists alike.
In addition to the events the City of Huntington Beach hosts, there are multiple major concert events held on
the state beach throughout the year with attendance in excess of 20,000, such as the Country Coastal Jam,
which in the past has featured headliner Tim McGraw. Again, these events attract a significant amount of
pedestrians and cyclists.
More importantly, all of these events are adjacent to a bike path which runs the length of the beach, and
borders Pacific Coast Highway. Every year we have multiple injured pedestrians and bicyclists on Pacific
Coast Highway and the bike path.
In Huntington Beach, we not only have the average adolescent who rides a bicycle as their only means of
transportation, we also have a significant population who elect to ride bicycles to alleviate traffic and parking
issues, as well as the recreational cyclists who often choose to incorporate the scenic stretch of Pacific
Coast Highway into their rides.
During the summer months and specific events, the pathway is congested with pedestrians, bicyclists,
skateboards. This causes inherent risks where pedestrians are moving at much slower speed than
bicyclists and skateboarders.
We continue to be one of the highest ranked cities in bicycle and pedestrian related collisions. Over the past
few years we have been in the top two cities for bicycle related collision compared to other cities our size.
We have seen a steady increase in the past three years of bicyclists and pedestrians being killed and
injured. In 2019, we had 7 pedestrians killed.
We currently have a Pedestrian / Bicycle Education grant with OTS, but have only completed the first
quarter. We have formed partnerships with our Junior Lifeguard program, to reach multiple underage
bicyclists during the summer months.
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
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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 4
individuals.
3. Work closely with community-based organizations at both the neighborhood and 4
community level with an effort to reach individuals.
4. Participate in the following campaigns, National Walk to School Day, National 3
Bicycle Safety Month and California's Pedestrian Safety Month.
5. Conduct pedestrian and/or bicycle safety presentations at community groups with 4
an effort to reach individuals.
6. Conduct pedestrian and/or bicycle safety classroom presentations with an effort to 12
reach students.
7. Conduct pedestrian and/or bicycle safety courses with an effort to reach
community members.
8. Develop a pedestrian and/or bicycle safety program and materials to be adopted 1
as an on-going program in schools with an effort to reach students.
9. Distribute pedestrian safety equipment to children that may include reflective 1
armbands and/or zipper pulls.
10. Distribute bicycle headlights and tail lights during bicycle safety community events 1
or bicycle safety courses.
11. Develop bicycle and pedestrian safety educational materials to be distributed 1
during classroom presentations, workshops, and community events.
12. Participate in Safe Routes to School coalition meetings. 1
13. Conduct community outreach events with an effort to reach adults and senior 1
citizens.
14. Collaborate with health care providers and/or senior citizen centers to promote 1
pedestrian safety.
15. Conduct pedestrian safety presentations with an effort to reach older adults. 1
16. Conduct bicycle rodeos with an effort to reach individuals. 2
17. Distribute and properly fit bicycle helmets at bicycle rodeos, workshops, and 350
community events.
18. Conduct bicycle helmet inspections and make necessary adjustments at schools 4
and community events.
19. Train individuals to be League Certified Instructors. 4
20. Conduct community bicycle rides promoting safe bicycling in the community with 4
an effort to reach bicyclists.
21. Collaborate with law enforcement agencies to increase knowledge and awareness 1
of pedestrian and bicycle safety.
22. Conduct bicycle rodeos with an effort to reach students. 2
3. METHOD OF PROCEDURE
A. Phase 1 — Program Preparation (11t 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 this quarter.
• All grant related purchases needed to implement the program should be made this quarter.
Media Requirements
• Issue a press release announcing the kick-off of the grant by November 15, but no earlier than
October 1. If unable to meet the November 15 date, communicate reasons to your OTS
Coordinator. The kick-off press releases and any related media advisories, alerts, and materials
must be emailed for approval to the OTS Public Information Officer at pio(a)-ots.ca.gov, and
copied to your OTS Coordinator, 14 days prior to the issuance date of the release.
B. Phase 2— Program Operations (Throughout Grant Year)
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• Continue regular social media outreach.
• Collaborate with community relations officer to identify all requests from community groups to for
events.
• Identify future educational and equipment needs in order to ensure programs continued success.
Media Requirements
• Send all grant-related activity press releases, media advisories, alerts and general public
materials to the OTS Public Information Officer(PIO) at pio(a-),ots.ca.gov, with a copy to your OTS
Coordinator. The following requirements are for grant-related activities and are different from
those regarding any grant kick-off release or announcement.
• If an OTS-supplied, template-based press release is used, there is no need for pre-approval,
however, the OTS PIO and Coordinator should be copied when at the same time as the release
is distributed to the press.
• If an OTS-supplied 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 days prior to the release
distribution date, but should be no less than 5 working days prior to the release distribution date.
• Press releases reporting the immediate and time-valued 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.
• Activities such as warrant or probation sweeps 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 pioo_ots.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 pio(a-)-ots.ca.gov and copy your OTS Coordinator
for approval 14 days prior to the production or duplication.
• Space permitting, include the OTS logo, on grant-funded print materials; consult your OTS
Coordinator for specifics and format-appropriate logos.
• Contact the OTS PIO or your OTS Coordinator, sufficiently far enough in advance of need, for
consultation when deviation from any of the above require ents might be contemplated.
C. Phase 3— Data Collection & Reporting (Throughout Grant Year)
1. Prepare and submit invoice claims (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 PS21006
Schedule B
FUND NUMBER CATALOG FUND DESCRIPTION TOTAL AMOUNT
NUnnBER(CFDA)... � .,. .. ;
402PS-21 20.600 State and Community Highway $50,000.00
Safety
(COST CATEGORY " FUND UNIT COST OR UNITS TOTAL COST TO
. NUMBER RATE r GRANT,
A. PERSONNEL COSTS
Positions and Salaries
Straight Time
$0.00
Overtime
Education Overtime 402PS-21 $92.00 282 $25,944.00
Category Sub-Total $25,944.00
B. TRAVEL EXPENSES
In State Travel 402PS-21 $4,500.00 1 $4,500.00
$0.00
Category Sub-Total $4,500.00
C. CONTRACTUAL SERVICES
$0.00
Category Sub-Total $0.00
D. EQUIPMENT
$0.00
Category Sub-Total $0.00
E. OTHER DIRECT COSTS
Bicycle Helmets 402PS-21 $10.00 350 $3,500.00
Educational Materials 402PS-21 $6,000.00 1 $6,000.00
Pedestrian Safety Equipment 402PS-21 $5,500.00 1 $5,500.00
Bicycle Safety Equipment 402PS-21 $4,556.00 1 $4,556.00
Category Sub-Total $19,556.00
F. INDIRECT COSTS
$0.00
Category Sub-Total $0.00
GRANT TOTAL $50,000.00
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State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS21006
Schedule B-1
5` BUDGET NARRATIVE
PERSONNEL COSTS
Education Overtime - Overtime hours for officers conducting objective related work hours.
$92.00 x 282 hours= $25,944
Traffic Safety - $7,728.00
Pedestrian / Bicycle Safety Presentation-s $4,416
Classroom Presentations- $1,656
Community Outreach Events- $1,472
Pedestrian Safety Presentations to Seniors- $368
Community Bicycle Rides- $2,944
Bike Rodeos- $7,360
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 cost of LCI training. 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
Bicycle Helmets - Helmets to be distributed during bicycle rodeos and other bicycle safety related events.
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.
Pedestrian Safety Equipment - Such as reflective armbands, tape and/or zipper pulls to distribute at training
and safety events to increase safety and visibility. Additional items may be purchased if approved by OTS.
Bicycle Safety Equipment - Safety equipment such as bicycle headlights/taillights, reflectors, and reflective
arm and leg bands to be distributed during bicycle rodeos and other bicycle safety related events.
Additional items may be purchased if approved by OTS.
INDIRECT COSTS
STATEMENTS/DISCLAIMERS
There will be no program income generated from this grant.
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State of California—Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS21006
Exhibit A
CERTIFICATIONS AND ASSURANCES
HIGHWAY SAFETY GRANTS
(23 U.S.C. CHAPTER 4 AND SEC. 1906, PUB. L. 109-59,AS AMENDED)
Failure to comply with applicable Federal statutes, regulations, and directives may subject Grantee Agency
officials to civil or criminal penalties and/or place State in a high-risk grantee status in accordance with 49 CFR
18.12.
The Officials named 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
• 23 U.S.C. Chapter 4— Highway Safety Act of 1966, as amended
• 2 CFR part 200—Uniform Administrative Requirements, Cost Principles, and Audit Requirements for
Federal Awards
• 49 CFR Part 18- Uniform Administrative Requirements for Grants and Cooperative Agreements to State
and Local Governments.
• 23 CFR part 1300— Uniform Procedures for State Highway Safety Grant Programs
NONDISCRIMINATION
(applies to subrecipients as well as States)
The State highway safety agency 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) and 49 CFR part 21;
• 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 II 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 (prevents 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); and
• Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency
(guards against Title VI national origin discrimination/discrimination because of limited English proficiency (LEP)
by ensuring that funding recipients take reasonable steps to ensure that LEP persons have meaningful access
to programs (70 FR 74087-74100).
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The State highway safety agency-
- Will take all measures necessary to ensure that no person in the United States shall, on the grounds of race,
color, national origin, disability, sex, age, limited English proficiency, or membership in any other class
protected by Federal Nondiscrimination Authorities, be excluded from participation in, be denied the benefits of,
or be otherwise subjected to discrimination under any of its programs or activities, so long as any portion of the
program is Federally-assisted;
• Will administer the program in a manner that reasonably ensures that any of its subrecipients, contractors,
subcontractors, and consultants receiving Federal financial assistance under this program will comply with all
requirements of the Non-Discrimination Authorities identified in this Assurance;
• Agrees to comply (and require its subrecipients, contractors, subcontractors, and consultants to comply) with
all applicable provisions of law or regulation governing US DOT's or NHTSA's access to records, accounts,
documents, information, facilities, and staff, and to cooperate and comply with any program or compliance
reviews, and/or complaint investigations conducted by US DOT or NHTSA under any Federal Nondiscrimination
Authority;
• Acknowledges that the United States has a right to seek judicial enforcement with regard to any matter arising
under these Non-Discrimination Authorities and this Assurance;
• Agrees to insert in all contracts and funding agreements with other State or private entities the following
clause:
"During the performance of this contract/funding agreement, the contractor/funding recipient agrees—
a. To comply with all Federal nondiscrimination laws and regulations, as may be amended from time to time;
b. Not to participate directly or indirectly in the discrimination prohibited by any Federal non-discrimination law
or regulation, as set forth in appendix B of 49 CFR part 21 and herein;
c. To permit access to its books, records, accounts, other sources of information, and its facilities as required by
the State highway safety office, US DOT or NHTSA;
d. That, in event a contractor/funding recipient fails to comply with any nondiscrimination provisions in this
contract/funding agreement, the State highway safety agency will have the right to impose such
contract/agreement sanctions as it or NHTSA determine are appropriate, including but not limited to withholding
payments to the contractor/funding recipient under the contract/agreement until the contractor/funding recipient
complies; and/or cancelling, terminating, or suspending a contract or funding agreement, in whole or in part;
and
e. To insert this clause, including paragraphs (a) through (e), in every subcontract and subagreement and in
every solicitation for a subcontract or sub-agreement, that receives Federal funds under this program.
POLITICAL ACTIVITY (HATCH ACT)
(applies to 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 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:
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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, subgrants, and contracts under grant, loans, and cooperative
agreements) and that all subrecipients 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.
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 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.
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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 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/).
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
(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
7/13/2020 1:57:08 PM Page 12 of 16
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 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 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.
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.
7/13/2020 1:57:08 PM Page 13 of 16
BUY AMERICA ACT
(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.
PROHIBITION ON USING GRANT FUNDS TO CHECK FOR HELMET USAGE
(applies to 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.
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.
7/13/2020 1:57:08 PM Page 14 of 16
State of California—Office of Traffic Safety GRANT NUMBER
OTS-55 Grant Electronic Management System (GEMS) Access PS21006
Exhibit C
INSTRUCTIONS FOR ADDING OR UPDATING GEMS USERS
1. Each agency is allowed a total of FIVE (5) GEMS Users.
2. GEMS Users listed on this form will be authorized to login to GEMS to complete and submit Quarterly
Performance Reports (APRs) and reimbursement claims.
3. Complete the form if adding, removing or editing a GEMS user(s).
4. The Grant Director must sign this form and return it with the Grant Agreement.
„.
GRANT DETAILS _
Grant Number: PS21006
Agency Name: Huntington Beach Police Department
Grant Title: Pedestrian and Bicycle Safety Program
Agreement Total: $50,000.00
Authorizing Official: Robert Handy
Fiscal Official: Kathy Baldwin
Grant Director: Thoby Archer
CURRENT GEMS USERS)
1. Thoby Archer
Title: Sergeant Media Contact: Yes
Phone: (714) 374-1610
Email: tarcher@hbpd.org
2. Kathy Baldwin
Title: Accounting Technician II Media Contact: No
Phone: (714) 536-5935
Email: kbaldwin@hbpd.org
7/13/2020 1:57:08 PM Page 15 of 16
Complete the below information if adding, removing or editing a GEMS user(s)
GEMS User 1 Add as a media contact? Yes ❑ No[:]
Add/Change ❑ Remove Access ❑
Name Job Title
Email address Phone number
GEMS User 2 Add as a media contact? Yes❑ No ❑
Add/Change ❑ Remove Access ❑
Name Job Title
Email address Phone number
GEMS User 3 Add as a media contact? Yes ❑ No ❑
Add/Change ❑ Remove Access ❑
Name Job Title
Email address Phone number
GEMS User 4 Add as a media contact? Yes ❑ No ❑
Add/Change ❑ Remove Access❑
Name Job Title
Email address Phone number
GEMS User 5 Add as a media contact? Yes ❑ No ❑
Add/Change ❑ Remove Access ❑
Name Job Title
Email address Phone number
Form completed by: �¢ ; ��?? ,. Date: Jul 29,2020
As a signatory I hereby authorize the listed individual(s) to represent and have GEMS user 4:64 237777 Thoby Archer
Signature Name
Jul 29,2020 Grant Director
Date Title
7/13/2020 1:57:08 PM Page 16 of 16
Grant
Final Audit Report 2020-08-05
Created;' 2020 07 13
By: Jim Owens(Jim.owens@ots.ca.gov)-
Status: Signed
Transaction ID: CBJCHBCAABAAg2MAX390XMalLespPxllmxfTyg6pDlld
"Grant Agreement - PS21006" History
Document created by Jim Owens (Jim.owens@ots.ca.gov)
2020-07-13-8:57:20 PM GMT-IP address:96.43.153.8
Document emailed to Thoby Archer(tarcher@hbpd.org)for signature
2020-07-13-8:57:26 PM GMT
15 Email viewed by Thoby Archer(tarcher@hbpd.org)
2020-07-13-9:09:49 PM GMT-IP address:192.5.222.3
fj Email viewed by Thoby Archer(tarcher@hbpd.org)
2020-07-20-10:03:17 PM GMT-IP address:166.137.163.58
Email viewed by Thoby Archer(tarcher@hbpd.org)
2020-07-29-4:22:21 PM GMT-IP address:192.5.222.2
Document e-signed by Thoby Archer(tarcher@hbpd.org)
Signature Date:2020-07-29-4:23:03 PM GMT-Time Source:server-IP address: 192.5.222.2
Document emailed to Thoby Archer(tarcher@hbpd.org)for signature
2020-07-29-4:23:04 PM GMT
Email viewed by Thoby Archer(tarcher@hbpd.org)
2020-07-29-4:23:26 PM GMT-IP address: 192.5.222.2
Document e-signed by Thoby Archer(tarcher@hbpd.org)
Signature Date:2020-07-29-4:23:55 PM GMT-Time Source:server-IP address:192.5.222.2
Document emailed to Kathy Baldwin (kbaldwin@hbpd.org)for signature
2020-07-29-4:23:57 PM GMT
Email viewed by Kathy Baldwin (kbaldwin@hbpd.org)
2020-07-29-5:31:13 PM GMT-IP address:192.5.222.2
a
TRAMS Adobe Sip
SAFETY
Document e-signed by Kathy Baldwin (kbaldwin@hbpd.org)
Signature Date:2020-07-29-5:52:31 PM GMT-Time Source:server-IP address: 192.5.222.2
` Document emailed to Robert Handy(rhandy@hbpd.org)for signature
2020-07-29-5:52:33 PM GMT
Email viewed by Robert Handy (rhandy@hbpd.org)
2020-08-05-6:03:52 PM GMT-IP address:192.5.222.3
a Document e-signed by Robert Handy(rhandy@hbpd.org)
Signature Date:2020-08-05-6:06:13 PM GMT-Time Source:server-IP address: 192.5.222.3
Document emailed to Carolyn Vu (carolyn.vu@ots.ca.gov)for signature
2020-08-05-6:06:15 PM GMT
Email viewed by Carolyn Vu (carolyn.vu@ots.ca.gov)
2020-08-05-6:10:15 PM GMT-IP address: 104.47.65.254
10 Document e-signed by Carolyn Vu (carolyn.vu@ots.ca.gov)
Signature Date:2020-08-05-6:10:32 PM GMT-Time Source:server-IP address:76.20.59.121
Document emailed to Barbara Rooney (barbara.rooney@ots.ca.gov)for signature
2020-08-05-6:10:34 PM GMT
Email viewed by Barbara Rooney (barbara.rooney@ots.ca.gov)
2020-08-05-11:58:37 PM GMT-IP address: 104.47.65.254
Document e-signed by Barbara Rooney(barbara.rooney@ots.ca.gov)
Signature Date:2020-08-05-11:59:23 PM GMT-Time Source:server-IP address: 174.194.195.207
Signed document emailed to Thoby Archer(tarcher@hbpd.org), Barbara Rooney(barbara.rooney@ots.ca.gov),
Robert Handy (rhandy@hbpd.org), Carolyn Vu (carolyn.vu@ots.ca.gov), and 3 more
2020-08-05-11:59:23 PM GMT
CM
fUiHe Adobe Sign
SAFETY