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HomeMy WebLinkAboutGrant Agreements for Office of Traffic Safety (OTS) Selectiv 2000 Main Street, Huntington Beach, CA 92648 City of Huntington Beach DE &LE1 ZE-IM3S�VVT) File #: 22-728 MEETING DATE: 10/4/2022 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Al Zelinka, City Manager VIA: Eric Parra, Chief of Police PREPARED BY: Ingrid Ono Subject: Approve, accept and authorize execution of Grant Agreements for Office of Traffic Safety (OTS) Selective Traffic Enforcement Program (STEP) Grant; and approve appropriation and expenditure of funds by the Chief of Police Statement of Issue: On June 22, 2022, the Huntington Beach Police Department received notice from the California Office of Traffic Safety (OTS) that the City of Huntington Beach has tentatively been awarded three new one-year traffic safety grants. The first, a Selective Traffic Enforcement Program (STEP) grant (Grant Number PT23110, Attachment 1) provides funding in the amount of$790,000 to reimburse the City's costs associated with Sobriety/Driver License checkpoints, two full-time DUI enforcement officer positions, focused and specific traffic enforcement operations. The STEP funds will also be used to raise awareness of the dangers of DUI through the Department's "Know your Limit" campaign which is an educational tool directly targeting would-be drivers inside drinking establishments. Collectively, these targeted enforcement and education efforts are designed to reduce DUI related traffic collisions, injuries and fatalities. The second OTS grant, Pedestrian and Bicycle Safety Program (Grant Number PS23014, Attachment 2) is in the amount of$44,035 to reimburse costs associated with pedestrian and bicycle safety and education. Since there are far too many injury traffic collisions occurring in the City which involve pedestrians and bicyclists, these funds will allow for targeted education and media campaigns to raise awareness of the importance of remaining alert and attentive. The final OTS grant, Child Passenger Safety Program, (Grant Number OP23010, Attachment 3) is in the amount of$52,353 to reimburse the City's costs associated with child safety seat checkups, seat installation and distribution, education, community events, and training. These funds will proactively be used to positively impact city residents by ensuring they are educated on child seat safety and injury prevention related to incorrect installation and/or inadequate safety seat protection. City of Huntington Beach Page 1 of 3 Printed on 9/28/2022 powerelU LegistarT^ File #: 22-728 MEETING DATE: 10/4/2022 Financial Impact: Three one-year reimbursable grants funded by the California Office of Traffic Safety in the amounts of $790,000; $44,035, and $52,353 are to be expended between October 1, 2022, and September 30, 2023. The appropriation request is fully offset by this revenue source. Recommended Action: A) Approve and accept the Selective Traffic Enforcement Program (STEP), Pedestrian and Bicycle Safety, and Child Passenger Safety grant agreements between OTS and the City of Huntington Beach for $790,00, $44,035, and $52,353; and, B) Authorize the Chief of Police to execute the grant agreement with OTS; and, C) Approve appropriations and estimated revenue source in the amount of$790,000, $44,035, and $52,353; and, D) Authorize the Chief of Police to establish separate business units for these grant funding and expend up to a total of$790,000, $44,035, and $52,353 on each grant agreement accordingly. Alternative Action(s): Do not approve and direct staff accordingly. Analysis: With the safety of its residents and visitors being ones of the highest priorities, the City of Huntington Beach recognizes the devastating impacts of impaired driving. The City also understands the effectiveness of enforcement both in terms of prevention and as a deterrent. These funds will supplement the department's current efforts in reducing injury traffic collisions wherein DUI is a factor and will greatly enhance its ability to raise awareness across all modes of travel including vehicular, bicycle, and pedestrian traffic on City highways, streets and bike paths. The City is also currently undergoing several redevelopment roadway construction projects, which will add to both seasonal and ongoing vehicle traffic and pedestrian/bicycle related issues. In 2021, the Huntington Beach Police Department (HBPD) investigated over 764 injury traffic collisions, 171 of which were DUI related resulting in 58 injuries. During the same time-period, the HBPD made 678 DUI arrests. This grant will allow us to use progressive and innovative enforcement techniques to increase DUI enforcement efforts, and continue to provide coverage with two full-time officers dedicated to DUI enforcement. In 2021, there were 188 collisions involving a pedestrian and/or bicycle. Of those collisions, 164 involved injuries and 8 resulted in death. This includes a total of 24 injury collisions involving children passengers. Amongst those collisions, 41 children between the ages of 0-4 years old were injured. The HBPD is seeking to use these grants to increase traffic enforcement, expand public education, City of Huntington Beach Page 2 of 3 Printed on 9/28/2022 powerellA LegistarT"° File #: 22-728 MEETING DATE: 10/4/2022 and present routine child safety seat checkups to address and prevent traffic collisions resulting in injury and death. Environmental Status: Not applicable Strategic Plan Goal: Financial Sustainability, Public Safety or Other Attachment(s): 1. Agreement for OTS STEP Grant (Number PT23110) 2. Agreement for Pedestrian/Bicycle Safety Program Grant (Number PT23014) 3. Agreement for Child Passenger Safety Grant (Number OP23010) City of Huntington Beach Page 3 of 3 Printed on 9/28/2022 powered'Legistar- State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PT23110 1. GRANT TITLE Selective Traffic Enforcement Program (STEP) 2. NAME OF AGENCY 3. Grant Period Huntington Beach From: 10/01/2022 4. AGENCY UNIT TO ADMINISTER GRANT To: 09/30/2023 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 alcohol and other primary crash factors. The funded strategies may include impaired driving enforcement, enforcement operations focusing on primary crash factors, distracted driving, night-time seat belt enforcement, special enforcement operations encouraging motorcycle safety, enforcement and public awareness in areas with a high number of bicycle and pedestrian crashes, and educational programs. These strategies are designed to earn media attention thus enhancing the overall deterrent effect. 6. Federal Funds Allocated Under This Agreement Shall Not Exceed: $790,000.00 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: Eric Parra TITLE: Lieutenant Police Chief EMAIL: tarcher@hbpd.org eparra@hbpd.org PHONE: (714)374-1610 (714)536-5904 ADDRESS: 2000 Main Street 2000 Main Street Huntington Beach, CA 92648 Huntington Beach, CA 92648 7Gl0�7N AlZLlP.` Sep 21,2022 Erica Garry Oct 5,2022 r e.seo i.so_v s iron sn.e.v.,,,(Oct s,xoa 1s:w Porgy (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 Huntinqton Beach, CA 92648 Elk Grove, CA 95758 � "' ePpr Oct 5,2022a Oct 7,2022 (Signature) (Date) (Signature) (Date) 9/21/2022 1:56:31 PM Page 1 of 18 E. ACCOUNTING OFFICER OF OFFICE OF TRAFFIC SAFETY 9. SAM INFORMATION NAME: Carolyn Vu SAM#: LKKFRC4PW7L4 ADDRESS: 2208 KauSen Drive, Suite 300 REGISTERED Elk Grove, CA 95758 ADDRESS: 2000 Main Street CITY: Huntington Beach ZIP+4: 92648-2702 10. PROJECTED EXPENDITURES FUND CFDA ITEM/APPROPRIATION F.Y. CHAPTER STATUTE PROJECTED EXPENDITURES 164AL-23.1 20.608 0521-0890-101 2021 21/21 BA/21 $635,000.00 402PT-23 1 20.600 1 0521-0890-101 1 2022 43/22 1 BA/22 $155,000.00 AGREEMENT TOTAL $790,000.00 AMOUNT ENCUMBERED BY THIS DOCUMENT $790,000.00 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 �- Oct 5,2022 $790,000.00 9/21/2022 1:56:31 PM Page 2 of 18 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PT23110 Schedule A 1. PROBLEM STATEMENT Huntington Beach is a unique city, given its population of over 200,000 people, its continued growth, miles of beachfront, large and expanding entertainment, populated hotel district, high traffic volume, and an estimated 16 million annual beach visitors. One thing that sets Huntington Beach apart, and provides continuing challenges to the police department, is the number of high-profile events that are regularly scheduled during the year. This includes the Surf City Marathon, AVID Volleyball competition, 4th of July Parade and Fireworks show(rated by the Department of Homeland Security as a SEAR LEVEL 2 Event), weekly Tuesday night downtown street fair, and the 9-day U.S. Open of Surfing. These events regularly draw large crowds, with the US Open of surfing drawing an estimated 500,000 visitors annually. People travel from all over California and the surrounding states to attend these events, which places a significant burden on the Huntington Beach Police Department for emergency services. In light of the Covid-19 pandemic, the city has maintained large crowds who visit the miles of beach along our coastline throughout the year. As a result, our large beachfront hotels routinely fill to capacity. With these crowds come huge challenges, such as increased alcohol consumption, traffic congestion, and impaired driving. Over the past few years, the Huntington Beach Police Department has seen other problems emerge, such as increased homelessness. This has created a need to reallocate resources to non-traffic-related enforcement. As such, there has been a decrease in personnel assigned to the traffic bureau, which is far fewer than it was a decade ago. Because of these challenges, departments often look to outside resources, such as the Office of Traffic Safety, as an additional resource to assist with traffic enforcement and education with the expressed goal of eliminating traffic deaths and injuries, reducing economic loss, and increasing public safety. Our full-time DUI officers remain proactive and are enthusiastic about DUI enforcement. These officers are SFST and ARIDE certified and have completed Drug Recognition Expert school. The officers have played a major role in educating fellow patrol officers and being the go-to officers to evaluate suspected DUI drivers through SFST's at DUI Checkpoints and during their assigned patrol shifts. While our total traffic-related fatalities have dropped slightly since 2020, the number of injury crashes is on the rise. In 2020, the city had 688 injury crashes; however, in 2021, we had 764 injury crashes. This increase also resulted 1085 total victims —which was an overall increase of 122 victims from 2020. Driving under the influence remains one of the top primary crash factors, thus showing the continual issues related to impaired driving in Huntington Beach. We have taken several unique approaches to try and better deploy our resources as it relates to DUI enforcement. For example, we track various data related to our DUI arrests, including the establishment where an impaired driver was drinking, along with the location of the DUI arrest. This not only allows us to better understand what areas are best for targeted DUI enforcement, but our department also mails letters to bar owners whose patrons are arrested for DUI to make them better aware of the problem. Because we believe education is also very important in reducing instances of impaired drivers, we have embraced and helped establish the"Know Your Limit"campaign. Our department has been at the forefront of this program, and we have trained numerous other departments throughout Southern California. In addition, we continue to use social media to reach a large number of residents and visitors to Huntington Beach. Because Huntington Beach is a destination town that receives numerous visitors from outside the city, we have maintained one of the largest social media followings on Facebook (About 73,000 followers) and Instagram (Over 32,000 followers). In comparison, several local agencies that are much larger than us, both inside and outside of Orange County, have a much smaller social media following. This puts us in a 9/21/2022 1:56:31 PM Page 3 of 18 unique position to reach as many people as possible on these social media platforms, while spreading education and advice on traffic safety. A comprehensive analysis of our crash data reveals multiple factors that contribute to crashes, traffic injuries and traffic fatalities in Huntington Beach. These factors go beyond impaired driving and include distracted driving, safety violations, and other primary crash factors. Simply issuing citations for these violations does not address the entire problem. We believe that enforcement plus education, visibility, and public relation activities bolster our ability to fight these threats. Additional funding in these categories, as well as the "Know Your Limit"campaign, enables us to continue bringing awareness and enforcement to the public. Many of our neighboring cities have smaller police departments with limited traffic enforcement resources. With grant funding, we have sought out these agencies through collaborative efforts to help bridge the gap when staffing is minimal, and/or personnel are scheduled for other special events in our city. We are confident these partnerships help us gain ground our mutual determination of safer streets in our shared jurisdictions. 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 bicyclists killed in traffic crashes. 6. Reduce the number of bicyclists injured in traffic crashes. 7. Reduce the number of persons killed in alcohol-involved crashes. 8. Reduce the number of persons injured in alcohol-involved crashes. 9. Reduce the number of persons killed in drug-involved crashes. 10. Reduce the number of persons injured in drug-involved crashes. 11. Reduce the number of persons killed in alcohol/drug combo-involved crashes. 12. Reduce the number of persons injured in alcohol/drug combo-involved crashes. 13. Reduce the number of motorcyclists killed in traffic crashes. 14. Reduce the number of motorcyclists injured in traffic crashes. 15. Reduce hit& run fatal crashes. 16. Reduce hit& run injury crashes. 17. Reduce nighttime (2100- 0259 hours) fatal crashes. 18. Reduce nighttime (2100- 0259 hours) injury crashes. 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 and report data (as required) in the following campaigns; Quarter 1: 10 National Walk to School Day, National Teen Driver Safety Week, NHTSA Winter Mobilization; Quarter 3: National Distracted Driving Awareness Month, National Motorcycle Safety Month, National Bicycle Safety Month, National Click it or Ticket Mobilization; Quarter 4: NHTSA Summer Mobilization, National Child Passenger Safety Week, and California's Pedestrian Safety Month. 3. Develop (by December 31) and/or maintain a "DUI BOLO" program to notify patrol 12 and traffic officers to be on the lookout for identified repeat DUI offenders with a suspended or revoked license as a result of DUI convictions. Updated DUI BOLOs should be distributed to patrol and traffic officers monthly. 4. Send law enforcement personnel to the NHTSA Standardized Field Sobriety 8 Testing SFST minimum 16 hours POST-certified training. 5. Send law enforcement personnel to the NHTSA Advanced Roadside Impaired 4 Driving Enforcement (ARIDE) 16 hour POST-certified training. 6. Send law enforcement personnel to the Drug Recognition Expert (DRE)training. 2 9/21/2022 1:56:31 PM Page 4 of 18 7. Conduct DUI/DL Checkpoints. A minimum of 1 checkpoint should be conducted 8 during the NHTSA Winter Mobilization and 1 during the Summer Mobilization. To enhance the overall deterrent effect and promote high visibility, it is recommended the grantee issue an advance press release and conduct social media activity for each checkpoint. For combination DUI/DL checkpoints, departments should issue press releases that mention DL's will be checked at the DUI/DL checkpoint. Signs for DUI/DL checkpoints should read "DUI/Driver's License Checkpoint Ahead." OTS does not fund or support independent DL checkpoints. Only on an exception basis and with OTS pre-approval will OTS fund checkpoints that begin prior to 1800 hours. When possible, DUI/DL Checkpoint screeners should be DRE- or ARIDE-trained. 8. Conduct DUI Saturation Patrol operation(s). 21 9. Conduct Traffic Enforcement operation(s), including but not limited to, primary 51 crash factor violations. 10. Conduct highly publicized Distracted Driving enforcement operation(s) targeting 20 drivers using hand held cell phones and textin . 11. Conduct highly publicized Motorcycle Safety enforcement operation(s) in areas or 4 during events with a high number of motorcycle incidents or crashes resulting from unsafe speed, DUI, following too closely, unsafe lane changes, improper turning, and other primary crash factor violations by motorcyclists and other drivers. 12. Conduct highly publicized pedestrian and/or bicycle enforcement operation(s) in 12 areas or during events with a high number of pedestrian and/or bicycle crashes resulting from violations made by pedestrians, bicyclists, and drivers. 13. Conduct Traffic Safety educational presentation(s) with an effort to reach 4 community members. Note: Presentation(s) may include topics such as distracted driving, DUI, speed, bicycle and pedestrian safety, seat belts and child passenger safety. 14. Conduct Know Your Limit campaigns with an effort to reach members of the 5 community. 15. Participate in highly visible collaborative DUI Enforcement operations. 5 16. Participate in highly visible collaborative Traffic Enforcement operations. 5 17. Send law enforcement personnel to DUI Checkpoint Planning and Management 1 training. 18. Identify straight time personnel and report on activities completed. Include any 2 vacancies or staff changes that have occurred 3. METHOD OF PROCEDURE A. Phase 1 —Program Preparation (1st Quarter of Grant Year) • The department will 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. • In order to develop/maintain the "DUI BOLOs," research will be conducted to identify the "worst of the worst" repeat DUI offenders with a suspended or revoked license as a result of DUI convictions. The Hot Sheets may include the driver's name, last known address, DOB, description, current license status, and the number of times suspended or revoked for DUI. DUI BOLOs should be updated and distributed to traffic and patrol officers at least monthly. • Implementation of the STEP grant activities will be accomplished by deploying personnel at high crash locations. • Media Reguirementslssue 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—Pro ram O erations (Throughout Grant Year) 9/21/2022 1:56:31 PM Page 5 of 18 • The department will work to create media opportunities throughout the grant period to call attention to the innovative program strategies and outcomes. 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 pio@ots.ca.gov for approval and copy your OTS coordinator. Optimum lead time would be 7 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 Nixle 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 rant-related traffic safety 9/21/2022 1:56:31 PM Page 6 of 18 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 QPRs. • 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. • 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 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. 9/21/2022 1:56:31 PM Page 7 of 18 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PT23110 Schedule B FUND NUMBER CATALOG FUND DESCRIPTION TOTAL AMOUNT NUMBER CFDA 164AL-23 20.608 Minimum Penalties for Repeat $635,000.00 Offenders for Driving While Intoxicated 402PT-23 20.600 State and Community Highway $155,000.00 Safety COST CATEGORY FUND UNIT COST OR I UNITS TOTAL COST TO NUMBER RATE GRANT A. PERSONNEL COSTS Straight Time DUI Officer 1 164AL-23 $63.00 2,080 $131,040.00 Benefits - DUI Officer 1 164AL-23 $131,040.00 1 $117,936.00 DUI Officer 2 164AL-23 $63.00 2,080 $131,040.00 Benefits- DUI Officer 2 164AL-23 $131,040.00 1 $117,936.00 Overtime DUI/DL Checkpoints 164AL-23 $7,500.00 8 $60,000.00 DUI Saturation Patrols 164AL-23 $2,640.00 21 $55,440.00 Collaborative DUI Enforcement 164AL-23 $1,200.00 5 $6,000.00 Know Your Limit 164AL-23 $2,640.00 5 $13,200.00 Traffic Enforcement 402PT-23 $1,760.00 51 $89,760.00 Distracted Driving 402PT-23 $1,760.00 20 $35,200.00 Motorcycle Safety 402PT-23 $1,200.00 4 $4,800.00 Pedestrian and Bicycle Enforcement 402PT-23 $1,200.00 12 $14,400.00 Collaborative Traffic Enforcement 402PT-23 $1,200.00 5 $6,000.00 Category Sub-Total $782,752.00 B. TRAVEL EXPENSES In State Travel 402PT-23 $4,840.00 1 $4,840.00 $0.00 Category Sub-Total $4,840.00 C. CONTRACTUAL SERVICES $0.00 Category Sub-Total $0.00 D. EQUIPMENT $0.00 Category Sub-Total $0.00 E. OTHER DIRECT COSTS DUI Checkpoint Supplies 164AL-23 $2,408.00 1 $2,408.00 Category Sub-Total $2,408.00 F. INDIRECT COSTS $0.00 Category Sub-Total $0.00 GRANT TOTAL $790,000.00 9/21/2022 1:56:31 PM Page 8 of 18 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PT23110 Schedule B-1 BUDGET NARRATIVE PERSONNEL COSTS DUI Officer 1 - Hours for officer dedicated strictly to DUI Enforcement. Benefits- DUI Officer 1 -TOTAL BENEFIT RATE: 90.0% Retirement- 51% Supplemental Retirement- 4% Workers Compensation - 9% Health - 19% Other Medical -4% Other Benefits - 3% DUI Officer 2 - Hours for officer dedicated strictly to DUI Enforcement. Benefits- DUI Officer 2 -TOTAL BENEFIT RATE: 90.0% Retirement- 51% Supplemental Retirement-4% Workers Compensation - 9% Health - 19% Other Medical -4% Other Benefits - 3% DUI/DL Checkpoints- Overtime for grant funded law enforcement operations conducted by appropriate department personnel. DUI Saturation Patrols- Overtime for grant funded law enforcement operations conducted by appropriate department personnel. Collaborative DUI Enforcement- Overtime for grant funded Collaborative DUI Enforcement operations conducted by appropriate department personnel Know Your Limit- Overtime for grant funded traffic safety presentations or campaigns conducted by appropriate department personnel. Traffic Enforcement- Overtime for grant funded law enforcement operations conducted by appropriate department personnel. Distracted Driving - Overtime for grant funded law enforcement operations conducted by appropriate department personnel. Motorcycle Safety-Overtime for grant funded law enforcement operations conducted by appropriate department personnel. Pedestrian and Bicycle Enforcement- Overtime for grant funded law enforcement operations conducted by appropriate department personnel. Collaborative Traffic Enforcement- Overtime for grant funded Collaborative Traffic Enforcement operations conducted by appropriate department personnel 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. 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 DUI Checkpoint Supplies -On-scene supplies needed to conduct sobriety checkpoints. Costs may include 28" traffic cones, MUTCD compliant traffic signs, MUTCD compliant high visibility vests maximum of 10), 9/21/2022 1:56:31 PM Page 9 of 18 traffic counters (maximum of 2), generator, gas for generators, lighting, reflective banners, electronic flares, PAS Device/Calibration Supplies, heater, propane for heaters, fan, anti-fatigue mats, and canopies. Additional items may be purchased if approved by OTS. The cost of food and beverages will not be reimbursed. Each item must have a unit cost of less than $5,000 (including tax and shipping). 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. Nothing in this "agreement' shall be interpreted as a requirement, formal or informal, that a particular law enforcement officer issue a specified or predetermined number of citations in pursuance of the goals and objectives here under. Benefits for personnel costs can only be applied to straight time or overtime hours charged to the grant. 9/21/2022 1:56:31 PM Page 10 of 18 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PT23110 Exhibit A CERTIFICATIONS AND ASSURANCES FOR HIGHWAY SAFETY GRANTS (23 U.S.C. Chapter 4; Sec. 1906, Pub. L. 109-59, As Amended By Sec. 4011, Pub. L. 114-94) 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 • 23 U.S.C. Chapter 4—Highway Safety Act of 1966, as amended • Sec. 1906, Pub. L. 109-59, as amended by Sec. 4011, Pub. L. 114-94 • 23 CFR part 1300—Uniform Procedures for State Highway Safety Grant Programs • 2 CFR part 200—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 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). The Subgrantee- 9/21/2022 1:56:31 PM Page 11 of 18 • 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: o "During the performance of this contract/funding agreement,the contractor/funding recipient ag rees— 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. THE DRUG-FREE WORKPLACE ACT OF 1988(41 U.S.C. 81031 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 9/21/2022 1:56:31 PM Page 12 of 18 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 signed certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement; 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement,the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions; 3. The undersigned shall require that the language of this certification be included in the award documents for all sub-award at all tiers (including subcontracts, 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 all 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) 9/21/2022 1:56:31 PM Page 13 of 18 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 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 (hftps://www.sam.goyo. 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 9/21/2022 1:56:31 PM Page 14 of 18 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 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 (hftps://www.sam.ciov . 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. 9/21/2022 1:56:31 PM Page 15 of 18 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. BUY AMERICA ACT (applies to all 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 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. 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. 9/21/2022 1:56:31 PM Page 16 of 18 State of California—Office of Traffic Safety GRANT NUMBER OTS-55 Grant Electronic Management System (GEMS) Access PT23110 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 (QPRs) 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: PT23110 Agency Name: Huntington Beach Police Department Grant Title: Selective Traffic Enforcement Program (STEP) Agreement Total: $790,000.00 Authorizing Official: Eric Parra Fiscal Official: Kathy Baldwin Grant Director: Thoby Archer CURRENT GEMS USER(S) 1. Roman Altenbach Title: Sergeant Media Contact: No Phone: (714) 960-8811 Email: raltenbach@hbpd.org 2. Kathy Baldwin Title: Accounting Technician II Media Contact: No Phone: (714) 536-5935 Email: kbaldwin@hbpd.org 3. Chris Nesmith Title: Police Lieutenant Media Contact: No Phone: (714) 374-1577 Email: cnesmith@hbpd.org 4. Joshua Page Title: Sergeant Media Contact: No Phone: (714) 536-5667 Email:jpage@hbpd.org 5. Michael Thomas Title: Sergeant Media Contact: Yes Phone: (714) 960-8819 Email: mthomas@hbpd.org 9/21/2022 1:56:31 PM Page 17 of 18 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: Sep 21,2022 As a signatory I hereby authorize the listed individual(s) to represent and have GEMS user access. 7lcobyA��6re� Thob Archer moern, e��sep n.zo�z is.0 Porgy Y Signature Name Sep 21,2022 Grant Director Date Title 9/21/2022 1:56:31 PM Page 18 of 18 Grant Agreement - PT23110 Final Audit Report 2022-10-07 Created: 2022-09-21 By: Kristen Mickey(kristen.mickey@ots.ca.gov) Status: Signed Transaction ID: CBJCHBCAABAA6kP6nK0_UMnW3VILwljEFLTJfQ4D1zR "Grant Agreement - PT23110" History Document created by Kristen Mickey(kristen.mickey@ots.ca.gov) 2022-09-21 -8:56:43 PM GMT '► Document emailed to mthomas@hbpd.org for signature 2022-09-21 -8:56:49 PM GMT Email viewed by mthomas@hbpd.org 2022-09-21 -10:09:52 PM GMT Cy® Signer mthomas@hbpd.org entered name at signing as Michael Thomas 2022-09-21-10:10:32 PM GMT !3® Document e-signed by Michael Thomas(mthomas@hbpd.org) Signature Date:2022-09-21 -10:10:33 PM GMT-Time Source:server y Document emailed to tarcher@hbpd.org for signature 2022-09-21 -10:10:35 PM GMT Email viewed by tarcher@hbpd.org 2022-09-21 -10:11:19 PM GMT CS® Signer tarcher@hbpd.org entered name at signing as Thoby Archer 2022-09-21-10:11:55 PM GMT d® Document e-signed by Thoby Archer(tarcher@hbpd.org) Signature Date:2022-09-21 -10:11:56 PM GMT-Time Source:server -► Document emailed to Kathy Baldwin (kbaldwin@hbpd.org)for signature 2022-09-21 -10:11:58 PM GMT Email viewed by Kathy Baldwin (kbaldwin@hbpd.org) 2022-09-21-10:16:43 PM GMT Powered by TRAFFi6 Adobe 5AFETY Acrobat Sign Email viewed by Kathy Baldwin (kbaldwin@hbpd.org) 2022-09-28-10:15:57 PM GMT C'► New document URL requested by Kathy Baldwin (kbaldwin@hbpd.org) 2022-10-05-7:38:25 PM GMT Email viewed by Kathy Baldwin (kbaldwin@hbpd.org) 2022-10-05-7:38:44 PM GMT 6® Document e-signed by Kathy Baldwin (kbaldwin@hbpd.org) Signature Date:2022-10-05-7:38:54 PM GMT-Time Source:serer Cry Document emailed to eparra@hbpd.org for signature 2022-10-05-7:38:55 PM GMT ti Email viewed by eparra@hbpd.org 2022-10-05-9:29:07 PM GMT 6a Signer eparra@hbpd.org entered name at signing as Eric G. Parra 2022-10-05-10:02:18 PM GMT 6Q Document e-signed by Eric G. Parra (eparra@hbpd.org) Signature Date:2022-10-05-10:02:20 PM GMT-Time Source:server C'► Document emailed to Carolyn Vu (carolyn.vu@ots.ca.gov)for signature 2022-10-05-10:02:22 PM GMT Email viewed by Carolyn Vu (carolyn.vu@ots.ca.gov) 2022-10-05-10:15:59 PM GMT b® Document e-signed by Carolyn Vu (carolyn.vu@ots.ca.gov) Signature Date:2022-10-05-10:16:07 PM GMT-Time Source:server C'► Document emailed to Barbara Rooney(barbara.rooney@ots.ca.gov)for signature 2022-10-05-10:16:09 PM GMT Email viewed by Barbara Rooney(barbara.rooney@ots.ca.gov) 2022-10-07-5:04:38 PM GMT 6� Document e-signed by Barbara Rooney(barbara.rooney@ots.ca.gov) Signature Date:2022-10-07-5:06:05 PM GMT-Time Source:server Agreement completed. 2022-10-07-5:06:05 PM GMT (! nower*d by TRAFFIC I Adobe SAFETY Acrobat Sign State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PS23014 1. GRANT TITLE Pedestrian and Bicycle Safety Program 2. NAME OF AGENCY 3. Grant Period Huntington Beach From: 10/01/2022 4. AGENCY UNIT TO ADMINISTER GRANT To: 09/30/2023 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, 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: $44,035.00 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.Aov. 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: Eric Parra TITLE: Lieutenant Police Chief EMAIL: tarcher@hbpd.org eparra@hbpd.org PHONE: (714)374-1610 (714)536-5904 ADDRESS: 2000 Main Street 2000 Main Street Huntington Beach, CA 92648 Huntington Beach, CA 92648 z�io6u� Sep 26,2022 0R1150,Po., Oct 5,2022 (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 Kathy galdwin Oct 5,2022 - Oct 11,2022 Ka ,U-1.tat s,­1�n r Pon (Signature) (Date) (Signature) (Date) 9/26/2022 9:18:36 AM Page 1 of 18 9/26/2022 9:18:36 AM Page 2 of 18 E. ACCOUNTING OFFICER OF OFFICE OF TRAFFIC SAFETY 9. SAM INFORMATION NAME: Carolyn Vu SAM#: LKKFRC4PW7L4 ADDRESS: 2208 KauSen Drive, Suite 300 REGISTERED Elk Grove, CA 95758 ADDRESS: 2000 Main Street CITY: Huntington Beach ZIP+4: 92648-2702 10. PROJECTED EXPENDITURES FUND CFDA ITEM/APPROPRIATION F.Y. CHAPTER STATUTE PROJECTED EXPENDITURES 402PS-23 20.600 0521-0890-101 2022 43/22 BA/22 $44,035.00 AGREEMENT $44,035.00 TOTAL AMOUNT ENCUMBERED BY THIS DOCUMENT $44,035.00 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 �- ✓ Oct 5,2022 $44,035.00 9/26/2022 9:18:36 AM Page 3 of 18 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PS23014 Schedule A 1. PROBLEM STATEMENT Huntington Beach is a city with a population of over 200,000 people, which attracts over an estimated 16 million visitors annually. However, one thing that sets Huntington Beach apart, and provides continuing challenges to the police department, is the number of high-profile events that are regularly scheduled during the year. This includes the Surf City Marathon, AVP Volleyball competition, 4th of July Parade and Fireworks show (rated by the Department of Homeland Security as a SEAR LEVEL 2 Event), weekly Tuesday night Downtown Street Fair, and the 9-day U.S. Open of Surfing. These events regularly draw large crowds, with the US Open of surfing drawing an estimated 500,000 visitors annually. It should be noted that all of the listed events take place on, or adjacent to, the beach, where many people choose to walk or ride their bikes, both on roadways and on the miles of bike path. As we traverse through the COVID-19 pandemic, the city continues to see large crowds due to our multitude of special events and miles of beachfront. Our large beachfront hotels routinely fill to capacity and our beaches stay full throughout and beyond the summer months. These crowds bring with them challenges, including the effects of alcohol consumption, traffic congestion and impaired pedestrians, bicyclists and motorists. More importantly, all of these events are adjacent to a bike path that runs the length of the beach and borders the Pacific Coast Highway. During the summer months and specific events, the pathway is congested with pedestrians, bicyclists and skateboarders. Every year we have multiple injured pedestrians and bicyclists on the Pacific Coast Highway and bike path. In Huntington Beach, we not only have numerous adolescents who ride a bicycle as their only means of transportation but 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. As a newer challenge, the past few years have seen an increase in the use of electric bicycles. These electric bicycles not only create challenges to motorists but are often ridden unlawfully on the bike path and sidewalks, creating additional hazards to bicyclists and pedestrians. We continue to be one of the highest-ranked cities in bicycle and pedestrian-related crashes. According to the OTS Crash Ranking statistics from 2019 (the latest year which they are available), Huntington Beach is ranked 2nd out of 59 cities in terms of bicyclists killed or injured, and 17th out of 59 cities in terms of bicyclists under 15 years old killed or injured in traffic crashes. We currently have a Pedestrian and Bicycle Education grant with OTS and have formed partnerships with our Junior Lifeguard program to reach multiple underage bicyclists during the summer months. Due to the fact most people are walking and riding bicycles in the summer months, we prefer to launch most of our education campaigns during the months preceding summer. We believe this strategy to be very beneficial, as we are directly targeting adolescents, many of whom ride their bicycles and walk in and around the congested beach area. 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. 9/26/2022 9:18:36 AM Page 4 of 18 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 4 individuals. 3. Work closely with community-based organizations at both the neighborhood and 1 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 at community groups with 3 an effort to reach individuals. 6. Conduct pedestrian and/or bicycle safety courses with an effort to reach 8 community members. 7. Distribute pedestrian/bicycle safety items at no cost to youth or community 1 members in need, during bicycle rodeos, presentations, workshops, trainings, and community events to increase safety and visibility. 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. 2 10. 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. 11. Conduct bicycle rodeos with an effort to reach individuals. 6 12. Distribute and properly fit bicycle helmets at no cost to community members in 300 need, at bicycle rodeos, schools, workshops, and community events. 13. Purchase bicycle helmets. 300 14. Collaborate with law enforcement agencies to increase knowledge and awareness 1 of pedestrian and bicycle safety. 3. METHOD OF PROCEDURE A. Phase 1 —Program Preparation Ost 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 pio@ots.ca.gov for approval and copy your OTS coordinator. Optimum lead time would be 7 9/26/2022 9:18:36 AM Page 5 of 18 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 Nixle 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 QPRs. • 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. 9/26/2022 9:18:36 AM Page 6 of 18 • 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 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. 9/26/2022 9:18:36 AM Page 7 of 18 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PS23014 Schedule B FUND NUMBER CATALOG FUND DESCRIPTION TOTAL AMOUNT NUMBER CFDA) 402PS-23 20.600 State and Community Highway $44,035.00 Safety COST CATEGORY FUND UNIT COST OR UNITS TOTAL COST TO NUMBER RATE GRANT A. PERSONNEL COSTS Straight Time $0.00 Overtime Traffic Safety Fairs and/or Community 402PS-23 $1,760.00 4 $7,040.00 Events Ped/Bike Safety Presentations 402PS-23 $880.00 3 $2,640.00 Juvenile Traffic Safety Education Courses 402PS-23 $880.00 8 $7,040.00 Community Outreach Events 402PS-23 $880.00 2 $1,760.00 Helmet Usage Surveys 402PS-23 $550.00 2 $1,100.00 Bike Rodeos 402PS-23 $1,760.00 6 $10,560.00 Category Sub-Total $30,140.00 B. TRAVEL EXPENSES In State Travel 402PS-23 $1,000.00 1 $1,000.00 $0.00 Category Sub-Total $1,000.00 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-23 $15.00 300 $4,500.00 Pedestrian/Bicycle Safety Items 402PS-23 $5,500.00 1 $5,500.00 Educational Materials 402PS-23 $2,895.00 1 $2,895.00 Category Sub-Total $12,895.00 F. INDIRECT COSTS $0.00 Category Sub-Total $0.00 GRANT TOTAL $44,035.00 9/26/2022 9:18:36 AM Page 8 of 18 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PS23014 Schedule B-1 BUDGET NARRATIVE PERSONNEL COSTS Traffic Safety Fairs and/or Community Events - Overtime for grant-funded participation in traffic safety fairs and/or community events by appropriate department personnel. Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 8 Hours x 2 Officers = $1,760 per Event Ped/Bike Safety Presentations - Overtime for grant-funded pedestrian and/or bicycle safety presentations for community groups, youth and older adults conducted by appropriate department personnel. Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 4 Hours x 2 Officers = $880 per Event Juvenile Traffic Safety Education Courses - Overtime for grant-funded traffic safety education courses conducted by appropriate department personnel for youth under the age of 18 who are cited for bicycle, pedestrian, and other non-motor vehicle violations. Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 4 Hours x 2 Officers = $880 per Event Community Outreach Events- Overtime for grant-funded pedestrian and/or bicycle community outreach events conducted by appropriate department personnel. Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 4 Hours x 2 Officer= $880 per Event Helmet Usage Surveys - Overtime for grant-funded pre- and post-grant bicycle helmet usage surveys conducted by appropriate department personnel during the months of October(start of grant) and September(end of 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. Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 5 Hours x 1 Officer = $550 per Event Bike Rodeos - Overtime for grant-funded bicycle rodeos for youth and adults conducted by appropriate department personnel. Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 4 Hours x 4 Officers = $1,760 per Event 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 Safer CA Unintentional Injury and OTS Educational Conferences. 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 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. 9/26/2022 9:18:36 AM Page 9 of 18 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. 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. Benefits for personnel costs can only be applied to straight time or overtime hours charged to the grant. 9/26/2022 9:18:36 AM Page 10 of 18 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT PS23014 Exhibit A CERTIFICATIONS AND ASSURANCES FOR HIGHWAY SAFETY GRANTS (23 U.S.C. Chapter 4; Sec. 1906, Pub. L. 109-59, As Amended By Sec. 4011, Pub. L. 114-94) 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 • 23 U.S.C. Chapter 4—Highway Safety Act of 1966, as amended • Sec. 1906, Pub. L. 109-59, as amended by Sec. 4011, Pub. L. 114-94 • 23 CFR part 1300—Uniform Procedures for State Highway Safety Grant Programs • 2 CFR part 200—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 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). The Subgrantee- 9/26/2022 9:18:36 AM Page 11 of 18 • 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: o "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. THE DRUG-FREE WORKPLACE ACT OF 1988(41 U.S.C. 81031 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 9/26/2022 9:18:36 AM Page 12 of 18 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 signed certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement; 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement,the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions; 3. The undersigned shall require that the language of this certification be included in the award documents for all sub-award at all tiers (including subcontracts, 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 all 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) 9/26/2022 9:18:36 AM Page 13 of 18 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 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 (hftps://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 9/26/2022 9:18:36 AM Page 14 of 18 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 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.ciov . 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. 9/26/2022 9:18:36 AM Page 15 of 18 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. BUY AMERICA ACT (applies to all 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 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. 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. 9/26/2022 9:18:36 AM Page 16 of 18 State of California—Office of Traffic Safety GRANT NUMBER OTS-55 Grant Electronic Management System (GEMS) Access PS23014 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 (QPRs) 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: PS23014 Agency Name: Huntington Beach Police Department Grant Title: Pedestrian and Bicycle Safety Program Agreement Total: $44,035.00 Authorizing Official: Eric Parra Fiscal Official: Kathy Baldwin Grant Director: Thoby Archer CURRENT GEMS USER(S) 1. Roman Altenbach Title: Sergeant Media Contact: No Phone: (714) 960-8811 Email: raltenbach@hbpd.org 2. Kathy Baldwin Title: Accounting Technician II Media Contact: No Phone: (714) 536-5935 Email: kbaldwin@hbpd.org 3. Chris Nesmith Title: Police Lieutenant Media Contact: No Phone: (714) 374-1577 Email: cnesmith@hbpd.org 4. Joshua Page Title: Sergeant Media Contact: No Phone: (714) 536-5667 Email:jpage@hbpd.org 5. Michael Thomas Title: Sergeant Media Contact: Yes Phone: (714) 960-8819 Email: mthomas@hbpd.org 9/26/2022 9:18:36 AM Page 17 of 18 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: #M9&7h,1wI j o Date: Sep 26,2022 As a signatory I hereby authorize the listed individual(s) to represent and have GEMS user access. Thoby Archer iobY Arc er l5e0I6,1 O]}t].CO PDt Signature Name Sep 26, 2022 Grant Director Date Title 9/26/2022 9:18:36 AM Page 18 of 18 Grant Agreement - PS23014 Final Audit Report 2022-10-11 Created: 2022-09-26 By: Elsie Machado(elsie.machado@ots.ca.gov) Status: Signed Transaction ID: CBJCHBCAABAAnzbWWiTdvPKnNmMg9HtFm3Ms-Uv-iV2g "Grant Agreement - PS23014" History !n Document created by Elsie Machado(elsie.machado@ots.ca.gov) 2022-09-26-4:18:49 PM GMT '. Document emailed to mthomas@hbpd.org for signature 2022-09-26-4:18:57 PM GMT Email viewed by mthomas@hbpd.org 2022-09-26-4:26:00 PM GMT do Signer mthomas@hbpd.org entered name at signing as Michael Thomas 2022-09-26-4:26:53 PM GMT CS© Document e-signed by Michael Thomas (mthomas@hbpd.org) Signature Date:2022-09-26-4:26:54 PM GMT-Time Source:server C°w Document emailed to tarcher@hbpd.org for signature 2022-09-26-4:26:57 PM GMT Email viewed by tarcher@hbpd.org 2022-09-26-7:40:16 PM GMT 6� Signer tarcher@hbpd.org entered name at signing as Thoby Archer 2022-09-26-7:40:31 PM GMT t3Q Document e-signed by Thoby Archer(tarcher@hbpd.org) Signature Date:2022-09-26-7:40:32 PM GMT-Time Source:server Document emailed to Kathy Baldwin (kbaldwin@hbpd.org)for signature 2022-09-26-7:40:34 PM GMT Email viewed by Kathy Baldwin (kbaldwin@hbpd.org) 2022-09-27-1:50:45 PM GMT Powered by TRAFFiC Adobe SAFETY ( Acrobat Sign Email viewed by Kathy Baldwin (kbaldwin@hbpd.org) 2022-10-05-7:37:18 PM GMT 41 Document e-signed by Kathy Baldwin (kbaldwin@hbpd.org) Signature Date:2022-10-05-7:37:33 PM GMT-Time Source:server P+ Document emailed to eparra@hbpd.org for signature 2022-10-05-7:37:35 PM GMT Email viewed by eparra@hbpd.org 2022-10-05-10:00:47 PM GMT 6q Signer eparra@hbpd.org entered name at signing as Eric G. Parra 2022-10-05-10:01:11 PM GMT 6p Document e-signed by Eric G. Parra (eparra@hbpd.org) Signature Date:2022-10-05-10:01:13 PM GMT-Time Source:server C'y Document emailed to Carolyn Vu (carolyn.vu@ots.ca.gov)for signature 2022-10-05-10:01:15 PM GMT Email viewed by Carolyn Vu (carolyn.vu@ots.ca.gov) 2022-10-05-10:16:29 PM GMT CSp Document e-signed by Carolyn Vu (carolyn.vu@ots.ca.gov) Signature Date:2022-10-05-10:16:38 PM GMT-Time Source:server 'v Document emailed to Barbara Rooney(barbara.rooney@ots.ca.gov)for signature 2022-10-05-10:16:39 PM GMT IJ Email viewed by Barbara Rooney(barbara.rooney@ots.ca.gov) 2022-10-11 -10:02:11 PM GMT 6p Document e-signed by Barbara Rooney(barbara.rooney@ots.ca.gov) Signature Date:2022-10-11 -10:02:24 PM GMT-Time Source:server © Agreement completed. 2022-10-11 -10:02:24 PM GMT CM I Powered by SAFE,Y Acrobat Sign State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT OP23010 1. GRANT TITLE Child Passenger Safety Program 2. NAME OF AGENCY 3. Grant Period Huntington Beach From: 10/01/2022 4. AGENCY UNIT TO ADMINISTER GRANT To: 09/30/2023 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 children under the age of eight years old. The funded strategies may include education, child safety seat check-ups, community events, presentations, and training. Other countermeasures may include properly fitting child safety seats, providing educational materials, and the distribution of child safety seats. Efforts should be conducted in underserved communities and coordinated in collaboration with community-based organizations. 6. Federal Funds Allocated Under This Agreement Shall Not Exceed: $52,353.00 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.aov. 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: Eric Parra TITLE: Lieutenant Police Chief EMAIL: tarcher@hbpd.org eparra@hbpd.org PHONE: (714)374-1610 (714)536-5904 ADDRESS: 2000 Main Street 2000 Main Street Huntington Beach, CA 92648 Huntington Beach, CA 92648 1 t^ Sep 26,2022 4 Oct 5,2022 xs.:oxz (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 Huntinqton Beach, CA 92648 Elk Grove, CA 95758 Kamv gal°""" Oct 5�2022 f Oct 7,2022 h Bilewin lOct S.101z tz.3POT (Signature) (Date) (Signature) (Date) 9/26/2022 9:17:06 AM Page 1 of 16 E. ACCOUNTING OFFICER OF OFFICE OF TRAFFIC SAFETY 9. SAM INFORMATION NAME: Carolyn Vu SAM#: LKKFRC4PW7L4 ADDRESS: 2208 KauSen Drive, Suite 300 REGISTERED Elk Grove, CA 95758 ADDRESS: 2000 Main Street CITY: Huntington Beach Zia+4: 92648-2702 10. PROJECTED EXPENDITURES FUND CFDA ITEM/APPROPRIATION F.Y. CHAPTER STATUTE PROJECTED EXPENDITURES 405b OP-23 20.616 0521-0890-101 2022 43/22 BA/22 $52,353.00 AGREEMENT TOTAL $52,353.00 AMOUNT ENCUMBERED BY THIS DOCUMENT $52,353.00 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 6�.- ' Oct 5,2022 $52,353.00 9/26/2022 9:17:06 AM Page 2 of 16 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT OP23o10 Schedule A 1. PROBLEM STATEMENT The City of Huntington Beach recorded 762 injury traffic crashes in 2021 with a total of 1,083 persons injured. Included in those, were a total of 24 injury crashes involving child passengers. Of those crashes, 41 children between the ages of 0-4 years old were injured. There is a need for educating our community and providing car seat installation checkups in an effort to aid in the reduction of infant and child injuries and fatalities. Our traffic department has taken the steps to successfully train 4 staff members as Certified Child Passenger Safety Technicians, and this grant will help fund our educational efforts as we work to reduce the number of children killed and injured in traffic crashes in our community. 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 vehicle occupants killed under age eight. 4. Reduce the number of vehicle occupants injured under age eight. 5. Increase child safety seat 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 National Child Passenger Safety Week. 1 3. Conduct highly publicized child safety seat checkups at community locations such 8 as shopping centers, car dealerships or preschools to educate and empower parents and caregivers to properly install and use an appropriate car seat for their child. Car seat checkers must: be NHTSA-certified Child Passenger Safety Technicians (CPST); check for car seat recalls, use a standardized form to collect child safety seat misuse data, record corrections made, record seats installed, and have access to car seat instructions and resource materials. 4. Certify, recertify or renew staff as NHTSA Child Passenger Safety Technicians. 6 5. Conduct child safety seat education classes with an effort to reach low-income 2 residents, professionals transporting children, caregivers, and parents. 6. Participate in traffic safety fairs and/or community events with an effort to reach 10 individuals. 7. Distribute OTS funded child safety seats at no-cost to families in need who receive 40 child safety seat education. 8. Purchase child safety seats. 40 9. Work closely with community-based organizations at both the neighborhood and 1 community level with an effort to reach individuals. 10. Collaborate with law enforcement agencies to increase public knowledge and 1 awareness of child passenger safety. 11. Conduct"roll call'training sessions on occupant protection, including child 6 passenger safety. 12. Conduct individual child safety seat checkup by appointment to promote correct 12 usage, with an effort to reach parents or caregivers. Car seat checkers must be NHTSA-Certified Child Passenger Safety Technicians (CPST). 3. METHOD OF PROCEDURE A. Phase 1 —Program Preparation Ost 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. 9/26/2022 9:17:06 AM Page 3 of 16 • 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 pio@ots.ca.gov for approval and copy your OTS coordinator. Optimum lead time would be 7 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 Nixle 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 P1O 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. 9/26/2022 9:17:06 AM Page 4 of 16 • 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 QPRs. • 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. • 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 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. 9/26/2022 9:17:06 AM Page 5 of 16 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT oP23o�o Schedule B FUND NUMBER CATALOG FUND DESCRIPTION TOTAL AMOUNT NUMBER CFDA 405b OP-23 20.616 Occupant Protection $52,353.00 COST CATEGORY FUND UNIT COST OR UNITS TOTAL COST TO NUMBER RATE GRANT A. PERSONNEL COSTS Straight Time $0.00 Overtime CPS Checkup Events 405b OP- $3,960.00 8 $31,680.00 23 CPS Education Classes 405b OP- $880.00 2 $1,760.00 23 Traffic Safety Fairs and/or Community 405b OP- $880.00 10 $8,800.00 Events 23 Roll Call Training 405b OP- $110.00 6 $660.00 23 Individual Car Seat Check-Ups 405b OP- $220.00 12 $2,640.00 23 Category Sub-Total $45,540.00 B. TRAVEL EXPENSES In State Travel 405b OP- $243.00 1 $243.00 23 $0.00 Category Sub-Total $243.00 C. CONTRACTUAL SERVICES $0.00 Category Sub-Total $0.00 D. EQUIPMENT $0.00 Category Sub-Total $0.00 E. OTHER DIRECT COSTS Child Safety Seats 405b OP- $125.00 40 $5,000.00 23 CPS Check-Up Supplies 405b OP- $500.00 1 $500.00 23 Educational Materials 405b OP- $500.00 1 $500.00 23 CPS Technician/Instructor Fees 405b OP- $95.00 6 $570.00 23 Category Sub-Total $6,570.00 F. INDIRECT COSTS $0.00 Category Sub-Total $0.00 GRANT TOTAL $52,363.00 9/26/2022 9:17:06 AM Page 6 of 16 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT OP23o10 Schedule B-7 BUDGET NARRATIVE PERSONNEL COSTS CPS Checkup Events - Overtime for grant-funded child safety seat checkup events conducted by appropriate department personnel. Car seat checkers must be NHTSA-Certified Child Passenger Safety Technicians (CPST). Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 6 Hours x 6 Officers = $3,960 per Event CPS Education Classes- Overtime for grant-funded CPS education classes for parents and caregivers conducted by appropriate department personnel. Car seat checkers must be NHTSA-Certified Child Passenger Safety Technicians (CPST). Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 4 Hours x 2 Officers = $880 per Event Traffic Safety Fairs and/or Community Events - Overtime for grant-funded participation in traffic safety fairs and/or community events by appropriate department personnel. Car seat checkers must be NHTSA-Certified Child Passenger Safety Technicians (CPST). Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 4 Hours x 2 Officers = $880.00 Roll Call Training - Overtime for grant-funded roll call training sessions conducted by appropriate department personnel. Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 1 Hour x 1 Officer= $110 per Event Individual Car Seat Check-Ups- Overtime for grant-funded individual child safety seat checkups by appointment to promote correct usage, with an effort to reach parents or caregivers. Car seat checkers must be NHTSA-Certified Child Passenger Safety Technicians (CPST). Claim should reflect actual costs up to the rate specified. The department will not be claiming overtime benefits. $110 x 1 Hour x 2 Officers = $220 per Event 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 Safer CA Unintentional Injury and OTS Educational Conferences. 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 Child Safety Seats -Average cost not to exceed $125 per seat (including booster seats) including sales tax, shipping and handling. Seats to be distributed at no cost during CPS checkups, appointments, fitting stations and traffic safety presentations. Infant only seats are not an allowable expense. CPS Check-Up Supplies- Supplies to conduct child passenger safety seat education, training and inspections at check-up events, classes and individual appointments. Costs may include LATCH manuals, safety training dolls, cones, pop-up tents, pool noodles, child safety seat clips, tote carriers, and check-up 9/26/2022 9:17:06 AM Page 7 of 16 signage. Costs may not include furniture such as but not limited to tables and chairs. Additional items may be purchased if approved by OTS. 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. CPS Technician/Instructor Fees - Certification, recertification or renewal fees for technicians who successfully complete the NHTSA Child Passenger Safety Technician Certification or Renewal course or biennial requirements to re-certify. INDIRECT COSTS STATEMENTS/DISCLAIMERS There will be no program income generated from this grant. Benefits for personnel costs can only be applied to straight time or overtime hours charged to the grant. 9/26/2022 9:17:06 AM Page 8 of 16 State of California—Office of Traffic Safety GRANT NUMBER GRANT AGREEMENT OP23010 Exhibit A CERTIFICATIONS AND ASSURANCES FOR HIGHWAY SAFETY GRANTS (23 U.S.C. Chapter 4; Sec. 1906, Pub. L. 109-59, As Amended By Sec. 4011, Pub. L. 114-94) 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 • 23 U.S.C. Chapter 4—Highway Safety Act of 1966, as amended • Sec. 1906, Pub. L. 109-59, as amended by Sec. 4011, Pub. L. 114-94 • 23 CFR part 1300—Uniform Procedures for State Highway Safety Grant Programs • 2 CFR part 200—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 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). The Subgrantee- 9/26/2022 9:17:06 AM Page 9 of 16 • 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: o "During the performance of this contract/funding agreement,the contractor/funding recipient ag rees— 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. THE DRUG-FREE WORKPLACE ACT OF 1988 (41 U.S.C. 81031 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 9/26/2022 9:17:06 AM Page 10 of 16 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 signed certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement; 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions; 3. The undersigned shall require that the language of this certification be included in the award documents for all sub-award at all tiers (including subcontracts, 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 all 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) 9/26/2022 9:17:06 AM Page 11 of 16 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 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 9/26/2022 9:17:06 AM Page 12 of 16 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 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. 9/26/2022 9:17:06 AM Page 13 of 16 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. BUY AMERICA ACT (applies to all 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 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. 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. 9/26/2022 9:17:06 AM Page 14 of 16 State of California—Office of Traffic Safety GRANT NUMBER OTS-55 Grant Electronic Management System (GEMS) Access OP23010 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 (QPRs) 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: OP23010 Agency Name: Huntington Beach Police Department Grant Title: Child Passenger Safety Program Agreement Total: $52,353.00 Authorizing Official: Eric Parra Fiscal Official: Kathy Baldwin Grant Director: Thoby Archer CURRENT GEMS USER(S) 1. Roman Altenbach Title: Sergeant Media Contact: No Phone: (714) 960-8811 Email: raltenbach@hbpd.org 2. Kathy Baldwin Title: Accounting Technician II Media Contact: No Phone: (714) 536-5935 Email: kbaldwin@hbpd.org 3. Chris Nesmith Title: Police Lieutenant Media Contact: No Phone: (714) 374-1577 Email: cnesmith@hbpd.org 4. Joshua Page Title: Sergeant Media Contact: No Phone: (714) 536-5667 Email:jpage@hbpd.org 5. Michael Thomas Title: Sergeant Media Contact: Yes Phone: (714) 960-8819 Email: mthomas@hbpd.org 9/26/2022 9:17:06 AM 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: 1W,&917hPwdr p Date: Sep 26,2022 As a signatory I hereby authorize the listed individual(s) to represent and have GEMS user access. �u Thoby Archer T. A� e,l�ep36,30331]'.7-1.I Signature Name Sep 26,2022 Grant Director Date Title 9/26/2022 9:17:06 AM Page 16 of 16 Grant Agreement - OP23010 Final Audit Report 2022-10-07 Created: 2022-09-26 By: Elsie Machado(elsie.machado@ots.ca.gov) Status: Signed Transaction ID: CBJCHBCAABAAs26BzNT97SWB22DAZ12zegg7brLofNPU "Grant Agreement - OP23010" History Document created by Elsie Machado(elsie.machado@ots.ca.gov) 2022-09-26-4:17:17 PM GMT Document emailed to mthomas@hbpd.org for signature 2022-09-26-4:17:24 PM GMT Email viewed by mthomas@hbpd.org 2022-09-26-4:27:04 PM GMT LSa Signer mthomas@hbpd.org entered name at signing as Michael Thomas 2022-09-26-4:27:23 PM GMT CSa Document e-signed by Michael Thomas(mthomas@hbpd.org) Signature Date:2022-09-26-4:27:24 PM GMT-Time Source:server C'w Document emailed to tarcher@hbpd.org for signature 2022-09-26-4:27:26 PM GMT Email viewed by tarcher@hbpd.org 2022-09-26-7:39:51 PM GMT C5® Signer tarcher@hbpd.org entered name at signing as Thoby Archer 2022-09-26-7:40:07 PM GMT 6@ Document e-signed by Thoby Archer(tarcher@hbpd.org) Signature Date:2022-09-26-7:40:08 PM GMT-Time Source:server C'y Document emailed to Kathy Baldwin (kbaldwin@hbpd.org)for signature 2022-09-26-7:40:10 PM GMT Email viewed by Kathy Baldwin (kbaldwin@hbpd.org) 2022-09-27-1:38:35 PM GMT Om I Powered by fw; Fii 4 Adobe SAFETY Acrobat Sign ` Email viewed by Kathy Baldwin (kbaldwin@hbpd.org) 2022-10-05-7:37:42 PM GMT 64 Document e-signed by Kathy Baldwin (kbaldwin@hbpd.org) Signature Date:2022-10-05-7:37:52 PM GMT-Time Source:server C'y Document emailed to eparra@hbpd.org for signature 2022-10-05-7:37:53 PM GMT Email viewed by eparra@hbpd.org 2022-10-05-10:01:27 PM GMT C5© Signer eparra@hbpd.org entered name at signing as Eric G. Parra 2022-10-05-10:01:49 PM GMT 6® Document e-signed by Eric G. Parra (eparra@hbpd.org) Signature Date:2022-10-05-10:01:51 PM GMT-Time Source:server C'. Document emailed to Carolyn Vu (carolyn.vu@ots.ca.gov)for signature 2022-10-05-10:01:53 PM GMT Email viewed by Carolyn Vu (carolyn.vu@ots.ca.gov) 2022-10-05-10:16:13 PM GMT ® Document e-signed by Carolyn Vu (carolyn.vu@ots.ca.gov) Signature Date:2022-10-05-10:16:22 PM GMT-Time Source:server C+ Document emailed to Barbara Rooney(barbara.rooney@ots.ca.gov)for signature 2022-10-05-10:16:23 PM GMT Email viewed by Barbara Rooney(barbara.rooney@ots.ca.gov) t 2022-10-07-6:06:51 PM GMT b� Document e-signed by Barbara Rooney(barbara.rooney@ots.ca.gov) Signature Date:2022-10-07-6:07:05 PM GMT-Time Source:server 0 Agreement completed. 2022-10-07-6:07:05 PM GMT cm Powered by TRAPFIG Adobe SAFETY I Acrobat Sign