HomeMy WebLinkAboutSTATE OF CALIFORNIA OFFICE OF TRAFFIC SAFETYA
° � JAN 19 2010
s State of California — Office of Traffic Safety
GRANT' AGREEMENT
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Please return an original
executed agreement to
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GRANT NUMBER
PS18029
1. GRANT TITLE
Pedestrian and Bicycle Safety Program
2. NAME OF AGENCY
3. Grant Period
Santa Ana
From: 10/01/2017
4, AGENCY UNIT TO ADMINISTER GRANT
Santa Ana Public Works Agency
To: 09/30/2018
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 collisions including underserved communities, older adults, and school -aged children.
Coordinated efforts such as Safe Routes to School initiatives, Vision Zero campaigns, and working with community
based organizations are highly encouraged to prevent fatalities and injuries of vulnerable non -motorized road users.
6, Federal Funds Allocated Under This Agreement Shall Not Exceed: $75,000.00
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
*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 terns and conditions.
IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.
S. Approval Si natures
A. AullioRIzING OFFICIAL OF DEPARTMENT B. ADTHORICIN(,,OFFICIAL OF OFFICE OF TRAFP°IC SAFETY
NAME: Fred Mousavipour PHONE: 714-647-5654 NAME: Rhonda L. Craft PRONE: (916) 509-3030
TITLE: Executive Director of Public FAX: 714-6475616 TITLE: Director FAX: (916) 509-3055
Works Agency
ADDRESS: 20 Civic Center Plaza ADDRESS: 2208 Kausen Drive, Suite 300
ta Ana, CA 92702 Elk Grove, CA 95758
FAIL:�'�'"EMAIL: rhonda.craft@ots.ca.gov
Pusavipour@santa-ana.org
_ ,J
(Signature) (Date) (Signature) (Date)
C. ACCOUNTING OFFICER OF OFFICE OF TRAFFIC SAFETY
9. DUNS NUMBER
NAME Carolyn Vu
DUNS #: 083153247
ADDRESS: 2208 Kausen Drive, Suite 300
REGISTERED ADDRESS: 20 Civic Center Plaza, Santa Ana,
Elk Grove, CA 95758
CA 92701
CITY: Santa Ana ZtP+4: 92702-4058
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Page I of 1.1
10. PROJECTED EXPENDITURES
FUND
CFDA
ITEM/APPROPRIATION
F.Y.
CHAPTER
STATUTE
PROJECTED
EXPENDITURES
402PS-18
20.600
0521-0890-101
2016
2016
23/16
$15,000.00
402PS-18
20.600
0521-0890-101
2017
2017
14/17
$60,000.00
AGREEMENT
TOTAL
$75,000.00
AMOUNT ENCUMBERED BY THIS DOCUMENT
$75,000.00
I CERTIFY upon my own personal knowledge that the budgeted funds for
the current budget year are available for the period and purpose of the
PRIOR AMOUNT ENCUMBERED FOR THIS
expenditure stated above.
AGREEMENT
$ 0.00
ACCOUNTING OFFICER'S SIGNATURE
DATE
TOTAL AMOUNT ENCUMBERED TO DATE
SIGNED
A5
$75,000.00
mi_
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State of California — Office of Traffic Safety
GRANT AGREEMENT
Schedule A
GRANT NUMBER
PS18029
1. PROBLEM STATEMENT
With a population of just under 330,000; the City of Santa Ana is one of the fourteen highest population cities in the
State (Group A). The City is approximately 27.1 square miles. Santa Ana has a large volume of motor vehicle traffic,
with the arterials carrying 30,000 to 40,000 vehicles per day. There are also four freeways that converge within the city
and a total of 450 miles of streets.
Relative income and vehicle ownership levels within the City are significantly lower than statewide averages. The City
population's median age is the youngest of the seven largest cities in Orange County and the residential density is one
of the highest in the State. Transit ridership in Santa Ana is the highest in the County with several of the busiest Orange
County Transportation Authority bus lines serving the City. Because of climate and demographics, bicycle dependent
population is relatively high when compared to other communities in the County or the State. Also, a significant
portion of the adult bicyclists may not speak English or understand the rules of the road.
In 2012 the City of Santa Ana ranked 3/13 for bicycle involved collisions and 4/13 in bicycle collisions (under 15). In
2013 those rankings increased to 1/14 for bicycle involved collisions and 2/14 in bicycle collisions (under 15). In
addition, collisions involving bicyclist riding at night has remained consistent with 38 in 2014 and 39 in 2015.
2. PERFORMANCE MEASURES
A. Goals:
1. Reduce the number of persons killed in traffic collisions.
2. Reduce the number of persons injured in traffic collisions.
3. Reduce the number of pedestrians killed in traffic collisions.
4. Reduce the number of pedestrians injured in traffic collisions.
5. Reduce the number of pedestrians killed under age 18 in traffic collisions.
6. Reduce the number of pedestrians killed under age 18 in traffic collisions.
7. Reduce the number of pedestrians killed over age 65 in traffic collisions.
8. Reduce the number of pedestrians injured over age 65 in traffic collisions.
9. Reduce the number of bicyclists killed in traffic collisions.
10. Reduce the number of bicyclists injured in traffic collisions.
11. Reduce the number of bicyclists under age 18 killed in traffic collisions.
12. Reduce the number of bicyclists under age 18 injured in traffic collisions.
13. Increase bicycle helmet usage.
14. Reduce the number of night-time bicycle collisions
15. Reduce the number of night-time pedestrian collisions
B. Objectives:
Target Number
1. Issue a press release announcing the kick-off of the grant by November 15. The kick-off
1
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, community events, and/or presentations with an effort to
4
reach individuals.
3. Work closely with community-based organizations at both the neighborhood and
10
community level with an effort to reach individuals.
4. Participate in the following campaigns, National Walk to School Day, National Bicycle
1
Safety Month and California's Pedestrian Safety Month.
5. Conduct pedestrian and/or bicycle safety presentations at community events with an effort
4
to reach individuals.
6. Conduct pedestrian and/or bicycle safety courses with an effort to reach community
6
members.
7. Distribute pedestrian safety equipment to children that may include reflective armbands
I
and/or zipper pulls.
8. Distribute bicycle headlights and tail lights during bicycle safety community events or
I
bicycle safety courses.
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9. Develop bicycle and pedestrian safety educational materials to be distributed during
1
classroom presentations, workshops, and community events.
10. Participate in Safe Routes to School coalition meetings.
4
11. Conduct community outreach events with an effort to reach adults and senior citizens.
6
12. Conduct pedestrian safety presentations with an effort to reach older adults.
10
13. Conduct bicycle rodeos with an effort to reach individuals.
4
14. Distribute and properly fit bicycle helmets at bicycle rodeos, workshops, and community
700
events.
15. Conduct bicycle helmet inspections and make necessary adjustments at schools and
1
community events.
16. Train individuals to be League Certified Instructors.
12
17. Conduct community bicycle rides promoting safe bicycling in the community with an
6
effort to reach bicyclists.
18. Hold quarterly meetings with countywide pedestrian and/or bicycle safety stakeholders to
4
collaborate on events, share best practices, and leverage resources.
19. Collaborate with law enforcement agencies to increase knowledge and awareness of
4
pedestrian and bicycle safety.
3. METHOD OF PROCEDURE
A. Phase 1— Program Preparation (V Quarter of Grant Year)
• Develop operational plans to implement the "best practice" strategies outlined in the objectives section.
• All training needed to implement the program should be conducted this quarter.
• All grant related purchases needed to implement the Rrograin should be made this quarter.
B. Phase 2 — Program Operations (Throughout Grant Year)
• Conduct Traffic Skills 101 classes.
• Conduct Bicycling Basics trainings.
• Conduct Pedestrian/Bicycle rodeos.
• Organize a League Cycling Instructor Certification Seminar.
• Distribute helmets and lights (head-lights/tail-lights) at 10 Operation Lights Alive events
• Conduct four traffic safety fairs and distribute 700 helmets and lights
Media Requirements
• Send all grant -related activity press releases, media advisories, alerts and general public materials to the
OTS Public Information Officer (PIO) at pio@ots.ca.gov, with a copy to your OTS Coordinator.
• If an OTS template -based press release is used, the OTS PIO and Coordinator should be copied
when the release is distributed to the press. If an OTS template is not used, or is substantially
changed, a draft press release shall be sent to the OTS PIO for approval. Optimum lead time would
be 10-20 days prior to the release date to ensure adequate turn -around time.
• Use the following standard language in all press, media, and printed materials: Funding for this program
was provided by a grant from the California Office of Traffic Safety, through the National Highway Traffic
Safety Administration.
• Email the OTS PIO at pio@ots.ca.gov and copy your OTS Coordinator at least 30 days in advance, a short
description of any significant grant -related traffic safety event or program so OTS has sufficient notice to
arrange for attendance and/or participation in the event.
• Submit a draft or rough -cut of all printed or recorded material (brochures, posters, scripts, artwork, trailer
graphics, etc.) to the OTS PIO at pio@ots.ca.gov and copy your OTS Coordinator for approval 14 days
prior to the production or duplication.
• Include the OTS logo, space permitting, on grant -funded print materials; consult your OTS Coordinator for
specifics.
C. Phase 3 — Data Collection & Reporting (Throughout Grant Year)
• Invoice Claims (due January 30, April 30, July 30, and October 30)
• Quarterly Performance Reports (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
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completed or plans for upcoming activities.
• Collect, analvze and report statistical data relatine to the erant eoals and obiectives.
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
5. ADMINISTRATIVE SUPPORT
This program has full administrative support, and every effort will be made to continue the grant activities after grant
conclusion.
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State of California — Office of Traffic Safety
GRANT AGREEMENT
Schedule B
GRANT NUMBER
PS1S029
FUNDNUMI3.ER
CATALOGNUMBER
FUND DESCRIPTION
TOTAL AMOUNT
Positions and Salaries
Full -Time
(CFDA)
$0.00
Overtime
402PS
20.600
State and Community Highway
$75,000.00
$0.00
Category Sub -Total
Safety
$0.00
COSTCATEGORY
77
7
TOTAL COSTTO
TO GRANT
A. PERSONNEL COSTS
Positions and Salaries
Full -Time
$0.00
Overtime
$0.00
Part -Time
$0.00
Category Sub -Total
$0.00
B. TRAVEL EXPENSES
$0.00
$0.00
Category Sub -Total
$0.00
C. CONTRACTUAL SERVICES
Bicycle and Pedestrian Education- $75,000
20.600 $0.00
Pedestrian/Bicycle Rodeos
20.600 $12,000.00
Operation Firefly
20.600 $20,000.00
League Certified Instructor Training
20.600 $12,000.00
Traffic Skills 101
20.600 $9,000.00
Bicycle Helmets
20.600 $7,000.00
Bicycle Safety Equipment
20.600 $5,000.00
Bicycling Basics
20.600 $6,000.00
Educational Materials
20.600 $2,000.00
Pedestrian Safety Equipment
20.600 $2,000.00
Category Sub -Total
$75,000.00
D. EQUIPMENT
$0.00
Category Sub -Total
$0.00
E. OTHER DIRECT COSTS
$0.00
Category Sub -Total
$0.00
F. INDIRECT COSTS
$0.00
Category Sub -Total
$0.00
GRANT TOTAL $75,000.00
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State of California — Office of Traffic Safety
GRANT AGREEMENT
Schedule B-1
GRANT NUMBER
PS18029
BUDGET NARRATIVE
PERSONNEL COSTS
QUANTITY
TRAVEL EXPENSES
CONTRACTUAL SERVICES
Bicycle and Pedestrian Education- $75,000 - The City of Santa Ana will contract with a local
0
community organization to provide the following:
Instructional services to teach Traffic Skills 101 courses and League Certified Instructor training.
Procure all equipment including helmets and safety equipment.
Organize team volunteers for Operation Firefly events.
Pedestrian/Bicycle Rodeos - Cost to include outreach, organization, and instruction of 4
4
pedestrian/bicycle rodeos in partnership with Santa Ana Police Department. Each event includes all
instructors and materials. Costs will be invoiced at $3,000 per event.
Operation Firefly - Costs include outreach, recruitment, organization, and coordination of teams to
10
conduct 10 Operation Firefly events. Costs will be invoiced at $2,000 per event.
League Certified Instructor Training - Costs include all recruitment and outreach, coordination,
1
instructors, and materials for one seminar. Costs will be invoiced at $12,000 per class.
Traffic Skills 101 - Costs include all instructors and materials for 3 classes. Costs will be invoiced at
3
$3,000 per class.
Bicycle Helmets - 700 Helmets to be distributed during bicycle rodeos and other bicycle safety related
700
events.
Bicycle Safety Equipment - Cost to include safety equipment such as bicycle headlights/taillights,
1
reflectors, and reflective arm and leg bands to be distributed during bicycle rodeos and other bicycle
safety related events. Additional items may be purchased with OTS approval.
Bicycling Basics - Bicycle education and training classes targeting beginner riders. 3 Classes to be
3
taught by LCI's, and cover basic bicycle rules of the road for new riders. Cost will be invoiced at
$2,000 per class.
Educational Materials - Costs of purchasing, developing or printing brochures, pamphlets, fliers,
1
coloring books, posters, signs, and banners associated with grant activities, and traffic safety conference
and training materials. Items shall include a traffic safety message and if space is available the OTS
logo. Additional items may be purchased if approved by OTS.
Pedestrian Safety Equipment - Cost to include items such as reflective zipper -pulls and reflective arm
1
bands. Additional items ma be Eurchased with OTS approval.
EQUIPMENT
OTHER DIRECT COSTS
INDIRECT COSTS
STATEMENTS/DISCLAIMERS
There will be no proEarn income generated from this grant.
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State of California — Office of Traffic Safety GRANT NUMBER
GRANT AGREEMENT PS18029
Exhibit A
Failure to comply with applicable Federal statutes, regulations, and directives may subject Grantee Agency officials to
civil or criminal penalties and/or place the State in a high risk grantee status in accordance with 49
CFR §18.12.
The officials named on the grant agreement, certify by way of signature on the grant agreement signature page, that the
Grantee Agency complies with all applicable Federal statutes, regulations, and directives and State rules, guidelines,
policies and laws in effect with respect to the periods for which it receives grant funding. Applicable provisions include,
but are not limited to, the following:
• 23 U.S.C. Chapter 4—Highway Safety Act of 1966, as amended
• 49 CFR Part 18—Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments
• 23 CFR Part 1200—Uniform Procedures for State Highway Safety Grant Programs
NONDISCRIMINATION
The Grantee Agency will comply with all Federal statutes and implementing regulations relating to nondiscrimination.
These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (Pub. L. 88- 352), which prohibits
discrimination on the basis of race, color or national origin (and 49 CFR Part 21); (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. 1681-1683 and 1685-1686), which prohibits discrimination on the basis of
sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), and the Americans with Disabilities
Act of 1990 (Pub. L. 101-336), as amended (42 U.S.C. 12101, et seq.), which prohibits discrimination on the basis of
disabilities (and 49 CFR Part 27); (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which
prohibits discrimination on the basis of age; (e) the Civil Rights Restoration Act of 1987 (Pub. L. 100-259), which
requires Federal -aid recipients and all sub -recipients to prevent discrimination and ensure nondiscrimination in all of their
programs and activities; (f) the Drug Abuse Office and Treatment Act of 1972 (Pub. L. 92-255), as amended, relating to
nondiscrimination on the basis of drug abuse; (g) the comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (Pub. L. 91-616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; (h) Sections 523 and 527 of the Public Health Service Act of 1912, as amended (42 U.S.C.
290dd-3 and 290ee-3), relating to confidentiality of alcohol and drug abuse patient records; (i) Title VIII of the Civil
Rights Act of 1968, as amended (42 U.S.C. 3601, of seq.), relating to nondiscrimination in the sale, rental or financing of
housing; 0) any other nondiscrimination provisions in the specific statute(s) under which application for Federal
assistance is being made; and (k) the requirements of any other nondiscrimination statute(s) which may apply to the
application.
BUY AMERICA ACT
The Grantee Agency will comply with the provisions of the Buy America Act (49 U.S.C. 53230)), which contains the
following requirements:
Only steel, iron and manufactured products produced in the United States may be purchased with Federal funds unless the
Secretary of Transportation determines that such domestic purchases would be inconsistent with the public interest, that
such materials are not reasonably available and of a satisfactory quality, or that inclusion of domestic materials will
increase the cost of the overall project contract by more than 25 percent. Clear justification for the purchase of non-
domestic items must be in the form of a waiver request submitted to and approved by the Secretary of Transportation.
POLITICAL ACTIVITY (HATCHACT)
The Grantee Agency will comply with provisions of the Hatch Act (5 U.S.C. 1501-1508) which limits the political
activities of employees whose principal employment activities are funded in whole or in part with Federal funds.
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CERTIFICATION REGARDING FEDERAL LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or
employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan,
or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit Standard Form- LLL, "Disclosure Form to Report
Lobbying," in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award documents for all sub -
award at all tiers (including subcontracts, sub -grants, and contracts under grant, loans, and cooperative agreements)
and that all sub -recipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or
entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by
section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty
of not less than $10,000 and not more than $100,000 for each such failure.
RESTRICTION ON STATE LOBBYING
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 REGARDINGDEBARMENT AND SUSPENSION
Instructions for Primary Certification
1. By signing and submitting this grant agreement, the Grantee Agency Official is providing the certification set out
below.
2. The inability of a person to provide the certification required below will not necessarily result in denial of
participation in this covered transaction. The prospective participant shall submit an explanation of why it cannot
provide the certification set out below. The certification or explanation will be considered in connection with the
department or agency's determination whether to enter into this transaction. However, failure of the Grantee
Agency Official to furnish a certification or an explanation shall disqualify such person from participation in this
transaction.
3. The certification in this clause is a material representation of fact upon which reliance was placed when the
department or agency determined to enter into this transaction. If it is later determined that the Grantee Agency
Official knowingly rendered an erroneous certification, in addition to other remedies available to the Federal
Government, the department or agency may terminate this transaction for cause or default.
4. The Grant Agency Official shall provide immediate written notice to the department or agency to which this grant
agreement is submitted if at any time the Grantee Agency Official learns its certification was erroneous when
submitted or has become erroneous by reason of changed circumstances.
5. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant,
person, primary covered transaction, principal, grant agreement, and voluntarily excluded, as used in this clause,
have the meaning set out in the Definitions and coverage sections of 49 CFR Part 29. You may contact the
department or agency to which this grant agreement is being submitted for assistance in obtaining a copy of those
regulations.
6. The Grantee Agency Official agrees by submitting this grant agreement that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who
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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 Grantee Agency Official further agrees by submitting this grant agreement that it will include the clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered
Transaction," provided by the department or agency entering into this covered transaction, without modification,
in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier
covered transaction that it is not proposed for debarment under 48 CFR Part 9, subpart 9.4, debarred, suspended,
ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous.
A participant may decide the method and frequency by which it determines the eligibility of its principals. Each
participant may, but is not required to, check the list of Parties Excluded from Federal Procurement and Non -
procurement Programs.
9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render in good faith the certification required by this clause. The knowledge and information of a participant is
not required to exceed that which is normally possessed by a prudent person in the ordinary course of business
dealings.
10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48
CFR Part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal Government, the department or agency may
terminate this transaction for cause or default.
Certification Regarding Debarment, Suspension, and Other Responsibility Matters -Primary Covered Transactions
1. The Grantee Agency Official certifies to the best of its knowledge and belief, that its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
by any Federal department or agency;
b. Have not within a three-year period preceding this grant agreement been convicted of or had a civil judgment
rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting
to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction;
violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of record, making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal,
State or Local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification;
and
d. Have not within a three-year period preceding this application/grant agreement had one or more public
transactions (Federal, State, or local) terminated for cause or default.
2. Where the Grantee Agency Official is unable to certify to any of the Statements in this certification, such
prospective participant shall attach an explanation to this grant agreement.
Instructions for Lower Tier Certification
1. By signing and submitting this grant agreement, the prospective lower tier participant is providing the
certification set out below.
2. The certification in this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into. If it is later determined that the prospective lower tier participant knowingly
rendered an erroneous certification, in addition to other remedies available to the Federal government, the
department or agency with which this transaction originated may pursue available remedies, including suspension
and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to which this grant
agreement is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or has become erroneous by reason of changed circumstances.
4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant,
person, primary covered transaction, principal, grant agreement, and voluntarily excluded, as used in this clause,
have the meanings set out in the Definition and Coverage sections of 49 CFR Part 29. You may contact the person
to whom this grant agreement is submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this grant agreement that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who
is proposed for debarment under 48 CFR Part 9, subpart 9.4, debarred, suspended, declared ineligible, or
8/10/2017 11:15:22 AM Page 10 of 11
voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency
with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this grant agreement that it will include the
clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion— Lower
Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for
lower tier covered transactions. (See below)
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier
covered transaction that it is not proposed for debarment under 48 CFR Part 9, subpart 9.4, debarred, suspended,
ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous.
A participant may decide the method and frequency by which it determines the eligibility of its principals. Each
participant may, but is not required to, check the List of Parties Excluded from Federal Procurement and Non -
procurement Programs.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render in good faith the certification required by this clause. The knowledge and information of a participant is
not required to exceed that which is normally possessed by a prudent person in the ordinary course of business
dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction
knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48
CFR Part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal government, the department or agency with
which this transaction originated may pursue available remedies, including suspension and/or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion—Lower Tier
Covered Transactions:
1. The prospective lower tier participant certifies, by submission of this grant agreement, that neither it nor its
principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation in this transaction by any Federal department or agency.
2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such
prospective participant shall attach an explanation to this grant agreement.
8/10/2017 11:15:22 AM Page 11 of 11
APPROVED AS TO FORM
Soma R. Carvalho, City Allonicy
j
C N M. FUNK
Assistant City Attorney
RECOMMENDED FOR APPROVAL
JE MOUSAVIPOUR
Execu
Flit
Director
Public Works Agency
Additional Page for City Signatures
Slate of California Office ofTrafficSafety Grant Agreement
Grant No. PSI 8029
ATTEST
MARIA D. I I UIZAR
Clerk of the Council
Raul Godinez 11
City Manager
Project: Santa Ana Bike Parking Project
c8 r
Incorpor�f�d —
Project Manager: Derek Fretheim
211 Simplicity
Irvine, CA 92620
949-275-6365
Send Payment to: 211 Simplicity, Irvine, CA 92620 (EFT on file)
BILL TO: Mr. Cory Wilkerson
Secure Bike Project #: A-2013-087
City of Santa Ana
Public Works Agency
20 Civic Center Plaza
Santa Ana, CA 92701
Billing Period: June 1 to June 30, 2017
Project Number:
Invoice Number:
Invoice Date:
Payment Terms:
A-2013-087-01
A07-264
July 6, 2017
30 Days
Page 1 of 1
Classification Description Item Rate (per agent.) Total Amount
Labor/Services
Monthly Maintenance Services
Custodial, cleaning and maintenance
Web Support
Phone Support
Monthly Fee
$ 1,041.67 $ 1,041.67
$ 800.00 $ 800.00
$ 800.00 $ 800.00
Total Services $ 2,641.67
TOTAL DUE
Total Contract Extensiort,:
Billed to Date:
Remaining Balance:
$ 2,641.67
$ 63,400.00
$ 39,625.05 Including this invoice
$ 23,774.95 Submitted by: Derek Fretheim