HomeMy WebLinkAboutAgenda - 09-14-2021; 8-b - North Carolina Governor’s Highway Safety Program - Orange County Sheriff’s Office Traffic Safety Project and Approval of Budget Amendment #1-A 1
ORD-2021-022
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: September 14, 2021
Action Agenda
Item No. 8-b
SUBJECT: North Carolina Governor's Highway Safety Program: Orange County Sheriff's
Office Traffic Safety Project and Approval of Budget Amendment #1-A
DEPARTMENT: Sheriff's Office
ATTACHMENT(S): INFORMATION CONTACT:
Attachment 1. Traffic Safety Project Sheriff Charles S. Blackwood,
Contract 919.245.2900
Attachment 2. Agreement of Conditions Jennifer Galassi, Legal Advisor,
Attachment 3. Local Government 919.245.2952
Resolution Lt. T. Brian Whitehurst, Sheriff's Deputy
Attachment 4. Award Notification Letters and North Carolina Governor's
Highway Safety Program Triangle
Region Law Enforcement Liaison,
919.245.2900
PURPOSE: To:
• Adopt a Resolution recognizing federal funding for traffic safety projects to the Sheriff's
Office;
• Approve Budget Amendment #1-A; and
• Authorize the Chair to sign the Resolution.
BACKGROUND: The North Carolina Governor's Highway Safety Program (the "GHSP") partners
with Law Enforcement Liaisons to promote highway safety awareness and to reduce the number
of traffic crashes and fatalities in the State. Law Enforcement Liaisons ("LEL"), located in the
eleven regions in which the GHSP divides the State, are full time law enforcement officers. An
LEL serves as a coordinator and organizer for highway safety activities in his/her respective region
and as liaison to the GHSP Office in Raleigh.
Some of the duties of an LEL include:
• promoting traffic safety measures in the region,
• supporting and informing law enforcement agencies within those regions of current and
upcoming campaigns,
• providing information and guidance in the grant process by assisting agencies with
questions, and
• directing them to the appropriate grant manager for their region.
LELs communicate on a regular basis with the county coordinators in their region and assist them
with their efforts to promote activities and campaigns on the county level. "Booze It & Lose It" and
2
"Click It or Ticket" are well known GHSP campaigns. Additionally, LELs monitor campaign
reporting in their regions and ensure all agencies are participating in the reporting of campaign
statistics.
LELs are required to attend quarterly meetings held throughout the State with GHSP staff, the
annual Lifesaver National Conference on Highway Safety Priorities in the spring, and assist with
planning, set up, operations, and tear down of the annual North Carolina Highway Safety
Symposium. To facilitate travel, training, and the other activities of the LELs, GHSP awards a
grant to the employing agency of each LEL. The grant funds travel, training, and traffic safety
equipment for the agency.
Lt. T. Brian Whitehurst of the Orange County Sheriff's Office is the Law Enforcement Liaison for
Region 5. The GHSP approved an application from the Sheriff's Office's for Fiscal Year 2022 in
the amount of $25,000. This funding will allow the Sheriff's Office to purchase 1) Two (2) In-car
Video Systems (including shipping and installation); 2) a golf cart; 3) a trailer for golf cart; 4)
remote data collection for speed display signs; and 5) fund the LEL's travel to the required
meetings, conference, and symposium.
The Sheriff's Office also has the following additional budget amendment:
• Governor's Crime Commission Grant — After the County's FY 2021-22 Budget was
approved, the Sheriff's Office received official notification that the Governor's Crime
Commission awarded a one-year grant for an additional deputy in the Crisis Unit in the
amount of$46,863.61 . The new position will establish and oversee a safe, supervised child
custody exchange space, increase capacity to enforce and pursue violations of Domestic
Violence Protective Orders and Release Conditions, and provide additional support to
follow-up with victims and provide periodic check-ins with defendants. The Sheriff's Office
match share of $15,621.23 will come from the Sheriff's Office detention
certification/licenses budget (10715020/530200). These funds will be used to create a new
time-limited (1.0 FTE) Deputy I for the duration of the grant through September 30, 2022.
This budget amendment provides for the budgetary changes listed above, and approves the
creation of a new 1.0 FTE time-limited Deputy I position through September 30, 2022.
FINANCIAL IMPACT: The Orange County Sheriff's Office will receive $71,836.61 in grant
funding. Funding comes from federal sources and requires a $15,621.23 match, which will come
from existing appropriations. This Budget Amendment#1-A provides for the receipt of these grant
funds.
SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goal is applicable to
this item:
• GOAL: CREATE A SAFE COMMUNITY
The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang
activity, substance abuse and domestic violence.
Receipt of GHSP grant funding will allow the Orange County Sheriff's Office to advance the North
Carolina Governor's Highway Safety Program's purpose to promote highway safety awareness
and to reduce the number of traffic crashes and fatalities in the State, objectives which overlap
with this Social Justice Goal.
3
ENVIRONMENTAL IMPACT: There is no Orange County Environmental Responsibility Goal
impact associated with this item.
RECOMMENDATION(S): The Manager recommends that the Board:
• Adopt the North Carolina Governor's Highway Safety Program Local Governmental
Resolution recognizing federal funding for traffic safety projects to the Sheriff's Office;
• Approve Budget Amendment#1-A accepting the $71,836.21 from federal grant funds; and
• Authorize the Chair to sign the Resolution.
4
North • • •r's Highway Safety Program
Traffic Safety Project Contract Form • ' is
SECTION C'c
d GENERAL INFORMATION
1.Agency: 4. Contact Person for Agency:
ORANGE COUNTY Timothy Whitehurst
2.Agency Address: 5. Telephone Number: [
SHERIFF +1 (919)245-2900 >r
POBox 8181 __.___...___..____...______...._..__.._..._...__._ _ __ _ _- ___ r r
HILLSBOROUGH, NC 27278 6. Cell Phone:
336 212-0608
3. Physical Location of Agency * 7. Email of Contact Person * �i
106 E. Margaret Ln Hillsborough NC 27278 bwhitehurst@orangecountync.gov !i
..........................................................................................................................._......._.._......_................................._.._.._........._...................__..................._.__._...._._........_......_......
8. Federal Tax ID Number/Type of Agency 9. Project Year
>I
Federal Tax ID Number: *56-6000327 C New t ;Continuation
u
c
DUNS No : 0-44041796 Year: C 1 (` 2 C; 3 ( ;4+ {
County: *ORANGE COUNTY
Type of Agency 10. Allocation of Funding
(' State C. Non-Profit
County (` Higher Education Federal % 100.00 Local % 0.00
(' Municipality C Hospital 9
i
11. Project Title: * Region 5 LEL
Sourceof r
12. Budge Total Amount Federi • State/Local •
Personnel Costs
..............................................................................................._........................................_.-....................................................................._............._.................._.........................................................._....._..................................................._...................._......_......_......._.........._................_._............._._.._._......_..........._.....................
Contractual Services
....................................................................................................._............._........................................................._................................................................................................_....................................._...................................................._...._.._....._........_............I............
.
Commodities Costs -
................................................................... ..............-...........-_................I.........._ .. ._.........._.,................. .............................................._............................................................._..........................................................................................................-.............................._..............................__........___.........._............................................
Other Direct Costs $25,000.00 $25,000.00 $0.00 -
.................................................................._.._............-....................................................................._.........................._................................._.................._._............._............._..._.............._........._............._........................................................................._._................._........_......._...._...........__........._............_........_......................._.......
Indirect Costs I ITotal Project Costs $25,0100.06
13. Specify How Non-Federal Share Will Be Provided: I
N/A
_..............................................................................................._. . . . . . . . . . . . .... . ..
..............._................................................._.........................................................................._..........................................._.............................._......................................................._.._...._............_......................_................._.....................__..........................
.....................
Project Number: CFDA#: 20. 600-State and Community Highway Safety
PT-22-06-05 Work Type: Police Traffic ServECT
-
:. _._.
Statement of Problem (_Provide detailed information of the highway safety problems in your area to be addressed through this project.Include -
countywide crash data for the last three years and any other relevant information to validate the statements.For more detailed information see"How to write an
effective traffic safety project"located at:
tt s:11connect.ncdot. o nici alities/Law-Enfor ement/Pa es/Law-Enfor ement-Re ortin .as x
_.....................
.............................
.._.............
_............
..._.............
._._._................._..._......._...._...................i
A Regional Law Enforcement Liaison serves as coordinator and organizer for highway safety activities in their respective region.
The GHSP supports and oversees the statewide'Booze it& Lose it'and "Click it or Ticket' programs. Coordination of these !I
programs is accomplished by utilizing 11 regional"Law Enforcement Liaison" positions. Through the guidance and coordination l
efforts of the Liaisons, planning and preparation and reporting activities from the event(s) occur. Efforts to continue to promote
and involve law enforcement agencies in these lifesaving endeavors are of paramount importance to this statewide program. To
this end, LELs are required to host events, attend and conduct meetings, assist County Coordinators with organizing highway I !
safety campaigns, and encouraging agencies to report activities. !I
The successful adjudication of traffic safety violations is important. The installation of in-car cameras will help traffic officers iI
retain critical evidence that will likely be necessary to secure a conviction in court thereby bolsteringthe importance of these ((
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5
- —� 022: Raise the law enforcement agency participa�iori rate iri Region 5-from the 19-2020"average of-ana to ari
average of 93.6% reporting in Region 5 by September 30, 2022. j
_._............_..__-.._................................._..........__._........_..................................................._........................_..............._........._........................._........................._......__.._...._......_._.__--_____......._.....__--._....___........_._._..................-...._........._............_...........__...._.....__.......__.....__...._.............__..._.__..............
-.....t
Objectives: • Conduct a minimum of four Law Enforcement County Coordinator(LECC) meetings to discuss current highway
safety activities, GHSP issues, training opportunities, and legal updates and concerns. i
f
• Gather LECC monthly reports, awarding 25 GHSP STEP system credits for Coordinators each month they submit
one.
• Compile a quarterly regional report for GHSP that includes a summary of the reports from the LECC's and the
activities by the RLEL.
• Promote night-time seatbelt initiatives, GHSP campaigns and events within Region
• Host annual "Kick Off' event meetings to set agendas, coordinate quarterly meetings and provide information flow
regarding GHSP campaigns.
........................................._..............................................._.........................................................................................
....................................._.............................................................................................._......................................................................................................................................................................................................................................................._....;
Goal#2:
..........................................................................................................................................................................._..............._....................................._............................._................._.................................................................._........_....................._.................._..........................._.............._........_......---.............._..........._.._....................................
.
Objectives: i
Goal#3:
i
Objectives:
i
. . IF UTF&FArle
projectsafety
®Reduce NC's traffic-related fatalities by 12%from the 2014-2018 average of 1,392 to 1,228 by December 31, 2021.
..... .. ....._ .. __._....._..._.._ ....._............. - ...._ ..._. ..__...._ -...__............ ._._......_._._.__....._....__._.......__- .._ ---- .....__.._...... ......_.........__..........._.....
....._'-__
®Reduce NC's alcohol-related fatalities by 10% from the 2014-2018 average of 401 to 361 by December 31, 2021.
_..__...._.._...._...._._._.. ._._.._...__......._.....-....-__........_._..._........_.... ._._._._........_._._._... .._._.....__......... --........._...._.__.._._......... .._.........________...__.._..__..._.._...__..._._.....
®Reduce NC's unrestrained fatalities by 10%from the 2014-2018 average of 398 to 358 by December 31, 2021.
.._...._...__._....__._.-._..__...........___._.__.....___..__..___._...._......._.......__........._..._...._..___..____...._...........................-_....___._....__._.....__._._._............._..._______._.._...._...._..._...__._._._..___._....___..._.....__.___.._..._......_._......__.___.......-..--.........._.._...............
_.__._._._____.
®Reduce NC's speed-related fatalities by 5%from the 2014-2018 average of 472 to 448 by December 31, 2021.
_._._.._....._._..___......._..___.....__-----------____._..________._....._-_._...._.__.-._..._..._....._............._..._.....__..............._......_._..........___..._......_...._.______._.........__...___...._...__..___...____..___..____........____.....___._______..____.___._.__.._._..__..___..._._._._.__._....__._
®Reduce NC's _...young driver-involved fatal crashes by 10%from the 2014-2018 average of 170 to 153 by December 31, 2021.
_ ..............._............ ....._.._...._...._._...._.._......_._..._ ............._................. ._.. ...........___.._.................._........._ ..
................ ..._._ ..........
._.._._._.____._...__....______..____.__..._._...._._...._.._ ._._._..____._......_...._._._ ..._ .._.... .__.._____..............._.........
__
®Reduce NC's motorcycle fatalities by 5% from the 2014-2018 average of 187 to 178 by December 31, 2021.
.............................................................................._.....................................................................................................-......................................................................................................_._._.................................................................................................................................._.............................................................................................................................................
®Increase NC's seat belt usage rate 2.9 percentage points from the 2015-2019 average of 90.5% to 93.4% by December 31, 2021.
Personnel
• Costs
# Personnel'Position Salary
1 � '
2
_......... ...............--------------___._.__..___.__._..._ ___.......___._____...___.._...---.—__------.__...__-__.__-.-----........_.-_..
3
_.............
.
4
5 i
..................................................I...................................... _.........................................................................................._...................I...........................I.................................._.....................................................................I...............
6
....................................................................-........._......_...................................................................................................................................................................................-........_.......................................................................
7
................._......_..............................................................................._............................................................................................................................................-._._.............................................................................................................................................................................................................._...._..........._........_..........._...........................
.
8
................ ..................................................................................................................._..._......................................................................................................................................................................................................._.......................................................................................
9
10
Total Salaries Cost:
13
1
2
3
........._........._......................................._....._...._....................._........................................................................................._..........................._............................................................................................................................_.........................................................................................................._........._........._.................................................._.....
4
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._._.__......................_._..._..__..___.__....._....__.__.._._...._._.......__._._.__.____....-...__._._.........................__...._................................
_5
_.__—__........................._.._...._....._.._.._..__.._....._.....__.__..._._._.._._._._.
6
.........................................................._.............,..................................................................................................................................................,....................................................................._............._................._....-..................
7
..........................._................_.....-...,................._........................................._.................._......._.................._............_................................_................................................................_...._.._.................._........._._..._............._..,......_...............
8
9
............._......................._........................,.._..._.....................-....................._.......................-.............................................................................................................-.........._._......-.._.............._...,..
10
..........................._..............................................._...._......._...._............_...................................................................................................................................._............................._.........................................._.....................................,-........................................................................................................._......................._......................................
...,.
Total Fringe Benefits Cost:
Total Personnel Costs:
a
'Contractuai Services
Contractual Service To Be Provided Cost
1
................................................................................._...........................................................................................
............................................................................................................................................................................................................................................._._.._......_.._....................._........-.._.................._.._.........................
.
2 t
3
__..._._.______..._._._...__._..__._....__..__._.......----._._._._......---..._._..._....................................._......_............... _
5
._._._.._.__.__.._...__.__..............._.._.............._....._._.._...._......._........_.._...._..__.__.__..._._._.-.----...__..
6
_........._...__.._..___...._.___..........._....................._.____._.__._.._____.._._____.---___.__._._..._ __.__-------_-_._..__
7
.........................._.............................._.............._..._............_.._......_...._................................................................._........................_..._..........................................................................................._..........._...._............................_......_.................._......................................._......................_..........._............_............-.._.........._..-......_........................_..........
8
._....._.. ......................................._......_...._......_................................_............................................................................_.............................................................................._............._................_................................................................................_........._.........................................._..........................__._..._............_.................._._......_....
.............
9
..........._........_......_................................................................................_.........................._...._....................................._........_..._.............-............................................................._...................._.................._..............................._...._.._............................................._._............_...._.......
,
10 3
11
.............................._.._.........._.._.............._............_................................................._......................................._........_...................................................................................._..........._....._...._............................_..........._........_......................................................................._........._..._......._......_..........._.._..._......._...............................................................F
Total Contractual Services: ?
'Commodities •
# Commodities Cost
1 I
2
_
3
4
__5_._.
6
8
..._......-............_....._............_............_....................._.._......._.........................._.........................I.........._.................
9
................._.......__............................._....................-..._..................._...._..................._.............................................._.................................._..............
10
.1............._.........._.........._.....................,......................................................_................................................................._..............................................-.............._.............-........................._..................................._................_.........-........................................_..._........................................_.................................._....._.................._..._........................_.......
12
.................................................................._....._.................................................................................................................................................................................................................................._..................................................................................................................................................................._............._....._.._....................................................
Total Commodities Cost: ;
110ther Direct
# Equipment Quantity Cap Amount Cost
x..
1 In-Car Video System-Includes installation and shipping 2................-$6,000:00 ,$12,.000.0.0
...................................................................._.................._........................................................................._............................................................._................._._.............................. {
4 �
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_._.__.._._..._.._....___...._._._....._....__...._......_...._......._..._._........._................................._..__._____.____.._._.....___..__........_-....._..........._.............__.....___............
____..______._..__._-.�
6
... ........................................................._............_..................................._.............................................................................................................................................-.........................................._.............-.......................-.-...................................._..
7
.....,......................._.............._.................................................................................._................................................................................................................_....................._..
.......... ................................................................._............_............._.....-,....................._.......................................................................-........................_.............................................................................................................................................................................................................................._................................................._.................................
Total Equipment Cost $12,000.00
_ ____.-.W _,..,_ .... ..
# 'Other Items and Equipment Direct Cost. (Cost Limited to Less Than$5000 Per Item) Cost
.
1 Golf Cart $4,995.00
2 Trailer for Golf Cart $2,000.00
......_-.-._....._..__......_.._._..._.__...___
3 Remote Data Collection for Speed Display Signs $2,000.00s
5
__....__. ._._............_......_........__..___..--.--._- ---.--._..______.__.___.__...__-_._.____.____ _____._ _.__._____ _.-___ __._._.___
6
7
..............._..........__..................-.................................._......................_..........................._........._................_........._.........................._....,..............................................................................................................................................................................................................................................._................,_......................................._......._...............................
Total Other Items and Equipment Direct Cost: $8,995.00 i
.._.:;.___....._.. ....,.. WM.,.,..,._.
1 In-State Travel $1,005.00
. . . .. . . . . . .. . . . . . .
................................................................................................................_.........._....................................................._..........._................................................._.._..._........_.............._................................_........................................................._.........._.....................,................_.........................._...._............_.................................................... ............ .
2 Out-of-State Travel $3,000.00
_.__.._..._
Total Travel Cost: $4,005.00
._-_._..._.._._.__.....---_---.----_.-.._-_.__._--
Total Other Direct Costs: $25,000.00
Indire lbosts
# Indirect Gosfs . ; Colt
_
1
2
3 1
__.___-_------------...___.._._.._____
4
Total Indirect Costs
m � �
WOM
I s red schedule of tasks by qua ers, re erringspeci ica y to U e o tec rues rn sec ion Nil-s ould be a bulleted listo
activities to be performed in each quarter.
i
Conditions for Enforcement Projects Only
y checking is box, the above agency agrees to me terms below as additional activities to be pertormed as part of this
project.
A minimum of one (1) nighttime and one (1) daytime seat belt initiative per month;
A minimum of one (1) impaired driving checkpoint per month;
® A minimum of 50% of seat belt initiatives must be conducted at night between the hours of 7:00 p.m. and 7:00 a.m.;
Participation in all "Click It or Ticket"and"Booze It& Lose It"campaigns;
Participation in any event or campaign as required by the GHSP;
Attempt to utilize one of the Forensic Tests for Alcohol Branch's Mobile Breath Alcohol Testing (BATMobiles) units
during at least one of the impaired driving checkpoints.
.........................._................................................................................................................................................................................................................................._._......................................................................................_..-......................................................................................................................................................_......................................................
.
First Quarter(October, November, December)
Attend all GHSP meetings and events.
• Conduct a minimum of one county coordinator meeting.
• Meet with a minimum of three non-participating/reporting agencies within the Region,
• Collect monthly LECC reports and compile into the regional quarterly report.
•Attend and/or conduct a minimum of two night time seat belt initiatives.
• Conduct/provide support for a minimum of 3 presentations using the DWI Simulator
• Conduct/provide support for a minimum of 2 presentations using the Convincer
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8
Second Quarter(January, February, March)
•Attend all GHSP meetings and events.
• Conduct a minimum of one county coordinator meeting.
• Meet with a minimum of three non-participating/reporting agencies within the Region.
• Collect monthly LECC reports and compile into the regional quarterly report.
•Attend and/or conduct a minimum of two night-time seat belt initiatives.
• If requested, provide GHSP with grant application information regarding agencies in their region. f
• Conduct/provide support for a minimum of 3 presentations using the DWI Simulator
• Conduct/provide support for a minimum of 2 presentations using theConvincer
Third Quarter(April, May, June)
Attend all GHSP meetings and events.
• Conduct a minimum of one county coordinator meeting. [
• Meet with a minimum of three non-participating/reporting agencies within the Region.
• Collect monthly LECC reports and compile into the regional quarterly report.
•Attend and/or conduct a minimum of two night-time seat belt initiatives.
• If requested, provide GHSP with grant application information regarding agencies in their region.
• Conduct/provide support for a minimum of 3 presentations using the DWI Simulator
• Conduct/provide support for a minimum of 2 presentations using the Convincer
..........................................................................................................................-.............................................................................................................................................................................................................
Fourth Quarter(July,August, September)
•Attend all GHSP meetings and events.
• Conduct a minimum of one county coordinator meeting.
• Meet with a minimum of three non-participating/reporting agencies within the Region.
• Collect monthly LECC reports and compile into the regional quarterly report.
•Attend and/or conduct minimum two night time seat belt initiatives. j
• Conduct/provide support for a minimum of 3 presentations using the DWI Simulator
• Conduct/provide support for a minimum of 2 presentations using the Convincer
_.._..._._._..........._...._.........__.._....._........_.._._.._....................__..____...._,._...__........_....._........._...
AGENCY AUTHORIZING SIGNATURE
I have read and accept terms and conditions of the grant funding and attached the Grant Agreement. The information
supplied in this application is true to the best of my knowledge.
........_.._....._.._................._......_............................................._....._.........................,............_........., .............. .................. ................................... ............ .............,
Name: ( _.....
PIN Date: IAug 31, 2021 {
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.........................._.....................................-........._........_..........................._....._._........_....................._._................................_..............................................................................._......-.............._................__....................._..........................................._.._....._......................................
Note:
1. Submitting grant application is not a guarantee of grant being approved.
2. Once form has been submitted, it cannot be changed unless it has a status of"Return".
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1J 9
AOC / ��"" INITIALS Revised 05/2018
North Carolina Governor's Highway Safety Program
Agreement of Conditions
This Agreement is made by and between the North Carolina Department of Transportation, hereinafter referred to
as the "Department", to include the Governor's Highway Safety Program, hereinafter referred to as "GHSP"; and
the applicant agency, for itself, its assignees and successors in interest, hereinafter referred to as the "Agency".
During the performance of this contract, and by signing this contract, the Agency agrees as follows:
A. Federal Provisions
1. Equal Opportunity/Nondiscrimination. The Agency will agree to comply with all Federal statutes and
implementing regulations relating to nondiscrimination concerning race, color, sex, religion, national
origin, handicaps, and age.These include but are not limited to:
(a) Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq., 78 stat. 252);
(b) The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C.
4601)
(c) 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);
(d) Non-Discrimination in Federally-assisted programs of the United States Department of Transportation
- Effectuation of Title VI of the Civil Rights Act of 1964 (49 CFR Part 21), hereinafter referred to as
"USDOT", as amended;
(e) Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. 794 et seq.), as amended, and 49 CFR Part
27; and
(f) The Age Discrimination Act of 1975, as amended (42 U.S.C. 6101 et seq.);
(g) The Civil Rights Restoration Act of 1987, (Pub. L. 100-209);
(h) Titles II and III of the Americans with Disabilities Act (42 U.S.C. 12131-12189) and 49 CFR parts 37
and 38;
(i) Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations
and Low-Income Populations;
(j) Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency
2. Drug Free Workplace. The Agency agrees to comply with the provisions cited in the Drug-Free
Workplace Act of 1988 (41 U.S.C. 8103).
3. Federal Grant Requirements and Contracts. The Agency shall comply with the following statutes and
implementing regulations as applicable:
(a) Highway Safety Act of 1966 (23 U.S.C. Chapter 4-), as amended;
(b) Sec. 1906, Pub. L.109-59, as amended by Sec.4011, Pub. L. 114-94;
(c) Uniform Procedures for State Highway Safety Grant Programs (23 CFR part 1300);
(d) Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2
CFR Part 1201);
(e) Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards(2
CFR Part 200)and all other relevant Federal regulations covering the Highway Safety Program;
(f) NHTSA Highway Safety Grant Funding Guidance, as revised, July 2015 (www.nhtsa.gov) and
additions or amendments thereto.
4. Political Activity (Hatch Act) The 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.
5. Lobbying.
(a) Certification Regarding Federal Lobbying. The undersigned certifies, to the best of his or her
knowledge and belief, that:
(i) 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.
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AOC INITIALS Revised 05/2018
(ii) 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.
(III) 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
(b) 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.
6. Audits.
(a) Audit Required. Non-Federal entities that expend $750,000 or more in a year in Federal awards
shall have a single or program-specific audit conducted for that year in accordance with the
provisions of 2 CFR, Subpart F, §200.500. Guidance on determining Federal awards expended is
provided in 2 CFR, Subpart F, §200.502.
(b) Single Audit. Non-Federal entities that expend $750,000 or more in a year in Federal awards shall
have a single audit conducted in accordance with 2 CFR, Subpart F, §200.501, except when they
elect to have a program-specific audit conducted in accordance with 2 CFR, Subpart F, §200.501,
paragraph (c).
(c) Non-Governmental Entities. Non-governmental entities (not-for-profit and for-profit entities) must
adhere to North Carolina General Statute 143C-6.22 and 09 NCAC Subchapter 03M.
7. Instructions for Lower Tier Certification.
(a) By signing and submitting this proposal, the prospective lower tier participant (the Agency) is
providing the certification set out below and agrees to comply with the requirements of 2 CFR Parts
180 and 1200.
(b) 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.
(c) 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.
(d) The terms covered transaction, civil judgement, debarment, suspension, ineligible, participant,
person, principal, and voluntarily excluded, as used in this clause, are defined in 2 CFR Part 180 and
1200. You may contact the person to whom this proposal is submitted for assistance in obtaining a
copy of those regulations.
(e) 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,
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suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction,
unless authorized by the department or agency with which this transaction originated.
(f) 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.
(g) 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/).
(h) 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.
(i) Except for transactions authorized under paragraph 7(e) 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.
(j) Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower
Tier Covered Transactions.
(i) The prospective lower tier participant (the Agency) 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 participation in covered transactions by any Federal
department or agency.
(ii) Where the prospective lower tier participant is unable to certify to any of the statements in this
certification, such prospective participants shall attach an explanation to this contract proposal.
8. Buy America Act. The Agency 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.
9. Prohibition On Using Grant Funds To Check For Helmet Usage. The Agency 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.
10. Conditions for State, Local and Indian Tribal Governments. State, local and Indian tribal government
Agencies shall adhere to the standards established by 2 CFR Part 225, Cost Principles for State, Local,
and Indian Tribal Governments and additions or amendments thereto, for principles for determining costs
applicable to grants and contracts with state, local and Indian tribal governments.
11. Conditions for Institutions of Higher Education. If the Agency is an institution of higher education, it
shall adhere to the standards established by 2 CFR Part 215 Uniform Administrative Requirements for
Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit
Organizations and 2 CFR 220 Cost Principles for Educational Institutions for determining costs applicable
to grants and contracts with educational institutions.
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12. Conditions for Non-Profit Organizations. If the Agency is a non-profit organization, it shall adhere to
the standards established by 2 CFR Part 215 Uniform Administrative Requirements for Grants and
Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations and 2
CFR Part 230 Cost Principles for Non-Profit Organizations for determining costs applicable to grants and
contracts with non-profit organizations.
13. Conditions for Hospitals. If the Agency is a hospital, it shall adhere to the standards established by 2
CFR Part 215 Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher
Education, Hospitals, and Other Non-Profit Organizations.
B. General Provisions
1. Contract Changes. This document contains the entire agreement of the parties. No other contract, either
oral or implied, shall supercede this Agreement. Any proposed changes in this contract that would result
in any change in the nature, scope, character, or amount of funding provided for in this contract, shall
require a written addendum to this contract on a form provided by the Department.
2. Subcontracts Under This Contract. The Agency shall not assign any portion of the work to be
performed under this contract, or execute any contract, amendment or change order thereto, or obligate
itself in any manner with any third party with respect to its rights and responsibilities under this contract
without the prior written concurrence of the Department. Any subcontract under this contract must include
all required and applicable clauses and provisions of this contract. Subcontracting does not relieve the
Agency of any of the duties and responsibilities of this agreement. The subcontractor must comply with
standards contained in this agreement and provide information that is needed by the Agency to comply
with these standards. The Agency must submit any proposed contracts for subcontracted services to the
Governor's Highway Safety Program for final approval no less than 30 days prior to acceptance.
3. Solicitation for Subcontracts, Including Procurements of Materials and Equipment. In all
solicitations, either by competitive bidding or negotiation, made by the Agency for work to be performed
under a subcontract, including procurements of materials or leases of equipment, each potential
subcontractor or supplier shall be notified by the Agency of the Agency's obligations under this contract.
Additionally, Agencies making purchases or entering into contracts as provided for by this contract must
adhere to the policies and procedures of 2 CFR Part 200 and North Carolina General Statute 143-128.4.
Historically underutilized business defined; statewide uniform certification as it pertains to Historically
Underutilized Businesses.
4. Incorporation of Provisions in Subcontracts. The Agency shall include the provisions of section A-1
through A-13 of this Agreement in every subcontract, including procurements of materials and leases of
equipment, unless exempted by the regulations, or directives issued pursuant thereto. The Agency shall
take such action with respect to any subcontract or procurement as the Department, the State of North
Carolina, hereinafter referred to as the "State", the National Highway Traffic Safety Administration,
hereinafter referred to as "NHTSA", or the Federal Highway Administration, hereinafter referred to as
"FHWA", may direct as a means of enforcing such provisions including sanctions for noncompliance.
Provided, however, that in the event the Agency becomes involved in, or is threatened with, litigation with
a subcontractor or supplier as a result of such direction, the Agency may request the Department or the
State to enter into such litigation to protect the interests of the Department or the State. In addition, the
Agency may request the NHTSA or FHWA to enter into such litigation to protect the interests of the
United States.
5. Outsourcing. All work shall be performed in the United States of America. No work will be allowed to be
outsourced outside the United States of America.
6. Property and Equipment.
(a) Maintenance and Inventory. The Agency shall maintain and inventory all property and equipment
purchased under this contract.
(b) Utilization. The property and equipment purchased under this contract must be utilized by the
Agency for the sole purpose of furthering the traffic safety efforts of the Agency for the entire useful
life of the property or equipment.
(c) Title Interest. The Department and NHTSA retain title interest in all property and equipment
purchased under this contract. In the event that the Agency fails or refuses to comply with the
provisions of this Agreement or terminates this contract, the Department, at its discretion, may take
either of the following actions:
(i) Require the Agency to purchase the property or equipment at fair market value or other mutually
agreed to amount; or
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(ii) Require the Agency to transfer the property or equipment and title of said property or equipment,
if any, to the Department or to another Agency, as directed by the Department.
(d) Non-expendable Property. Non-expendable property is defined as property or equipment having a
value of $5000 or more with a life expectancy of more than one year. Non-expendable property
purchased under this contract cannot be sold, traded, or disposed of in any manner without the
expressed written permission of the Department.
7. Educational or Other Materials. If allowed, any educational or other materials developed using funds
from this contract must be reviewed and approved by the GHSP prior to their production or purchase. The
cost of these materials is generally limited to a maximum of$5.00 per item. The purchase of promotional
items and memorabilia are not an allowable cost.
8. Review of Reports and Publications. Any reports, papers, publications, or other items developed using
funds from this contract must be reviewed and approved by the GHSP prior to their release.
9. Reimbursement.
(a) General. Payments are made on a reimbursement basis. There is no schedule of advance payments.
Only actual allowable costs are eligible for reimbursement. Claims for reimbursement must be made
a minimum of quarterly and no more than once a month via the Grants Management System. Claims
for reimbursement not made within the three month threshold are subject to denial. The itemized
invoice shall be supported by documentation of costs as prescribed by the Department.
Reimbursements will not be processed if other required reports are incomplete or have not been
submitted. Failure to submit complete reports by the required deadline may result in denial of
reimbursement.
(b) Approval. The Governor's Highway Safety Program and the Department's Fiscal Section shall
approve the itemized invoice prior to payment.
(c) Unapproved Costs. Any rejected or unaccepted costs shall be borne by the Agency. The Agency
agrees that in the event the Department determines that, due to Federal or State regulations that
grant funds must be refunded, the Agency will reimburse the Department a sum of money equal to
the amount of Federal and State participation in the rejected costs.
(d) Final Claims for Reimbursement. Final claims for reimbursement must be received by the GHSP
within 30 days following the close of the approved contract period. Project funds not claimed by this
date are subject to reversion.
(e) Expending Funds Under This Contract. Under no circumstances will reimbursement be made for
costs incurred prior to the contract effective date or after the contract ending date.
10. Project Costs. It is understood and agreed that the work conducted pursuant to this contract shall be
done on an actual cost basis by the Agency. The amount of reimbursement from the Department shall not
exceed the estimated funds budgeted in the approved contract. The Agency shall initiate and prosecute
to completion all actions necessary to enable the Agency to provide its share of the project costs at or
prior to the conclusion of the project.
11. Program Income. The Agency shall account for program income related to projects financed in whole or
in part with federal funds in accordance with 2 CFR 200.307. Program income earned during the contract
period shall be retained by the Agency and deducted from the federal funds committed to the project by
the GHSP unless approved in advance by the Federal awarding agency as an addition to the project.
Program income must be accounted for separately and the records made available for audit purposes.
12. Project Directors. The Project Director, as specified on the signature page of this Agreement, must be
an employee of the Agency or the Agency's governing body. Any exception to this provision must have
the expressed written approval of GHSP.
13. Reports Required.
(a) Quarterly Progress Reports. Unless otherwise directed, the Agency must submit Quarterly
Progress Reports to the GHSP, on forms provided by the Department, which reflect the status of
project implementation and attainment of stated goals. Each progress report shall describe the project
status by quarter and shall be submitted to GHSP no later than fifteen (15)days after the end of each
quarter. If the Agency fails to submit a Quarterly Progress Report or submits an incomplete Quarterly
Progress Report, the Agency will be subject to having claims for reimbursement withheld. Once a
Quarterly Progress Report that substantiates adequate progress is received, cost reimbursement
requests may be processed or denied at the discretion of GHSP.
(b) Final Accomplishments Report. A Final Accomplishments Report must be submitted to the GHSP
within fifteen (15) days of completion of the protect, on forms provided by the Department, unless
otherwise directed. If the Agency fails to submit a Final Accomplishments Report or submits an
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incomplete Final Accomplishments Report, the Agency will be subject to having claims for
reimbursement withheld. Once a Final Accomplishments Report that substantiates adequate progress
is received, claims for reimbursement may be processed or denied at the discretion of GHSP.
(c) Audit Reports. Audit reports required in Section A-6 above shall be provided to the Department
within thirty(30) days of completion of the audit.
14. Out-of-State Travel.
(a) General. All out-of-state travel funded under this contract must have prior written approval by the
Governor's Highway Safety Program.
(b) Requests. Requests for approval must be submitted to the GHSP, on forms provided by the
Department, no less than thirty(30)days prior to the intended departure date of travel.
(c) Agency Travel Policy Required. For Agencies other than state agencies, out-of-state travel
requests must include a copy of the Agency's travel policy, to include allowances for lodging, meals,
and other travel-related expenses. For state agencies, maximum allowable subsistence is limited to
the prevailing per diem rates as established by the North Carolina General Assembly.
(d) Agenda Required. Out-of-state travel requests must include a copy of the agenda for the travel
requested.
15. Conditions for Law Enforcement. In addition to the other conditions provided for in this Agreement,
grants to law enforcement agencies are subject to the following:
(a) Certifications Required.
(i) In-car Camera or Video System. For any in-car camera or video system purchased under this
contract, it is required that the operator of that equipment has successfully completed
Standardized Field Sobriety Testing training (SFST). A copy of this certificate must be filed with
GHSP prior to reimbursement of in-car camera or video systems.
(ii) Radar. For any radar equipment purchased under this contract, it is required that the operator of
that equipment has successfully completed Radar Certification Training. A copy of this certificate
must be filed with GHSP prior to reimbursement of radar equipment.
(iii)Alcohol Screening Devices. For any preliminary alcohol screening devices purchased under
this contract, it is required that the operator of that equipment has successfully completed the
Alcohol Screening Test Device training offered by the Forensic Test for Alcohol Branch.
(b) Report Required - Monthly Enforcement Data Report. In addition to the reports mentioned above,
law enforcement agencies engaging in enforcement activities must submit a Monthly Enforcement
Data Report on the form provided by the Department no later than fifteen (15) days after the end of
each month. If the Agency fails to submit a Monthly Enforcement Data Report or submits an
incomplete Monthly Enforcement Data Report, the Agency will be subject to having cost
reimbursement requests withheld. Once a Monthly Enforcement Data Report that substantiates
adequate progress is received, cost reimbursement requests will be processed. The agency head
must sign the form. However, the agency head may assign a designee to sign the form by providing
written signature authority to the GHSP.
16. Conditions for Local Governmental Agencies.
(a) Resolution Required. If the Agency is a local governmental entity, a resolution from the governing
body of the Agency is required on a form provided by the Department.
(b) Resolution Content. The resolution must contain a commitment from the governing body to provide
the local funds as indicated in this contract. Additionally, the resolution is required even if the funding
is one hundred percent from federal sources, as it serves as recognition by the governing body of
federal funding for purposes of Section A-6 above.
17. Seat Belt Policy and Use. Agency must adopt and enforce a seat belt use policy required for all seating
positions unless exempted by state law.
18. Text Messaging Policy. Agency must adopt and enforce a policy banning text messaging while driving
unless exempted by state law.
19. Prohibited Interests. No member, officer, or employee of the Agency during his or her tenure, and for at
least one (1) year thereafter, shall have any interest, direct or indirect, in this contract or the proceeds
thereof or therefrom.
20. Continued Federal and State Funding.
(a) Federal Funding. The Agency agrees and understands that continuation of this project with Federal
funds is contingent upon Federal funds being appropriated by the United States Congress specifically
for that purpose. The Agency further agrees and understands that in the event funds originally
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AOC 7772 INITIALS Revised 05/2018
appropriated by Congress for these grants are subsequently reduced by further acts of Congress,
funding to the Agency may be proportionately reduced.
(b) State Funding. The Agency agrees and understands that continuation of this project with funds from
the State of North Carolina is contingent upon State funds being appropriated by the General
Assembly specifically for that purpose. The Agency also agrees that any state funds received under
this contract are subject to the same terms and conditions stated in this Agreement.
21. Performance. All grants provided by the Governor's Highway Safety Program are performance-based
and, as such, require that continual progress be made toward the reduction of the number and severity of
traffic crashes. Any agency, whose performance is deemed unsatisfactory by the GHSP, shall be subject
to the sanctions as provided for in this contract. Additionally, unsatisfactory performance shall be cause
for the Department to reduce or deny future funding.
22. Resolution of Disputes. Any dispute concerning a question of fact in connection with the work not
disposed of by contract by and between the Agency and the Department, or otherwise arising between
the parties to this contract, shall be referred to the Secretary of the North Carolina Department of
Transportation and the authorized official of the Agency for a negotiated settlement. In any dispute
concerning a question of fact in connection with the project where such negotiated settlement cannot be
resolved in a timely fashion, the final decision regarding such dispute shall be made by the Secretary of
the North Carolina Department of Transportation, with the concurrence of the Federal funding agency,
and shall be final and conclusive for all parties.
23. Department Held Harmless.
(a) For State Agencies. Subject to the limitations of the North Carolina Tort Claims Act, the Agency shall
be responsible for its own negligence and holds harmless the Department, its officers, employees, or
agents, from all claims and liability due to its negligent acts, or the negligent acts of its
subcontractors, agents, or employees in connection with their services under this contract.
(b) For Agencies Other Than State Agencies. The Agency shall be responsible for its own negligence
and holds harmless the Department, its officers, employees, or agents, from all claims and liability
due to its negligent acts, or the negligent acts of its subcontractors, agents, or employees in
connection with their services under this contract.
24. Records Access and Retention. The Agency shall provide all information and reports required by the
regulations or directives issued pursuant thereto, and shall permit access to its books, records, accounts,
other sources of information, and its facilities as may be determined by the Department, the State,
NHTSA, or FHWA, as appropriate, to be pertinent to ascertain compliance with such regulations, orders
and instructions. Furthermore, the Agency shall maintain such materials during the contract period, and
for five (5) years from the date of final payment from the Department or until all audit exceptions have
been resolved, for such inspection and audit. Where any information required of the Agency is in the
exclusive possession of another who fails or refuses to furnish this information,the Agency shall so certify
to the Department, State, NHTSA, or FHWA, as appropriate, and shall set forth what efforts it has made
to obtain the information. Pursuant to N.C.G.S. §147-64.7, the Department, the State Auditor, appropriate
federal officials, and their respective authorized employees or agents are authorized to examine all
books, records, and accounts of the Agency insofar as they relate to transactions with any department,
board, officer, commission, institution, or other agency of the State of North Carolina pursuant to the
performance of this Agreement or to costs charged to this Agreement.
25. Sanctions for Non-Compliance. The applicant Agency agrees that if it fails or refuses to comply with
any provisions and assurances in this contract, the Department may take any or all of the following
actions:
(a) Cancel, terminate, or suspend this contract in whole or in part;
(b) Withhold reimbursement to the Agency until satisfactory compliance has been attained by the
Agency;
(c) Refrain from extending any further funding to the Agency under this contract with respect to which the
failure or refusal occurred until satisfactory assurance of future compliance has been received from
the Agency;
(d) Refer the case to the United States Department of Justice for appropriate legal proceedings.
26. Cancellation, Termination, or Suspension of Contract.
(a) By the Department. For noncompliance with any of the said rules, regulations, orders or conditions,
due to management deficiencies or criminal activity this contract may be immediately canceled,
terminated, or suspended in whole or in part by the Department. For noncompliance not indicative of
management deficiencies or criminal activity the Department shall give sixty (60) days written notice
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to take corrective action. If the Agency has not taken the appropriate corrective action after sixty (60)
days the Department may cancel, terminate, or suspend this contract in whole or in part.
(b) By mutual consent. The Agency or the Department may terminate this contract by providing sixty
(60)days advanced written notice to the other party.
(c) Unexpended funds. Any unexpended funds remaining after cancelation or termination will revert to
the Department.
27. Completion Date. Unless otherwise authorized in writing by the Department, the Agency shall
commence, carry on, and complete the project as described in the approved Highway Safety Project
Contract by September 30 of the Federal fiscal year for which it was approved.
28. E-Verify requirements. If this contract is subject to NCGS 143-133.3, the contractor and its
subcontractors shall comply with the requirements of Article 2 of Chapter 64 of the NC General Statutes.
29. Certification of Eligibility Under the Iran Divestment Act. Pursuant to G.S. 147-86.59, any person
identified as engaging in investment activities in Iran, determined by appearing on the Final Divestment
List created by the State Treasurer pursuant to G.S. 147-86.58, is ineligible to contract with the State of
North Carolina or any political subdivision of the State. The Iran Divestment Act of 2015, G.S. 147-55 et
seq. requires that each Agency, prior to contracting with the State certify, and the undersigned Agency
Authorizing Official on behalf of the Agency does hereby certify, to the following:
(a) that the Agency is not now and was not at the time of the execution of the Contract dated below
identified on the Final Divestment List of entities that the State Treasurer has determined engages in
investment activities in Iran;
(b) that the Agency shall not utilize on any contract with the State agency any subcontractor that is
identified on the Final Divestment List; and
(c) that the undersigned Agency Authorizing Official is authorized by the Agency to make this
Certification.
30. Agency Fiscal Year. The end date for the Agency's fiscal year is uNc 3p ZOZ( .
31. Signature. By signing below, the Agency agrees to adhere to the terms and conditions of this Agreement.
AGENCY PROJECT DIRECTOR
NAME TITLE ADDRESS
/oG G. /j'Iaiy..KLG.�
rfo�i � �i+.i3� LiclnTl'.�a a�" i<,ts�Joraji L RUC. Ly2 7 8'
SIGNATURE DATE TELEPHONE NUMBER
AGENCY AUTHORIZING OFFICIAL
NAME TITLE ADDRESS
SIGNATURE DATE TELEPHONE NUMBER
AGENCY OFFICIAL AUTHORIZED TO RECEIVE FUNDS
NAME TITLE ADDRESS
SIGNATURE DATE TELEPHONE NUMBER
Page 8
17
Resolution
North Carolina Governor's Highway Safety Program
LOCAL GOVERNMENTAL RESOLUTION
WHEREAS, the Orange County Sheriffs Office
(herein called the
"Agency")
(The Applicant Agency)
has completed an application contract for traffic safety funding; and that Orange County Board of Commissioners
(The Governing Body of the Agency)
(herein called the"Governing Body") has thoroughly considered the problem
identified and has reviewed the project as described in the contract;
THEREFORE, NOW BE IT RESOLVED BY THE Orange County Board of Commissioners IN OPEN
(Governing Body)
MEETING ASSEMBLED IN THE CITY OF Chapel Hill NORTH CAROLINA,
THIS 20th DAY OF October , 20 20 AS FOLLOWS:
1. That the project referenced above is in the best interest of the Governing Body and the general public; and
2. That Sheriff Charles Blackwood is authorized to file, on behalf of the Governing
(Name and Title of Representative)
Body, an application contract in the form prescribed by the Governor's Highway Safety Program for federal
funding in the amount of$ 25,000 to be made to the Governing Body to assist in defraying
(Federal Dollar Request)
the cost of the project described in the contract application; and
3. That the Governing Body has formally appropriated the cash contribution of$0 as
(Local Cash Appropriation)
required by the project contract; and
4. That the Project Director designated in the application contract shall furnish or make arrangement for other
appropriate persons to furnish such information, data, documents and reports as required by the contract, if
approved, or as may be required by the Governor's Highway Safety Program; and
5. That certified copies of this resolution be included as part of the contract referenced above; and
6. That this resolution shall take effect immediately upon its adoption.
DONE AND ORDERED in open meeting by
(Chairperson/Mayor)
ATTESTED BY SEAL
(Clerk)
DATE
Rev. 7/11
18
STATE OF NORTH CAROLINA
DEPARTMENT OF 'TRANSPORTATION
Roy COOPER J. ERIC BOYETTE
GOVERNOR SECRETARY
June 14,2021
Timothy Whitehurst
ORANGE COUNTY
PO Box 8181
HILLSBOROUGH,NC 27278
Application number: 1000010718
Ref 2022 Application Approval
Dear Timothy Whitehurst,
The Governor's Highway Safety Program(GHSP)grant management team has completed its final review
of applications for fiscal year 2022,which begins October 1,2021.Your application was approved to
proceed to the next stage of the funding process. The next step of the funding process is the submission of
the Agreement of Conditions,Resolution(if required)and the Pinning of your electronic application.
Although your application has been approved,this does not assure funding.Final approval of funds will
not be made until late September when your Agreement is finalized.
Please feel free to contact your Highway Safety Specialist should you have any questions or concerns in j
regards to this request. The GHSP appreciates your dedication and contribution to highway safety.Thank
you for being part of the North Carolina Highway Safety Plan.
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Sincerely,
Mark Ezzell
Director
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i
f
Mailing Address: Telephone:919-814-3650 Location:
NC DEPARTMENT OF TRANSPORTATION Fax:919-733-0604 215 EAST LANE STREET
GOVERNOR'S HIGHWAY SAFETY PROGRAM Customer Service:1-877-368-4968 RALEIGH,NC 27601
1508 MAIL SERVICE CENTER
RALEIGH,NC 27699-1508 Website:www.nedot.gov/programs/GHSP
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NC Governor's Crime Commission Crime Victims' Services
Grant Applications 2021
MODIFICATIONS REQUIRED NOTIFICATION
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AWARD ATTACHMENT FORMS
Project ID: PROJO15078
Subrecipient Agency: County of Orange
Implementing Agency: Orange County Sheriff's Office
Project Name: Orange County Sheriff's Office E.A.S.E. Program
Period of Performance Start Date: 10/1/2021 Scheduled End Date: 9/30/2022
Crime Victim Services Planner: Contact Karen Lombri, at karen.lombri@ncdps.gov or(919)830-8710, if
you have questions about any of the information provided in this letter. If you email your CVS Planner,
include the Project ID number in the subject line. If you leave a voicemail message, include the Project ID
number in the message.
Maximum Allowable Federal Share:
$46,863.61
Budgeted Project Totals:
Federal Share: $46,863.61
Match Share: $15,621.23
Total Budget: $62,484.84
You are approved for the Maximum Federal Share listed above. Ensure that you make the necessary
modifications to your budget to reflect the Approved Maximum Allowable Federal Share. The project's
Federal Share cannot exceed the Maximum Allowable Federal Share listed above.
Dear Project Director:
As noted in your approval letter, your project has been approved to move forward in the application process and
requires modifications. In order to move forward in the process, you must review, complete, sign and upload the
Modifications as indicated in this document within 30-days of receipt of this document.
This document contains:
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1. Important information regarding the availability of federal funds.
2. Important Modifications (page 3)that you must complete in order for your grant application
to move forward in the grant application process.
3. Required acknowledgment signatures page that all modifications have been completed (last
page of this Notification).
4. Award Attachment Forms that must be competed and uploaded to your project in order for
your grant application to move forward in the grant application process(pink pages at the end
of this Notification).
1. Important information regarding availability of federal funds
Availability of Funds
Governor's Crime Commission (GCC) grants are subject to GCC receiving federal funds awarded by the U.S.
Department of Justice each federal fiscal year.
The federal funding amounts awarded to GCC can change year to year or be eliminated. Therefore,your application
may require additional budget adjustments or reductions to the federal share recommended above based on the
final federal budget and the funding amount awarded to GCC.
Please also be aware that funding from the federal government may be delayed for a variety of reasons.
Project Period of Performance and Reimbursements
If your grant is awarded,the grant award packet will contain the start date and end date for each project known as
the 'Period of Performance' for the project. Because of the changes in the availability of funds noted above, the
Period of Performance start date of your project may also change based on when federal funds are received by the
Governor's Crime Commission.
If your grant is awarded, GCC funds are paid on a reimbursement basis only. Reimbursement requests for approved
costs will only be allowed for expenses that occur on or after the Period of Performance start date of the project.
Reimbursements for activities that occur before the Period of Performance start date of your project will not be
reimbursed.
Mandatory Attendance at the GCC Grant Award Workshops—Fall 2021
In order for your grant to be awarded,the Project Director, Financial Officer and/or someone from your
organization with fiscal responsibility for the GCC funded project is required to attend one of the scheduled Grant
Award Workshops held in Fall 2021 (in person or remotely). You will be notified of the Grant Award Workshop
dates via email and provided additional information about registration and options for attendance later this
Summer.
New grant award approvals are contingent on completion of all required reports for any current GCC grants.
A final decision to award this grant will not take place until all required reports and documentation are submitted
and reviewed for any of your subrecipient agency's current GCC grants. This includes providing justification for
underutilization of funds or for failure to submit timely reports for your current GCC grants, if requested by GCC.
Finally, your project will not be awarded if the subrecipient agency is on hold in the on-line Grants Enterprise
Management System (GEMS)for any reason.
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2. Important Modifications you MUST complete in order for your grant application to move forward in the grant
application process
All required Modifications must be completed in the on-line GEMS within 30-days of the receipt of this notification.
If for some reason,your modification period needs to be extended past 30-days, contact your assigned planner for
approval and to determine a revised submission date.
Crime Victims' Services staff will review the submitted Modifications in GEMS to ensure that all required
Modifications have been completed.
Required Budget and Programmatic Modifications
The items below must be addressed in order for your project to continue through the grant process. Initial each box
to indicate the Modification has been revised or corrected:
Please ensure that you have made all necessary changes to the individual line items of your budget as noted below
and/or to ensure that the budget lines do not exceed the Maximum Allowed Federal Share and Match Share, as
indicated on page 1.
❑ **NEW**: Award Attachment Forms. All of the Award Attachment forms must be completed and uploaded
to GEMS by the project director before GCC staff are authorized to generate and send your award. You can find
the blank forms at the end of this document.
❑ Attachment 01: Detailed Budget Narrative does not align with project budget. Revision required.
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3. Required acknowledgment signatures for this document
After all modifications are completed,
1. this form MUST be signed by both the Authorizing Official and the Project Director for this project and uploaded
into the application attachments section in GEMS,
2. and in addition, all Award Attachment forms MUST be and uploaded as one document in GEMS,
3. only when all modifications are completed to the satisfaction of the CVS grant planner and all award attachment
forms are uploaded to GEMS will the grant planner generate your award.
Award Timeline:
Mid-July: Modifications sent to subrecipients.
Mid-July to Mid-August: Subrecipients must complete all modifications and Award Attachment forms
and upload to GEMS.
Awards sent via DocuSign: Upon GCC's receipt of the federal funds (usually in September, sometimes
later)
Awards open for reimbursement: Upon GCC's receipt and review of fully signed award documents and
submission.
ALL PAGES OF THIS DOCUMENT MUST BE UPLOADED TO THE APPLICATION ATTACHMENTS SECTION IN GEMS.
Project ID: PROJ01S078
Subrecipient Agency: County of Orange
Implementing Agency: Orange County Sheriff's Office
Project Name: Orange County Sheriff's Office E.A.S.E.Program
I hereby agree to adhere to all modifications as listed above by the Governor's Crime Commission.
I understand and accept that failure to complete any part of these required Modifications will constitute
grounds for grant funds to be suspended, pending corrective action, as directed by the Governor's Crime
Commission. Funding may be terminated for failure to adhere to the required terms as outlined in this
document.
Travis Myren,Authorizing Official Signature Date
Amber Keith-Drowns, Project Director Signature Date