HomeMy WebLinkAboutPD16-188 - Original - Washington Traffic and Safety Commission - Target Zero Task Force: DUI Enforcement Project - 05/01/2016 R' ecords Man-o- ,,g------e- e
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INTERAGENCY AGREEMENT
BETWEEN
WASHINGTON TRAFFIC SAFETY COMMISSION
AND
KENT POLICE DEPARTMENT
THIS AGREEMENT is made and entered into by and between Kent Police Department
hereinafter referred to as "CONTRACTOR," and the Washington Traffic Safety Commission,
hereinafter referred to as "WTSC."
THE PURPOSE OF THIS AGREEMENT is to provide funding Kent Police Department to
support the Target Zero priority of enforcing impaired driving laws.
THEREFORE, IT IS MUTUALLY AGREED THAT:
STATEMENT OF WORK
The CONTRACTOR shall schedule, engage law enforcement and ensure the supervision and
implementation of the King County Target Zero Task Force—DUI Enforcement Project as
described in the Statement of Work attached as Exhibit A.
PERIOD OF PERFORMANCE
The period of performance of this Agreement shall commence on May 1, 2016 and remain in
effect until June 30, 2017 unless terminated sooner, as provided herein.
COMPENSATION
Compensation for the work provided in accordance with this Agreement has been established
under the terms of RCW 39.34. The cost of accomplishing the work described in the Statement
of Work will not exceed $48,000.00 (FORTY EIGHT THOUSAND DOLLARS) If the
CONTRACTOR intends to charge indirect costs, submission of a cost allocation plan or a
Federal cognizant agency letter is required. Payment for satisfactory performance of the work
shall not exceed this amount unless the parties mutually agree to a higher amount. The
following summarizes total project costs under this Agreement.
Summary of Costs Amount
Employee salaries and benefits (overtime wages) $39,000.00
Travel (includes in-state and out-of-state travel)
Contract Services (usually involves a 3rd party service provider) $9,000.00
media and community outreach
Equipment* (specify equipment in the table below)
Goods or other expenses (examples: office/printing supplies,
postage, software, conference registration fees)
TOTAL $48,000.00
Page 1 of 14
STATE AND FEDERAL TERMS AND CONDITIONS:
ACTIVITY REPORTS
The CONTRACTOR agrees to submit quarterly reports and a final report on the activity of this
project in the form provided by the WTSC entitled "Traffic Safety Project Report" and
incorporated by reference as Exhibit B. Final reports are to be detailed and must describe
whether the project objectives were accomplished, if technical and fiscal problems were
encountered, and what improvements in traffic safety have resulted or probably will result.
Included in the final report will be copies of publications, training reports and any statistical data
generated in project execution. The final report is to be submitted to WTSC within 30 days of
termination of this Interagency Agreement. The CONTRACTOR agrees to attend one
Washington Impaired Driving Advisory Council (WIDAC) meeting during the contract year to
provide an oral report on the status of project objectives.
ADVANCE PAYMENTS PROHIBITED
No payments in advance of or in anticipation of goods or services to be provided under this
Agreement shall be made by the WTSC.
AGREEMENT ALTERATIONS AND AMENDMENTS
This Agreement may be amended by mutual agreement of the parties. Such amendments shall
not be binding unless they are in writing and signed by personnel authorized to bind each of the
parties. Amendments are required for the following changes:
• Scope of Work (SOW)
• Budgeted Cost Categories, listed in your Summary of Costs (e.g., moving money
between Employee Benefits and Travel, etc.)
• Schedule Modifications
ALL WRITINGS CONTAINED HEREIN
This Agreement contains all the terms and conditions agreed upon by the parties. No other
understandings, oral or otherwise, regarding the subject matter of this Agreement shall be
deemed to exist or to bind any of the parties hereto.
ASSIGNMENT
The work to be provided under this Agreement, and any claim arising thereunder, is not
assignable or delegable by either party in whole or in part, without the express prior written
consent of the party, which consent shall not be unreasonably withheld. The CONTRACTOR
shall provide the WTSC a copy of all third-party contracts and agreements entered into for
purposes of fulfilling the Statement of Work outlined in Exhibit A. All third-party awards must
allow for the greatest practical competition in accordance with applicable procurement rules and
procedures.
ATTORNEYS' FEES
In the event of litigation or other action brought to enforce Agreement terms, each party agrees
to bear its own attorney fees and costs.
BILLING PROCEDURE
The CONTRACTOR shall submit invoices for reimbursement with supporting documentation to
WTSC monthly. All invoices for reimbursement shall be submitted using the A-19 attached as
Exhibit C or its pre-approved equivalent. Payment to the CONTRACTOR for approved and
Page 2 of 14
completed work will be made by warrant or account transfer by WTSC within 30 days of receipt
of the invoice. Upon expiration of the Agreement, any claim for payment not already made shall
be submitted within 45 days after the expiration date of this Agreement. All invoices for goods
received or services performed on or prior to June 30, must be received by WTSC no later
than August 15. All invoices for goods or services performed on or prior to September 30,
must be received by WTSC no later than November 15.
CONFIDENTIALITY/SAFEGUARDING OF INFORMATION
The CONTRACTOR shall not use or disclose any information concerning the WTSC, or
information which may be classified as confidential, for any purpose not directly connected with
the administration of this agreement, except with prior written consent of the WTSC, or as may
be required by law.
COST PRINCIPLES
Costs incurred under this Agreement shall adhere to provisions of 2 CFR Part 200 Subpart E.
The CONTRACTOR shall not utilize Federal grant funds to replace routine and/or existing State
or local expenditures; or utilize Federal grant funds for costs of activities that constitute general
expenses required to cant' out the overall responsibilities of State, local, or Federally-
recognized Indian tribal governments.
COVENANT AGAINST CONTINGENT FEES
The CONTRACTOR warrants that no person or selling agent has been employed or retained to
solicit or secure this agreement upon an agreement or understanding for a commission,
percentage, brokerage or contingent fee, excepting bona fide employees or bona fide
established agents maintained by the CONTRACTOR for the purpose of securing business.
The WTSC shall have the right, in the event of breach of this clause by the CONTRACTOR, to
annul this agreement without liability or, in its discretion, to deduct from the agreement price or
consideration or recover by other means the full amount of such commission, percentage,
brokerage or contingent fee.
DISPUTES
In the event that a dispute arises under this Agreement, it shall be determined by a Dispute
Board in the following manner: Each party to this Agreement shall appoint one member to the
Dispute Board. The members so appointed shall jointly appoint an additional member to the
Dispute Board. The Dispute Board shall review the facts, agreement terms and applicable
statutes and rules and make a determination of the dispute. The determination of the Dispute
Board shall be final and binding on the parties hereto. As an alternative to this process, either
of the parties may request intervention by the Governor, as provided by RCW 43.17.330, in
which event the Governor's process will control.
FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FF_ATA)
In accordance with FFATA, the CONTRACTOR shall, upon request, provide WTSC the names
and total compensation of the five most highly compensated officers of the entity if:
(i) the entity in the preceding fiscal year received—
(. 80 percent or more of its annual gross revenues in Federal awards;
ll. $25,000,000 or more in annual gross revenues from Federal awards; and
(ii) the public does not have access to information about the compensation of the senior
executives of the entity through periodic reports filed under section 13(a) or 15(d) of the
Securities Exchange Act of 1934 or section 6104 of the Internal Revenue Code of 1986;
Page 3 of 14
GOVERNANCE
This Agreement is entered into pursuant to and under the authority granted by the laws of the
state of Washington and any applicable federal laws. The provisions of this Agreement shall be
construed to conform to those laws.
In the event of an inconsistency in the terms of this Agreement, or between its terms and any
applicable statute or rule, the inconsistency shall be resolved by giving precedence in the
following order:
a. Applicable state and federal statutes and rules;
b. Terms and Conditions of this agreement;
c. Any Amendment executed under this Agreement;
d. Any Statement of Work executed under this Agreement; and
e. Any other provisions of the agreement, including materials incorporated by reference.
INCOME
Income earned by the CONTRACTOR with respect to the conduct of the Statement of Work
(e.g. sale of publications, registration fees, service charges) must be accounted for and income
applied to project purposes or used to reduce project costs.
INDEMNIFICATION
To the fullest extent permitted by law, the CONTRACTOR shall indemnify, defend, and hold
harmless state, agencies of state and all officials, agents and employees of state, from and
against all claims for injuries or death arising out of or resulting from the performance of the
Agreement. The CONTRACTOR's obligation to indemnify, defend, and hold harmless includes
any claim by the CONTRACTOR's agents, employees, representatives, or any subcontractor or
its employees.
The CONTRACTOR expressly agrees to indemnify, defend, and hold harmless the state for any
claim arising out of or incident to CONTRACTOR's or any subcontractor's performance or
failure to perform the Agreement.
The CONTRACTOR waives its immunity under Title 51 RCW to the extent it is required to
indemnify, defend and hold harmless state and its agencies, officials, agents or employees.
INDEPENDENT CAPACITY
The employees or agents of each party who are engaged in the performance of this Agreement
shall continue to be employees or agents of that party and shall not be considered for any
purpose to be employees or agents of the other party.
INDUSTRIAL INSURANCE COVERAGE
The CONTRACTOR shall comply with the provisions of Title 51 RCW, Industrial Insurance. If
the CONTRACTOR fails to provide industrial insurance coverage or fails to pay premiums or
penalties on behalf of its employees as may be required by law, the WTSC may collect from the
CONTRACTOR the full amount payable to the Industrial Insurance accident fund. The WTSC
may deduct the amount owed by the CONTRACTOR to the accident fund from the amount
payable to the CONTRACTOR by the WTSC under this Agreement, and transmit the deducted
amount to the Department of Labor and Industries, (L&I) Division of Insurance Services. This
provision does not waive any of L&I's rights to collect from the CONTRACTOR.
Page 4 of 14
LICENSING, ACCREDITATION AND REGISTRATION
The CONTRACTOR shall comply with all applicable local, state, and federal licensing,
accreditation and registration requirements/standards, necessary for the performance of this
Agreement.
NONDISCRIMINATION
The CONTRACTOR 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 subrecipients 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, et 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.
In the event the CONTRACTOR is in non-compliance or refuses to comply with any
nondiscrimination law, regulation, or policy, this Agreement may be rescinded, canceled or
terminated in whole or in part, and the CONTRACTOR may be declared ineligible for further
contracts with the WTSC. The CONTRACTOR shall, however, be given a reasonable time in
which to cure this noncompliance. Any dispute may be resolved in accordance with the
"Disputes" procedure set forth herein.
RECORDS MAINTENANCE
The parties to this Agreement shall each maintain books, records, documents and other
evidence that sufficiently and properly reflect all direct and indirect costs expended by either
party in the performance of the service(s) described herein. These records shall be subject to
inspection, review or audit by personnel of both parties, other personnel duly authorized by
either party, the Office of the State Auditor, and federal officials so authorized by law. All books,
records, documents, and other material relevant to this Agreement will be retained for six years
after expiration and the Office of the State Auditor, federal auditors, and any persons duly
authorized by the parties shall have full access and the right to examine any of these materials
during this period.
Page 5 of 14
Records and other documents, in any medium, furnished by one party to this Agreement to the
other party, will remain the property of the furnishing party, unless otherwise agreed. The
receiving party will not disclose or make available this material to any third parties without first
giving notice to the furnishing party and giving it a reasonable opportunity to respond. Each
party will utilize reasonable security procedures and protections to assure that records and
documents provided by the other party are not erroneously disclosed to third parties.
REGISTRATION WITH DEPARTMENT OF REVENUE
The CONTRACTOR shall complete registration with the Washington State Department of
Revenue and be responsible for payment of all taxes due on payments made under this
Agreement.
RIGHT OF INSPECTION
The CONTRACTOR shall provide right of access to its facilities to the WTSC, or any of its
officers, or to any other authorized agent or official of the state of Washington or the federal
government, at all reasonable times, in order to monitor and evaluate performance, compliance,
and/or quality assurance under this Agreement.
The CONTRACTOR shall make available information necessary for WTSC to comply with the
client's right to access, amend, and receive an accounting of disclosures of their Personal
Information according to the Health Insurance Portability and Accountability Act of 1996
(HIPAA) or any regulations enacted or revised pursuant to the HIPAA provisions and applicable
provisions of Washington State law. The CONTRACTOR shall upon request make available to
the WTS and the U.S. Secretary of the Department of Health & Human Services all internal
policies and procedures, books, and records relating to the safeguarding, use, and disclosure of
Personal Information obtained or used as a result of this Agreement.
.RIGHTS IN DATA
Unless otherwise provided, data that originates from this Agreement shall be "works for hire" as
defined by the U.S. Copyright Act and shall be owned by the WTSC and the State Of
Washington. In the event the Materials are not considered "works for hire" under the U.S.
Copyright laws, the CONTRACTOR hereby irrevocably assigns all right, title, and interest in
data, including all intellectual property rights, to the WTSC effective from the moment of
creation. Data shall include, but not be limited to data, reports, documents, pamphlets,
advertisements, books, magazines, surveys, studies, computer programs, films, tapes, and/or
sound reproductions. Ownership includes the right to copyright, patent, register, and the ability
to transfer these rights.
The CONTRACTOR may publish, at its own expense, the results of project activities without
prior review by the WTSC, provided that any publications (written, visual, or sound) contain
acknowledgment of the support provided by the National Highway Traffic Safety Administration
(NHTSA) and the WTSC. Any discovery or invention derived from work performed under this
project shall be referred to the WTSC, who will determine through NHTSA whether patent
protections will be sought, how any rights will be administered, and other actions required to
protect the public interest.
SAVINGS
In the event funding from state, federal, or other sources is withdrawn, reduced, or limited in any
way after the effective date of this Agreement and prior to normal completion, the WTSC may
terminate the Agreement under the "Termination for Convenience" clause, without the ten day
Page 6 of 14
notice requirement, subject to renegotiation at the WTSC's discretion under those new funding
limitations and conditions.
SEVERABILITY
If any provision of this Agreement or any provision of any document incorporated by reference
shall be held invalid, such invalidity shall not affect the other provisions of this Agreement which
can be given effect without the invalid provision, if such remainder conforms to the requirements
of applicable law and the fundamental purpose of this agreement, and to this end the provisions
of this Agreement are declared to be severable.
SITE SECURITY
While on AGENCY premises, the CONTRACTOR, its agents, employees, or subcontractors
shall conform in all respects with physical, fire or other security policies or regulations.
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.
TAXES
All payments accrued on account of payroll taxes, unemployment contributions, any other taxes,
insurance or other expenses for the CONTRACTOR or its staff shall be the sole responsibility of
the CONTRACTOR.
TERMINATION
Either party may terminate this Agreement upon thirty (30) days prior written notification to the
other party. If this Agreement is so terminated, the parties shall be liable only for performance
rendered or costs incurred in accordance with the terms of this Agreement prior to the effective
date of termination.
TERMINATION FOR CAUSE
If, for any cause, either party does not fulfill in a timely and proper manner its obligations under
this Agreement, or if either party violates any of these terms and conditions, the aggrieved party
will give the other party written notice of such failure or violation. The responsible party will be
given the opportunity to correct the violation or failure within fifteen (15)working days. If failure
of violation is not corrected, this Interagency Agreement may be terminated immediately by
written notice of the aggrieved party to the other.
TERMINATION FOR CONVENIENCE
Except as otherwise provided in this Agreement, the WTSC may, by 10 days written notice,
beginning on the second day after the mailing, terminate this Agreement in whole or in part. If
this Agreement is so terminated, the WTSC shall be liable only for payment required under the
terms of this Agreement for services rendered or goods delivered prior to the effective date of
termination.
Page 7 of 14
TREATMENT OF ASSETS
1. Title to all property furnished by the WTSC shall remain property of the WTSC. Title to all
property furnished by the CONTRACTOR, for the cost of which the CONTRACTOR is
entitled to be reimbursed as a direct item of cost under this Agreement, shall pass to and
vest in the WTSC upon delivery of such property by the CONTRACTOR. Title to other
property, the cost of which is reimbursable to the CONTRACTOR under this Agreement,
shall pass to and vest in the WTSC upon (i) issuance for use of such property in the
performance of this Agreement, or(ii) commencement of use of such property in the
performance of this Agreement, or(iii) reimbursement of the cost thereof by the WTSC in
whole or in part, whichever first occurs.
2. Any property of the WTSC furnished to the CONTRACTOR shall, unless otherwise provided
herein or approved by the WTSC, be used only for the performance of this Agreement.
3. The CONTRACTOR shall be responsible for any loss or damage to property of the WTSC
which results from the negligence of the CONTRACTOR or which results from the failure on
the part of the CONTRACTOR to maintain and administer that property in accordance with
sound management practices.
4. If any WTSC property is lost, destroyed or damaged, the CONTRACTOR shall immediately
notify the WTSC and shall take all reasonable steps to protect the property from further
damage.
5. The CONTRACTOR shall surrender to the WTSC all property of the CONTRACTOR prior to
settlement upon completion, termination or cancellation of this Agreement.
6. All reference to the CONTRACTOR under this clause shall also include CONTRACTOR 's
employees, agents or Subcontractors.
WAIVER
A failure by either party to exercise its rights under this Agreement shall not preclude that party
from subsequent exercise of such rights and shall not constitute a waiver of any other rights
under this Agreement unless stated to be such in a writing signed by an authorized
representative of the party and attached to the original Agreement.
DESIGNATED CONTACT
The following named individuals will serve as designated contacts for each of the parties, for all
communications and billings regarding the performance of this Agreement:
The Contact for the CONTRACTOR is: The Contact for WTSC is:
John Pagel Edica Esqueda, Program Manager
Kent Police Department Washington Traffic Safety Commission
220 4th Avenue South eesqueda@wtsc.wa.gov
Kent, WA 98032 621 8th Ave/POB 40944
Olympia, WA 98504
(0) 360-725-9886
F 360-586-6489
Page 8 of 14
ICJ WITNESS WHEREOF, the parties have executed this Agreement.
CITY OF KENT POLICE DEPARTMENT
EI T
Signatdre
Suzette Cooke
Mayor ate
1P ASHINGTON TRAFFIC SAFETY COMMISSION
Signature
Chris Madill
Printed Name
Deputy Director
Title Gate
Page 9 of 14
Exhibit A
Summary
This project will provide funding for overtime DUI emphasis patrols for police agencies, Washington State
Patrol, and Washington State Liquor Control Board in King County. It would also include funding for
media to combine enforcement efforts with education and outreach. Similar to the Target Zero Teams
project, we will use identified successful DUI enforcers from multiple agencies to conduct high visibility
emphasis patrols in various locations throughout the county that data show to have high incidents of
serious injury and fatal crashes. We will also use DUI arrest data to identify enforcement areas and utilize
location of last drink DUI information from the Liquor Control Board (LCB). Local officers and state
troopers would identify and arrest impaired drivers. LCB agents would work in the same geographical
area providing education and enforcing alcohol laws within restaurants and bars as part of the Home Safe
Bar Program.
Project Goals
A. Establish baseline data to show the top ten geographical areas in King County representing the
highest number of impaired driving arrests and collisions using SECTOR data.
B. Schedule enforcement patrols during the days of the week and timeframes where the data show the
highest number of DUI arrests and collisions.
C. Deploy at least six officers per month in one of the identified geographical areas in King County.
D. Officers will make at least three driver contacts per hour while conducting enforcement.
E. Establish a media presence related to this project and track media coverage.
F. Educate restaurant and bar employees of the top DUI alcohol service establishments about the law
and how to prevent over-service. Work with management of those establishments to display
information about safe ride choices.
G. Deploy Liquor Control Board agents and the Home Safe Bar program in coordination with
enforcement patrols.
H. Reduce DUI's in the identified areas by 20%over the life of the grant.
Strategies
A. Conduct well-publicized, high visibility saturation enforcement and media campaigns to reduce
impaired driving.
B. Conduct well-publicized compliance checks of alcohol retailers.
C. Provide alcohol server training for people who serve alcohol in a retail environment.
D. Support alternative transportation services to help eliminate need for impaired individuals to drive.
E. Use media(paid and unpaid) as well as social media to raise awareness of the problem of impaired
driving and advise the public of additional enforcement.
F. Develop posters, cards, and other materials to be posted in a variety of locations to raise awareness
of the problem of impaired driving and also to advertise for safe ride choice options.
Deliverables
Milestone or Deliverable Date
Obtain data on highest last known drink locations 6/01/16
Obtain data on highest DUI arrest locations 6/01/16
Meet with stakeholders to develop strategies/assign duties 5/17/16
Conduct first compliance check/high visibility patrol 7/01/16
Conduct compliance checks/high visibility patrols Monthly
Evaluate results/adjust plan if necessary 8/1/16 & 1/1/17
Partner with taxi and rideshare companies and work with them on public Summer and Fall
outreach strategies 2016 &Spring 2017
Page 10 of 14
Develop multiple paid, earned, and social media strategies and contract Summer and Fall
with vendors as needed for advertisement 2016 & S r ng 2017
Evaluation
Project goals will be evaluated monthly to quantify the effect of the high visibility enforcement on traffic
incidents and overall crime statistics.
We will rank the top 10 geographic areas in King County experiencing the higest incidents of serious
injury and fatal crashes. From that baseline data, we will deploy enforcement to those areas, selecting
one area per month to focus DUI patrols. We will track enforcement data, the estimated number reached
through our media buys and outreach efforts, and track the number of collisions in each area to determine
the affect over impaired driving and even other priority one traffic safety concerns.
Fiscal Agent
The Kent Police Department will act as the fiscal agent for this project. South County TZM will identify
those agencies in the King County Target Zero Task Force that are interested in participating in this
project and initiate sub-agreements with them.
Budget
Narrative
The$39,000 for employee salaries will be used to pay overtime for officers working monthly
emphasis patrols in those locations known for high DUI arrests and last drink locations. The
$9,000 will be used to work with companies such as Clear Channel to purchase radio
adslinternet banners and possibly the Titan Company for bus ads. The King County Target
Zero Task Force may also purchase Face Book ads to strengthen our social media presence.
Summary of Costs Amount
Employee salaries and benefits (overtime wages) $39,000.00
Travel (includes in-state and out-of-state travel)
Contract Services (usually involves a 3` party service provider) $9,000.00
media and community outreach
Equipment* (specify equipment in the table below)
Goods or other expenses (examples: office/printing supplies,
postage, software, conference registration fees)
TOTAL $48,000.00
Page 11 of 14
Exhibit B
WASHINGYON
Traffic Safety
J IM c 0 m m I s s 1 0 N
Traffic Safety Project Report
Agency: Date Submitted:
Project Title: WTSC Contract Number:
Report Submitted By: Grantee Contract Number (if applicable):
Quarterly Report Number:
E]Ist Quarter Report July Sept. 30 Due on Oct. 15
E]2"' Quarter Report Oct. I — Dec. 31 Due on Jan. 15
EIV Quarter Report Jan. 1 — Mar. 31 Due on Apr. 15
E]4"' Quarter Report Apr. I — Jun, 30 Due on Jul. 15
Other Report:
ElFinal Report Due within 30 days of project close
(2) Activity— Briefly describe project activity for this reporting period (include relevant
milestones and deliverables).
(3) Goals— Briefly describe how project activity has contributed to accomplishing the stated
goals (as included in the original proposal) of the project.
(4) Problems or Favorable Developments — Briefly describe any problems that impair your
ability to accomplish project goals and any favorable developments that will allow you to meet
timelines and objectives sooner or at less cost than anticipated.
(6) Expenditures— Provide a summary of expenditures for this reporting period.
Summary of Costs Amount
Employee salaries and benefits (overtime wages) $39,000.00
Travel (includes in-state and out-of-state travel)
Contract Services (usually involves a 3 rd party service provider) $9,000.00
(media and comm,unity Outreach)
Equipment* (specify equipment in the table below)
Goods or other expenses (examples: office/printing supplies,
postage, software, conference registration fees)
TOTAL $48,000.00
(6) If applicable, include reports or status updates from contractors (3rd party service providers)
and any summary documents or publications created.
Page 12 of 14
Exhibit C
2015 STATE OF WASHINGTON AGENCY USE ONLY
A 19 (Rev. INVOICE VOUCHER AGENCY NO. LOCATION CODE P.R.ORAUTH.NO.
8/25/16)
2280
AGENCY NAME For INTERNAL USE ONLY
WA Traffic Safety Commission DATE:
PO BOX 40944 PROJECT#:
Olympia WA 98504-0944 APPROVED BY:
ATTN: Program Manager: Edica Esqueda
VENDOR OR CLAIMANT(Warrant is to be payable to)
INSTRUCTIONS TO VENDOR OR CLAIMANT: Submit this form
*(Please fill in mailing address matching Fed ID#) to claim payment for materials, merchandise or services.
Show complete detail for each item.
BY
(Approval Signature&Title)
(Print Name) (Date)
*Statewide Vendor#:
*Federal ID#:
WIDAC FUNDS
Program Manager: Edica Esqueda
DATE DESCRIPTION QUANTITY UNIT AMOUNT FORAGENCY
PRICE USE
TOTAL*
PREPARED BY TELEPHONE NUMBER
DOC.DATE PMT DUE DATE CURRENT DOC.NO. REF DOC. VENDOR NUMBER VENDOR MESSAGE UBI NUMBER
REF rRANS MASTER INDEX UB UB RG ORKCLASS OUNTY TY/TOWN SUB ROJ
< ODE UND ppN ROGRAM BJ UB INDEX LOC uo�ei ps PROJECT ROJ )HAS
MOUNT INVOICE NUMBER
Page 13 of 14
ACCOUNTING APPROVAL FOR PAYMENT DATE WARRANTTOTAL WARRANTNUMBER
Page 14 of 14