Grant Acceptance Agreement

City of Glendale — Regular Meeting (2024-10-22)

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GOVERNOR'S OFFICE OF 
HIGHWAY SAFETY 
STATE OF ARIZONA 
HIGHWAY SAFETY GRANT AGREEMENT 
This page, the Project Director's Manual and attached hereto and incorporated herein by reference, constitute the entire 
Grant between the parties hereto unless the Governor’s Highway Safety Representative authorizes deviation in writing. 
 
FAIN: 69A3752530000405dAZM 
Assistance Listings: 20.616 
1. 
APPLICANT AGENCY 
GOHS GRANT NUMBER: 
 
Glendale Police Department 
2025-405d-016 
 
ADDRESS 
PROGRAM AREA: 
 
6835 N 57th Dr. Glendale, Arizona 85303 
405d 
2. 
GOVERNMENTAL UNIT 
AGENCY CONTACT: 
 
City of Glendale 
Robert Moreno 
 
ADDRESS 
3. PROJECT TITLE: 
 
5850 W Glendale Ave. Glendale, Arizona, 85303 
DUI/Impaired Driving Enforcement 
Overtime, and Materials and Supplies- Blood 
and Urine Collection Kits, Phlebotomy 
Supplies, Intox Mouth pieces 
4. 
GUIDELINES: 
 
405d 
5. 
BRIEFLY STATE PURPOSE OF PROJECT: 
Federal 405d funds will support Personnel Services (Overtime), Employee Related Expenses, and Materials 
and Supplies: Blood and Urine Collection Kits, Phlebotomy Supplies, Intox Mouth pieces to enhance 
DUI/Impaired Driving Enforcement throughout the City of Glendale. 
6. 
BUDGET 
 
COST CATEGORY 
Project Period 
FFY 2025 
I. 
Personnel Services 
$50,000.00 
II. 
Employee Related Expenses (40%) 
$20,000.00 
III. 
Professional and Outside Services 
$0.00 
IV. 
Travel In-State 
$0.00 
V. 
Travel Out-of-State 
$0.00 
VI. 
Materials and Supplies 
$6,179.00 
VII. 
Capital Outlay 
$0.00 
 
TOTAL ESTIMATED COSTS 
$76,179.00 
PROJECT PERIOD 
FROM: Effective Date 
(Date of GOHS Director Signature) 
TO: 09-30-2025 
CURRENT GRANT PERIOD 
FROM: 10-01-2024 
TO: 09-30-2025 
TOTAL FEDERAL FUNDS OBLIGATED THIS FFY: $76,179.00 
 
A political subdivision or State agency that is mandated to provide a certified resolution or ordinance 
authorizing entry into this Grant agreement must do so prior to incurring any expenditures. Failure to do so 
may result in termination of the awarded Grant agreement.

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
2 
PROBLEM IDENTIFICATION AND RESOLUTION: 
 
Agency Background: 
 
Number of sworn officers: 444 
 
Total Population in city/town or county: 246 
 
Total Road Mileage: Highway: 14 Local: 748 Total: 762 
 
 
 
 
 
 
 
 
 
 
Agency Problem/Attempts to Solve Problem: 
 
The City of Glendale is a large municipality with an ever-growing population and expanding entertainment 
district. Glendale is a popular destination for a variety of large-scale and mega events at State Farm Stadium 
and the Desert Diamond Arena.  Being the home of the State Farm Stadium, Arizona Cardinals, Desert Diamond 
Arena, Arizona Rattlers football, and neighbor of the Desert Diamond Casino the amount of traffic traveling 
on the roadways continues to grow. The VAI resort, the largest resort in Arizona will open this year. Continued 
annexation of land and construction has at least doubled the numbers of motoring public on Glendale roadways. 
 
Agency Funding: 
 
Federal 405d funds will support Personnel Services (Overtime), Employee Related Expenses, and Materials 
and Supplies: Blood and Urine Collection Kits, Phlebotomy Supplies, Intox Mouth pieces to enhance 
DUI/Impaired Driving Enforcement throughout the City of Glendale. 
 
How Agency Will Solve Problem with Funding: 
 
Glendale PD will continue to deploy personnel and resources to high crash locations in order to protect lives 
and property. Glendale Police officers, working with various media platforms, and the neighboring agencies, 
will utilize innovative programs to educate drivers and participate in DUI task forces throughout the year. Grant 
funding will be utilized to pay overtime to supplement staffing for DUI enforcement. Equipment will also be 
purchased to facilitate DUI investigations through breath, blood and urine collection.

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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PROGRAM MEASURES: 
 
Agency Goals: 
 
To decrease the number of impaired driving-related crashes 10% from 209 during calendar year 2023 to 189 
by December 31, 2025. 
 
To decrease the number of serious injuries in impaired driving-related crashes 10% from 49 in calendar year 
2023 to 45 by December 31, 2025. 
 
To decrease the number of fatalities in impaired driving-related crashes 10 % from 7 in calendar year 2023 to 
6 by December 31, 2025. 
 
Grant Agreement Objectives: 
 
To participate in a minimum of 5 DUI saturation patrols per quarter during FFY 2025. 
 
To participate in a minimum of 2 DUI task force operations per quarter during FFY 2025. 
 
Additional Grant Agreement Objectives: 
 
1. Staff a full-time DUI enforcement squad of at least 3 certified Motor Officers. 
2.  Participate in all West Valley DUI task force events.

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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GOALS/OBJECTIVES: 
 
Federal 405d funds will support Personnel Services (Overtime), Employee Related Expenses, and Materials 
and Supplies: Blood and Urine Collection Kits, Phlebotomy Supplies, Intox Mouth pieces to enhance 
DUI/Impaired Driving Enforcement throughout the City of Glendale. 
 
Expenditures of funding pertaining to Impaired Driving Enforcement including Personnel Services and ERE, 
Materials and Supplies, Capital Equipment, and/or Travel In and Out-of-State shall comply with the Impaired 
Driving Program goals provided by the Arizona Governor's Office of Highway Safety. The Impaired Driving 
Program goal is to reduce the incidences of alcohol and drug related driving fatalities and injuries through 
enforcement, education, and public awareness throughout the State of Arizona. Law enforcement personnel 
participating in Impaired Driving Enforcement/DUI activities including, DUI Task Force details under this 
program, shall be HGN/SFST certified. 
 
MEDIA RELEASE: 
 
To prepare complete press release information for media (television, radio, print, and on-line) during each 
campaign period including a main press release, schedule of events, departmental plans, and relevant data. 
The material will emphasize the campaign’s purpose, aggressive enforcement, and the high cost of 
DUI/Impaired Driving in terms of money, criminal, and human consequences. 
 
The Glendale Police Department will maintain responsibility for reporting sustained enforcement activity in 
a timely manner. Additionally, it is the responsibility of the Glendale Police Department to report all holiday 
task force enforcement statistics to GOHS on-line at the GOHS website no later than 10:00 a.m. the morning 
following each day of the event. 
 
The holidays and special events include but not limited to:  Super Bowl Sunday, Valentine's Day, President’s 
Day, St. Patrick’s Day, Spring Break, Easter, Cinco de Mayo, Prom Night, Memorial Day, Graduation Day, 
Independence Day, Labor Day, Columbus Day, Halloween, and the Thanksgiving through New Year’s details. 
 
PLEASE NOTE:  Failure to submit Statistics, Quarterly Reports, and/or Report of Costs Incurred 
(RCIs) timely and correctly may delay reimbursement for expenditures to your Agency. 
 
METHOD OF PROCEDURE: 
 
The Glendale Police Department will make expenditures, as follows, to meet the outlined Program 
Goals/Objectives: 
 
Personnel Services - To support Overtime for DUI/Impaired Driving Enforcement Activities 
 
Employee Related Expenses - To support Employee Related Expenses for Agency Overtime 
 
Materials and Supplies - To purchase/procure the following Materials and Supplies for DUI/Impaired Driving 
Enforcement Activities: Blood and Urine Collection Kits, Phlebotomy Supplies, Intox Mouth pieces 
 
PRESS RELEASE: 
 
Agencies are required to develop and distribute a press release announcing this grant award upon receipt of 
the executed Grant agreement. A copy of this press release shall be sent to the GOHS Director for approval

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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prior to being sent to the media. This press release shall include the objective and specify that the funding is 
from the Governor’s Office of Highway Safety. 
 
BAC TESTING AND REPORTING REQUIREMENTS: 
 
Alcohol impairment is a major contributing factor in fatality and serious injury motor vehicle collisions.  
Accurate data on alcohol involvement is essential to understanding the full extent of the role of alcohol and to 
assess progress toward reducing impaired driving. 
 
Each law enforcement agency that receives an enforcement-related grant is required to ensure that 
accurate data on all drivers involved is reported. Failure to comply may result in withholding funds and 
cancellation of the enforcement Grant agreement until this requirement is met. 
 
PURSUIT POLICY: 
 
All law enforcement agencies receiving Federal funds are encouraged to follow the guidelines established for 
vehicular pursuits issued by the International Association of Chiefs of Police (IACP) that are currently in effect. 
 
METHOD OF PROCUREMENT: 
 
The application of 2 CFR Part 200 "Procurement Standards" requires that: 
 
Grantees and sub-grantees will use their own procurement procedures which reflect applicable State and local 
laws and regulations, provided the procurement procedures conform to applicable Federal laws and standards. 
The most stringent purchasing requirement at each level must be met. If the Agency does not have a 
procurement process, the Agency may use the State procurement process. 
 
A clear audit trail must be established to determine costs charged against this Grant agreement.  Substantiation 
of costs shall, where possible, be made utilizing the Glendale Police Department documentation consisting of, 
but not limited to, copies of time sheets, purchase orders, copies of invoices, and proof of payment. 
 
The Agency shall retain copies of all documentation in the project file. 
 
State Contract: 
 
Procurement may be made using an open State contract award. Documents submitted to substantiate purchases 
using an open State contract must bear the contract number. 
 
PROJECT EVALUATION: 
 
This project shall be administratively evaluated to ensure the objectives have been met. 
 
Quarterly Report 
 
The purpose of the Quarterly Report is to provide information on grant activities conducted at the conclusion 
of each active quarter. The information provided is used to review progress of the funded project and the 
successfulness in meeting outlined goals and objectives. The information, photos, highlights, obstacles, and

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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mandatory statistical data provided in this report are analyzed by the assigned Project Coordinator. It is critical 
the report contains the following information: 
 
 
 
Original signatures on all Quarterly Reports and RCIs 
 
• 
All Quarterly Reports and RCIs shall include the signature of the Project 
Director unless prior authorization for another is on file with GOHS. 
 
Report Schedule 
 
Reporting Period 
Due Date 
1st Quarterly Report and RCI (October 1 to December 31, 2024) 
January 30, 2025 
2nd Quarterly Report and RCI (January 1 to March 31, 2025) 
April 20, 2025 
3rd Quarterly Report and RCI (April 1 to June 30, 2025) 
July 20, 2025 
4th Quarterly Report and RCI (July 1 to September 30, 2025) 
October 15, 2025 
Final Statement of Accomplishments 
October 15, 2025 
 
The Quarterly Report shall be completed on the form available on-line and can be submitted by email to 
the Governor’s Office of Highway Safety. 
 
NOTE: IT IS REQUIRED THAT ALL LAW ENFORCEMENT AGENCIES MUST ENTER 
STATISTICAL AND ENFORCEMENT ACTIVITY INTO THE ON-LINE GOHS DUI REPORTING 
SYSTEM, IN ADDITION TO SUBMITTING THE QUARTERLY ENFORCEMENT REPORT. 
 
Final Statement of Accomplishments 
 
The Project Director shall submit a Final Statement of Accomplishments Report to the GOHS no later than 
fifteen (15) days after the conclusion of each Federal Fiscal Year (September 30th). All agencies receiving 
funding are required to submit a Final Statement of Accomplishments Report. 
 
Note: Failure to comply with the outlined GOHS reporting requirements may result in withholding of Federal 
funds or termination of the Grant agreement. 
 
PROFESSIONAL AND TECHNICAL PERSONNEL: 
 
Chris Briggs, Chief, Glendale Police Department, shall serve as Project Director. 
 
Robert Moreno, Lieutenant, Glendale Police Department, shall serve as Project Administrator. 
 
Rikki Robles, Governor's Office of Highway Safety, shall serve as Project Coordinator. 
 
REPORT OF COSTS INCURRED (RCI): 
 
The Agency shall submit a Report of Costs Incurred (RCI), with supporting documentation attached, to the 
Governor’s Office of Highway Safety on a quarterly basis, for each active quarter, in conjunction with the

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GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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required report. Agencies may submit additional RCI forms for expenditures when funds have been expended 
for which reimbursement is being requested. 
 
Accepted supporting documentation to submit with a Report of Cost Incurred (RCI) includes, but is not limited 
to; scanned copies of timesheets, payroll records, paid invoices/purchase orders, and other account records. 
 
RCIs shall be typed and delivered via mail or hand delivered with appropriate supporting documentation to the 
Governor’s Office of Highway Safety. Electronically submitted RCIs will be accepted. Final RCIs will not 
be accepted fifteen (15) days after the conclusion of each Federal Fiscal Year (September 30th). Expenditures 
submitted after the expiration date may not be reimbursed and the Agency will accept fiscal 
responsibility. 
 
PROGRAM MONITORING: 
 
Highway safety grant program monitoring is used by GOHS project coordinators to track the progress of project 
objectives, performance measures, and compliance with applicable procedures, laws, and regulations. 
 
The process is used throughout the duration of the grant agreement and serves as a continuous management 
tool. Program monitoring also presents an opportunity to develop partnerships, share information, and provide 
assistance to granted agencies. Additionally, program monitoring outlines a set of procedures for grant review 
and documentation. 
 
Program monitoring serves as a management tool for: 
 
 
 Detecting and preventing problems 
 
 Helping to identify needed changes 
 
 Identifying training or assistance needed 
 
 Obtaining data necessary for planning and evaluation 
 
 Identifying exemplary projects 
 
Types of Monitoring 
 
Monitoring is formal and informal, financial and operational. The most common types of monitoring are: 
 
 
 Ongoing contact with the grantee through phone calls, e-mails, correspondence, and meetings 
 
 On-Site/In-House monitoring reviews of project operations, management, and financial records 
and systems 
 
 Review of project Quarterly Reports  
 
 Review and approval of Report of Costs Incurred (RCIs) 
 
 Desk review of other documents in the project grant files for timely submission and completeness 
 
Monitoring Schedule 
Total Awarded Amount: 
Type of Monitoring: 
Under $100,000 
Desk Review/Phone Conference 
$100,000 and over 
May have an In-House GOHS Review 
$300,000+ 
May have an On-Site/In-House Review 
Capital Outlay Greater than $100,000 (combined) 
May have an On-Site/In-House Review 
Desk Review 
and 
Phone 
Conference 
Internal review of all written documentation related to grant agreement including, but not 
limited to the Grant Agreement, Quarterly Reports, enforcement data, financial data, e-mails, 
letters, notes, press releases, photographs, inventories, and other written correspondence. A

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GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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phone conference call conducted during the course of the project which includes the date 
and time of the call, the person(s) contacted, and the results. It serves as an informational 
review to determine progress of programmatic/financial activities. Both the designated 
project administrator and fiscal contact should be present, if possible, during the phone 
conference. If identified financial or operational problems are present, GOHS reserves the 
right to bring the grantee in for an in-house meeting at GOHS. Monitoring form written by 
Project Coordinator, any findings, areas of improvement, concern, or recognition will be 
provided to the grantee. 
In-House 
Review 
Documents performance review results including project activities, reimbursement claims 
review, equipment purchases, approvals, and other information. Reviews applicable 
information related to the project(s) including, but not limited to the Grant agreement, 
Quarterly Reports, enforcement data, financial data, e-mails, letters, notes, press releases, 
photographs, inventories, and other written correspondence. Completed at GOHS in a 
meeting with appropriate operational and financial personnel. Monitoring form written by 
Project Coordinator, any findings, areas of improvement, concern, or recognition will be 
provided to the grantee. 
On-Site 
Monitoring 
Documents performance review results including project activities, reimbursement claims 
review, equipment purchases, and other information. Reviews applicable information related 
to the project(s) including, but not limited to the Grant agreement, Quarterly Reports, 
enforcement data, financial data, e-mails, letters, notes, press releases, photographs, 
inventories, and other written correspondence. Conducted on-site at the grantee’s Agency 
with monitoring form completed on-site by Project Coordinator.  Any findings, areas of 
improvement, concern, or recognition, will be provided to the grantee. 
 
On-site/In-house monitoring for grantees of designated projects with large Capital Outlay purchases, personnel 
services, and complex projects must be completed within the second or third quarter of the fiscal year. Granted 
projects displaying any problems may need on-site monitoring more than once during the fiscal year. 
 
On-site/In-house monitoring includes a review and discussion of all issues related to ensure the effective 
administration of the granted project. The following are the most important items to review: 
 
 
 Progress toward meeting goals/objectives and performance measures 
 
 Adherence to the grant agreement specifications, timely submission of complete and correct 
reports, including required documentation 
 
 Quarterly Reports 
 
 Status of expenditures related to the outlined budget 
 
 Accounting records and RCI's 
 
 Supporting documentation (training documentation, inventory sheets, photographs, press releases, 
etc.) 
 
In addition, the designated Agency will ensure that any equipment purchased will be available for inspection 
and is being used for the purpose for which it was bought under the outlined grant agreement.

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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Documentation 
 
The Governor’s Office of Highway Safety will retain all findings documented on the GOHS Monitoring Form 
in the Agency's respective Federal file. Findings will be discussed with the designated grant agreement 
representative (Project Administrator, fiscal specialist) by phone and/or e-mail. All noted deficiencies will be 
provided to the grantee with guidance for improvement and solutions to problems. Grantees that exhibit 
significantly poor performance may be placed on a performance plan as outlined by the GOHS Director. 
Grantee monitoring information will additionally provide documentation for potential funding in subsequent 
fiscal year grant proposal review. 
 
PROJECT PERIOD: 
 
The project period shall commence on the date the GOHS Director signs the Highway Safety Grant Agreement 
and terminate on September 30th of that or subsequent year as indicated on the Highway Safety Grant 
Agreement. 
 
DURATION: 
 
Grants shall be effective on the date the Governor’s Office of Highway Safety Director signs the Grant 
Agreement and expire at the end of the project period. 
 
If the Agency is unable to expend the funds in the time specified, the Agency will submit notification on the 
Agency’s letterhead and hand deliver or submit via regular mail to the Director of the Governor's Office of 
Highway Safety a minimum of sixty days (60) prior to the end of the project period. 
 
The Agency shall address all requests to modify the Grant Agreement to the Director of the Governor’s Office 
of Highway Safety on Agency's official letterhead and either hand deliver or submit the request via regular 
mail. All requests for modification must bear the signature of the Project Director. 
 
Failure to comply may result in cancellation of the Grant Agreement. Any unexpended funds remaining at the 
termination of the Grant Agreement shall be released back to the Governor’s Office of Highway Safety.

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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ESTIMATED COSTS: 
 
I. 
Personnel Services (overtime) 
 
$50,000.00 
II. 
Employee Related Expenses (ERE) (40%) 
 
$20,000.00 
III. 
Professional and Outside Services 
 
$0.00 
IV. 
Travel In-State 
 
$0.00 
V. 
Travel Out-of-State 
 
$0.00 
VI. 
Materials and Supplies 
(Blood and Urine Collection Kits, Phlebotomy Supplies, 
Intox Mouth pieces) 
 
$6,179.00 
VII. 
Capital Outlay 
 
$0.00 
 
TOTAL ESTIMATED COSTS 
*$76,179.00 
 
*Includes all applicable training, tax, freight, and advertising costs. The GOHS reserves the right to limit 
reimbursement of Employee Related Expenses from zero (0) to a maximum rate of forty (40) percent. This is 
the maximum ERE amount to be reimbursed. It is agreed and understood that the Glendale Police Department 
shall absorb any and all expenditures in excess of $76,179.00.

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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QUARTERLY ENFORCEMENT REPORT 
(Submitted to GOHS) 
 
 
 
 
 
 
 
 
 
 
Reporting Period 
 
DESCRIPTION 
GRANT 
AGREEMENT 
ACTIVITY 
AGENCY 
ACTIVITY 
Total Contacts (Traffic Stops) 
 
 
Total Sober Designated Drivers Contacted 
 
 
Total Know Your Limit Contacts 
 
 
TOTAL DUI ARRESTS 
 
 
  Total DUI Aggravated 
 
 
  Total DUI Misdemeanor 
 
 
Total DUI Extreme (.15 or Above) 
 
 
Under 21 DUI Citations 
 
 
Average BAC 
 
 
Distracted Driving Citations 
 
 
Total DUI Drug Arrests 
 
 
30-Day Vehicle Impounds 
 
 
Seat Belt Citations 
 
 
Child Restraint Citations 
 
 
Criminal Speed Citations 
 
 
Reckless Driving Citations 
 
 
Civil Speed Citations 
 
 
Other Citations 
 
 
Other Arrests 
 
 
Participating Officer/Deputies (Cumulative)

Glendale Police Department 
GOHS HIGHWAY 
SAFETY GRANT 
2025-405d-016 
 
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CERTIFICATIONS AND AGREEMENTS 
 
This GRANT AGREEMENT, is made and entered into by and between the STATE OF ARIZONA, by and 
through the Governor’s Office of Highway Safety (GOHS) hereinafter referred to as "STATE", and the agency 
named in this Grant Agreement, hereinafter referred to as "AGENCY". 
 
WHEREAS, the National Highway Safety Act of 1966, as amended (23 USC §§401-404), provides Federal 
funds to STATE for approved highway safety projects; and 
 
WHEREAS, STATE may make said funds available to various state, county, tribal, or municipal agencies, 
governments, or political subdivisions upon application and approval by STATE and the United States 
Department of Transportation (USDOT); and 
 
WHEREAS, AGENCY must comply with the requirements listed herein to be eligible for Federal funds for 
approved highway safety projects; and 
 
WHEREAS, AGENCY has submitted an application for Federal funds for highway safety projects; 
 
NOW, THEREFORE, IN CONSIDERATION OF MUTUAL PROMISES AND OTHER GOODS AND 
VALUABLE CONSIDERATION, it is mutually agreed that AGENCY will strictly comply with the following 
terms and conditions and the following Federal and State Statutes, Rules, and Regulations: 
 
I. 
Project Monitoring, Reports, and Inspections 
 
 
A. AGENCY agrees to fully cooperate with representatives of STATE monitoring the project, either 
on-site or by telephone, during the life of the Grant Agreement. 
 
 
B. AGENCY will submit Quarterly Reports (one for each three-month period of the project year) to 
STATE in the form and manner prescribed by STATE. Notice of the specific requirements for each 
report will be given in this Grant Agreement or at any time thereafter by giving thirty (30) days 
written notice to AGENCY by ordinary mail at the address listed on the Grant Agreement. Failure 
to comply with Quarterly Report requirements may result in withholding of Federal funds or 
termination of this Grant Agreement. 
 
 
C. AGENCY will submit a Final Report/Statement of Accomplishment at completion of the Grant 
Agreement to include all financial, performance, and other reports required as a condition of the 
grant to STATE within thirty (30) days of the completion of the Grant Agreement. 
 
 
D. Representatives authorized by STATE and the National Highway Traffic Safety Administration 
(NHTSA) will have the right to visit the site and inspect the work under this Grant Agreement 
whenever such representatives may determine such inspection is necessary. 
 
II. 
Reimbursement of Eligible Expenses 
 
 
A. AGENCY's Project Director, or Finance Personnel, will submit a Report of Costs Incurred Form 
(RCI) to STATE each time there have been funds expended for which reimbursement is being

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requested. Failure to meet this requirement may be cause to terminate the project under Section 
XX herein, "Termination and Abandonment". 
 
 
B. AGENCY will reimburse STATE for any ineligible or unauthorized expenses for which Federal 
funds have been claimed and reimbursement received, as may have been determined by a State or 
Federal audit. 
 
 
C. STATE will have the right to withhold any installments equal to the reimbursement received by 
AGENCY for prior installments which have been subsequently determined to be ineligible or 
unauthorized. 
 
III. 
Property Agreement 
 
 
A. AGENCY will immediately notify STATE if any equipment purchased under this Grant 
Agreement ceases to be used in the manner as set forth by this Grant Agreement. In such event, 
AGENCY further agrees to either give credit to the project cost or to another active highway safety 
project for the residual value of such equipment in an amount to be determined by STATE or to 
transfer or otherwise dispose of such equipment as directed by STATE. 
 
 
B. No equipment will be conveyed, sold, salvaged, transferred, etc., without the express written 
approval of STATE, or unless otherwise provided elsewhere in this Grant Agreement. 
 
 
C. AGENCY will maintain or cause to be maintained for its useful life, any equipment purchased 
under this Grant Agreement. 
 
 
D. AGENCY will incorporate any equipment purchased under this Grant Agreement into its inventory 
records. 
 
 
E. AGENCY will insure any equipment purchased under this Grant Agreement for the duration of its 
useful life. Self-insurance meets the requirements of this section. 
 
IV. 
Travel 
 
 
In-State and Out-of-State Travel 
 
 
In state and out-of-state travel claims will be reimbursed at rates provided by AGENCY's regulations, 
provided that such regulations are as restrictive as those of STATE. Where they are less restrictive, 
ARS §38-624 will apply. 
 
 
The State must approve all out-of-state travel in writing and in advance. 
 
V. 
Standard of Performance 
 
 
AGENCY hereby agrees to perform all work and services herein required or set forth, and to furnish 
all labor, materials, and equipment, except that labor, material, and equipment as STATE agrees to 
furnish pursuant to this Grant Agreement. 
 
VI. 
Hold Harmless Agreement 
 
 
Neither party to this agreement agrees to indemnify the other party or hold harmless the other party 
from liability hereunder.  However, if the common law or a statute provides for either a right to

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indemnify and/or a right to contribution to any party to this agreement then the right to pursue one or 
both of these remedies is preserved. 
 
VII. 
Non-Assignment and Sub-Contracts 
 
 
This Grant Agreement is not assignable nor may any portion of the work to be performed be 
subcontracted unless specifically agreed to in writing by STATE. No equipment purchased hereunder 
may be assigned or operated by other than AGENCY unless agreed to in writing by STATE. 
 
VIII. 
Work Products and Title to Commodities and Equipment 
 
 
A. The work product and results of the project are the property of STATE, unless otherwise specified 
elsewhere in this Grant Agreement. All property, instruments, non-consumable materials, supplies, 
and the like, which are furnished or paid for by STATE under the terms of this Grant Agreement, 
unless otherwise provided for elsewhere in this Grant Agreement, are and remain the property of 
STATE and will be returned at the completion of this project upon request of STATE. The work 
product and results of the project will be furnished to STATE upon request, if no provision is 
otherwise made by this Grant Agreement. 
 
 
B. The provisions of subparagraph A apply whether or not the project granted for herein is completed. 
 
IX. 
Copyrights and Patents 
 
 
Any copyrightable materials, patentable discovery, or invention produced in the course of this project 
may be claimed by STATE and a copyright or patent obtained by it at its expense. In the event STATE 
does not wish to obtain such copyright or patent, AGENCY may do so, but in any event, provision will 
be made by AGENCY for royalty-free, nonexclusive, nontransferable, and irrevocable licenses to be 
given the United States Government and STATE and its political subdivisions to use such copyrightable 
material, patented discoveries, or inventions in any manner they see fit. The STATE reserves the right

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SAFETY GRANT 
2025-405d-016 
 
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to impose such other terms and conditions upon the use of such copyrights or patents as may be deemed 
in the best interest of STATE in the event AGENCY is allowed to obtain a copyright or patent. 
 
X. 
Uniform Administrative Requirements 
 
 
(2 CFR Part 1201): Uniform Administrative Requirements, Cost Principles, and Audit Requirements 
for Federal Awards: 
 
 
The application of 2 CFR Part 200 "Procurement Standards" Requires that: 
 
 
AGENCY and sub-grantees will use their own procurement procedures, which reflect applicable State 
and local laws and regulations, provided that the procurements conform to applicable Federal law. The 
most stringent purchasing requirement at each level must be met. 
 
 
The Arizona Procurement Code (ARS §41-2501, et. seq.) and promulgated rules (A.A.C. Title 2, 
Chapter 7) are a part of this Grant Agreement as if fully set forth herein and AGENCY agrees to fully 
comply with these requirements for any procurement using grant monies from this Grant Agreement. 
 
XI. 
Non-Discrimination 
 
 
During the performance of this contract/grant agreement, the contractor/grant recipient agrees— 
 
 
A. To comply with all Federal nondiscrimination laws and regulations, as may be amended from time 
to time; 
 
 
B. Not to participate directly or indirectly in the discrimination prohibited by any Federal non-
discrimination law or regulation, as set forth in Appendix B of 49 CFR part 2l and herein; 
 
 
C. To permit access to its books, records, accounts, other sources of information, and its facilities as 
required by the State highway safety office, US DOT or NHTSA; 
 
 
D. That, in event a contractor/grant recipient fails to comply with any nondiscrimination provisions in 
this contract/grant agreement, the State highway safety agency will have the right to impose such 
contract/grant agreement sanctions as it or NHTSA determine are appropriate, including, but not 
limited to, withholding payments to the contractor/grant recipient under the contract/grant

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GOHS HIGHWAY 
SAFETY GRANT 
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agreement until the contractor/grant recipient complies; and/or cancelling, terminating, or 
suspending a contract or grant agreement, in whole or in part; and 
 
 
E. To insert this clause, including paragraphs A through E, in every subcontract and subagreement 
and in every solicitation for a subcontract or sub-agreement, that receives Federal funds under this 
program. 
 
XII. 
Executive Order 2023-01 
 
 
It is mutually agreed that AGENCY will comply with the terms and conditions of Executive Order 
2023-01, Non-Discrimination in Employment by Government Contractors and Subcontractors. 
 
XIII. 
Application of 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. 
 
XIV. 
Minority Business Enterprises (MBE) Policy and Obligation 
 
 
A. Policy:  It is the policy of the USDOT that minority business enterprises as defined in 49 CFR Part 
23, will have the maximum opportunity to participate in the performance of contracts financed in 
whole or in part with Federal funds under this Grant Agreement. Consequently, the minority 
business enterprises requirements of 49 CFR Part 23 apply to this Grant Agreement. 
 
 
B. Obligation:  The recipient or its contractor agrees to ensure that minority business enterprises, as 
defined in 49 CFR Part 23, have the subcontracts financed in whole or in part with Federal funds 
provided under this Grant Agreement. In this regard, all recipients or contractors will take all 
necessary and reasonable steps in accordance with 49 CFR, Part 23 to ensure that minority business 
enterprises have the maximum opportunity to compete for and perform contracts. Recipients and 
their contractors will not discriminate on the basis of race, color, creed, sex, or national origin in 
the award and performance of USDOT-assigned Grant Agreements. 
 
XV. 
Arbitration Clause, ARS §12-1518 
 
 
Pursuant to ARS §12-1518, the parties agree to use arbitration, after exhausting applicable 
administrative reviews, to resolve disputes arising out of this agreement where the provisions of 
mandatory arbitration apply. 
 
XVI. 
Inspection and Audit, ARS §35-214 
 
 
Pursuant to ARS §35-214, all books, accounts, reports, files, and other records relating to this 
Agreement will be subject at all reasonable times to inspection and audit by STATE for five (5) years 
after completion of this Agreement. The records will be produced at the Governor’s Office of Highway 
Safety. 
 
XVII. Appropriation of Funds by U.S. Congress 
 
 
It is agreed that in no event will this Grant Agreement be binding on any party hereto unless and until 
such time as funds are appropriated and authorized by the U.S. Congress and specifically allocated to 
the project submitted herein and then only for the fiscal year for which such allocation is made. In the

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event no funds are appropriated by the U.S. Congress or no funds are allocated for the project proposed 
herein for subsequent fiscal years, this Grant Agreement will be null and void, except as to that portion 
for which funds have then been appropriated or allocated to this project, and no right of action or 
damages will accrue to the benefit of the parties hereto as to that portion of the Contract or Grant 
Agreement that may so become null and void. 
 
XVIII. Continuation of Highway Safety Program 
 
 
It is the intention of AGENCY to continue the Highway Safety Program identified in this Grant 
Agreement once Federal funding is completed. This intended continuation will be based upon cost 
effectiveness and an evaluation by AGENCY of the program's impact on highway safety. 
 
XIX. 
E-Verify 
 
 
Both parties acknowledge that immigration laws require them to register and participate with the E-
Verify Program (employment verification program administered by the United States Department of 
Homeland Security and the Social Security Administration or any successor program) as they both 
employ one or more employees in this State. Both parties warrant that they have registered with and 
participate with E-Verify. If either party later determines that the other non-compliant party has not 
complied with E-Verify, it will notify the non-compliant party by certified mail of the determination 
and of the right to appeal the determination. 
 
XX. 
Termination and Abandonment 
 
 
A. The STATE and AGENCY hereby agree to the full performance of the covenants contained herein, 
except that STATE reserves the right, at its discretion, to terminate or abandon any portion of the 
project for which services have not been already performed by AGENCY. 
 
 
B. In the event STATE abandons the services or any part of the services as herein provided, STATE 
will notify AGENCY in writing and within twenty-four (24) hours after receiving such notice, 
AGENCY will discontinue advancing the work under this Grant Agreement and proceed to close 
said operations under the Grant Agreement. 
 
 
C. The appraisal value of work performed by AGENCY to the date of such termination or 
abandonment shall be made by STATE on a basis equitable to STATE and AGENCY and a final 
reimbursement made to AGENCY on the basis of costs incurred. Upon termination or 
abandonment, AGENCY will deliver to STATE all documents, completely or partially completed, 
together with all unused materials supplied by STATE. 
 
 
D. AGENCY may terminate or abandon this Grant Agreement upon thirty (30) days written notice to 
STATE, provided there is subsequent concurrence by STATE. Termination or abandonment by

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AGENCY will provide that costs can be incurred against the project up to and including sixty (60) 
days after notice is given to STATE. 
 
 
E. Any equipment or commodities which have been purchased as a part of this Grant Agreement and 
which have not been consumed or reached the end of its useful life will be returned to STATE upon 
its written request. 
 
XXI. 
Cancellation Statute 
 
 
All parties are hereby put on notice that this Contract/Grant Agreement is subject to cancellation 
pursuant to ARS §38-511, the provisions of which are stated below. 
 
 
In accordance with ARS §38-511, this Contract/Grant Agreement may be cancelled without penalty or 
further obligation if any person significantly involved in initiating, negotiating, securing, drafting, or 
creating the Contract/Grant Agreement on behalf of the STATE, its political subdivisions or any 
department or agency of either, is at any time while the Contract/Grant Agreement or any extension of 
the Contract/Grant Agreement is in effect, an employee of any other party to the Contract/Grant 
Agreement in any capacity or a consultant to any other party of the Contract/Grant Agreement with 
respect to the subject matter or the Contract/Grant Agreement. 
 
 
The cancellation shall be effective when written notice from the Governor or Chief Executive Officer 
or governing body of the political subdivision is received by all other parties to the Contract/Grant 
Agreement unless the notice specifies a later time. 
 
AGREEMENT OF UNDERSTANDING AND CERTIFICATION OF COMPLIANCE 
 
Acceptance of Condition 
 
 
It is understood and agreed by the undersigned that a grant received as a result of this Grant Agreement 
is subject to the Highway Safety Act of 1966, as amended (23 U.S.C.A. §§401-404), ARS §28-602, 
and all administrative regulations governing grants established by the USDOT and STATE. It is 
expressly agreed that this Highway Safety Project constitutes an official part of the STATE's Highway 
Safety Program and that AGENCY will meet the requirements as set forth in the accompanying Project 
Director's Manual, which are incorporated herein and made a part of this Grant Agreement. All State 
and Federal Statutes, Rules, Regulations, and Circulars referenced in this Grant Agreement are a part 
of this document as if fully set forth herein. It is also agreed that no work will be performed nor any 
obligation incurred until AGENCY is notified in writing that this project has been approved by the 
Governor's Highway Safety Representative. 
 
Certificate of Compliance 
 
 
This is to certify that AGENCY will comply with all of the State and Federal Statutes, Rules and 
Regulations identified in this Grant Agreement. 
 
Certification of Non-Duplication of Grant Funds Expenditure 
 
 
This is to certify that AGENCY has no ongoing nor completed projects under Grant Agreement with 
other Federal fund sources which duplicate or overlap any work contemplated or described in this Grant 
Agreement. It is further certified that any pending or proposed request for other Federal grant funds 
which would duplicate or overlap work described in the Grant Agreement will be revised to exclude

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any such duplication of grant fund expenditures. It is understood that any such duplication of Federal 
funds expenditures subsequently determined by audit will be subject to recovery by STATE. 
 
Single Audit Act 
 
 
If your political subdivision has had an independent audit meeting the requirements of the Single Audit 
Act of 1984, (31 U.S.C.A. §7501 et. seq.), please forward a copy to GOHS, Attention: Finance Dept., 
within thirty (30) days of the effective date of this Grant Agreement. If such audit has not been 
performed, please advise when it is being scheduled. 
 
Buy America Act 
 
 
The State and each subrecipient will comply with the Buy America requirement (23 U.S.C. 313) when 
purchasing items using Federal funds. Buy America requires a State, or subrecipient, to purchase with 
Federal funds only steel, iron, and manufactured products produced in the United States, unless the 
Secretary of Transportation determines that such domestically produced items would be inconsistent 
with the public interest, that such materials are not reasonably available and of a satisfactory quality, 
or that inclusion of domestic materials will increase the cost of the overall project contract by more 
than twenty-five (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 to and approved 
by the Secretary of Transportation. 
 
Certification on Conflict of Interest 
 
General Requirements 
 
 
No employee, officer or agent of a State or its subrecipient who is authorized in an official capacity To 
negotiate, make, accept Or approve, Or To take part In negotiating, making, accepting or approving 
any subaward, including contracts or subcontracts, in connection with this grant shall have, directly Or 
indirectly, any financial Or personal interest in any such subaward. Such a financial or personal interest 
would arise when the employee, officer, or agent, any member Of his Or her immediate family, his Or 
her partner, Or an organization which employs or is about to employ any of the parties indicated herein, 
has a financial or personal interest in Or a tangible personal benefit from an entity considered for a 
subaward. Based on this policy: 
 
 
1. The recipient shall maintain a written code or standards of conduct that provide for disciplinary 
actions To be applied For violations Of such standards by officers, employees, Or agents. 
 
 
 
a. The code or standards shall provide that the recipient's officers, employees, or agents may 
neither solicit nor accept gratuities, favors, Or anything Of monetary value from present or potential 
subawardees, including contractors or parties to subcontracts. 
 
 
 
b. The code or standards shall establish penalties, sanctions or other disciplinary actions for 
violations, as permitted by State or local law or regulations. 
 
 
2. The recipient shall maintain responsibility to enforce the requirements of the written code or 
standards of conduct. 
 
Disclosure Requirements

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No State or its subrecipient, including its officers, employees or agents, shall perform or continue to 
perform under a grant Or cooperative agreement, whose objectivity may be impaired because of any 
related past, present, or currently planned interest, financial or otherwise, in organizations regulated by 
NHTSA or in organizations whose interests may be substantially affected by NHTSA activities. Based 
on this policy: 
 
 
1. The recipient shall disclose any conflict of interest identified as soon as reasonably possible, 
making an immediate And full disclosure In writing To NHTSA. The disclosure shall include a 
description of the action which the recipient has taken or proposes to take to avoid or mitigate such 
conflict. 
 
 
2. NHTSA will review the disclosure and may require additional relevant information from the 
recipient. If a conflict of interest is found to exist, NHTSA may 
 
 
 
(a) terminate the award, or 
 
 
 
(b) determine that it is otherwise in the best interest of NHTSA to continue the award and include 
appropriate provisions to mitigate or avoid such conflict. 
 
 
3. Conflicts of interest that require disclosure include all past, present or currently planned 
organizational, financial, contractual Or other interest(s) With an organization regulated by NHTSA or 
with an organization whose interests may be substantially affected by NHTSA activities, And which 
are related to this award. The interest(s) that require disclosure include those of any recipient, affiliate, 
proposed consultant, proposed subcontractor and key personnel of any of the above. Past interest shall 
be limited to within one year of the date of award. Key personnel shall include any person owning more 
than a 20 percent interest in a recipient, And the officers, employees Or agents of a recipient who are 
responsible for making a decision or taking an action under an award where the decision or Action can 
have an economic Or other impact on the interests of a regulated Or affected organization 
 
Prohibition on Using Grant Funds to Check for Helmet Usage 
 
 
The State and each subrecipient will not use 23 U.S.C. Chapter 4 grant funds for programs to check 
helmet usage or to create checkpoints that specifically target motorcyclists. 
 
Certification Regarding Debarment and Suspension 
 
 
A. By signing and submitting this proposal, the prospective primary participant is providing the 
certification set out below and agrees to comply with the requirements of 2 CFR parts 180 and 
1200. 
 
 
B. The inability of a person to provide the certification required below will not necessarily result in 
denial of participation in this covered transaction. The prospective primary tier participant shall 
submit an explanation of why it cannot provide the certification set out below. The certification or 
explanation will be considered in connection with the department or agency's determination 
whether to enter into this transaction. However, failure of the prospective primary tier participant 
to furnish a certification or an explanation shall disqualify such person from participation in this 
transaction. 
 
 
C. The certification in this clause is a material representation of fact upon which reliance was placed 
when the department or agency determined to enter into this transaction. If it is later determined 
that the prospective primary tier participant knowingly rendered an erroneous certification, in

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addition to other remedies available to the Federal Government, the department or agency may 
terminate this transaction for cause or default or may pursue suspension or debarment. 
 
 
D. The prospective primary tier participant shall provide immediate written notice to the department 
or agency to which this proposal is submitted if at any time the prospective primary tier participant 
learns its certification was erroneous when submitted or has become erroneous by reason of 
changed circumstances. 
 
 
E. The terms covered transaction, civil judgment, debarment, suspension, ineligible, participant, 
person, principal, and voluntarily excluded, as used in this clause, are defined in 2 CFR parts 180 
and 1200. You may contact the department or agency to which this proposal is being submitted for 
assistance in obtaining a copy of those regulations. 
 
 
F. The prospective primary tier participant agrees by submitting this proposal that, should the 
proposed covered transaction be entered into, it shall not knowingly enter into any lower tier 
covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, 
debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered 
transaction, unless authorized by the department or agency entering into this transaction. 
 
 
G. The prospective primary tier participant further agrees by submitting this proposal that it will 
include the clause titled Instructions for Lower Tier Certification including the Certification 
Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion—Lower Tier Covered 
Transaction, provided by the department or agency entering into this covered transaction, without 
modification, in all lower tier covered transactions and in all solicitations for lower tier covered 
transactions and will require lower tier participants to comply with 2 CFR parts 180 and 1200. 
 
 
H. 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). 
 
 
I. 
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. 
 
 
J. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a 
covered transaction knowingly enters into a lower tier covered transaction with a person who is 
proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or 
voluntarily excluded from participation in this transaction, in addition to other remedies available 
to the Federal government, the department or agency may terminate the transaction for cause of 
default.

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Certification Regarding Debarment, Suspension, and Other Responsibility Matter 
 
 
A. The prospective primary tier participant certifies to the best of its knowledge and belief, that it and 
its principal: 
 
 
 
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or 
voluntarily excluded from participating in covered transactions by any Federal department or 
agency; 
 
 
 
2. Have not within a three-year period preceding this proposal been convicted of or had a civil 
judgment rendered against them for commission of fraud or a criminal offense in connection 
with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction 
or contract under a public transaction; violation of Federal or State antitrust statutes or 
commission of embezzlement, theft, forgery, bribery, falsification or destruction of record, 
making false statements, or receiving stolen property; 
 
 
 
3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental 
entity (Federal, State or Local) with commission of any of the offenses enumerated in 
paragraph (1)(b) of this certification; and 
 
 
 
4. Have not within a three-year period preceding this application/proposal had one or more public 
transactions (Federal, State, or local) terminated for cause or default. 
 
 
B. Where the prospective primary tier participant is unable to certify to any of the statements in this 
certification, such prospective participant shall attach an explanation to this proposal. 
 
Instructions for Lower Tier Certification 
 
 
A. By signing and submitting this proposal, the prospective lower tier participant is providing the 
certification set out below and agrees to comply with the requirements of 2 CFR parts 180 and 
1200. 
 
 
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, debarment, suspension, ineligible, lower tier, participant, person, 
primary tier, principal, and voluntarily excluded, as used in this clause, are defined in 2 CFR parts 
180 and 1200. You may contact the person to whom this proposal is submitted for assistance in 
obtaining a copy of those regulations. 
 
 
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,

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debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered 
transaction, unless authorized by the department or agency with which this transaction originated. 
 
 
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 5 of these instructions, if a participant in a 
covered transaction knowingly enters into a lower tier covered transaction with a person who is 
proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or 
voluntarily excluded from participation in this transaction, in addition to other remedies available 
to the Federal government, the department or agency with which this transaction originated may 
pursue available remedies, including suspension or debarment. 
 
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion 
 
 
A. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor 
its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or 
voluntarily excluded from participating in covered transactions by any Federal department or 
agency. 
 
 
B. Where the prospective lower tier participant is unable to certify to any of the statements in this 
certification, such prospective participant shall attach an explanation to this proposal.

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Restriction on State Lobbying 
 
 
 
None of the funds under this program will be used for any activity specifically designed to urge or 
influence a State or local legislator to favor or oppose the adoption of any specific legislative 
proposal pending before any State or local legislative body. Such activities include both direct and 
indirect (e.g., "grassroots") lobbying activities, with one exception. This does not preclude a State 
official whose salary is supported with NHTSA funds from engaging in direct communications 
with State or local legislative officials, in accordance with customary State practice, even if such 
communications urge legislative officials to favor or oppose the adoption of a specific pending 
legislative proposal. 
 
Certification for Contracts, Grant, Loans, and Cooperative Agreements (Federal Lobbying) 
 
 
The undersigned certifies, to the best of his or her knowledge and belief, that: 
 
 
A. 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. 
 
 
B. 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 will 
complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance 
with its instructions. 
 
 
C. The undersigned shall require that the language of this certification be included in the award 
documents for all sub-awards at all tiers (including subcontracts, subgrants, and contracts under 
grants, loans, and cooperative agreements) and that all sub-recipients will certify and disclose 
accordingly. 
 
 
D. 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. 
 
 
Signature of Project Director: 
 
Signature of Authorized Official of 
 
 
 
Governmental Unit: 
 
 
Chris Briggs, Chief 
 
Kevin Phelps, City Manager 
 
Glendale Police Department 
 
City of Glendale 
 
 
 
 
 
 
 
 
 
 
 
 
 
Date 
Telephone 
Date 
Telephone

25 
 
 
 
CITY OF GLENDALE, ARIZONA SIGNATURE PAGE 
 
 
 
 
 
ATTEST: 
 
 
 
_______________________________________ 
Julie K. Bower, City Clerk  
(SEAL) 
 
 
 
 
 
APPROVED AS TO FORM: 
 
 
 
______________________________________ 
Michael D. Bailey, City Attorney 
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REIMBURSEMENT INSTRUCTIONS 
Fax Number: 
Fax Number: 
1.
Agency Official preparing the Report of Costs Incurred:
Name:
Title:
Telephone Number:
E-mail Address:
2.
Agency's Fiscal Contact:
Name:
Title:
Telephone Number:
E-mail Address:
Federal Identification Number: 
3.
REIMBURSEMENT INFORMATION:
Warrant/Check to be made payable to:
Warrant/Check to be mailed to: 
(Agency) 
(Address) 
(City, State, Zip Code) 
4.
Unique Entity Identifier:
(Unique Entity Identifier #) 
(Registered Address & Zip Code) 
Chris Briggs
Police Chief
623-930-3277
 cbriggs@glendaleaz.com
 Aimee Stacker
 Management Analyst
623-930-3296
623-931-2103
623-931-2103
 astacker@glendaleaz.com
86-6000247
City of Glendale
Glendale Police Department
6835 N 57th Drive
Glendale, Arizona 85301
CRE4N8H1X6J5
5850 W Glendale Ave, Glendale, AZ 85301

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AUTHORITY & FUNDS 
1.
This Project is authorized by 23 U.S.C. §402 and regulations promulgated there under, more particularly
Volume 102, and if State funds are involved, this project is authorized by ARS §28-602.
The funds authorized for this Project have been appropriated and budgeted by the U.S. Department of
Transportation. The expenses are reimbursable under Arizona's Highway Safety Plan Program Area 402-
PTS, as approved for by the National Highway Traffic Safety Administration.
2.
A.
EFFECTIVE DATE: 
B.
FEDERAL FUNDS:
Authorization to Proceed Date 
$55,418.00
3.
AGREEMENT AND AUTHORIZATION TO PROCEED
by State Official responsible to Governor for the
administration of the State Highway Safety Agency
J.M. "Jesse" Torrez, Director
Approval Date 
Governor's Office of Highway Safety
Governor's Highway Safety Representative