FFY2022 GOHS Grant Contract

City of Chandler — Regular Meeting (2021-10-14)

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1 
GOVERNOR'S OFFICE OF 
HIGHWAY SAFETY 
STATE OF ARIZONA 
HIGHWAY SAFETY CONTRACT 
This page, the Project Director's Manual and attached hereto and incorporated herein by reference, constitute the entire 
Contract between the parties hereto unless the Governor’s Highway Safety Representative authorizes deviation in writing. 
FAIN: 69A37522300004020AZ0 
Assistance Listings: 20.600 
1.
APPLICANT AGENCY
GOHS CONTRACT NUMBER: 
Chandler Fire Department
2022-OP-002 
ADDRESS 
PROGRAM AREA: 
151 E. Boston St., Chandler, AZ 85225 
402-OP
2.
GOVERNMENTAL UNIT
AGENCY CONTACT: 
City of Chandler
Spencer Jenik 
ADDRESS 
3. PROJECT TITLE:
PO Box 4008, Chandler, AZ 85244 
Occupant Protection Awareness, and Related
Materials and Supplies (car seats)
4.
GUIDELINES:
402–Occupant Protection (OP)
5.
BRIEFLY STATE PURPOSE OF PROJECT:
Federal 402 funds will support Personnel Services (Overtime), Employee Related Expenses, and Materials and
Supplies: Child Safety Seats to enhance Occupant Protection throughout the City of Chandler.
6.
BUDGET
COST CATEGORY
Project Period 
FFY 2022 
I.
Personnel Services
$14,286.00 
II.
Employee Related Expenses (40%)
$5,714.00 
III.
Professional and Outside Services
$0.00 
IV.
Travel In-State
$0.00 
V.
Travel Out-of-State
$0.00 
VI.
Materials and Supplies
$9,311.00 
VII.
Capital Outlay
$0.00 
TOTAL ESTIMATED COSTS 
$29,311.00 
PROJECT PERIOD 
FROM: Effective Date 
(Date of GOHS Director Signature) 
TO: 09-30-2022 
CURRENT GRANT PERIOD 
FROM: 10-01-2021 
TO: 09-30-2022 
TOTAL FEDERAL FUNDS OBLIGATED THIS FFY: $29,311.00 
A political subdivision or State agency that is mandated to provide a certified resolution or ordinance 
authorizing entry into this Contract must do so prior to incurring any expenditures. Failure to do so may result 
in termination of the awarded Contract.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
2 
PROBLEM IDENTIFICATION AND RESOLUTION: 
 
Agency Background: 
 
Organization Size: 334 
 
Total Population in city/town or county served: 266,821 
 
County Served: Maricopa County 
 
Agency Problem/Attempts to Solve Problem: 
 
This application addresses the need for increased vehicle occupant protection for children residing in Chandler 
and its surrounding communities. The Chandler Fire Department’s goal is to reduce the number of children 
injured or killed in motor vehicle accidents through evidence-based education, by installing CSSs, and 
distributing CSSs to families in need. 
 
According to the most recent Arizona Department of Transportation (AZDOT) Crash Fact data, there was a 
1.6% increase in the number of motor vehicle accidents from 2018 to 2019. Over the past five years, crashes 
have increased by 18.4%, while accident-related injuries have increased by 5.7%. Unfortunately, in 2019, 
children 14 years of age and younger accounted for 32 fatalities and 3,182 passenger injuries, with the youngest 
age group, those 0-4, comprising 23.6% and 25.0% of child injury and fatalities, respectively. 
 
Agency Funding: 
 
Federal 402 funds will support Personnel Services (Overtime), Employee Related Expenses, and Materials and 
Supplies: Child Safety Seats to enhance Occupant Protection throughout the City of Chandler. 
 
How Agency Will Solve Problem with Funding: 
 
The Chandler Fire Department (CFD) is requesting grant funding for the 2022 federal fiscal year. If awarded, 
CFD will host 42 child safety seat (CSS) clinics at the Chandler Police Department Headquarters and the 
Chandler Regional Medical Center. Child Passenger Safety Technicians (CPSTs) will provide training and 
education to caregivers on how to evaluate and install their child’s CSS.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
3 
PROJECT MEASURES: 
 
Contract Objectives: 
 
1. Conduct/participate in 8-12 occupant restraint outreach / educational events each quarter during FFY 
2022. 
 
2. Distribute 42 child safety seats to children in need each quarter during FFY 2022. 
 
3. Participate in one (1) regional CSS event, (1) event for low-income Spanish speakers, and one (1) City-
Sponsored event in FFY 2022.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
4 
GOALS/OBJECTIVES: 
 
Federal 402 funds will support Personnel Services (Overtime), Employee Related Expenses, and Materials and 
Supplies: Child Safety Seats to enhance Occupant Protection  throughout the City of Chandler. 
 
Expenditures of funding pertaining to the OP/Occupant Protection Program including Personnel Services and 
ERE, Materials and Supplies, Capital Equipment, and/or Travel In and Out-of-State shall comply with the 
Occupant Protection Program goals provided by the Arizona Governor’s Office of Highway Safety. The 
Occupant Protection Program goal is to improve the use of seatbelts and child safety seats to reduce the number 
of fatalities and injuries due to vehicular crashes throughout the State of Arizona. 
 
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 Occupant 
Protection in terms of money, criminal, and human consequences. 
 
PLEASE NOTE:  Failure to submit Quarterly Reports, and/or Report of Costs Incurred (RCIs) timely 
and correctly may delay reimbursement for expenditures to your Agency. 
 
METHOD OF PROCEDURE: 
 
The Chandler Fire Department will make expenditures, as follows, to meet the outlined Program 
Goals/Objectives: 
 
Personnel Services - To support Overtime for Occupant Protection Activities 
 
Employee Related Expenses - To support Employee Related Expenses for Agency Overtime 
 
Materials and Supplies - To purchase/procure the following Materials and Supplies for Occupant Protection 
Activities: Child Safety Seats 
 
PRESS RELEASE: 
 
Agencies are required to develop and distribute a press release announcing this grant award upon receipt of 
the executed Contract. A copy of this press release shall be sent to the GOHS Director for approval 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. 
 
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.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
5 
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 Contract.  Substantiation of costs 
shall, where possible, be made utilizing the Chandler Fire 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 contracted 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 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, 2021) 
January 30, 2022 
2nd Quarterly Report and RCI (January 1 to March 31, 2022) 
April 20, 2022 
3rd Quarterly Report and RCI (April 1 to June 30, 2022) 
July 20, 2022 
4th Quarterly Report and RCI (July 1 to September 30, 2022) 
October 15, 2022 
Final Statement of Accomplishments 
October 15, 2022 
 
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.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
6 
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 Contract. 
 
PROFESSIONAL AND TECHNICAL PERSONNEL: 
 
Thomas Dwiggins, Fire Chief, Chandler Fire Department, shall serve as Project Director. 
 
Spencer Jenik, Budget & Research Analyst, Chandler Fire Department, shall serve as Project 
Administrator. 
 
Gabriela Gallegos, 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 
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 not 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. 
 
PROJECT MONITORING: 
 
Highway safety grant project 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 contracted project and serves as a continuous management 
tool. Project monitoring also presents an opportunity to develop partnerships, share information, and provide 
assistance to contracted agencies. Additionally, project monitoring outlines a set of procedures for project 
review and documentation.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
7 
Project 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 contracted 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 contractual project including, but not 
limited to the Contract, Quarterly Reports, enforcement data, financial data, e-mails, letters, 
notes, press releases, photographs, inventories, and other written correspondence. A 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 Contract, 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 Contract, 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

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
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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. 
Contracted 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 contracted project. The following are the most important items to review: 
 
 
 Progress toward meeting goals/objectives and performance measures 
 
 Adherence to the contract 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 contractual agreement.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
9 
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 contract 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 Contract and 
terminate on September 30th of that or subsequent year as indicated on the Highway Safety Contract. 
 
DURATION: 
 
Contracts shall be effective on the date the Governor’s Office of Highway Safety Director signs the Contract 
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 Contract 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 Contract. Any unexpended funds remaining at the 
termination of the Contract shall be released back to the Governor’s Office of Highway Safety.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
10 
ESTIMATED COSTS: 
 
I. 
Personnel Services (overtime) 
 
$14,286.00 
II. 
Employee Related Expenses (ERE) (40%) 
 
$5,714.00 
III. 
Professional and Outside Services 
 
$0.00 
IV. 
Travel In-State 
 
$0.00 
V. 
Travel Out-of-State 
 
$0.00 
VI. 
Materials and Supplies 
Child Safety Seats 
 
$9,311.00 
VII. 
Capital Outlay 
 
$0.00 
 
TOTAL ESTIMATED COSTS 
*$29,311.00 
 
*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 Chandler Fire Department 
shall absorb any and all expenditures in excess of $29,311.00.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
11 
CERTIFICATIONS AND AGREEMENTS 
 
This CONTRACT, 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 Contract, 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 Contract. 
 
 
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 Contract or at any time thereafter by giving thirty (30) days written 
notice to AGENCY by ordinary mail at the address listed on the Contract. Failure to comply with 
Quarterly Report requirements may result in withholding of Federal funds or termination of this 
Contract. 
 
 
C. AGENCY will submit a Final Report/Statement of Accomplishment at completion of the Contract 
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 Contract. 
 
 
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 Contract 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 
requested. Failure to meet this requirement may be cause to terminate the project under Section 
XX herein, "Termination and Abandonment".

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
12 
 
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 Contract ceases 
to be used in the manner as set forth by this Contract. 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 Contract. 
 
 
C. AGENCY will maintain or cause to be maintained for its useful life, any equipment purchased 
under this Contract. 
 
 
D. AGENCY will incorporate any equipment purchased under this Contract into its inventory records. 
 
 
E. AGENCY will insure any equipment purchased under this Contract 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 Contract. 
 
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 
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.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
13 
VII. 
Non-Assignment and Sub-Contracts 
 
 
This Contract 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 Contract. All property, instruments, non-consumable materials, supplies, and the 
like, which are furnished or paid for by STATE under the terms of this Contract, unless otherwise 
provided for elsewhere in this Contract, 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 
Contract. 
 
 
B. The provisions of subparagraph A apply whether or not the project contracted 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 
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 Prinicples, 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 Contract as if fully set forth herein and AGENCY agrees to fully comply 
with these requirements for any procurement using grant monies from this Contract.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
14 
XI. 
Non-Discrimination 
 
 
During the performance of this contract/funding agreement, the contractor/funding recipient agrees— 
 
 
A. To comply with all Federal nondiscrimination laws and regulations, as may be amended from time 
to time; 
 
 
B. Not to participate directly or indirectly in the discrimination prohibited by any Federal non-
discrimination law or regulation, as set forth in Appendix B of 49 CFR part 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/funding recipient fails to comply with any nondiscrimination provisions 
in this contract/funding agreement, the State highway safety agency will have the right to impose 
such contract/agreement sanctions as it or NHTSA determine are appropriate, including, but not 
limited to, withholding payments to the contractor/funding recipient under the contract/agreement 
until the contractor/funding recipient complies; and/or cancelling, terminating, or suspending a 
contract or funding agreement, in whole or in part; and 
 
 
E. To insert this clause, including paragraphs A through E, in every subcontract and subagreement 
and in every solicitation for a subcontract or sub-agreement, that receives Federal funds under this 
program. 
 
XII. 
Executive Order 2009-09 
 
 
It is mutually agreed that AGENCY will comply with the terms and conditions of Executive Order 
2009-09, Non-Discrimination in Employment by Government Contractors and Subcontractors. 
Executive Order 2009-09 is located in Part II of the Project Director's Manual. 
 
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 Contract. Consequently, the minority business 
enterprises requirements of 49 CFR Part 23 apply to this Contract. 
 
 
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 Contract. 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 contracts.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
15 
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 Contract 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 Contract 
will be subject at all reasonable times to inspection and audit by STATE for five (5) years after 
completion of this Contract. 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 Contract 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 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 Contract 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 project 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 Contract 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 Contract and proceed to close said 
operations under the Contract.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
16 
 
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 Contract upon thirty (30) days written notice to STATE, 
provided there is subsequent concurrence by STATE. Termination or abandonment by 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 Contract 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 is subject to cancellation pursuant to ARS §38-
511, the provisions of which are stated below. 
 
 
In accordance with ARS §38-511, this Contract may be cancelled without penalty or further obligation 
if any person significantly involved in initiating, negotiating, securing, drafting, or creating the Contract 
on behalf of the STATE, its political subdivisions or any department or agency of either, is at any time 
while the Contract or any extension of the Contract is in effect, an employee of any other party to the 
Contract in any capacity or a consultant to any other party of the Contract with respect to the subject 
matter or the Contract. 
 
 
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 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 Contract 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 Contract. All State and Federal 
Statutes, Rules, Regulations, and Circulars referenced in this Contract 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 Contract.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
17 
Certification of Non-Duplication of Grant Funds Expenditure 
 
 
This is to certify that AGENCY has no ongoing nor completed projects under contract with other 
Federal fund sources which duplicate or overlap any work contemplated or described in this Contract. 
It is further certified that any pending or proposed request for other Federal grant funds which would 
duplicate or overlap work described in the Contract will be revised to exclude 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: Fiscal Services 
Officer, within thirty (30) days of the effective date of this Contract. 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. 
 
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

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
18 
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.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
19 
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,

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
 
20 
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.

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
21 
REIMBURSEMENT INSTRUCTIONS 
1.
Agency Official preparing the Report of Costs Incurred:
Name:
Title:
Telephone Number: 
Fax Number: 
E-mail Address:
2.
Agency's Fiscal Contact:
Name:
Title:
Telephone Number:
Fax 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) 
Spencer Jenik
Budget & Research Analyst
(480) 782-2126
(480) 782-2125
spencer.jenik@chandleraz.gov
Spencer Jenik
Budget & Research Analyst
(480) 782-2126
(480) 782-2125
spencer.jenik@chandleraz.gov
86-6000238
City of Chandler
Chandler Fire Department
Mail Stop 801 PO Box 4008
Chandler, Arizona 85244
077524981
175 S. Arizona Avenue Chandler, AZ 85244

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
22 
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: 
Thomas Dwiggins, Fire Chief 
Joshua Wright, City Manager 
Chandler Fire Department 
City of Chandler 
Date 
Telephone 
Date 
Telephone 
APPROVED AS TO FORM
________________________________
CITY ATTORNEY

Chandler Fire Department 
GOHS HIGHWAY 
SAFETY CONTRACT 
2022-OP-002 
23 
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-
OP, as approved for by the National Highway Traffic Safety Administration.
2.
A.
EFFECTIVE DATE: 
B.
FEDERAL FUNDS:
Authorization to Proceed Date 
$29,311.00
3.
AGREEMENT AND AUTHORIZATION TO PROCEED
by State Official responsible to Governor for the
administration of the State Highway Safety Agency
Alberto Gutier, Director 
Approval Date 
Governor's Office of Highway Safety 
Governor's Highway Safety Representative