RFA DTNH2217R0009 Demonstration Project Promoting Highway Safety Program Guideline HSPG 13.pdf

REQUEST FOR APPLICATION

DEMONSTRATION PROJECT PROMOTING HIGHWAY SAFETY PROGRAM GUIDELINE (HSPG) NO.13

COOPERATIVE AGREEMENT # DTNH2217R00009

UNITED STATES DEPARTMENT OF TRANSPORTATION (U.S. DOT)

National Highway Traffic Safety Administration (NHTSA)

Cooperative Agreement for: Demonstration Project Promoting Highway Safety Program

Guideline (HSPG) No. 13

AGENCY: National Highway Traffic Safety Administration (NHTSA), U.S. Department of

Transportation (DOT).

ACTION: Announcement of a Request for Applications (RFA) to provide assistance to the

States Highway Safety Offices with high older driver populations to incorporate the Highway

Safety Guideline No. 13 with a comprehensive older driver safety program. Competition under this RFA is restricted to States that have a percentage of drivers age 65+ involved in fatal crashes that exceeds the national percentage (13.4% annual file) and a rate per 100,000 licensed drivers that exceeds the national rate, which is based on the 2014 final FARS data. Up to two (2) awards are anticipated for this project (not to exceed $500,000.00) total.

SUMMARY: This initiative seeks to promote the strategies outlined in the Highway Safety

Program Guideline Number 13 (Program Management, Data Evaluation, Building an Effective

Coalition, Communications, Drivers’ Licensing, Law Enforcement, Medical Personnel, Social and Aging Service Providers, and Highway Safety Design) that will be incorporated into a comprehensive older driver safety program that is aimed at assisting States with high older driver populations.

DATES: Application(s) must be submitted by email to the following address:

David.Larson@dot.gov and NHTSAOAM@dot.gov or mailed to the National Highway Traffic

Safety Administration, Office of Acquisition Management (NFO-300); Attention: David Larson, 1200 New Jersey Ave, S.E., Room W53-411, Washington, D.C. 20590. Applicants may use either method to their own discretion; however, email is the preferred method of submission for applications. All application(s) submitted must include a reference to NHTSA Request for

Application Number DTNH2217R00009. Only complete packages received on or before

January 18, 2017 by 3:30 P.M. Eastern Daylight Time will be considered.

Applicant(s) shall provide a complete mailing address where Federal Express mail can be delivered.

FOR FURTHER INFORMATION CONTACT: General administrative and programmatic questions may be directed to David Larson, Contract Specialist, Office of Acquisition

Management, by email to David.Larson@dot.gov and NHTSAOAM@dot.gov. To allow for sufficient time to address questions appropriately, all questions must be received no later than

3:30 P.M. Eastern Daylight Time, on or before December 15, 2016 via e-mail.

mailto:David.Larson@dot.gov mailto:NHTSAOAM@dot.gov

ARTICLE TITLE PAGE

SYNOPSIS 1

TABLE OF CONTENTS 2

I. STATEMENT OF AUTHORITY 3

II. DEFINITIONS 3

III. STATEMENT OF BACKGROUND, OBJECTIVE, PURPOSE, AND GOALS 3-4

IV. STATEMENT OF RESPONSIBILITIES 4-8

V. DELIVERABLES (D) AND MILESTONES (M) 8-9

VI. PERFORMANCE PERIOD 9

VII. FINANCIAL ADMINISTRATION 9-11

VIII. CONTRACTING OFFICER REPRESENTATIVE (ASSISTANT

AGREEMENTS)

12-13

IX. GRANTEE’S COOPERATIVE AGREEMENT MANAGER 13

X. OTHER PERFORMANCE REQUIREMENTS 14

XI. SPECIAL PROVISIONS 15-18

XII. GENERAL PROVISIONS 18

XIII. ACRONYMS 18

XIV. GOVERNMENT FURNISHED INFORMATION 19

XV. MODIFICATIONS 19

XVI. ELIGIBILITY REQUIREMENTS 19-20

XVII. CONFLICT OF INTEREST 20-22

XVIII. APPLICATION PROCEDURES 22-27

XIX. TERMS AND CONDITIONS OF AWARD 27

ARTICLE I. STATEMENT OF AUTHORITY

Reserved.

ARTICLE II. DEFINITIONS

As used in this Cooperative Agreement:

“COR (AA)” means “Contracting Officer’s Representative (Assistance Agreements.)” This individual is assigned by the Contracting Officer and designated in writing to serve as the government’s liaison with the grantee for technical and administrative matters regarding the

Cooperative Agreement.

“Contracting Officer” refers to that federal government employee who possesses a warrant authorizing him/her to obligate the government financially. The Contracting Officer is the only individual who is authorized, on behalf of the federal government, to execute the Cooperative

Agreement.

“GCAM” means the “Grantee’s Cooperative Agreement Manager.” This individual is identified as the Grantee’s liaison with the federal government for technical and administrative matters concerning this Cooperative Agreement.

ARTICLE III. STATEMENT OF BACKGROUND, OBJECTIVE, PURPOSE, AND

GOALS

A. BACKGROUND

In 2014 there were 5,709 people 65 and older killed and an estimated 221,000 injured in motor vehicle traffic crashes. Older people made up 17 percent of all traffic fatalities and 9 percent of all people injured in traffic crashes during the year. Compared to 2013, there was very little change, less than 1 percent, in the numbers of both fatalities and those injured in the older age group. In 2014, some 46.2 million people — about 14.5 percent of the total U.S. resident population — were 65 and older. Over the past decade the fatality rate per 100,000 people over

65 and older has steadily declined from 17.8 in 2005 to 12.3 in 2014.

People 65 and older made up 15 percent of the population in 2014. Thirteen percent of the male population was 65 and older, while 16 percent of females were in this age group. From 2005 to

2015 the number of older citizens increased by 26 percent (males by 32% and females by 22%), while the total population of all ages increased by 8 percent. Thus, a larger percentage of the population is in this age group than had been a decade ago (12% in 2005 to 15% in 2014). In

2010, 40 million people age 65 and over lived in the United States, accounting for 13 percent of the total population.

There were 38.4 million licensed older drivers in 2014—a 31-percent increase from 10 years earlier (2005). In contrast, the total number of licensed drivers increased by only 7 percent from

2005 to 2014. Older drivers made up 18 percent of all licensed drivers in 2013, compared to 15 percent in 2005.

NHTSA has created the Highway Safety Program Guideline Number 13 (Older Driver Safety) and the Traffic Safety for Older People five (5) Year Plan outlining the various strategies for licensing and working with the older driving population. A few States have older driver strategies in place, while others are seeking information on creating a successful program.

NHTSA does not have documentation on successful strategies that will enable the States to have a comprehensive program incorporating all of the older driver safety strategies outlined in the

Highway Safety Program Guideline. To promote replication, collaboration among other States, and potentially provide for program sustainability, States and communities need examples of how to replicate implement and sustain direct State support of older driver safety programs.

B. PURPOSE

The purpose of this Cooperative Agreement is to provide assistance in the promotion of the strategies outlined in Highway Safety Program Guideline Number 13 (Program Management, Data Evaluation, Building an Effective Coalition, Communications, Drivers’ Licensing, Law

Enforcement, Medical Personnel, Social and Aging Service Providers, and Highway Safety

Design) that will be incorporated into a comprehensive older driver safety program that is aimed at assisting States with high older driver populations in up to two (2) States and demonstrate

State management, implementation, and direct support of older driver safety strategies. This project will consider only states that based on 2014 final FARS have a percentage of drivers age

65+ involved in fatal crashes that exceeds the national percentage (13.4% annual file) and a rate per 100,000 licensed drivers that exceeds the national rate.

C. GOALS

The overall goal of this Cooperative Agreement is to develop and implement State programs which identify and demonstrate a sustained ability to support and collaboratively work with local jurisdictions to implement older driver safety strategies.

D. OBJECTIVES

The objectives of this project include, but are not limited, to the following:

1. To develop and implement State programs which identify and demonstrate a sustained ability to support and collaboratively work with local jurisdictions to implement older driver safety strategies aimed at reducing older driver (and pedestrian) fatalities and injuries resulting from motor vehicle crashes.

2. To demonstrate State management, implementation, and direct support of licensing, medical provider, social services, enforcement and education strategies.

ARTICLE IV. STATEMENT OF RESPONSIBILITES

For a period, as hereinafter set forth, NHTSA and the Grantee will cooperatively furnish the necessary personnel, equipment and facilities, and otherwise perform all things necessary for or incidental to the performance of work, or as set forth below.

A. Under this Cooperative Agreement, NHTSA will:

1. Assign a qualified individual, designated as the Contracting Officer's

Representative, Assistant Agreement [COR (AA)] to provide liaison and coordination between the NHTSA and the Grantee for this Agreement;

2. Provide all essential background information, technical assistance and financial assistance as determined appropriate by the COR (AA);

3. Serve as a liaison between NHTSA Headquarters and others (Federal, State, and local) interested in strategies for licensing and working with Older Drivers.

4. Stimulate the exchange of ideas and information among others engaged in impaired driving program activities through periodic meetings

5. Maintain on-going contact with the Grantee regarding conduct of this Agreement;

6. Reserves the right to terminate this agreement in whole or in part, if it is determined that a termination is in the Government’s best interest

B. Under this Cooperative Agreement, the Grantee agrees to conduct the following conditions:

B.1 Condition 1: Kickoff Meeting

Within thirty (30) days of Cooperative Agreement Project award, the Grantee agrees to meet with

NHTSA’s Contracting Officer (CO), NHTSA’s COR (AA), and other interested NHTSA personnel either in Washington, D.C. at NHTSA Headquarters or via teleconference to discuss 1) the administration of the Cooperative Agreement, and 2) the Cooperative Agreement objectives, planned course of action, schedule, milestones and deliverables, and to begin finalizing the work plan for the project which was submitted as part of the application. This meeting will serve as a forum to resolve any variances between NHTSA and the Grantee’s approach.

During the kick-off meeting, the Grantee agrees to first conduct a short briefing describing the

Grantee’s planned approach to support this Project. After the Grantee’s prepared briefing, the

Grantee, COR (AA), CO and other NHTSA personnel will discuss specific details of the project to resolve any differences in approach and/or expected goals. The grantee shall be prepared with appropriate briefing materials, i.e., power point presentation, etc., and present those materials to

NHTSA at least seven (7) days prior to the meeting.

B.2 Condition 2: Final Work Plan

The Grantee agrees to carry out the project as described in the Grantee’s technical application dated TBD and detailed final work plan, as coordinated with the COR (AA);

and submit the final work plan to the COR (AA) no later than two (2) months after the

Cooperative Agreement award. The plan will include specific (step-by-step) tasks, roles of staff, and timeline to meet the project objectives. The Grantee agrees to provide sufficient details describing the tasks associated with meeting the project objectives. The

Grantee shall finalize the project timeline as well as any remaining items necessary to carry out the project into its work plan. The final work plan will take precedent over the

Grantee’s application and serve to guide the Grantee’s project implementation.

B.3 Condition 3: Project Meetings

Project Meetings

Participate in quarterly meetings to discuss the progress and any issues related to implementation of project objectives. The Grantee agrees to determine time, frequency, location, and method of meeting whether in person, teleconference, or via web-based in consultation with the COR (AA). In preparation for these meetings, the Grantee agrees to prepare meeting agendas and ensure deliverables are submitted to date. The Grantee agrees to also provide summaries of these meetings as part of their progress reports.

Final Project Meeting

Participate in a final project meeting, within forty-seven (47) months of Cooperative

Agreement award, to discuss the resulting project deliverables, challenges, and issues encountered. In preparation for this meeting, the Grantee agrees to prepare a presentation that summarizes their work, the related resulting Final Report, challenges encountered, solutions implemented in response, and recommendations for implementation by other

States.

B.4 Condition 4: Quarterly Progress Reports

Prepare and submit quarterly reports to the NHTSA COR (AA) on the 15th of each month of each quarter beginning three (3) months after the Cooperative Agreement award describing the status and progress of activities outlined in the project work plan and include any resources developed and deliverables completed during the quarter. The reports will include an up-to-date summary of accomplishments by the Grantee; proposed activities for the upcoming quarter; obstacles and problems encountered and proposed solutions; noteworthy activities, events, or successes; and a Financial Statement of funds expended to date.

B.5 Condition 5: Select Complementary Programs to Address Specific Guidelines

Within two (2) months of award, the Grantee, in collaboration with the NHTSA COR

(AA), agrees to coordinate with the various entities outlined in Highway Safety Program

Guideline Number 13 to address each program area. The criteria will include driver licensing and medical review of at-risk drivers, medical and law enforcement education, roadway design, and collaboration with social service and transportation services. Final selection criteria will be based on the State’s ability to create and maintain relationships with these groups to effectively reduce fatalities and injuries related to older drivers and pedestrians. The Grantee agrees to provide NHTSA with evaluation criteria when determining the effectiveness of their program.

B.6 Condition 6: Support Comprehensive and Coordinated Effort

The Grantee agrees to develop and implement a comprehensive highway safety program, reflective of State demographics, to achieve a significant reduction in traffic crashes, fatalities and injuries on public roads relative to older drivers. To maximize this effort, each site should address driver licensing and medical review of at-risk drivers, medical and law enforcement education, roadway design, and collaboration with social service and transportation services providers. Successful completion of this condition will result in a State mechanism or process for sustained management, financial, and collaborative support of State older driver programs. As a condition of this assistance agreement, selected project sites agree to submit work plans, baseline data and community status, progress reports, and resulting project deliverables.

In support of any local jurisdiction needs, the Grantee agrees to identify and inform localities of resources and training opportunities that aid in successfully implementing and sustaining effective and promising enforcement and complementing educational strategies to reduce older driver fatalities.

B.7 Condition 7: Document Project and Processes

As their final report, the Grantee agrees to develop a report that documents their administrative, financial, and programmatic processes and strategies that provide sustained support for addressing older driver fatalities and injuries. It shall include:

baseline data, pre-implementation status, description of any relevant State changes as a result of project, project results, examples, contact information, funding information, and other appropriate resources available. The Grantee’s report will contain sufficient detail for other States to replicate efforts.

B.8 Condition 8: Final Report

The Grantees agrees to prepare and submit a final report to the NTSA COR (AA) by forty-seven (47) months of the agreement that documents the Grantee’s administrative, financial, and programmatic processes and strategies that provide sustained support for local communities to older driver fatalities and injuries. At minimum, the final report should include the following items: (1) baseline data, (2) pre-implementation status, (3) description of any relevant State changes as a result of project, project results, examples,

(4) contact information, funding information, and other appropriate resources available.

(5) Summary of results, conclusions, trends or other items of information that the Grantee believes is of timely interest to NHTSA and sufficient details for other States to replicate efforts.

Within two (2) weeks of receipt, the COR (AA) will review the Final Report and may provide any questions and/or comments to the Grantee for consideration.

ARTICLE V. DELIVERABLES (D) AND MILESTONES (M)

The deliverable schedule and descriptions are provided below. With final deliverables, the

Grantee shall provide a table detailing how each Government comment was addressed.

Deliverables must be in electronic format and printable.

Item

No.

Condition

No. Milestone (M) Deliverable (D) Due Date

1 1 Kickoff Meeting Briefing Materials (D) Within 7 days prior to kickoff meeting

2 1 Kickoff Meeting (M) Within 30 days of award

3 2 Final Work Plan (D) Within 2 months of award

4 3 Project Meetings (M) Quarterly

5 4 Quarterly Progress Reports (D) Within 15 days of the month following the reporting quarter

6 5 Select Complementary Programs (M) Within 2 months of award

7 6 Support Comprehensive and Coordinated

Effort (M)

Ongoing

8 7 Document Project and Process (M) Ongoing

9 8 Final Project Report (D) Within 47 months of award

10 3 Final Project Meeting (M) Within 47 months of award

PLACE OF DELIVERY:

Unless otherwise specified, deliverables shall be furnished, electronically, to the following addresses:

Item No. Address

1,3, 5, &

DOT/National Highway Traffic Safety Administration

Attn: TBD

1200 New Jersey Ave SE

Washington, DC 20590

Phone: TBD

E-mail: TBD

Department of Transportation

National Highway Traffic Safety Administration

Office of Acquisition Management

Attn: TBD

1200 New Jersey Avenue, SE

Washington, DC 20590

E-mail: TBD

ARTICLE VI. PERFORMANCE PERIOD

The period of performance for this Cooperative Agreement will be for forty-eight (48) months from date of award.

ARTICLE VII. FINANCIAL ADMINISTRATION

A. The total not-to-exceed amount of the Federal funding to be provided under this cooperative agreement is $TBD

The amount of the Grantee’s In-Kind contribution, if any: $__________

B. Approved Project Budget: The Grantee’s Project Budget on Standard Form 424

Application for Federal Assistance dated TBD, is incorporated herein and made a part of this cooperative agreement. Any reallocation of funds among budget items which does not result in an increase to the current Federal funds available, or to the total amount of

Federal funding provided, shall require only prior written authorization from the

NHTSA Contracting Officer and the issue of a Revised Project Budget. Any reallocation of funds among budget items that will require an increase to the current

Federal funds available, or to the total amount of Federal funding provided, shall require a formal modification to this Cooperative Agreement.

Period of Performance Negotiated

Amount

Twelve months (Year 1)

Twelve months (Year 2)

Twelve months (Year 3)

Twelve months (Year 4)

Total

The total not-to-exceed amount for forty-eight (48) months for Cooperative Agreement

DTNH2217HXXXX is $TBD which represents NHTSA’s complete contribution of

$TBD and the Grantee’s in-kind contribution of $TBD. The total funding obligated at time of Agreement award is $TBD which is estimated to cover costs for the performance period for twelve (12) months from the date of the Cooperative Agreement award. The remaining funding will be subject to NHTSA’s annual appropriations. If NHTSA does not receive an annual appropriation to continue the support of this Cooperative

Agreement in any given fiscal year, NHTSA will terminate said agreement in accordance with Section X, Special Provisions, subparagraph E, Termination.

C. Revisions to Budget and Program Plan

Any revisions to the budget or program plans shall be required and approved in accordance with 5 C.F.R. Part 200 “Uniform Administrative requirements, Cost

Principals, and Audit Requirements for Federal Awards.

D. Payments:

1. Minimum Requirements for Payment

All costs claimed for reimbursement and payment, including the final payment, shall be submitted on a Standard Form 270 Request for Advance or Reimbursement as either an attachment or as a selection within “eInvoicing” (see paragraph 2 and “Important

Note” below.) Invoices under this agreement shall be submitted not less than quarterly and shall include a breakdown of the hours worked by person delineated for each task/condition in which payment is requested. The information required for each reimbursement claim shall, at minimum, contain the following:

a. Grantee’s Name;

b. Cooperative Agreement / Grant Number (beginning with “DTNH2217H00XXX”);

c. Invoice Number;

d. Invoice Date;

e. The NHTSA Contracting Officer’s Representative’s (Assistance Agreement)

(“COR (AA)”) name;

f. Grantee’s TIN;

g. Grantee’s DUNS;

h. Direct Labor Cost, including hours and hourly rates;

i. The period of performance for the costs claimed;

j. Current and cumulative amounts of the following item costs: direct labor; fringe benefits; material costs; consultant costs; subcontractor costs; travel costs itemized including origin and destination; and any other supporting data for unusual expenditures; and,

k. Any documentation which supports the costs claimed.

2. Procedure for Submitting Invoices

NHTSA utilizes the Department of Transportation’s “eInvoicing” system for processing grantees’ requests for reimbursement. The system takes full advantage of e-commerce and allows grantees to perform the following tasks electronically:

Create standard invoice documents;

Enter required information;

Attach supporting documentation;

Submit invoices for review and payment;

Query the system to determine the status of individual invoices; and, Query the system to determine the total dollar amount of invoices submitted to date, the total reimbursements to date, and the total amount of federal funding still available for payment.

IMPORTANT NOTE: Prior to accessing the eInvoicing system, all grantees must complete the eAuthentication certification process. It ensures the identity of eInvoicing users external to DOT. The process can be time consuming; therefore, grantees should begin the authentication as soon as it receives award of a grant or cooperative agreement.

Detailed instructions on how to receive eAuthentication certification can be found at:

http://www.dot.gov/cfo/delphi-einvoicing-system.html. Click on the “eAuthentication process tutorial” hotlink located under the banner “Steps to take Before Accessing the eInvoicing System.” A PowerPoint briefing will then guide you through the process.

Once you have completed the eAuthentication process, you must then complete training on the eInvoicing System. To do that, go to the website cited in the previous paragraph and, under the “Training Materials” banner, click on “Click here to review all training materials by user role.” You will need to familiarize yourself with the information accessible under the “Grant Recipient Users” banner located near the top of that page.

Please send any questions, or report any problems regarding eInvoicing to

DOTeInvoicing@dot.gov.

http://www.dot.gov/cfo/delphi-einvoicing-system.html mailto:DOTeInvoicing@dot.gov

ARTICLE VIII. CONTRACTING OFFICER REPRESENTATIVE (ASSISTANT

AGREEMENTS)

The NHTSA designated Contracting Officer Representative (Assistant Agreements) for this Cooperative Agreement, who is also referred to as the NHTSA COR (AA), is (Name)

TBD . While this list is not exhaustive, some of the major responsibilities of the

NHTSA COR (AA) are as follows. Specifically:

1 To provide information and technical assistance from available Government resources as determined appropriate by the NHTSA COR (AA).

2 To provide liaison with other Government/private agencies as appropriate; and,

3. To stimulate the exchange of ideas and information among recipients of related projects through periodic meetings.

COR (AA)’s business information is provided below: (TBD)

(COR (AA) Name)

DOT/NHTSA

1200 New Jersey Avenue, SE

Washington, DC 20590

Telephone: 202-366-XXXX

E-mail: TBD@DOT.gov

Designation of “Alternate” COR (AA).

In the event that the NHTSA COR, AA of record (identified above) is unavailable for a period of time during which the grantee requires technical guidance or during which other COR, AA duties must be fulfilled, then the person identified below has been designated by the NHTSA Contracting Officer to perform those duties as the Alternate

COTR (AA).

(“Alternate COR (AA) Name)

DOT/NHTSA

1200 New Jersey Avenue, SE

Washington, DC 20590

Telephone: 202-366-XXXX

E-mail: TBD@dot.gov

The Contracting Officer is the only individual who can legally commit or obligate the

Government for the expenditure of public funds. The technical administration of the resultant Cooperative Agreement shall not be construed to authorize the revision of the terms and conditions of this Cooperative Agreement. Any such revision shall be authorized only in writing by the Contracting Officer.

ARTICLE IX. GRANTEE’S COOPERATIVE AGREEEMENT MANAGER

The Grantee’s designated Grantee’s Cooperative Agreement Manager (GCAM) for this

Cooperative Agreement is Insert Name. The responsibility for the GCAM is as follows.

Specifically:

To perform the activities as described in this Cooperative Agreement and do so in conjunction with the NHTSA COR(AA)’s technical direction.

Insert Name business information is provided below:

Mr./Mrs. ___________________

Title:_______________________

Name of Grantee:_____________

Address:____________________

City & State:_________________

Telephone: __________________

E-mail:______________________ mailto:TBD@dot.gov

ARTICLE X. OTHER PERFORMANCE REQUIREMENTS

A. Disclosure of Information

Information made available to the Grantee or employee(s) of the Grantee by the

Government for the performance or administration of this effort shall be used only for those purposes and shall not be used in any other way without NHTSA’s express written approval.

The Grantee agrees to assume responsibility for protecting the confidentiality of

Government records, which are not public information. Each contractor or employee of the Grantee to whom information may be made available or disclosed shall be notified in writing by the Grantee that such information may be disclosed only for a purpose and to the extent authorized herein.

B. Limited Use of Data

Performance of this effort may require the Grantee to access and use data and information proprietary to a Government agency or Government contractor which is of such a nature that its dissemination or use, other than in performance of this effort, would be adverse to the interests of the Government or others.

The Grantee and employee(s) of the Grantee shall not divulge or release data or information developed or obtained in performance of this effort, until made public by the Government, except to authorize Government personnel or upon the written approval of NHTSA. The Grantee shall not use, disclose, or reproduce proprietary data that bears a restrictive legend, other than as required in the performance of this effort. Nothing herein shall preclude the use of any data independently acquired by the Grantee without such limitations or prohibit an agreement at no cost to the

Government between the Grantee and the data owner which provides for greater rights to the Grantee.

C. Payment for Unauthorized Work

No payments will be made for any unauthorized supplies or services or for any unauthorized changes to the work specified herein. This includes any services performed by the Grantee of their own volition or at the request of an individual other than a duly appointed Contracting Officer. Only a duly appointed Contracting

Officer is authorized to change the specifications, terms, and conditions under this effort.

D. Place of Performance

TBD

ARTICLE XI. SPECIAL PROVISIONS

A. SEAT BELT USE POLICIES AND PROGRAMS

In accordance with Executive Order 13043, Increasing Seat Belt Use in the United States, dated

April 16, 1997, the contractor is encouraged to adopt and enforce on-the-job seat belt use policies and programs for its employees when operating company-owned, rented, or personally-owned vehicles. The National Highway Traffic Safety Administration (NHTSA) is responsible for providing leadership and guidance in support of this Presidential initiative. For information on how to implement such a program, or statistics on the potential benefits and cost-savings to your company or organization, please visit the Buckle Up America section on NHTSA's website at www.nhtsa.dot.gov. Additional resources are available from the Network of Employers for

Traffic Safety (NETS), a public-private partnership headquartered in the Washington, D.C.

metropolitan area, and dedicated to improving the traffic safety practices of employers and employees. NETS is prepared to help with technical assistance, a simple, user-friendly program kit, and an award for achieving the President’s goal of 90 percent seat belt use. NETS can be contacted at 1 (888) 221-0045 or visit its website at www.trafficsafety.org.

B. PROTECTION OF HUMAN SUBJECTS

The grantee shall comply fully with 49 C.F.R. Part 11, DOT’s regulation governing Protection of

Human Subjects, and with NHTSA Order 700-5, which sets forth the Agency’s policies and procedures for the protection of human subjects participating in research supported directly or indirectly by NHTSA, including through contracts, grants and cooperative agreements.

The grantee shall obtain prior written authorization from NHTSA for all consent and release forms to be presented to human subjects participating in NHTSA conducted or funded research, including but not limited to informed consent and media releases.

C. CONFLICT OF INTEREST

It is U.S. DOT policy to award Cooperative Agreements only to those Applicants whose objectivity is not impaired because of any related past, present, or planned interest, financial or otherwise, in organizations regulated by U.S. DOT, or in organizations whose interests may be substantially affected by Departmental activities and which is related to work specified in this

Cooperative Agreement Announcement. Based on this policy, if, after award, the Grantee discovers a conflict of interest with respect to the Cooperative Agreement that could reasonably have been known prior to the award, an immediate and full disclosure shall be made in writing to the Contracting Officer. The disclosure shall include a full description of the conflict along with a description of the action the recipient has taken, or proposes to take, to avoid or mitigate such conflict.

http://www.trafficsafety.org/

D. DISPUTES

The parties to this agreement shall communicate with one another in good faith and in a timely and cooperative manner when raising issues under this Disputes provision. Any dispute, which for the purposes of this provision includes any disagreement or claim, between NHTSA and the

Grantee concerning questions of fact or law arising from or in connection with this agreement and whether or not involving alleged breach of this agreement, may be raised only under this

Disputes provision.

Whenever a dispute arises, the parties shall attempt to resolve the issues involved by discussion and mutual agreement as soon as practical. In no event shall a dispute that arose more than three months prior to the notification made under the following paragraph of this provision constitute the basis for relief under this article unless NHTSA waives this requirement.

Failing resolution by mutual agreement, the aggrieved party shall document the dispute by notifying the other party in writing of the relevant facts identify unresolved issues and specify the clarification or remedy sought. Within five working days after providing written notice to the other party, the aggrieved party may, in writing, request a decision from the Contracting

Officer. The other party shall submit a written position on the matters in dispute within thirty calendar days after being notified that a decision has been requested. The Contracting Officer shall conduct a review of the matters in dispute and may render a decision in writing within thirty calendar days of receipt of such written position. Any decision of the Contracting Officer is final and binding unless a party shall, within thirty calendar days, request further review as provided below.

The dispute shall be further reviewed, upon the Grantee’s written request to NHTSA, Director, Office of Acquisition Management, or designee, made within thirty calendar days after the

Contracting Officer’s written decision or upon unavailability of a decision within the stated time frame under the preceding paragraph, the dispute shall be further reviewed. The NHTSA

Director of the Office of Acquisition Management, or designee, shall conduct the review.

Following the review, the NHTSA Director of the Office of Acquisition Management, or designee, will resolve the issues and notify the parties in writing. Such resolution is not subject to further administrative review and to the extent permitted by law, shall be final and binding.

Nothing in this Agreement is intended to prevent the parties from pursuing disputes in a United

States Federal Court of competent jurisdiction.

E. TERMINATION

The Government may terminate this agreement in whole or in part, upon providing written notification to the Grantee, if the Contracting Officer determines that a termination is in the

Government’s best interest or the Grantee defaults in performing the work and fails to cure the default within the time specified in writing by the Contracting Officer. The Grantee must deliver acceptable reports on work accomplished as part of any such termination.

The Parties shall negotiate in good faith an equitable adjustment for work performed toward the accomplishment of the Cooperative Agreement, at the time of termination. Failure of the parties to agree on an equitable adjustment will be resolved pursuant to the Disputes provision of this

Cooperative Agreement.

F. ENCOURAGING POLICIES TO BAN TEXT MESSAGING WHILE DRIVING

As used in this Agreement: “Driving”—

a. Means operating a motor vehicle on an active roadway with the motor running, including while temporarily stationary because of traffic, a traffic light, stop sign, or otherwise.

b. Does not include operating a motor vehicle with or without the motor running when one has pulled over to the side of, or off, an active roadway and has halted in a location where one can safely remain stationary.

“Text messaging” means reading from or entering data into any handheld or other electronic device, including for the purpose of short message service texting, e-mailing, instant messaging, obtaining navigational information, or engaging in any other form of electronic data retrieval or electronic data communication. The term does not include glancing at or listening to a navigational device that is secured in a commercially designed holder affixed to the vehicle, provided that the destination and route are programmed into the device either before driving or while stopped in a location off the roadway where it is safe and legal to park.

The Grantee is encouraged to—

a. Adopt and enforce policies that ban text messaging while driving—

1) Grantee-owned or -rented vehicles or government-owned vehicles; or

2) Privately-owned vehicles when on performing under this cooperative agreement.

b. Conduct initiatives in a manner commensurate with the size of the Grantee, such as—

1) Establishment of new rules and programs or re-evaluation of existing programs to prohibit text messaging while driving; and

2) Education, awareness, and other outreach to employees about the safety risks associated with texting while driving.

G. NHTSA REVIEW OF ANNOUNCEMENTS OR PUBLICATIONS

The Grantee agrees that neither the Grantee, nor any Sub-grantee, shall make public releases of information or any matter pertaining to this Cooperative Agreement, including, but not limited to, advertising in any medium, or presentation before technical, scientific, or industry groups, without the prior written approval of the Contracting Officer. The provisions of this clause shall survive the expiration of the Cooperative Agreement. The provisions of this clause shall be included in all sub-grants at any tier.

H. RECERTIFICATION

NHTSA, on an annual basis, will recertify whether the Cooperative Agreement is still in the best interest of the government. During the recertification process, NHTSA will determine: 1) If the

Cooperative Agreement is stimulating the public purpose for which the agreement is intended; 2)

Conduct market research to determine if other organizations are capable of providing the same or higher levels of stimulation; and, 3) If NHTSA can still provide the financial resources necessary to continue the agreement.

If NHTSA makes a determination that continuing this agreement is not in the best interest of the government for any of the conditions listed above, the Cooperative Agreement will be terminated in accordance with Section X, Special Provisions, subparagraph E, Termination.

ARTICLE XII. GENERAL PROVISIONS

The NHTSA General Provisions for Assistance Agreements dated 7/95, as provided in

Attachment 1, or the then-current NHTSA General Provisions, shall be applicable to this

Cooperative Agreement. (See Section XIV, Government Furnished Information).

ARTICLE XIII. ACRONYMS

The acronyms listed below are used during the performance of this Cooperative Agreement. If the Grantee is currently using, or has used any of the acronyms listed below differently, the

Grantee shall use the acronyms listed below as defined under this Cooperative Agreement only.

National Highway Traffic Safety Administration (NHTSA)

Department of Transportation (DOT)

Highway Safety Program Guideline (HSPG)

Request for Application (RFA)

Contracting Officer (CO)

Contracting Officer Representative, Assistance Agreement (COR (AA))

Grantee’s Cooperative Agreement Manager (GCAM)

ARTICLE XIV. GOVERNMENT FURNISHED INFORMATION

The Government Furnished Information listed below shall be provided to the Grantee as outlined under Article VI, Deliverables (D) and Milestones (M) or at time of award.

1. The NHTSA General Provisions for Assistance Agreements dated 7/95.

ARTICLE XV. MODIFICATIONS

Unilateral

The NHTSA Contracting Officer (CO) has the right, under this Cooperative Agreement, to execute unilateral modifications for the following purposes:

Provide incremental federal funding;

Change the NHTSA Contracting Officer’s Representative, Assistant Agreement; and, Make other administrative changes which do not affect the legal obligations of the

Grantee.

Bilateral

Bilateral modifications to this Cooperative Agreement may be proposed by either party, at any time during the period of performance of this Agreement, and shall become effective upon approval by both parties.

Note: When changes are made, and when deemed appropriate, the Government may supply the Grantee with replacement pages to the Cooperative Agreement.

ARTICLE XVI. ELIGIBILITY REQUIREMENT

The successful State Highway Safety Office (or their designated organization) must demonstrate that they have the infrastructure in place, as well as the necessary staff and support to carry out the responsibilities in developing, administering/coordinating and implementing this agreement.

Only organizations capable of fulfilling the criteria listed below will be considered. The criteria require that:

Applicant must have the existence of an organizational infra-structure that will allow staff time necessary to handle the day-to-day logistical needs for this project.

Interested applicants are advised that no fee or profit will be allowed under this Cooperative

Agreement.

Applicants (States) shall have (or be capable) of developing an older driver safety action plan that has (or can) be adopted by the governing body of the jurisdiction. To be eligible to participate in this cooperative agreement, applicants shall meet the following requirements:

a. Demonstrate high involvement in the development and/or implementation of a jurisdiction’s older driver safety action plan;

b. Provide an approved version of the older driver safety action plan (as an appendix to the application or a plan to develop such plan);

c. Provide data defining the State’s or States’ older driver high-risk group(s), high-crash locations/intersections and most common crash types (may include pedestrians);

d. Considering the extent of the problem and the current needs of the State’s older driver safety programs, show how the requested funding will enable the applicant to make significant progress toward improving or enhancing their older driver safety efforts in the State;

e. Provide a list of related training(s) the State has received for improving older driver safety;

f. Demonstrate leadership or point of contact in the State to champion such a program;

g. Demonstrate partnerships with education and enforcement professionals, older driver organizations and others who will be involved in the implementation of the program;

h. Demonstrate willingness to accept Federal involvement in proposed effort.

NHTSA plans to award two (2) cooperative agreements, via limited competition, to continue the focused city comprehensive approach to older driver safety. This Request for Application broadens the scope to include older driver safety as well as aging pedestrian safety and will support the implementation of the education and enforcement elements of the localities’ older driver safety plans.

This funding supplements active infrastructure improvement projects already proposed or in progress as outlined in their existing State action plan.

ARTICLE XVII. CONFLICT OF INTEREST

It is U.S. DOT policy to award Cooperative Agreements only to those Applicants whose objectivity is not impaired because of any related past, present, or planned interest, financial or otherwise, in organizations regulated by U.S. DOT, or in organizations whose interests may be substantially affected by Departmental activities and which is related to work specified in this

Cooperative Agreement Announcement. Based on this policy, if, after award, the Grantee discovers a conflict of interest with respect to the Cooperative Agreement that could reasonably have been known prior to the award, an immediate and full disclosure shall be made in writing to the Contracting Officer. The disclosure shall include a full description of the conflict along with a description of the action the recipient has taken, or proposes to take, to avoid or mitigate such conflict.

(A) The Applicant shall provide a statement in its proposal which describes in a concise manner all past, present or planned organizational, financial, contractual or other interest(s) with an organization regulated by U.S. DOT, or with an organization whose interests may be affected substantially by Departmental activities, and which is related to the work under this Cooperative Agreement Announcement. The interest(s) described shall include those of the Applicant, its affiliates, proposed consultants, proposed subcontractors and key personnel of any of the above. Past interest shall be limited to within one year of the date of the Applicant's technical proposal. Key personnel shall include any person owning more than 20% interest in the Applicant, and the Applicant's corporate officers, its senior managers and any employee who is responsible for making a decision or taking an action under this Cooperative Agreement where the decision or action can have an economic or other impact on the interests of a regulated or affected organization.

(B) The Applicant shall describe in detail why it believes, in light of the interest(s) identified in (a) above, that performance of the proposed cooperative agreement can be accomplished in an impartial and objective manner.

(C) In the absence of any relevant interest identified in (a) above, the Applicant shall submit in its proposal a statement certifying that to its best knowledge and belief no affiliation exists relevant to possible conflicts of interest. The Applicant must obtain the same information from potential subcontractors prior to award of a subcontract under the resultant Cooperative Agreement.

(D) The NHTSA Contracting Officer will review the statement submitted and may require additional relevant information from the Applicant. All such information, and any other relevant information known to U.S. DOT, will be used to determine whether an award to the Applicant may create a conflict of interest. If any such conflict of interest is found to exist, the NHTSA Contracting Officer may (1) disqualify the Applicant, or (2) determine that it is otherwise in the best interest of the agency to contract with the

Applicant and include appropriate provisions to mitigate or avoid such conflict in the

Cooperative Agreement awarded.

(E) The refusal to provide the disclosure or representation, or any additional information required, may result in disqualification of the Applicant for award. If nondisclosure or misrepresentation is discovered after award, the resulting Cooperative Agreement may be terminated. If after award, the Grantee discovers a conflict of interest with respect to the

Cooperative Agreement awarded as a result of this Cooperative Agreement

Announcement, which could not reasonably have been known prior to award, an immediate and full disclosure shall be made in writing to the NHTSA Contracting

Officer. The disclosure shall include a full description of the conflict, a description of the action the Grantee has taken, or proposes to take, to avoid, or mitigate such conflict. The

NHTSA Contracting Officer may, however, terminate the Cooperative Agreement for convenience if he or she deems that termination is in the best interest of the Government.

ARTICLE XVIII. APPLICATION PROCEDURES

The application shall include a reference to NHTSA Request for Application Number

DTNH2217R00009. Unnecessarily elaborate applications beyond what is sufficient to present a complete and effective response to this request are not desired. Only complete packages received on or before the published due date will be considered.

The applicant shall submit:

A signed electronic copy Office of Management and Budget Standard Form 424 (Rev 9-2003 including 424A and 424B), Application for Federal Assistance, including 424A, Budget

Information Non Construction Program and 424B, Assurances Non-Construction Programs, with the required information provided and the certified assurances included. These forms are available at www.grants.gov.

A signed electronic copy of the work plan and cost proposal must be submitted via email to Mr.

David Larson. While Form 424A deals with budget information, the available space does not permit a level of detail that is sufficient to provide for a meaningful evaluation of proposed costs.

Therefore, supplemental information shall be provided which presents a detailed breakout of the proposed costs (detailed labor, including labor category, level of effort and rate, direct materials, including itemized equipment, travel and transportation, including projected trips and number of people traveling; subcontracts with similar detail if known and overhead) as well as any in-kind contributions the Applicant proposed to contribute.

All the material specified in the Application Procedures shall be submitted to Contract Specialist

David Larson at: David.Larson@dot.gov and NHTSAOAM@dot.gov no later than January 18, 2017 at 3:40 p.m. Eastern Standard Time, or at the following address:

National Highway Traffic Safety Administration

Office of Acquisition Management

NFO-300, W53-411

1200 New Jersey Avenue, SE

Washington, DC 20590

Instructions to Applicant

A. APPLICATION FORMS

Application forms are available online at www.whitehouse.gov/omb/grants/grants_forms.html.

B. CONTENT AND FORM OF APPLICATION SUBMISSION

http://www.whitehouse.gov/omb/grants/grants_forms.html

1. The application package shall consist of the following:

SF424

SF424A

SF424B

SFLLL

Technical Application

Budget Application Detail

2. The applicant shall be required to provide the following form:

Certification Regarding Debarment, Suspension, And Other Responsibility Matters--primary Covered Transactions (49 CFR Part 29 - Appendix A);

o Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary

Exclusion--Lower Tier Covered Transactions (49 CFR Part 29 - Appendix B);

o Certification Regarding Drug-free Workplace Requirements (49 CFR Part 29 -

Appendix C)

C. TECHNICAL EVALUATION

1. Application shall be submitted to NHTSA at the following email address:

David.Larson@dot.gov and NHTSAOAM@dot.gov.

2. Technical Application shall not exceed twenty (20) pages (not including resumes).

Note: Programs with multiple partners must submit a single or collaborative application through the State Highway Safety Office. Only two (2) awards will be made per eligible program.

3. No cost/price data shall be included in the Technical Application.

The Technical Application shall fully describe the scope of the project, detailing the proposed activities to include the following information (and be separated from the cost proposal – no cost information shall be included or referenced in the technical proposal):

1. A table of contents including page number references.

2. A description of the communities that the grantee proposes…