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New Mexico Department of Transportation

VIEWS: 17 PAGES: 85

									NOTE: This manual is available on the web site: http://www.nmshtd.state.nm.us/
              (go to Traffic Safety Bureau on the Site Map)


          This manual is used by TSB Contractors and Staff
                          Updated 11-8-06
                                                        Table of Contents

Definitions and Related Acronyms ................................................................................... 3
TSB and Grantee Management Accountability................................................................ 6
Maintaining TSB Project Agreement Project File ............................................................ 6
Grantee Use of Project Agreement Funds ....................................................................... 7
Allowable and Unallowable Costs .................................................................................... 8
Use of Federal Funds for Media Costs ............................................................................. 8
Reimbursement .................................................................................................................. 9
Supporting Documentation ............................................................................................. 10
Property Management...................................................................................................... 12

PROJECT REPORTS and REIMBURSEMENT CLAIMS ................................................. 13
ODWI/ OBD and Super Blitz Project Agreements.......................................................... 14
DWI National Mobilization Project Agreements............................................................. 14
Click It or Ticket National Mobilization........................................................................... 14
Project Agreements ......................................................................................................... 14
CDWI (STATE) Project Agreements................................................................................ 14
FTE Project Agreements.................................................................................................. 15
STEP Project Agreements ............................................................................................... 17
Education and Enforcement Project Agreements ......................................................... 19
Underage Drinking Prevention Enforcement Project Agreements .............................. 21

Grantee Accounting System ........................................................................................... 24
Project Monitoring, Audits, and Management Reviews ................................................ 24
Amending the Project Agreement................................................................................... 25
Termination of TSB Project Agreement ......................................................................... 25
Product of Services/Copyright........................................................................................ 25

References........................................................................................................................ 26
NMDOT/ TSB Web Site Resources.................................................................................. 26

Appendix A - Federal and State Funding Sources and Program Areas ...................... 27
Appendix B- State Certifications and Assurances ........................................................ 34
Appendix C – NMDOT Travel Per Diem Policy............................................................... 42
Appendix D – Acronym Reference Chart ....................................................................... 51
Appendix E – NM District Map ........................................................................................ 56
Appendix F – TSB City/ County Agreement ID # List .................................................... 57
Appendix G – TSB Personnel Contact Information....................................................... 58
Appendix H – Proposals for Traffic Safety Projects...................................................... 60
Appendix I – Forms Section ............................................................................................ 61




                                                                                                                                        2
                          Definitions and Related Acronyms
                              Reference Appendix D for a complete listing of Acronyms



Audit - a review of programmatic and financial records conducted by a certified public accountant the
basis of an organization's legally required audit report.

Block of Time - a set amount of overtime, determined by the Enforcement Agency, based on local
need.

CDWI - Community Driving While Impaired/ Intoxicated Program

Cognizant Agency – The agency providing the majority of the project operating funds.

Department - New Mexico Department of Transportation (NMDOT)

Designee - a person or legal entity authorized by contract to perform certain duties on behalf of TSB.

Direct Costs - costs that can be identified specifically with a particular final cost objective, such as
compensation of employees, cost of materials, equipment, travel expenses.

DWI – Driving While Impaired/ Intoxicated

Enforcement Agency – the Grantee, either a police department or sheriff’s office, specified in the
Project Agreement.

GAAP - Generally Accepted Accounting Procedures

Government Unit – grantee governing body with the authority to enter into a contractual agreement.

Grantee - the recipient of a Traffic Safety Bureau Project Agreement. In this document, Grantee refers
to the organization that has been awarded funds by the TSB.

Grantee Authorizing Official - the person authorized by the local or state government body to enter
into project agreements (usually the County Commission Chair, Mayor, Cabinet Secretary, etc.).

Grantee Project Director – the person assigned by the Grantee to assume direct responsibility for
administering all phases of the TSB Project Agreement.

Indirect Costs - costs which are not easily identifiable with a specific program, but which are,
nonetheless, necessary to the operation of the program. These costs are shared among programs and,
in some cases, among functions.

Monitoring - a process whereby TSB assesses program progress and compliance by reviewing project
related reports, files, and financial records, and by interviewing grantees.

NHTSA - National Highway Traffic Safety Administration

NMDOT - New Mexico Department of Transportation



                                                                                                           3
                        Definitions and Related Acronyms (cont.)
                              Reference Appendix D for a complete listing of Acronyms

OBD - Operation Buckle Down

ODWI - Operation DWI (see DWI)

Project - activities proposed or implemented by the TSB to address highway safety problems falling
within one or more TSB Program Areas.

TSB Program Area – a Program area within the Highway Safety and Performance Plan eligible for
traffic safety funding. Examples include: AL (Alcohol), OP (Occupant Protection), TR (Traffic Records),
PT (Police Traffic Services), PA (Planning & Administration), etc.

TSB Program Manager – the staff person at the TSB assigned to monitor, coordinate and oversee
project and program area activities.

TSB Project Agreement - the written agreement between the NMDOT and a Grantee, under which the
NMDOT agrees to provide NMDOT/ TSB funds in exchange for the Grantee’s performance and
completion of one or more projects supporting TSB Programs.

TSB Project Agreement Amendment - written modifications to the TSB Project Agreement executed
by the appropriate parties.

Scope of Work - the measurable objectives and activities noted on the TSB Project Agreement that the
Grantee agrees to perform in compliance with oversight by the TSB. The Grantee shall provide and
charge only for those services outlined in TSB Project Agreement.

Statement of Certification and Assurances - a statement signed by the Governor’s Highway Safety
Representative providing assurances that the State will comply with the laws, regulations, etc., detailed
in the statement.

STEP - Selective Traffic Enforcement Program/Project

Super Blitz – two-week period of intense statewide enforcement of DWI and Occupant Protection laws
by law enforcement agencies participating in the Operation DWI and Operation Buckle Down
Programs.

Supplant – to replace routine and/or existing State or local expenditures with project agreement funds
and/or to use these funds for costs of activities that constitute general expenses required to carry out
the overall responsibilities of State, local, or federally-recognized Indian tribal governments.

TSEE - Traffic Safety Education and Enforcement

TSB - Traffic Safety Bureau

Unit - a two-hour time period designated for OBD.




                                                                                                           4
NEW MEXICO DEPARTMENT OF TRANSPORTATION
TRAFFIC SAFETY BUREAU

Mission Statement
The mission of the New Mexico Department of Transportation (NMDOT) Traffic Safety Bureau (TSB) is
to continuously reduce traffic-related fatalities and injuries. This mission is accomplished by developing
and supporting a comprehensive, multi-strategy approach that includes enforcement, deterrence,
prevention, media & education, training, legislation & regulation, and data management & analysis.

Traffic Safety Program Areas
      Alcohol/ Impaired Driving                     Occupant Protection
      Pedestrian and Bicyclist Safety               Police Traffic Services
      Traffic Records                               Traffic Safety Marketing and Media
      Driver Education and Safety                   Motorcycle Safety
      Planning and Administration


State Funds for TSB Programs
Road Fund – Used for operating expenses and specific program costs

Designated Traffic Safety Funds
       CDWI - $75.00 fee collected upon DWI conviction – Funds returned to communities for DWI
       enforcement and prevention programs.
       DWI Prevention & Education - $45.00 ignition interlock license fee from persons receiving an
       ignition interlock.
       Traffic Safety Education & Enforcement (TSE&E) - $3.00 traffic violation conviction fee.
       Driver Improvement - $25.00 paid by those sanctioned to attend Driver Improvement School
       ($25.00 is a portion of the fee paid for Driver Improvement School).
       Motorcycle Safety - $2.00 license fee collected from motorcyclists – Funds used for motorcycle
       safety programs.
       Ignition Interlock Indigent Fund – $100.00 fee collected from those convicted of DWI, and
       therefore, required to install an ignition interlock. The fee is charged each year that the ignition
       interlock remains installed. The funds are used to assist those convicted of DWI, and deemed to
       be indigent, to install, lease, and remove the device.

Federal Funds for TSB Programs
        Formula Funds – Amount is based on state population and road mileage (these are 402 –
        Highway Performance and Safety Plan funds).
        Incentive Funds – Performance-based funding typically based on increased safety belt use,
        increased child passenger protection use, DWI legislation & programs, and developing traffic
        records systems.
       Sanction Funds – Funds available to TSB due to State non-compliance of federal mandates,
       such as 164 – Minimum Penalties for Repeat DWI Offenders Transfer
       Grants, Demonstration Grants, and Cooperative Agreements – funds awarded to States
       based on the State performing certain agreed upon projects or programs.
       Innovative – Discretionary grants to states to implement plans approved by NHTSA, most
       recently used for increasing safety belt use rates


                                                                                                         5
                TSB and Grantee Management Accountability
TSB Program Management
The Traffic Safety Bureau (TSB) manages funds allocated to the State of New Mexico by the National
Highway Traffic and Safety Administration (NHTSA), and other state and federal agencies, for various
traffic safety projects. The TSB Program Manager is the Grantee Project Director’s primary contact with
TSB. The TSB Program Manager will oversee project activities and provide (or arrange for) technical
assistance to the Grantee Project Director on issues related to the project. TSB Program Managers
must verify adherence to budget restrictions prior to authorizing grantee reimbursement.

Grantee Authorizing Official
The Grantee Authorizing Official is responsible for signing the project agreement to show that the
Grantee’s governing body has approved the project. The Grantee Authorizing Official may delegate
Grantee Project Director responsibilities to another individual within the agency. TSB must be notified in
writing of the appointment of a new Grantee Project Director.

Grantee Project Director
The Grantee Project Director is responsible for administering all phases of the project agreement,
submitting and maintaining required documentation, and for compliance with this manual and all
applicable regulations. This is the person authorized to sign reports and reimbursement claim/s, and to
handle correspondence relating to the project. Their signature on the TSB Project Agreement indicates
understanding and acceptance of this responsibility. The Grantee Project Director must ensure
adherence to budgetary limitations prior to signing claims or quarterly reports. The Grantee Project
Director must verify, in a timely manner, that payments are received, or notify the designated TSB
Program Manager that payment has not been received.

All correspondence from the Grantee must be legible, include the project number, reflect the correct
date, and be signed/approved by the Grantee Project Director. Under no circumstances will paperwork
be processed by TSB without the signature of the Grantee Project Director.


              Maintaining TSB Project Agreement Project File
For each TSB Project Agreement, Grantees must maintain a project file that includes documentation on
all essential program activities conducted to achieve the objectives, as outlined in the TSB Project
Agreement. Activities should be documented to the greatest possible extent and reported through
required reporting.

   a) The Project File must contain the following, as applicable:
         a signed copy or original executed TSB Project Agreement
         any TSB Project Agreement Amendments and any budget adjustments
         copies of all required reports, including any quarterly and/or annual reports
         copies of any subcontracts and any RFPs for professional services over $20,000.00
         copies of reimbursement claims and supporting documentation
         copies of correspondence between the Grantee and TSB related to the project

   b) The Grantee is required to have all project records and original documentation available and
      accessible for review by TSB. These documents must be on file for 3 years from the date of
      receipt of the final payment on the project.



                                                                                                        6
   c) Any agendas and sign-in sheets for meetings, handwritten notes from telephone calls, draft
      versions of required reports or analyses, and documented provision of technical support to
      individuals or groups should be on file.

   d) Presentations to community groups should be documented with agendas and sign-in sheets. A
      note including location, date, contact person, description of the group, and content of the
      presentation may document less formal presentations or meetings.

   e) Media used to announce project activities should be documented, and examples of media
      should be available, as should any newspaper articles produced about the project activities.
      Public information and education activities should be documented and any materials produced
      or used should be on file.

   f)   The Grantee’s development of plans to achieve self-sufficiency should be documented. This
        includes notes of meetings, letters, or proposals to potential funding sources, including local
        governments.

   g) Grantees must maintain adequate levels of contact with appropriate organizations at the
      community, state, and/or national level. Joint activities and/or planning efforts should be
      documented.

   h) Training and qualifications required by the TSB Project Agreement must be documented.
      Records of completion may be retained in the project file or in other files consistent with internal
      record keeping procedures.

   i)   Documentation on the purchase and use of equipment should be on file. If applicable, a
        Property Agreement and Inventory Record, and/or a TSB Loan Agreement should be on file.


                    Grantee Use of Project Agreement Funds
Under no circumstances should the TSB Project Agreement funds be used for any purpose not covered
or stipulated in the fully executed TSB Project Agreement and amendments. TSB Project Agreement
funds may not be used to supplant (see definition on page 4).

No expenditures are to be incurred, nor reimbursement processed, prior to obtaining required
signatures on the TSB Project Agreement. When TSB Project Agreements involve federal funds, the
Grantee must comply with all applicable Certifications and Assurances (see Appendix B – State
Certifications and Assurances).

The expenditures may be restricted as noted on the TSB Project Agreement (Form 1 in Appendix I).
Grantees may not spend funds in categories that are not defined in the TSB Project Agreement, and
may not purchase any single item valued at more than $1,000.00, unless the item is specifically
mentioned in the TSB Project Agreement. Expenditure of federal funds for items valued at $5,000.00 or
greater must be pre-approved by NHTSA in writing, and be in their TSB Project Agreement.

Total compensation shall not exceed the amount noted on the TSB Project Agreement, unless
otherwise agreed to, in writing, by the parties during the term of the agreement (using a TSB Project
Agreement Amendment, Form 2 in Appendix I). TSB Project Agreements contain project budget
categories, as listed in the Reimbursement Section on page 9.



                                                                                                          7
Grantee Project Directors are responsible for ensuring adherence to budgetary limitations prior to
signing claims or quarterly reports. TSB Program Managers must verify adherence to these restrictions
prior to authorizing reimbursement.



                          Allowable and Unallowable Costs
Projects funded with Federal funds through TSB Project Agreements must adhere to federal guidelines
on allowable and unallowable costs.

Allowable costs include:
Project salaries and fringe benefits; Overtime
Breath testing equipment (per NHTSA list)
Training, including travel and lodging) (out-of-state travel must be pre-approved by the Traffic Safety
Bureau Director)
Equipment (must be directly related to the project and specified in the TSB Project Agreement)
Promotional items (must have an appropriate, current traffic safety message, applicable to the Program
Area, and must submit a distribution plan to TSB prior to ordering or purchasing items)
Personal computers and peripherals
Rent facilities for meetings, rent for contractor facilities

Unallowable costs include:
Purchase of land                                    Police uniforms, guns, etc.
Cost of construction                                Clothing
Purchase of facilities                              Basic training for police officers
Office furnishings and fixtures                     Food
Portable scales                                     Incentive awards (cash)
Mainframe computers                                 No supplanting
Travel for non-project persons (unless required or authorized by the TSB Director)



                       Use of Federal Funds for Media Costs
Media projects must be pre-approved by TSB and be in the most current Highway Safety and
Performance Plan (HSPP). Paid media advertising must have an appropriate, approved traffic safety
message and be applicable to the Program Area.

Media activities must be detailed in the TSB Project Agreement, including planned use of the funds, a
plan for assessing the use of the funds, the amount allocated for the paid media, and any funds needed
for the assessment. In their Project Final Report, the agency must describe how the paid media funds
were actually used and provide assessment information concerning the paid media, as detailed below.

Mandatory Assessment Information
For paid media totaling up to $100,000.00, the agency must provide TSB with an assessment designed
to measure audience exposure to paid advertised messages, the number of airings or print ads devoted
to each announcement, and the estimated size of the audience using a source appropriate for the
medium being used such as Arbitron or Nielsen ratings for radio and television. Specifically, information
has to be provided that answers the following:
       a) How many paid airings or print ads occurred, and what was the size of the audience
       reached?


                                                                                                       8
        b) For the same messages as in a), how many free airings or print ads occurred, and what was
        the size of the audience reached?

For paid media totaling more than $100,000.00, the agency must provide TSB with a more extensive
assessment to measure target audience reaction. Details will be provided to agencies with these larger
contracts.



                                          Reimbursement
Funds expended by the Grantee for the purposes stated in the TSB Project Agreement Scope of Work
shall be reimbursed by the TSB to the Grantee. Expenses must be incurred and paid prior to seeking
reimbursement for approved project expenses, and must be incurred and paid during the project
agreement period.

Payment will be made to the Grantee once a completed claim for satisfactory work completed is
received and accepted by TSB, unless the Grantee receives verbal or written notice that the claim is
inadequate.

The Grantee Project Director is responsible for verifying, in a timely manner, that payments are received, or
for notifying TSB that payment of claims has not been received. NOTIFYING TSB OF PAYMENTS NOT
RECEIVED IS CRITICAL, particularly prior to the end of the project agreement year.

The Grantee must submit a separate signed claim form for each project agreement, with required
documentation as noted below. Claim forms should be submitted per the instructions on the bottom of
each form. Payment will not be processed until the appropriate claim form is completed, signed
and submitted, per instructions.

The following forms must be submitted with the claim, as appropriate for each budget category.

Personal Services:
        Complete and submit a Personnel Activity Report (Form 5 in Appendix I) for each employee
        whose regular wages and benefits are paid completely, or in part, with TSB funds. TSB pays
        actual overtime based on the rates outlined in the Grantee agency's internal policies for
        overtime and compensatory time. Policies must be in accordance with the TSB Project
        Agreement. Overtime reimbursements are to include salary amount only, not any other benefits.

        Non-Employee Travel:
        A copy of an approved Non-Employee Travel Approval (Form 6 in Appendix I), a Non-Employee
        Reimbursement Request (Form 7 in Appendix I) and original receipts must be submitted to TSB
        for processing of payment.

Contractual Services
        Complete and submit a Project Reimbursement Claim (Form 10 in Appendix I) for
        reimbursement of these costs, per the TSB Project Agreement.

Commodities:
        Complete and submit a Project Reimbursement Claim (Form 10 in Appendix I). If the Grantee is
        requesting reimbursement for items costing $1000.00 or more (per item), submit the Project
        Reimbursement Claim, a Property Agreement and Inventory Record (Form 3 in Appendix I), and


                                                                                                                9
       copies of the paid invoice and check. Grantees requesting reimbursement for commodities
       under EE and CDWI Project Agreements need only submit a completed Project Reimbursement
       Claim.

Other Costs:
       For overtime costs for dispatchers or court time, complete and submit the Project
       Reimbursement Claim for Overtime (Form 15 in Appendix I). For any other items in this
       category, complete and submit a Project Reimbursement Claim (Form 10 in Appendix I) for
       reimbursement of these costs, per the TSB Project Agreement.

Indirect Costs
       Any Grantee with indirect costs budgeted must submit a copy of an approved Indirect Cost Rate
       Plan to the Traffic Safety Bureau. The Plan is necessary to reimburse for indirect costs.

Final claim for ALL budget categories:
       A Project Agreement Final Report (Form 9 in Appendix I) must be received by TSB prior to, or
       along with, the appropriate final reimbursement claim form. Final Reports and final
       Reimbursement Claims must be submitted within 30 days of the TSB Project Agreement
       expiration date, or by no later than October 31. Failure to do so may result in non-payment.
       When the final claim is submitted, the Grantee must indicate that it is a "Final" claim by placing
       a check mark in the space provided on the claim form.


                               Supporting Documentation
The Grantee Project Director must retain documentation for all project expenditures, including copies of
reports, claims, and supporting documentation submitted to TSB for reimbursement for a period of
three years from the date of the last payment. These documents should be retained in the Grantee’s
Project files, and must be easily accessible and available for TSB review at any time. Failure to do so
may result in the Grantee being required to repay funds disbursed by TSB.

TSB retains the right to require the submission of backup documentation from any Grantee at
any time.

Supporting documentation to be kept by the Grantee Project Director includes, but is not limited to, the
following list by budget category:

Personal Services:
This category includes:
       salaries & benefits
       in-state and out-of-state travel (includes mileage, fares, meals, lodging, etc.)
       education and training
       subscription and dues

       Salary and Benefits – If a portion or all of an employee’s wages is paid by TSB, supporting
       documentation should include time and attendance records, and detail on salary and benefits
       paid. Official payroll records indicating the portion of time spent on accomplishing the objectives
       of the TSB Project Agreement must be supplied, as well.

       In-State and Out-of-State Travel (mileage, fares, meals, lodging, etc.) - If such expenditures
       are permitted per the TSB Project Agreement, proof must be retained in the Grantee Agency’s

                                                                                                        10
       records (travel logs, food/lodging receipts, and other appropriate documentation). Travel costs
       are reimbursed per the NMDOT Administrative Memorandum #902 regarding per diem and
       travel (see Appendix C).

       Education, Training, Subscriptions, Dues - If such expenditures are permitted per the TSB
       Project Agreement, proof must be retained in the Grantee agency’s records (invoices, training or
       education certificates, and other appropriate documentation).

Contractual Services:
This category includes:
       professional or consultant services
       audits
       printing/photocopy services
       rental of meeting rooms and/or equipment
       advertising

The Grantee Project Director must retain each subcontract and/or purchase document, and records of
payments made to the subcontractor or service provider, in the Grantee’s Project files. A copy of the
respective sub-contract for professional services must be sent to TSB for the TSB Project file. The
subcontract will then be reviewed and approved or not approved by the appropriate TSB Program
Manager and the TSB Director. Subcontract costs may include salaries and related expenses of
individual consultants or consulting firms engaged in performing project objectives.

Commodities:
This category includes:
       postage and mail
       office supplies
       public information and education materials
       inventory exempt
       computers and other peripherals
       law enforcement equipment

Supporting documentation can include purchase documents, paid invoices, copies of checks, public
information materials created or used to accomplish project objectives, and a listing of the location for
each item purchased with TSB funds.

If applicable, a TSB Loan Agreement (Form 4 in Appendix I) and a Property Agreement and Inventory
Record (Form 3 in Appendix I) must be kept as supporting documentation.

Other Costs:
This category includes:
       fees for services
       grants and services
       miscellaneous other expenses

Other costs are those that can be identified specifically with a particular final cost objective, such as
overtime compensation of employees (i.e. dispatcher costs or court overtime), grant administration, and
the cost of materials.




                                                                                                        11
ODWI fees for services require submission of a Reimbursement Claim for ODWI/ OBD Grants (Form
11 in Appendix I) and an ODWI/ OBD Activity Report (Form 12 and 12.1 in Appendix I), per the TSB
Project Agreement. For overtime costs for dispatchers or court time, complete and submit the Project
Reimbursement Claim for Overtime (Form 15 in Appendix I).

Indirect Costs:
Grantees eligible for indirect cost reimbursement are required to maintain records of calculations of
indirect costs for each claim submitted, and/or as noted in the Project Agreement. Any agency that has
indirect costs budgeted must submit a copy of an approved Indirect Cost Rate Plan to the Traffic Safety
Bureau. The Plan is necessary to reimburse for indirect costs.

Examples of indirect costs may include: certain state/local-wide central service costs, general
administration of the grantee department or agency, accounting and personnel services performed
within the grantee department or agency, depreciation or use allowances on buildings and equipment,
the costs of operating and maintaining facilities, etc.



                                  Property Management
“Major equipment” is considered to be equipment costing over $5,000.00, using TSB federal funds.
Major equipment purchases may occur only if such purchases are specifically authorized in the
Grantee’s TSB Project Agreement, are in the Project Agreement budget, and TSB and NHTSA have
approved the purchase.

If the Grantee wishes to have TSB fund the purchase of major equipment, the following information
must be provided in their Project Proposal:
        describe how the equipment will support the project goal and objectives
        show how the equipment is supporting the project or improving the Grantee’s efficiency in
        carrying out the project
        detail how use of the equipment will be tracked

Before proceeding with the acquisition of major equipment, the Grantee must obtain written notification
from the TSB Director stating that both TSB and the NHTSA regional administrator have formally
approved the equipment purchase.

Grantees who acquire equipment costing $1,000.00 or more (per item), using TSB funds, shall adhere
to the management and disposition of the item(s) as specified in the “Terms and Conditions” section of
the Property Agreement and Inventory Record (Form 3 in Appendix I) (excludes CDWI and EE
Projects). Such equipment may be purchased only if it is specifically authorized in the Grantee’s TSB
Project Agreement.

If equipment is acquired by TSB and loaned to a Grantee, the Grantee shall adhere to the management
and disposition of the item(s) as specified in the TSB Loan Agreement (Form 4 in Appendix I).




                                                                                                       12
PROJECT REPORTS and REIMBURSEMENT CLAIMS
            BY PROJECT CATEGORIES




               ODWI/ OBD and Super Blitz
              DWI NATIONAL MOBILIZATION
      CLICK IT OR TICKET NATIONAL MOBILIZATION
                         CDWI

                        FTE
                       STEP
           EDUCATION & ENFORCEMENT
    UNDERAGE DRINKING PREVENTION ENFORCEMENT




                                                 13
             ODWI/ OBD and Super Blitz Project Agreements
Project Activity Reports and Reimbursement:
All Grantees with ODWI or OBD Project Agreements should complete the Reimbursement Claim For
ODWI/ OBD Grants (Form 11 in Appendix I) and the ODWI/ OBD Activity Report(s) (Forms 12 and
12.1 in Appendix I) following each checkpoint or saturation patrol activity.

The Forms should be submitted to TSB’s designee, per instructions at the bottom of the
Reimbursement Claim for ODWI/ OBD Grants form, before the 3rd of the month following the month
being reported.

Other Reimbursements:
For overtime costs for dispatchers or court time (Other Costs category), complete and submit the
Project Reimbursement Claim for Overtime (Form 15 in Appendix I). Submit to the Traffic Safety
Bureau at the address listed at the bottom of the form.

To request reimbursement for training, contractual, commodities, or other items in the Other Costs
category, the Grantee must submit a Project Reimbursement Claim (Form 10 in Appendix I) with any
supporting documentation. Submit to the Traffic Safety Bureau at the address listed at the bottom of
the form.

For any item costing $1000.00 or more, submit the Project Reimbursement Claim with a Property
Agreement and Inventory Record (Form 3 in Appendix I) and copies of the paid invoice and check.


              DWI National Mobilization Project Agreements
Project Activity Reports and Reimbursement:
All Grantees with DWI National Mobilization Project Agreements should complete the
Reimbursement Claim for ODWI/ OBD Grants (Form 11 in Appendix I) and the ODWI/OBD Activity
Report(s) (Forms 12 and 12.1 in Appendix I).

These forms should be submitted to TSB’s designee, per instructions at the bottom of the
Reimbursement Claim for ODWI/ OBD Grants form within three (3) days following the final DWI
National Mobilization activity.

                    Click It or Ticket National Mobilization
                              Project Agreements
Project Activity Reports and Reimbursement:
All Grantees with Click It or Ticket National Mobilization Project Agreements should complete the
Reimbursement Claim For ODWI/ OBD Grants (Form 11 in Appendix I) and the ODWI/OBD Activity
Report (Form 12 in Appendix I).

These forms should be submitted to TSB’s designee, per instructions at the bottom of the
Reimbursement Claim for ODWI/ OBD Grants form, within three (3) days following the final Click It or
Ticket National Mobilization activity.


                       CDWI (STATE) Project Agreements
               Separate training, manual and forms provided by NMDOT/ TSB staff.


                                                                                                   14
                                FTE Project Agreements
Full-time Enforcement (FTE) Salary & Benefits and Overtime Costs –
Reports and Reimbursement
To be reimbursed for salary and benefit and overtime costs, as specified in the TSB Project
Agreement and budget, the Grantee must complete, sign, and submit the Personnel Activity Report
(Form 5 in Appendix I), along with the Project Reimbursement Claim (Form 10 in Appendix I). These
forms should be sent to the Traffic Safety Bureau, at least quarterly, at the address listed at the
bottom of the Project Reimbursement Claim.

Travel – Forms and Reimbursement
If travel costs are incurred as part of training costs, the Grantee must complete and submit a Non-
Employee Reimbursement Request (Form 7 in Appendix I). This form should be submitted with the
Project Reimbursement Claim sent in for training costs. Pre-approval for all in-state and out-of-state
travel must be obtained by completing a Non-Employee Travel Approval (Form 6 in Appendix I) and
submitting it to the TSB Bureau Director for signature. The signed Approval is then kept on file at
TSB until the Non-Employee Reimbursement Request is submitted by the Grantee.

Training, Contractual, Commodities, Other Costs, or Indirect Costs –
Forms and Reimbursement
For overtime costs for dispatchers or court time, complete and submit the Project Reimbursement
Claim for Overtime (Form 15 in Appendix I). Submit to the Traffic Safety Bureau at the address listed
at the bottom of the form.

To request reimbursement for training, contractual, commodities, or other items in the Other Costs
category, the Grantee must submit a Project Reimbursement Claim (Form 10 in Appendix I) with any
supporting documentation. Submit to the Traffic Safety Bureau at the address listed at the bottom of
the form.

For any item costing $1000.00 or more, submit the Project Reimbursement Claim with a Property
Agreement and Inventory Record (Form 3 in Appendix I) and copies of the paid invoice and check.

Project Agreement Quarterly Activity Plan
Grantees must complete and submit an electronic Quarterly Activity Plan to TSB by the 15th of the
month before the upcoming quarter (i.e., October, November, December Activity Plan due by
September 15). Grantees will be trained by TSB staff on how to complete and submit this report.

Project Agreement Monthly Activity Report
Grantees must complete and submit an electronic Monthly Activity Report to TSB by the 5th of the
following month being reported (i.e., October Activity Report due by November 5, etc.). Grantees will
be trained by TSB staff on how to complete and submit this report.

Project Agreement Final Report
Grantees may complete and submit the Project Agreement Final Report (Form 9 in Appendix I). This
Final Report is to be completed and submitted to TSB no later than 30 days following the end of the
TSB Project Agreement termination date, or by no later than October 31. The Final Report should be
submitted with the final Project Reimbursement Claim (Form 10 in Appendix I).


                                                                                                    15
The Final Report must detail the progress made toward the project objectives, results, problems
encountered, recommendations, an evaluation of the project in terms of short-term benefits to the
agency, and an overall assessment of the advisability of including similar projects in future State
Highway Safety Programs. The absence of a Project Agreement Final Report and final Project
Reimbursement Claim will delay the processing of final claims.




                                                                                                  16
                               STEP Project Agreements

General Requirements
All Grantees with TSB STEP Project Agreements must submit Project Agreement Quarterly Reports
(Form 8 in Appendix I) for the first three (3) quarters of the Project period, and a Project Agreement
Final Report (Form 9 in Appendix I). The Final Report will encompass information for the 4th quarter
period and summarize activities for the entire project period. No separate 4th quarter Project
Agreement Quarterly Report is required (more detail provided below).

The Grantee Project Director is responsible for preparing and submitting the Project Agreement
Quarterly Reports and the Project Agreement Final Report. Notices will be sent out when the reports
are due, but non-receipt of the notices does not relieve Grantees of the requirement to submit timely
reports as outlined above. Failure to submit these reports may delay the processing of claims or
result in the termination of the agreement.

Traffic Enforcement Overtime – Reports and Reimbursement
The Traffic Enforcement Overtime Activity Report (Form 13 in Appendix I) is for Grantee use only, to
document each officer’s participation in each Activity. The form is not sent to the TSB, but is kept in
the Grantee’s Project File. The information from these forms is used to complete the Traffic
Enforcement Overtime Activity Summary Report (Form 14 in Appendix I).

The Traffic Enforcement Overtime Activity Summary Report provides summary information for each
Activity. The Form must be completed and signed by the Grantee Agency Supervisor, and is
submitted with the Project Reimbursement Claim for Overtime (Form 15 in Appendix I) following
each Activity. These forms should be sent to the Traffic Safety Bureau at the address listed at the
bottom of the Project Reimbursement Claim for Overtime form, at least on a quarterly basis.

Salary and Benefits Costs – Reports and Reimbursement
To be reimbursed for salary and benefit costs, as specified in the TSB Project Agreement and
budget, the Grantee must complete, sign, and submit the Personnel Activity Report (Form 5 in
Appendix I), along with the Project Reimbursement Claim (Form 10 in Appendix I). These forms
should be sent to the Traffic Safety Bureau at the address listed at the bottom of the Project
Reimbursement Claim form, at least on a quarterly basis.

Travel – Forms and Reimbursement
If travel costs are incurred as part of training costs, the Grantee must complete and submit a Non-
Employee Reimbursement Request (Form 7 in Appendix I). This form should be submitted with the
Project Reimbursement Claim sent in for training costs. Pre-approval for all in-state and out-of-state
travel must be obtained by completing a Non-Employee Travel Approval (Form 6 in Appendix I) and
submitting it to the TSB Bureau Director for signature. The signed Approval is then kept on file at
TSB until the Non-Employee Reimbursement Request is submitted by the Grantee.

Training, Contractual, Commodities, Other Costs, or Indirect Costs –
Forms and Reimbursement
For overtime costs for dispatchers or court time, complete and submit the Project Reimbursement
Claim for Overtime (Form 15 in Appendix I). Submit to the Traffic Safety Bureau at the address listed
at the bottom of the form.



                                                                                                     17
To request reimbursement for training, contractual, commodities, or other items in the Other Costs
category, the Grantee must submit a Project Reimbursement Claim (Form 10 in Appendix I) with any
supporting documentation. Submit to the Traffic Safety Bureau at the address listed at the bottom of
the form.

For any item costing $1000.00 or more, submit the Project Reimbursement Claim with a Property
Agreement and Inventory Record (Form 3 in Appendix I) and copies of the paid invoice and check.

Project Agreement Quarterly Reports
Grantees must complete a Project Agreement Quarterly Report (Form 8 in Appendix I) and submit it
to the TSB designee at the address provided on the bottom of Form 8. These Quarterly Reports are
due by the 10th of the month following each quarter of the Project Agreement period (Oct - Dec
Report due by January 10; Jan - Mar Report due by April 10; etc.).

The Quarterly Report should discuss progress toward meeting the project objectives, problems
encountered, plans for the next quarter, activities conducted to date, and a budget summary. Copies
of products produced under the TSB Project Agreement during the quarterly period should be
included with the Report.

Project Agreement Final Report
Grantees may complete and submit the Project Agreement Final Report (Form 9 in Appendix I). This
Final Report is to be completed and submitted to the assigned TSB Program Manager no later than
30 days following the end of the TSB Project Agreement termination date, or by no later than
October 31. The Final Report should be submitted with any final claim for reimbursement (Project
Reimbursement Claim for Overtime - Form 15 in Appendix I and/or Project Reimbursement Claim –
Form 10 in Appendix I).

The Final Report must detail the progress made toward the project objectives, results, problems
encountered, recommendations, an evaluation of the project in terms of short-term benefits to the
agency, and an overall assessment of the advisability of including similar projects in future State
Highway Safety Programs.

The absence of a Project Agreement Final Report will delay the processing of final claims.




                                                                                                      18
             Education and Enforcement Project Agreements
General Requirements
Grantees must complete a Project Agreement Final Report and submit it to TSB no later than 30
days following the end of the Project Agreement termination date, or by no later than October 31.
The Final Report should be submitted with the appropriate final Project Reimbursement Claim
Form(s), as detailed below.

The Grantee Project Director is responsible for preparing and submitting the Final Report to the
assigned TSB Program Manager. A notice will be sent out when the report is due, but non-receipt of
the notice does not relieve Grantees of the requirement to submit a timely reports as outlined above.
Failure to submit this report may delay the processing of claims or result in the termination of the
agreement.

Traffic Enforcement Overtime – Reports and Reimbursement
The Traffic Enforcement Overtime Activity Report (Form 13 in Appendix I) is for Grantee use only, to
document each officer’s participation in each Activity. The form is not sent to the TSB, but is kept in
the Grantee’s Project File. The information from these forms is used to complete the Traffic
Enforcement Overtime Activity Summary Report (Form 14 in Appendix I).

The Traffic Enforcement Overtime Activity Summary Report provides summary information for each
Activity. The Form must be completed and signed by the Grantee Agency Supervisor, and is
submitted with the Project Reimbursement Claim for Overtime (Form 15 in Appendix I) following
each Activity. These forms should be sent to the Traffic Safety Bureau at the address listed at the
bottom of the Project Reimbursement Claim for Overtime, at least on a quarterly basis.

Salary and Benefits Costs – Reports and Reimbursement
To be reimbursed for salary and benefit costs, as specified in the TSB Project Agreement and
budget, the Grantee must complete, sign, and submit the Personnel Activity Report (Form 5 in
Appendix I), along with the Project Reimbursement Claim (Form 10 in Appendix I). These forms
should be sent to the Traffic Safety Bureau at the address listed at the bottom of the Project
Reimbursement form, at least on a quarterly basis.

Travel – Forms and Reimbursement
If travel costs are incurred as part of training costs, the Grantee must complete and submit a Non-
Employee Reimbursement Request (Form 7 in Appendix I). This form should be submitted with the
Project Reimbursement Claim sent in for training costs. Pre-approval for all in-state and out-of-state
travel must be obtained by completing a Non-Employee Travel Approval (Form 6 in Appendix I) and
submitting it to the TSB Bureau Director for signature. The signed Approval is then kept on file at
TSB until the Non-Employee Reimbursement Request is submitted by the Grantee.

Training, Contractual, Commodities, Other Costs, or Indirect Costs –
Forms and Reimbursement
 For overtime costs for dispatchers or court time, complete and submit the Project Reimbursement
Claim for Overtime (Form 15 in Appendix I). Submit to the Traffic Safety Bureau at the address listed
at the bottom of the form.

To request reimbursement for training, contractual, commodities, or other items in the Other Costs
category, the Grantee must submit a Project Reimbursement Claim (Form 10 in Appendix I) with any


                                                                                                     19
supporting documentation. Submit to the Traffic Safety Bureau at the address listed at the bottom of
the form.

Project Agreement Final Report
Grantees must complete and submit the Project Agreement Final Report (Form 9 in Appendix I). This
Final Report is to be completed and submitted to the assigned TSB Program Manager no later than
30 days following the end of the TSB Project Agreement termination date, or by no later than
October 31. The Final Report should be submitted with any final claim for reimbursement (Project
Reimbursement Claim for Overtime – Form 15 in Appendix I and/or Project Reimbursement Claim –
Form 10 in Appendix I).

The Final Report must detail the progress made toward the project objectives, results, problems
encountered, recommendations, an evaluation of the project in terms of short-term benefits to the
agency, and an overall assessment of the advisability of including similar projects in future State
Highway Safety Programs.

The absence of a Project Agreement Final Report will delay the processing of final claims.




                                                                                                      20
Underage Drinking Prevention Enforcement Project Agreements

General Requirements
All Grantees with TSB Underage Drinking Prevention Project Agreements must submit Project
Agreement Quarterly Reports (Form 8 in Appendix I) for the first three (3) quarters of the Project
period, and a Project Agreement Final Report (Form 9 in Appendix I). The Final Report will
encompass information for the 4th quarter period and summarize activities for the entire project
period. No separate 4th quarter Project Agreement Quarterly Report is required (more detail provided
below).

The Grantee Project Director is responsible for preparing and submitting the Quarterly Reports and
the Final Report. Notices will be sent out when the reports are due, but non-receipt of the notices
does not relieve Grantees of the requirement to submit timely reports as outlined above. Failure to
submit these reports may delay the processing of claims or result in the termination of the
agreement.

Traffic Enforcement Overtime – Reports and Reimbursement
The Traffic Enforcement Overtime Activity Report (Form 13 in Appendix I) is for Grantee use only, to
document each officer’s participation in each Activity. The form is not sent to the TSB, but is kept in
the Grantee’s Project File. The information from these forms is used to complete the Traffic
Enforcement Overtime Activity Summary Report (Form 14 in Appendix I).

The Traffic Enforcement Overtime Activity Summary Report provides summary information for each
Activity. The Form must be completed and signed by the Grantee Agency Supervisor, and is
submitted with the Project Reimbursement Claim for Overtime (Form 15 in Appendix I) following
each Activity. These forms should be sent to the Traffic Safety Bureau at the address listed at the
bottom of the Project Reimbursement Claim for Overtime, at least on a quarterly basis.

Salary and Benefits Costs – Reports and Reimbursement
To be reimbursed for salary and benefit costs, as specified in the TSB Project Agreement and
budget, the Grantee must complete, sign, and submit the Personnel Activity Report (Form 5 in
Appendix I), along with the Project Reimbursement Claim (Form 10 in Appendix I). These forms
should be sent to the Traffic Safety Bureau at the address listed at the bottom of the Project
Reimbursement Claim form, at least on a quarterly basis.

Travel - Forms and Reimbursement
If travel costs are incurred as part of training costs, the Grantee must complete and submit a Non-
Employee Reimbursement Request (Form 7 in Appendix I). This form should be submitted with the
Project Reimbursement Claim sent in for training costs. Pre-approval for all in-state and out-of-state
travel must be obtained by completing a Non-Employee Travel Approval (Form 6 in Appendix I) and
submitting it to the TSB Bureau Director for signature. The signed Approval is then kept on file at
TSB until the Non-Employee Reimbursement Request is submitted by the Grantee.

Training, Contractual, Commodities, Other Costs, or Indirect Costs –
Forms and Reimbursement
For overtime costs for dispatchers or court time, complete and submit the Project Reimbursement
Claim for Overtime (Form 15 in Appendix I). Submit to the Traffic Safety Bureau at the address listed
at the bottom of the form.


                                                                                                     21
To request reimbursement for training, contractual, commodities, or other items in the Other Costs
category, the Grantee must submit a Project Reimbursement Claim (Form 10 in Appendix I) with any
supporting documentation. Submit to the Traffic Safety Bureau at the address listed at the bottom of
the form.

For any item costing $1000.00 or more, submit the Project Reimbursement Claim with a Property
Agreement and Inventory Record (Form 3 in Appendix I) and copies of the paid invoice and check.

Project Agreement Quarterly Reports
Grantees must complete a Project Agreement Quarterly Report (Form 8 in Appendix I) and submit it
to the TSB designee at the address provided on the bottom of Form 8. These Quarterly Reports are
due by the 10th of the month following each quarter of the Project Agreement period (Oct - Dec
Report due by January 10; Jan - Mar Report due by April 10; etc.).

The Quarterly Report should discuss progress toward meeting the project objectives, problems
encountered, plans for the next quarter, activities conducted to date, and a budget summary. Copies
of products produced under the TSB Project Agreement during the quarterly period should be
included with the Report.

Project Agreement Final Report
Grantees must complete and submit the Project Agreement Final Report (Form 9 in Appendix I). This
Final Report is to be completed and submitted to the assigned TSB Program Manager no later than
30 days following the end of the TSB Project Agreement termination date, or by no later than
October 31. The Final Report should be submitted with any final claim for reimbursement (Project
Reimbursement Claim for Overtime - Form 15 in Appendix I and/or Project Reimbursement Claim –
Form 10 in Appendix I).

The Final Report must detail the scope of the project, progress made toward the project objectives,
results, problems encountered, recommendations, an evaluation of the project in terms of short-term
benefits to the agency, and an overall assessment of the advisability of including similar projects in
future State Highway Safety Programs.

The absence of a Project Agreement Final Report will delay the processing of final claims.




                                                                                                   22
PROJECT AGREEMENT/ CONTRACT REIMBURSEMENT MATRIX
(excludes CDWI)


Type of Project                  Reimbursement Forms               Back-up Attachments
Agreement/ Contract
ODWI/ OBD/ SUPER BLITZ           Reimbursement Claim for ODWI/     ODWI/ OBD Activity Reports (Forms
DWI NATIONAL MOBILIZATION        OBD Grants (Form 11)              12 and 12.1)
CLICK IT OR TICKET NATIONAL
MOBILIZATION
FTE (Full-time Enforcement)      Project Reimbursement Claim       Personnel Activity Report (Form 5)
                                 (Form 10)
STEP                             Project Reimbursement Claim for   Traffic Enforcement Overtime
                                 Overtime (Form 15)                Activity Summary Report (Form 14)
                                 Project Reimbursement Claim       Personnel Activity Report (Form 5)
                                 (Form 10)                         Quarterly Reports (Form 8), Final
                                                                   Report (Form 9)
Education and Enforcement        Project Reimbursement Claim for   Traffic Enforcement Overtime
                                 Overtime (Form 15)                Activity Summary Report (Form 14)
                                 Project Reimbursement Claim       Personnel Activity Report (Form 5)
                                 (Form 10)                         Final Report (Form 9)
Underage Drinking Prevention     Project Reimbursement Claim for   Traffic Enforcement Overtime
Enforcement                      Overtime (Form 15)                Activity Summary Report (Form 14)
                                 Project Reimbursement Claim       Personnel Activity Report (Form 5)
                                 (Form 10)                         Quarterly Reports (Form 8), Final
                                                                   Report (Form 9)

ALL TYPES OF PROJECTS/ CONTRACTS (including private sector, universities, and non-profits)
Personal Services (detailed on   Project Reimbursement Claim       Personnel Activity Report (Form 5)
page 10)
Equipment, Commodities,          Project Reimbursement Claim       If equipment costs $1000.00 or
Contractual, Other Costs,        (Form 10)                         more, send copies of paid invoice
Indirect Costs (see pages 10                                       and check, and a Property
and 11)                                                            Agreement and Inventory Record
                                                                   (Form 3)
                                                                   Any supporting documentation, as
                                                                   required.


OT for Dispatcher or Court       Project Reimbursement Claim for
(Other Costs category)           Overtime (Form 15)
Travel                           Non-Employee Reimbursement        Non-Employee Travel Approval
                                 Request (Form 7)                  (Form 6) and actual receipts




                                                                                              23
                             Grantee Accounting System
The Grantee agency's current accounting system will be acceptable provided that it conforms with
Generally Accepted Accounting Principles (GAAP), and meets the accounting procedures required in
this manual.

The Grantee is accountable and responsible for maintaining adequate records on funds received,
equipment purchased, and the amount of state or local matching funds expended on the project. The
accountability for matching funds must meet the required guidelines. Inability to meet the matching
funds requirements may subject the Grantee agency to reimburse funds.

These records must be accessible to TSB for review at any time.


        Project Monitoring, Audits, and Management Reviews
TSB Project Agreement Monitoring
TSB staff or a designee will monitor projects via on-site visits, telephone calls, correspondence, and
review of required reports and source documentation for conformance with requirements. If the
Grantee is called for monitoring purposes, the call may be documented.

The Grantee shall maintain all books, documents, papers, accounting records, and other evidence
pertaining to project costs incurred, for TSB monitoring. The Grantee must make such materials
available to TSB, at the Grantee’s respective offices, at all reasonable times during the TSB Project
Agreement period. These documents must be maintained and made available for at least three (3)
years from the date of final payment of the TSB Project Agreement.

Grantee questions, problem areas, or anticipated changes to the TSB Project Agreement should be
addressed with the appropriate TSB Program Manager as soon as they become apparent.

Audits
If the Grantee receives over $500,000 in federal funding from any source, and TSB is the cognizant
agency, the Grantee must provide TSB's Financial Management Unit with a copy of the Grantee's
annual audit report, completed by an independent auditor. The audit report should be sent within
nine (9) months of the Grantee’s fiscal year-end closing, unless a delay is justified. Notices will be
sent out requesting the audits, but non-receipt of the notice does not relieve the Grantee of the
requirement to submit the annual audit as outlined above. The audit must comply with the provisions
of the Single Audit Act and corresponding amendments, and OMB Circular A-133. The TSB retains
the right to also audit the Grantee at any time.

NHTSA Management Reviews and Special Management Reviews
 On a request basis, NHTSA may perform management reviews of federally funded traffic safety
projects. These reviews would include examination of both TSB and the Grantee’s records.


If examinations of records during monitoring, audits, or management reviews result
in disallowance of expenditures related to a TSB Project Agreement, the Grantee
Agency must inform the TSB Finance Staff Manager, and will be required to
reimburse funds, as necessary.



                                                                                                    24
                         Amending the Project Agreement
During the active period of a project, changing conditions may require that the original TSB Project
Agreement be amended. If both parties consent to revising the project in some way, then a TSB
Project Agreement Amendment must be executed to effect the change.

Only amendment documents approved by the NMDOT legal division are to be used to amend TSB
Project Agreements. The TSB Project Agreement shall not be altered, modified, or amended except,
in writing, through the approved instrument, and as executed by the authorized parties (TSB Project
Agreement Amendment, Form 2 in Appendix I). Failure to comply with these conditions may
result in delay of payment and/or disallowance of the project reimbursement claim.

If the Grantee wishes to only move monies between line items, the Grantee agency must provide a
written request to their TSB Program Manager, and receive back a written approval. The written
approval will suffice for the movement of budget monies between line items, as long as the overall
budget does not change.



                    Termination of TSB Project Agreement
TSB Project Agreements shall terminate as noted in Section 13 – Effective Date and Termination of
the TSB Project Agreement. If the Grantee fails to comply with any provisions of the TSB Project
Agreement, either party has the option of terminating the agreement. By such termination, neither
party may nullify obligations already incurred, for performance or failure of performance occurring
prior to termination of the agreement.




                           Product of Services/Copyright
All materials developed or acquired by the Grantee shall become the property of the NMDOT and
shall be delivered to the TSB prior to final payment. Nothing produced, in whole or in part, by the
Grantee under this project agreement shall be the subject of an application for copyright by, or on
behalf of, the Grantee. However, it is understood that some of the materials utilized in the project
may have been previously copyrighted by the Grantee.




                                                                                                       25
                                          References
Statutes, regulations, and directives on the Statement of Certification and Assurances
(see Appendix B)

NMDOT Administrative Directive #902 on Travel and Related Expenses (per diem)
(see Appendix C)

18 NMAC 20.2, NM Traffic Safety Education and Enforcement Program
www.nmcpr.state.nm.us/nmac/

State of New Mexico, GSD, State Purchasing Division, Procurement Code Regulations
www.nmcpr.state.nm.us/nmac/

State of New Mexico Property Control Act, Chapter 15, Article 3B
http://198.187.128.12/

NM Public Records Act, Chapter 14, Article 2
http://198.187.128.12/

Fair Labor Standards Act, Title 29
www.gpoaccess.gov/uscode

Americans with Disabilities Act (ADA), Title 42
www.gpoaccess.gov/uscode




                        NMDOT/ TSB Web Site Resources
New Mexico Department of Transportation (NMDOT)
http://www.nmshtd.state.nm.us

NMDOT/ Traffic Safety Bureau
http://nmshtd.state.nm.us/main.asp?secid=14474

National Highway Traffic Safety Administration (NHTSA)
http://www.nhtsa.gov/

New Mexico Statewide Traffic Records System
http://nmtrafficrecords.com

Safer New Mexico Now
http://www.safernm.org/
University of New Mexico/ Division of Government Research (UNM/ DGR)
http://www.unm.edu/~dgrint/dgr.html

University of New Mexico/ Institute of Public Law
http://ipl.unm.edu/




                                                                                         26
                    Appendix A - Federal and State Funding Sources and Program Areas

      SAFETEA–LU FEDERAL FUNDING SOURCES, USE, AND PROGRAM AREAS
      Federal SAFETEA – LU Funding Years: FY2006 – FY2009

State or   Fund   Revenue   Funding Source/ Section, Funding use, and Program Areas                                   State Match       CFDA
Federal           Source                                                                                              and Local         #
                                                                                                                      Benefit
                            402 State and Community Highway Safety Grant - provided to states each year
                                                                                                                        Match – 20%
                            by formula, based on population & road mileage. State must assure it will: support
                                                                                                                          of total
                            national highway safety goals, including national mobilizations; sustain enforcement
                                                                                                                         program
                            of statutes addressing impaired driving, occupant protection, and driving in excess
                                                                                                                           costs.
                            of posted speed limits; conduct an annual statewide safety belt use survey; and
 Federal                                                                                                              Local Benefit –
            007     0641    develop statewide data systems to provide timely and effective data analysis to                             20.600
(NHTSA)                                                                                                               40% of federal
                            support allocation of highway safety resources. Funds may be used for Alcohol
                                                                                                                      funds spent by
                            prevention, intervention, and enforcement programs.
                                                                                                                         locals or
                            Program Areas: AL, DE, OP, PA, PS, PT, SC, TR
                                                                                                                       designated as
                                                                                                                       local benefit.
                            403 Impaired Driving High Visibility Enforcement - used in addition to, not as a
                            substitute for, state funds already committed to Statewide Impaired Driving High
                            Visibility Enforcement. To be used only for expenses related to enforcement and                              None,
 Federal
(NHTSA)
            007     TBD     earned media activities, such as training, enforcement equipment, or other                    None          but use
                            expenses that enhance high visibility enforcement.                                                          20.600
                            Program Area: AL

                            405 Occupant Protection Incentive Grant - incentive grant entitling state to an
                            amount equal to 100 percent of its section 402 apportionment for FY 2003. State                Match -
                            qualifies if they met 4 of 6 eligible criteria: 1) law requiring all passengers to be      1st–2nd year,
                            properly secured, 2) primary safety belt use law, 3) fines/penalty points for violation         25%
                            of safety belt or child passenger safety law, 4) statewide traffic enforcement             3rdt–4th year,
 Federal
            007     0647    program that emphasizes publicity for the program, 5) state wide comprehensive                  50%         20.602
(NHTSA)
                            child passenger protection education program and, 6) child passenger protection              th
                                                                                                                       5 –6th year,
                            law requiring minors to be properly restrained. Funds may be used for                           75%
                            implementation and enforcement of Occupant Protection programs.                           Local Benefit –
                            Program Area: OP (For FY06, NM is in its third year of funding)                                 none


                                                                                                                                                 27
      SAFETEA-LU FEDERAL FUNDING SOURCES, USE, AND PROGRAM AREAS
      Federal SAFETEA – LU Funding Years: FY2006 – FY2009


State or   Fund   Revenue   Funding Source/ Section, Funding use, and Program Areas                                   State Match       CFDA
Federal           Source                                                                                              and Local         #
                                                                                                                      Benefit
                            406 Safety Belt Performance Grant – one-time grant to encourage the passage of
                            primary safety belt laws. If state already has a primary law, the amount of the grant
                            is equal to 200% of the FY2003 402 apportionment (funds may be paid in                    Match – None
Federal
            007     TBD     installments to states with a primary law). Funds may be used for any behavioral          Local Benefit -   20.609
(NHTSA
                            safety purpose or project that improves a hazardous roadway location.                         none
                            Program Area: OP - K4

                            408 – State Traffic Safety Information System Improvement Grant – state must
                            certify that it: has an established traffic records coordinating committee; developed
                            a multi-year strategic plan; will use 408 funds to adopt and use the maximum
                            number of MMUCC data elements. Funds to be used to: improve its traffic safety
                                                                                                                       Match - 20%
 Federal                    data system; evaluate the effectiveness of efforts to improve its traffic safety data;
            007     TBD                                                                                               Local Benefit -   20.610
(NHTSA)                     link state traffic safety data systems with other state data systems; and to improve
                                                                                                                          none
                            the compatibility and interoperability of state data systems with national safety data
                            systems.
                            Program Area: TR - K9

                            410 Alcohol Incentive Grant – state must meet 3 of 8 eligibility criteria, including;
                            high visibility enforcement program; prosecution/ adjudication outreach; increased
                                                                                                                           Match -
                            BAC testing of drivers in fatal crashes; high BAC law; effective alcohol rehabilitation
                                                                                                                       1st–2nd year,
                            program and/or DWI Courts; under 21 program; administrative license revocation or
                                                                                                                            25%
                            suspension; and self-sustaining impaired driving prevention program. Funds to be
                                                                                                                       3rdt–4th year,
 Federal                    used only for impaired driving.
            007     0646                                                                                                    50%         20.601
(NHTSA)                                                                                                                  th
                                                                                                                       5 –6th year,
                            High Fatality Rate State – grant available to top ten states with highest fatality
                                                                                                                            75%
                            rates. State must expend 50% of the funds to conduct a high visibility impaired
                                                                                                                      Local Benefit -
                            driving enforcement campaign in accordance with § 1313.6(a) and include
                                                                                                                            none
                            information that satisfies the planning requirements of § 1313.6(a)(3)(iii).
                            Program Area: AL - K8


                                                                                                                                                 28
      SAFETEA-LU FEDERAL FUNDING SOURCES, USE, AND PROGRAM AREAS
      Federal SAFETEA – LU Funding Years: FY2006 – FY2009

State or   Fund   Revenue   Funding Source/ Section, Funding use, and Program Areas                              State Match       CFDA
Federal           Source                                                                                         and Local         #
                                                                                                                 Benefit
                            2010 – Motorcycle Grant – grant program to improve motorcycle safety. State
                            must meet 1 of 6 criteria including: a statewide motorcycle training course; a
                            motorcycle awareness program; reduction of motorcycle fatalities and crashes;
                                                                                                                  Match – None
 Federal                    impaired motorcycle driving program; reduction of impaired motorcycle fatalities
            007     TBD                                                                                          Local Benefit -   20.612
(NHTSA)                     and crashes; and fees collected from motorcyclists. Funds may only be used for
                                                                                                                 None
                            motorcyclist safety training and awareness programs.
                            Program Area: MC


                            154 Open Container Law - transfer program, percent of a state’s federal-aid
                            highway construction funds will be transferred to the state’s apportionment under
                            Section 402 of Title 23 of the USC, if the state fails to enact and enforce a        Match – none
 Federal                    conforming “open container” law. Funds can be used for alcohol-impaired driving
Sanction    007     N/A     countermeasures, the enforcement of DWI laws or hazard elimination activities        Local Benefit –   20.607
(NHTSA)                     under 23 USC, Section 152. Funds not used for TSB projects, but are administered     40% if used for
                            by TSB for other divisions within the department.                                       Alcohol
                            Program Area: HE

                            164 Repeat Intoxicated Driver - transfer program, % of state’s federal-aid highway
                            construction funds will be transferred to the state’s apportionment under Section
                                                                                                                  Match - none
                            402 of Title 23 of the USC, if the state fails to enact and enforce a conforming
 Federal                                                                                                         Local Benefit -
            007     0651    “repeat intoxicated driver” law. Funds can be used for alcohol-impaired driving                        20.608
(NHTSA)                                                                                                          40% if used for
                            countermeasures, the enforcement of DWI laws, or hazard elimination activities
                                                                                                                    Alcohol
                            under 23 USC, Section 152.
                            Program Area: AL




                                                                                                                                            29
      TEA-21 FEDERAL FUNDING SOURCES, USE, AND PROGRAM AREAS
      Federal TEA – 21 Funding Years: FY1998 – FY2005

State or   Fund   Revenue   Funding Source/ Section, Funding use, and Program Areas                               State Match and       CFDA
Federal           Source                                                                                          Local Benefit         #
                            154 Open Container Law - transfer program, percent of a state’s federal-aid
                            highway construction funds will be transferred to the state’s apportionment
                                                                                                                    Match – none
                            under Section 402 of Title 23 of the USC, if the state fails to enact and enforce a
 Federal
                            conforming “open container” law. Funds can be used for alcohol-impaired
Sanction    007     N/A                                                                                            Local Benefit –      20.607
                            driving countermeasures, the enforcement of DWI laws or hazard elimination
(NHTSA)                                                                                                            40% if used for
                            activities under 23 USC, Section 152. Funds not used for TSB projects, but are
                                                                                                                      Alcohol
                            administered by TSB for other divisions within the department.
                            Program Area: HE
                            157 Occupant Protection Incentive Grant - incentive grant, based on DOT                  Match – 20% if
                            calculations of saving to the federal government in medical costs as a result of           used as 402
                            safety belt use in the state. State eligible in one of two ways: 1) if the state       funds. If used as
                            safety belt use rate is above the national average, 2) if the state safety belt use    405, 410, or 411:
                            rate increased above the states previous two-year base rate.                             25% 1st–2nd yr,
                            Program Areas: AL, DE, OP, PA, PS, PT, SC, TR                                            50% 3rd–4th yr,
 Federal
            007     0642                                                                                              75% 5th-6th yr.   20.604
(NHTSA)
                                                                                                                     Local Benefit -
                                                                                                                     40% if used as
                                                                                                                      402 funds, no
                                                                                                                    local benefits if
                                                                                                                   used as 405, 410,
                                                                                                                         or 411.
                            157IG Occupant Protection Incentive Grant – discretionary grant to support            Match – none           None,
Federal
            007     0642    innovative projects designed to increase seat belt use rates.                         Local Benefit –       but use
(NHTSA
                            Program Area: OP                                                                      none                  20.600
                            163 Impaired Driving Incentive Grant - provided to states that have “enacted              Match - none
                            and are enforcing” a .08 BAC law; based on proportion of Section 402 funds               Local Benefit-
                            received each year.                                                                      40% if used as
 Federal
            001     N/A     Program Areas: AL, DE, OP, PA, PS, PT, SC, TR                                            402 funds. No      20.605
 (FHWA)
                                                                                                                     local benefit if
                                                                                                                   used as 405, 410,
                                                                                                                         or 411.


                                                                                                                                                 30
       TEA-21 FEDERAL FUNDING SOURCES, USE, AND PROGRAM AREAS
       Federal TEA – 21 Funding Years FY1998 – FY2005


State or    Fund   Revenue   Funding Source/ Section, Funding use, and Program Areas                               State Match and    CFDA
Federal            Source                                                                                          Local Benefit      #
                             163 ID Impaired Driving Demonstration Project – funds to be used for                   Match – none      None,
Federal
            007    TBD       alcohol enforcement or earned media.                                                   Local Benefit -   but use
(NHTSA)
                             Program Area: AL                                                                           none          20.600
                             164 Repeat Intoxicated Driver - transfer program, % of state’s federal-aid
                             highway construction funds will be transferred to the state’s apportionment
                                                                                                                     Match - none
                             under Section 402 of Title 23 of the USC, if the state fails to enact and enforce a
  Federal                                                                                                           Local Benefit -
             007     0651    conforming “repeat intoxicated driver” law. Funds can be used for alcohol-                               20.608
 (NHTSA)                                                                                                            40% if used for
                             impaired driving countermeasures, the enforcement of DWI laws, or hazard
                                                                                                                       Alcohol
                             elimination activities under 23 USC, Section 152.
                             Program Area: AL
                             402 State and Community Highway Safety Grant - provided to states each                 Match – 20% of
                             year by formula, based on population & road mileage.                                    total program
                             Program Areas: AL, DE, OP, PA, PS, PT, SC, TR                                                costs.
                                                                                                                    Local Benefit –
 Federal
             007     0641                                                                                           40% of federal    20.600
 (NHTSA
                                                                                                                    funds spent by
                                                                                                                        locals or
                                                                                                                     designated as
                                                                                                                     local benefit.
                             403 – Demonstration Project - Pedestrian Decoy Research Study – used to                Match – 20% of
                             evaluate the effectiveness of a pedestrian decoy operation in areas identified as       total program     None,
  Federal
             007     TBD     high-risk for pedestrian injuries.                                                           costs       but use
 (NHTSA)
                             Program Area: PS                                                                       Local Benefit -   20.600
                                                                                                                          none
                             403 Impaired Driving High Visibility Enforcement - used in addition to, not as
                             a substitute for, state funds already committed to Statewide Impaired Driving
                                                                                                                     Match – none
  Federal                    High Visibility Enforcement. To be used only for expenses related to
             007     TBD                                                                                             Local Match -    20.600
 (NHTSA)                     enforcement and earned media activities, such as training, enforcement
                                                                                                                         none
                             equipment, or other expenses that enhance high visibility enforcement.
                             Program Area: AL


                                                                                                                                                31
       TEA-21 FEDERAL FUNDING SOURCES, USE, AND PROGRAM AREAS
       Federal TEA – 21 Funding Years: FY1998 – FY2005

State or   Fund   Revenue    Funding Source/ Section, Funding use, and Program Areas                                             State Match          CFDA
Federal           Source                                                                                                         and Local            #
                                                                                                                                 Benefit

                             405 Occupant Protection Incentive Grant - incentive grant, based on DOT
                             calculation of saving to the federal government in medical costs as a result of safety belt
                                                                                                                                       Match -
                             use in the state. State qualifies if they met 4 of 6 eligible criteria: 1) law requires all front
                                                                                                                                 1st–2nd year, 25%
                             passengers to be properly secured, 2) primary safety belt use law, 3) fines/penalty points
 Federal                                                                                                                         3rdt–4th year, 50%
            007      0647    for violation of safety belt or child passenger safety law, 4) statewide traffic enforcement                             20.602
(NHTSA)                                                                                                                          5th–6th year, 75%
                             program that emphasizes publicity for the program, 5) state wide comprehensive child
                                                                                                                                  Local Benefit –
                             passenger protection education program and, 6) child passenger protection law requiring
                                                                                                                                        none
                             minors to be properly restrained.
                             Program Area: OP


                             410 Alcohol Incentive Grant – Basic: if state meets basic criteria equal to a set                         Match -
                             percentage of State’s 402 apportionment Examples: expedited DL suspension, revocation,
                                                                                                                                 1st–2nd year, 25%
                             0.10 BAC (.08 after 3rd year) prevention program, underage drinking.                                                      None,
 Federal                                                                                                                         3rdt–4th year, 50%
            007      0646    Supplemental: seven grants available if certain criteria met; equal to set percentage of                                 but use
(NHTSA)                                                                                                                          5th–6th year, 75%
                             state’s 402 apportionment. Examples: 0.02 BAC for under 21, open container law, vehicle                                  20.600
                                                                                                                                  Local Benefit -
                             registration suspension/license plate forfeiture, alcohol testing.
                                                                                                                                        none
                             Program Area: J8

                                                                                                                                       Match -
                             411 Data Incentive Grant - states eligible if it demonstrates how its multi-year plan will          1st–2nd year, 25%
                             incorporate the model data elements into its data system; first year based on one-year
 Federal                                                                                                                         3rdt–4th year, 50%
            007      0659    grant to assist with compliance, the following years funding based on completion of various                              20.603
(NHTSA)                                                                                                                          5th–6th year, 75%
                             criteria.
                                                                                                                                  Local Benefit -
                             Program Area: TR
                                                                                                                                        none


                             2003B Child Protection Education Grants - provide federal funds to states for
                             activities that are designed to prevent deaths and injuries to children; educate the public           Match - 20%
 Federal                                                                                                                                               None,
                             concerning the design, selection, placement and installation of child restraints; and train
(NHTSA)    007    0641                                                                                                                                but use
                             and retrain child passenger safety professionals, police officer, fire and emergency                 Local Benefit -
                                                                                                                                                      20.600
                             personnel, and other educators concerning all aspects of child restraint use. Federal share              none
                             not to exceed 80% of cost of program.       Program Area: J3

                                                                                                                                                                32
       STATE FUNDING SOURCES, USE, AND PROGRAM AREAS
       State Funds – All Funding Years


State or   Fund    Revenue      Funding Source/ Section, Funding use, and Program Areas                                    State Match   CFDA
Federal            Source                                                                                                  and Local     #
                                                                                                                           Benefit
                                Road Fund – general use. Revenue sources include taxes on gas, motor carrier,
                                special fuel, gross receipts, vehicle registration/transactions, driver’s licenses, etc.
  State      001      N/A                                                                                                       N/A       N/A
                                To be used for general traffic safety projects.
                                Program Area: RF
                                CDWI Prevention - $75.00 DWI conviction fee to fund comprehensive community
                                programs for the prevention of driving while under the influence of intoxicating
  State      005     0280                                                                                                       N/A       N/A
                                liquor or drugs and for other traffic safety purposes. NM Statute #31-12-7
                                Program Area: CDWI
                                Traffic Safety Education and Enforcement - $3.00 traffic violation conviction
  State      005     0279       fee to TSB. NM Statute #66-7-512                                                                N/A       N/A
                                Program Area: EE
                                Motorcycle Driver Education and Training - motorcycle license fee = $2.00 to
  State      008     0273       TSB student training fee = $165 to contractor. NM Statute #66-10-10                             N/A       N/A
                                Program Area: MC
                                Driver Improvement - class fee is $100.00 of which $25.00 goes to TSB and
  State      009   0275/ 0276   $75.00 is for the school operation. Rule: NMAC #18-20-8                                         N/A       N/A
                                Program Area: DI
                                DWI Prevention and Education – limited license fee = $45.00 to TSB. To be
  State      010     0277       used for elementary and secondary school students. NM Statute #66-5-35                          N/A       N/A
                                Program Area: DPE
                                Ignition Interlock Indigent Fund – $100.00 fee collected from those convicted of
                                DWI, and therefore, required to install an ignition interlock. The fee is charged
  State      051      TBD       each year that the ignition interlock remains installed. The funds are used to                  N/A       N/A
                                assist those convicted of DWI, and deemed to be indigent, to install, lease, and
                                remove the device.




                                                                                                                                                33
              Appendix B- State Certifications and Assurances
State Certifications                                                        Revised 8/25/05

Failure to comply with applicable Federal statutes, regulations and directives may subject
State officials to civil or criminal penalties and/or place the State in a high risk grantee status in
accordance with 49 CFR §18.12.

Each fiscal year the State will sign these Certifications and Assurances that the State complies
with all applicable Federal statutes, regulations, and directives in effect with respect to the
periods for which it receives grant funding. Applicable provisions include, but not limited to, the
following:


     -     23 U.S.C. Chapter 4 - Highway Safety Act of 1966, as amended;


     -     49 CFR Part 18 - Uniform Administrative Requirements for Grants and Cooperative
           Agreements to State and Local Governments

     -     49 CFR Part 19 - Uniform Administrative Requirements for Grants and Agreements
           with Institutions of Higher Education, Hospitals and Other Nonprofit Organizations

     -     23 CFR Chapter II - (§§1200, 1205, 1206, 1250, 1251, & 1252) Regulations governing
           highway safety programs

     -     NHTSA Order 462-6C - Matching Rates for State and Community Highway Safety
           Programs

     -     Highway Safety Grant Funding Policy for Field-Administered Grants


Certifications and Assurances
The Governor is responsible for the administration of the State highway safety program through a State
highway safety agency which has adequate powers and is suitably equipped and organized (as
evidenced by appropriate oversight procedures governing such areas as procurement, financial
administration, and the use, management, and disposition of equipment) to carry out the program (23
USC 402(b) (1) (A));

The political subdivisions of this State are authorized, as part of the State highway safety program, to
carry out within their jurisdictions local highway safety programs which have been approved by the
Governor and are in accordance with the uniform guidelines promulgated by the Secretary of
Transportation (23 USC 402(b) (1) (B));

At least 40 per cent of all Federal funds apportioned to this State under 23 USC 402 for this fiscal year
will be expended by or for the benefit of the political subdivision of the State in carrying out local
highway safety programs (23 USC 402(b) (1) (C)), unless this requirement is waived in writing;



                                                                                                       34
The State will implement activities in support of national highway safety goals to reduce motor vehicle
related fatalities that also reflect the primary data-related crash factors within the State as identified by
the State highway safety planning process, including:

   •   National law enforcement mobilizations,
   •   Sustained enforcement of statutes addressing impaired driving, occupant protection, and driving
       in excess of posted speed limits,
   •   An annual statewide safety belt use survey in accordance with criteria established by the
       Secretary for the measurement of State safety belt use rates to ensure that the measurements
       are accurate and representative,
   •   Development of statewide data systems to provide timely and effective data analysis to support
       allocation of highway safety resources.

The State shall actively encourage all relevant law enforcement agencies in the State to follow the
guidelines established for vehicular pursuits issued by the International Association of Chiefs of Police
that are currently in effect.

This State's highway safety program provides adequate and reasonable access for the safe and
convenient movement of physically handicapped persons, including those in wheelchairs, across curbs
constructed or replaced on or after July 1, 1976, at all pedestrian crosswalks (23 USC 402(b) (1) (D));

Cash drawdowns will be initiated only when actually needed for disbursement, cash disbursements and
balances will be reported in a timely manner as required by NHTSA, and the same standards of timing
and amount, including the reporting of cash disbursement and balances, will be imposed upon any
secondary recipient organizations (49 CFR 18.20, 18.21, and 18.41). Failure to adhere to these
provisions may result in the termination of drawdown privileges);

The State has submitted appropriate documentation for review to the single point of contact designated
by the Governor to review Federal programs, as required by Executive Order 12372 (Intergovernmental
Review of Federal Programs);

       Equipment acquired under this agreement for use in highway safety program areas shall be
       used and kept in operation for highway safety purposes by the State; or the State, by formal
       agreement with appropriate officials of a political subdivision or State agency, shall cause such
       equipment to be used and kept in operation for highway safety purposes (23 CFR 1200.21);

       The State will comply with all applicable State procurement procedures and will maintain a
       financial management system that complies with the minimum requirements of 49 CFR 18.20;

       The State highway safety agency will comply with all Federal statutes and implementing
       regulations relating to nondiscrimination. These include but are not limited to: (a) Title VI of the
       Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color
       or national origin (and 49 CFR Part 21); (b) Title IX of the Education Amendments of 1972, as
       amended (20 U.S.C. §§ 1681-1683, and 1685-1686), which prohibits discrimination on the basis
       of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which
       prohibits discrimination on the basis of handicaps (and 49 CFR Part 27); (d) the Age
       Discrimination Act of 1975, as amended (42U.S.C. §§ 6101-6107), which prohibits
       discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L.
       92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the
       comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of
       1970(P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse of
                                                                                                           35
         alcoholism; (g) §§ 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§ 290 dd-3
         and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient
         records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§ 3601 et seq.), as amended,
         relating to nondiscrimination in the sale, rental or financing of housing; (i) any other
         nondiscrimination provisions in the specific statute(s) under which application for Federal
         assistance is being made; and, (j) the requirements of any other nondiscrimination statute(s)
         which may apply to the application.


The Drug-free Workplace Act of 1988(49 CFR Part 29 Sub-part F):
The State will provide a drug-free workplace by:

    a)       Publishing a statement notifying employees that the unlawful manufacture, distribution,
             dispensing, possession or use of a controlled substance is prohibited in the grantee's
             workplace and specifying the actions that will be taken against employees for violation
             of such prohibition;

    b)       Establishing a drug-free awareness program to inform employees about:

             1)      The dangers of drug abuse in the workplace.

             2)      The grantee's policy of maintaining a drug-free workplace.

             3)      Any available drug counseling, rehabilitation, and employee assistance
                     programs.

             4)      The penalties that may be imposed upon employees for drug violations
                     occurring in the workplace.


    c)       Making it a requirement that each employee engaged in the performance of the grant
             be given a copy of the statement required by paragraph (a).


    d)       Notifying the employee in the statement required by paragraph (a) that, as a condition
             of employment under the grant, the employee will --

             1)      Abide by the terms of the statement.

             2)      Notify the employer of any criminal drug statute conviction for a violation
                     occurring in the workplace no later than five days after such conviction.


    e)       Notifying the agency within ten days after receiving notice under subparagraph (d) (2)
             from an employee or otherwise receiving actual notice of such conviction.


    f)       Taking one of the following actions, within 30 days of receiving notice under
             subparagraph (d) (2), with respect to any employee who is so convicted -

             1)      Taking appropriate personnel action against such an employee, up to and
                                                                                                       36
                      including termination.

              2)      Requiring such employee to participate satisfactorily in a drug abuse
                      assistance or rehabilitation program approved for such purposes by a Federal,
                      State, or local health, law enforcement, or other appropriate agency.

     g)       Making a good faith effort to continue to maintain a drug-free workplace through
              implementation of paragraphs (a), (b), (c), (d), (e), and (f) above.


BUY AMERICA ACT
The State will comply with the provisions of the Buy America Act (23 USC 101 Note) which contains the
following requirements:

Only steel, iron and manufactured products produced in the United States may be purchased with
Federal funds unless the Secretary of Transportation determines that such domestic purchases would
be inconsistent with the public interest; that such materials are not reasonably available and of a
satisfactory quality; or that inclusion of domestic materials will increase the cost of the overall project
contract by more than 25 percent. Clear justification for the purchase of non-domestic items must be in
the form of a waiver request submitted to and approved by the Secretary of Transportation.

POLITICAL ACTIVITY (HATCH ACT).
The State will comply with the provisions of 5 U.S.C. §§ 1501-1508 and implementing regulations of 5
CFR Part 151, concerning "Political Activity of State or Local Offices, or Employees".

CERTIFICATION REGARDING FEDERAL LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:

          (1) 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.

          (2) If any funds other than Federal appropriated funds have been paid or will be paid to any
          person for influencing or attempting to influence an officer or
          employee of any agency, a Member of Congress, an officer or employee of Congress, or an
          employee of a Member of Congress in connection with this Federal contract, grant, loan, or
          cooperative agreement, the undersigned shall complete and submit Standard Form-LLL,
          "Disclosure Form to Report Lobbying," in accordance with its instructions.

          (3) The undersigned shall require that the language of this certification be included in the award
          documents for all sub-award at all tiers (including subcontracts, subgrants, and contracts under
          grant, loans, and cooperative agreements) and that all subrecipients shall certify and disclose
          accordingly.
          This certification is a material representation of fact upon which reliance was placed when this
          transaction was made or entered into. Submission of this certification is a prerequisite for
                                                                                                          37
       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.

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 REGARDING DEBARMENT AND SUSPENSION
Instructions for Primary Certification

       1. By signing and submitting this proposal, the prospective primary participant is providing the
       certification set out below.

       2. 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 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 participant to furnish a certification
       or an explanation shall disqualify such person from participation in this transaction.

       3. 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 participant knowingly rendered an erroneous
       certification, in addition to other remedies available to the Federal Government, the department
       or agency may terminate this transaction for cause or default.

       4. The prospective primary participant shall provide immediate written notice to the department
       or agency to which this proposal is submitted if at any time the prospective primary participant
       learns its certification was erroneous when submitted or has become erroneous by reason of
       changed circumstances.

       5. The terms covered transaction, debarred, suspended, ineligible, lower tier covered
       transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily
       excluded, as used in this clause, have the meaning set out in the Definitions and coverage
       sections of 49 CFR Part 29. You may contact the department or agency to which this proposal
       is being submitted for assistance in obtaining a copy of those regulations.

       6. The prospective primary 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.

                                                                                                            38
       7. The prospective primary participant further agrees by submitting this proposal that it will
       include the clause titled "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.

       8. 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 may decide
       the method and frequency by which it determines the eligibility of its principals. Each participant
       may, but is not required to, check the list of Parties Excluded from Federal Procurement and
       Non-procurement Programs.

       9. 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.

       10. 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 this transaction
       for cause or default.


Certification Regarding Debarment, Suspension, and Other Responsibility Matters-Primary Covered
Transactions
        (1) The prospective primary participant certifies to the best of its knowledge and belief, that its
        principals:

       (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
       voluntarily excluded by any Federal department or agency;

       (b) 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;

       (c) 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

       (d) 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.



                                                                                                          39
       (2) Where the prospective primary 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
        1. By signing and submitting this proposal, the prospective lower tier participant is providing the
        certification set out below.

       2. 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 and/or debarment.

       3. 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.

       4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered
       transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily
       excluded, as used in this clause, have the meanings set out in the Definition and Coverage
       sections of 49 CFR Part 29. You may contact the person to whom this proposal is submitted for
       assistance in obtaining a copy of those regulations.

       5. The prospective lower tier participant agrees by submitting this proposal that, should the
       proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
       covered transaction with a person who is proposed for debarment under 48 CFR Part 9, subpart
       9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this
       covered transaction, unless authorized by the department or agency with which this transaction
       originated.

       6. The prospective lower tier participant further agrees by submitting this proposal that is it will
       include the clause titled "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. (See below)

       7. 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 may decide
       the method and frequency by which it determines the eligibility of its principals. Each participant
       may, but is not required to, check the List of Parties Excluded from Federal Procurement and
       Non-procurement Programs.

       8. 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.

       9. 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
                                                                                                          40
       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 and/or debarment.


Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -- Lower Tier
Covered Transactions:
        1. 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 participation in this transaction by any Federal department or
        agency.

       2. 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.

ENVIRONMENTAL IMPACT
The Governor's Representative for Highway Safety has reviewed the State's Fiscal Year __2007_____
highway safety planning document and hereby declares that no significant environmental impact will
result from implementing this Highway Safety Plan. If, under a future revision, this Plan will be modified
in such a manner that a project would be instituted that could affect environmental quality to the extent
that a review and statement would be necessary, this office is prepared to take the action necessary to
comply with the National Environmental Policy Act of 1969 (42 USC 4321 et seq.) and the
implementing regulations of the Council on Environmental Quality (40 CFR Parts 1500-1517).



_______________________________________________________
Rhonda G. Faught, PE
Governor’s Representative for Highway Safety

8/29/2006
Date




                                                                                                          41
Appendix C – NMDOT Travel Per Diem Policy




                                            42
43
44
45
46
47
48
49
50
          Appendix D – Acronym Reference Chart

AAA     American Automobile Association
ACTV    Activity
ADMIN   Administrative
AGFA    Agency Federal Aid (Screen 1)
AGF2    Agency Federal Aid (Screen 2)
AGY     Agency
AL      Alcohol
ALR     Administrative License Revocation
AOC     Administrative Office of the Courts (State)
APD     Albuquerque Police Department
APPR    Appropriation
BAC     Blood Alcohol Concentration
BAIID   Breath Alcohol Ignition Interlock Device
BPE     Bicycle, Pedestrian, Equestrian Committee
CAAC    Cooperative Agreement Advisory Committee
CBAL    Cash Balance
CIOT    Click It or Ticket
CDWI    Community DWI
CDL     Commercial Driver’s License
CFDA    Catalog of Federal Domestic Assistance
CFR     Code of Federal Regulations
CODES   Crash Outcome Data Evaluation System
COSAP   Campus Office of Substance Abuse Prevention
CR      Child Restraint
CYFD    Children, Youth, and Families Department
DE      Driver Education
DFA     Department of Finance and Administration (State)
DGR     Division of Government Research (UNM)
DI      Driver Improvement
DOC     Document
DOH     Department of Health (State)
DOT     Department of Transportation (Federal)

                                                           51
DPE     DWI Prevention and Education
DPS     Department of Public Safety (State)
DRE     Drug Recognition Expert
DUI     Driving Under the Influence
DWI     Driving While Intoxicated, or Driving While Impaired
EE      Education and Enforcement
EFT     Electronic Fund Transfer
EMS     Emergency Medical Services
ENF     Enforcement
EOP     End of Period
ESUM    Expense Budget Summary
FA      Fixed Asset
FAIT    Federal Aid Inference
FARS    Fatality Analysis Reporting System
FGID    Reporting Category Document ID Prefix Table
FHWA    Federal Highway Administration (under DOT)
FM      Federal Aid Master
FMCSA   Federal Motor Carrier Safety Administration (under DOT)
FMIS    Financial Management Information System
FND     Funding Source
FS      Financial Specialist
FT      Fixed Asset Transfer
FY      Fiscal Year (State/July-June, Federal/October-September)
GDL     Graduated Drivers Licensing
GFS     Grant Financial Worksheet, or Grant Fund Status
GO      (NMDOT) General Office
GR      Governor’s Representative
GTS     Grant Tracking System
HE      Hazard Elimination (Open Container Law)
HSP     Highway Safety Plan
ID      Impaired Driving
IN      Innovative Funds
IPL     Institute of Public Law (UNM)
IT      Information Technology


                                                                   52
J3        Child/Passenger Protection Incentive Fund
J8        Alcohol Incentive Fund
JEC       Judicial Education Center
JID       Judicial Information Division (AOC)
JV        Journal Voucher
LDWI      Local DWI
LEA       Law Enforcement Agency
LEL       Law Enforcement Liaison
MADD      Mothers Against Drunk Drivers
MC        Motorcycle Safety and Training
MMUCC     Model Minimum Uniform Crash Criteria
MVD       Motor Vehicle Division (State)
MVM       Motor Vehicle Miles Traveled
NAGHSR    National Association of Governor’s Highway Safety Representatives
NETS      Network of Employees for Traffic Safety
NHTSA     National Highway Traffic Safety Administration (under D.O.T.)
NM        New Mexico
NMDOT     New Mexico Department of Transportation
NSC       National Safety Council
OBD       Operation Buckle Down
OBJ/CLS   Object/Class
ODWI      Operation DWI
OMB       Office of Management and Budget (Federal)
OP        Occupant Protection
OPBUD     Operating Budget
OPPH      Open Purchase Order Header Table
ORGN      Organization
P&A       Planning and Administration
PA        1) Price Agreement or Project Agreement
          2) Planning and Administration (NHTSA Program Area Code)
PASM      Summary
PAVC      Price Agreement Vendor/Commodity
PED       Pedestrian
PI&E      Public Information and Education


                                                                              53
PM           Paid Media
PO           Purchase Order
PP           Planned Projects
PR           Purchase Request
PS           Pedestrian/Bicycle Safety
PSA          Public Service Announcement
PT           Police Traffic Services
PV           Payment Voucher
REVB         Revenue Budget
RF           Road Fund
ROB          Reallocation of Budget
RPM          Regional Program Manager
RS           Roadway Safety
RX           Requisition
SA           Safe Communities
SADD         Students Against Drunk Driving
SAFETEA-LU   Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy
             for Users (replaces TEA-21 federal funding)
SC           1) Service Contract
             2) Speed Control (NHTSA Program Area Code)
SFPD         Santa Fe Police Department
SFST         Standardized Field Sobriety Tests
SID          Special Investigations Division
SLD          Scientific Lab Division
STEP         Selective Traffic Enforcement Program/Project
STO          State Treasurer’s Office
STRCC        Statewide Traffic Records Coordinating Committee
SUSF         Document Suspense File Inquiry
TEA-21       Transportation Equity Act for the 21st Century
TR           Traffic Records
TS           Traffic Safety
TSB          Traffic Safety Bureau
TSE&E        Traffic Safety Education and Enforcement
TSGN         Traffic Safety Grant None Participating
TSGP         Traffic Safety Grant Participating (NHTSA)

                                                                                          54
TSI         Traffic Safety Institute
TSPP        Traffic Safety Grant Participating (FHWA)
UNM         University of New Mexico
US          United States
USA         United States of America
UVC         Uniform Vehicle Code
VNAM/VEND   Vendor Name/Vendor Code
YA          Youth Alcohol




                                                        55
Appendix E – NM District Map




                               56
Appendix F – TSB City/ County Agreement ID # List




                                                    57
              Appendix G – TSB Personnel Contact Information




                               TRAFFIC SAFETY BUREAU
                                        P.O. BOX 1149
                                    SANTA FE, NM 87504-1149
                                        1-800-541-7952
                                    http://www.nmshtd.state.nm.us/

                      Michael R. Sandoval, Director, Traffic Safety Bureau
                                    Michael.Sandoval@state.nm.us
                                          Legislative Issues
                                           Impaired Driving
                                    505 827 1584 or 505 490 2602

Tammy Lujan, Executive Assistant                Ivette Montoya, Support Staff
Tammy.Lujan@state.nm.us                         Ivette.Montoya@state.nm.us
Public Information Requests                     505 827 0427
505 827 0430 or 505 238 3415

Maria Martinez, Mgr. (Consultant)
mariae.martinez@state.nm.us
Five County DWI Enforcement Program
505 827 7528 or 505 470 1285



Finance and Traffic Records
Sandra E. Martinez, Staff Manager               AnnaMarie Roybal, Support Staff
Sandra.Martinez@state.nm.us                     Anna.Marie.Roybal@state.nm.us
Traffic Records                                 File Manager
Planning Administration                         505 827 0426 or 490 1109
State and Federal Funding Sources
505 827 1578 or 505 490 2572

Geraldine Madrid-Chavez                         Marcea Dark, Financial Specialist
Financial Supervisor                            Marcea.Dark@state.nm.us
Geraldine.Madrid-Chavez@state.nm.us             Reimbursement Claims, Encumbrances
505 827 1579 or 470 8586                        505 476 3737

Thomas Lujan, Financial Specialist              Bobby Montoya, Financial (Consultant)
Thomas.Lujan@state.nm.us                        Bobby.MontoyaHTD@state.nm.us
Grantee Inventory, Purchase Requisitions        505 827 1582
Non-Employee Reimbursements
505 827 1588


                                                                                        58
Public Education Programs
Franklin Garcia, Staff Manager (contact for District 4)
Franklin.Garcia@state.nm.us
Public Education and Information
Driver Training Programs (Driver Ed, Driver Safety, DWI Schools)
Ignition Interlock Program                          Bernalillo County Interlock Compliance Program
UNM/ IPL State Funded Programs                      NM Broadcasters Assn
DWI Awareness Program                               None for the Road
SFST Training                STEP Training          Motorcycle Training
505 827 3200 or 505 490 0890

Mershawn Martinez, Support Staff
Mershawn.Martinez@state.nm.us
505 827 2143

Juliet Armijo-Pana, Program Manager               Cindy Abeyta, Program Manager
District 2                                        District 3
Juliet.Armijo-Pana@state.nm.us                    Cindy.Abeyta@state.nm.us
Bicycle, Pedestrian, and Equestrian Safety        Occupant Protection
505 827 1425 or 505 470 8358                      Child Restraints
                                                  505 827 0490 or 505 490 2637
Jolyn Sanchez, Manager
Jolyn.Sanchez@state.nm.us
Ignition Interlock Program
505 827 1587

Enforcement and Prevention Programs
Melvin Martinez, Staff Manager (contact for District 6)
Melvin.Martinez@state.nm.us
Enforcement Programs
Traffic Safety Bureau Newsletter
505 827 1568 or 505 490 2556

Cora Madrid, Support Staff
Cora.Madrid@state.nm.us
505-827-0456

Mike Quintana, Program Manager                    Kirene Bargas, Program Manager
District 1                                        District 5
Johnny.Quintana@state.nm.us                       Kirene.Bargas@state.nm.us
Selective Traffic Enforcement Programs            Administrative License Revocation Program
Police Traffic Services                           Community DWI
Traffic Safety Enforcement                        Prevention Programs
Safety Corridors                                  Underage Drinking and Blood Alcohol Content
505 827 0491 or 505 490 0951                      UNM-Campus Office of Substance Abuse
                                                  Teen Mobilization
                                                  MADD-Multi Media Presentations
                                                  505 827 0553 or 505 490 1183




                                                                                                     59
                Appendix H – Proposals for Traffic Safety Projects
Introduction
State agencies and other organizations interested in traffic safety issues may submit project proposals to
TSB at any time during the year. If received late in the fiscal year, proposals will be used by the TSB in the
development of the State Highway Safety and Performance Plan (HSPP) for the next fiscal year. If a project
proposal is requesting to be implemented in the current fiscal year, the TSB will consider the request based
on available time and budget. If the project is accepted and implemented in the current fiscal year, the
current HSPP will be updated accordingly.

Description and Content
Traffic safety project proposals are written documents in a specified format. The document contains three
major parts: project administrative information, the project description, and budget information.

The project administration information includes:
       ♦ project title
       ♦ proposing agency or organization identification
       ♦ project period
       ♦ project year
       ♦ amount of federal funds requested

The recommended project description includes:
       ♦ a problem identification statement, including documentation of data
       ♦ a project plan, which includes:
       ♦ a problem solution
       ♦ an objective statement
       ♦ performance goals (that would respond to the goals of the State’s Performance Plan)
       ♦ performance indicators
       ♦ an action plan
       ♦ evaluation criteria

The budget information includes a breakdown of estimated costs, including personnel services, contractual
services, commodities, indirect costs, and other costs.

Submitting the Project Proposal
Project proposals are announced in the State Register, and are accepted all year by the Traffic Safety
Bureau. However, TSB encourages that proposals be submitted by June 30th of each year to be considered
for Federal Funding (beginning October 1). Each project proposal should be complete with all pertinent
information and supporting documentation.

Completed project proposals should be mailed or hand delivered to the NMDOT Traffic Safety Bureau at:

                                          NMDOT Traffic Safety Bureau
                                               Attn: TSB Director
                                          604 West San Mateo 1st Floor
                                          Santa Fe, New Mexico 87505


For additional information on the NM Highway Safety and Performance Plan or the Traffic Safety Bureau, visit our web
site at http://www.nmshtd.state.nm.us (go to Traffic Safety Bureau on the Site Map)



                                                                                                                 60
                     Appendix I – Forms Section
FORM 1-    SAMPLE TSB PROJECT AGREEMENT
FORM 2 –   TSB PROJECT AGREEMENT AMENDMENT
FORM 3 –   PROPERTY AGREEMENT AND INVENTORY RECORD
FORM 4 –   TSB LOAN AGREEMENT


FORM 5 –   TSB PROJECTS - PERSONNEL ACTIVITY REPORT
FORM 6 –   NON-EMPLOYEE TRAVEL APPROVAL
FORM 7 –   NON-EMPLOYEE REIMBURSEMENT REQUEST


FORM 8 –   PROJECT AGREEMENT QUARTERLY REPORT
FORM 9 –   PROJECT AGREEMENT FINAL REPORT


FORM 10 – PROJECT REIMBURSEMENT CLAIM
FORM 10.1 – SAMPLE PROJECT REIMBURSEMENT CLAIM
INSTRUCTIONS FOR COMPLETING A PROJECT REIMBURSEMENT CLAIM


FORM 11 – REIMBURSEMENT CLAIM FOR ODWI/ OBD GRANTS
FORM 12 – ODWI/ OBD ACTIVITY REPORT
FORM 12.1 – ODWI ACTIVITY REPORT (Continuation)
INSTRUCTIONS FOR COMPLETING ODWI/OBD FORMS


FORM 13 – TRAFFIC ENFORCEMENT OVERTIME ACTIVITY REPORT
FORM 14 – TRAFFIC ENFORCEMENT OVERTIME ACTIVITY SUMMARY REPORT
FORM 15 – PROJECT REIMBURSEMENT CLAIM for OVERTIME
INSTRUCTIONS FOR COMPLETING A PROJECT REIMBURSEMENT CLAIM FOR
RELATED ENFORCEMENT OVERTIME




                                                                 61
                      FORM 1 – SAMPLE TSB PROJECT AGREEMENT




                Traffic Safety Bureau        (505) 827-0427        1-800-541-7952


                            TSB PROJECT AGREEMENT
PROJECT TITLE: _____________________________________________________________

PROJECT NUMBER: 06-XX-XX-XXX                GRANTEE NAME: __________________________


This AGREEMENT is entered into by and between the State of New Mexico, acting through its NEW
MEXICO DEPARTMENT OF TRANSPORTATION, TRANSPORTATION PROGRAMS DIVISION,
TRAFFIC SAFETY BUREAU, hereinafter referred to as DEPARTMENT or TSB, and the City of
XXXXXX, hereinafter referred to as the GRANTEE.

In consideration of the covenants contained herein and pursuant to the DEPARTMENT's authority
under the Traffic Safety Act, NMSA 1978, Sections 66-7-501 through 66-7-511, as amended, the
parties agree as follows:


SECTION ONE – PROJECT PURPOSE, CONDITIONS AND DEFINITIONS:
The purpose of this AGREEMENT is to fund activities to reduce DWI, which are of permanent direct
benefit to traffic safety in New Mexico. The GRANTEE shall comply with all provisions and conditions
of this Agreement, including the Traffic Safety Bureau Project Management and Accounting
Procedures Manual and the State Procurement Code, NMSA 1978, Sections 13-1-28 to Sections 13-
1-199.


SECTION TWO – PROJECT FUNDING:
1.     Funding for this XXXXXXXX project comes from a $75.00 fee imposed on convicted drunk
       drivers as allowed by Section 31-12-7(B), and Regulation 18.20.6 NMAC (2004).
2.     The total estimated cost for the PROJECT is $3,870.00.
3.     The GRANTEE shall pay all PROJECT costs that exceed the total amount of $3,870.00
4.     The project budget is itemized as follows:
               Personal Services                   $0.00
               Contractual Services                $0.00
               Commodities                         $3,870.00
               Other Costs                         $0.00
               Indirect        (N/A)               $0.00
               TOTAL                               $3,870.00

The Grantee may transfer funds between budget categories with prior written approval from the
DEPARTMENT’S Traffic Safety Bureau when the transfer of funds improves program effectiveness.



                                                                                                   62
                       FORM 1 – SAMPLE TSB PROJECT AGREEMENT

SECTION THREE – PROGRAM SCOPE OF WORK:
A. MISSION:
The DEPARTMENT’s mission is to strive to better meet the state's transportation needs to move
people and goods effectively in New Mexico, now and in the future.

B. PROGRAM SERVICES:
Provide services and/or items to the community to reduce DWI crashes and fatalities.

C. PERFORMANCE GOALS:
    1) Reduce the number of alcohol-related fatalities from 193 (FY05 data, most recent available) to
       183, by the end of FY07.

   2) Reduce the percent of alcohol-related fatalities among all traffic crash fatalities from 40%
      (FY05 data most recent available) to 39%, by the end of FY07.

   3) Reduce the alcohol-involved traffic fatality rate of 0.83 per 100M VMT (FY05 data, most recent
      available) to 0.77 per 100M VMT, by the end of FY07.

   4) Reduce the alcohol-involved fatal crash rate of 8.54 per 100,000 population (FY05 data, most
      recent available) to 8.00 per 100,000 population, by the end of FY07.

   5) Reduce the alcohol-involved serious injury crash rate of 45 per 100,000 population (FY05 data,
      most recent available) to 42 per 100,000 population, by the end of FY07.

D. ACTIVITIES:
Enforcement: The Grantee shall:
      1. Conduct activities in a manner consistent with TSB’s Project Management and Accounting
      Procedures Manual.
      2. Purchase video camera for police units to tape DWI suspects.
      3. Designate a Project Director who will be the Grantee’s contact person with respect to all
      matters involving this project.

E. MEASURES:
Quarterly Projections:                                      1st     2nd    3rd     4th
Activities consistent with TSB Procedures                   Entire Year
Purchase video camera                                       1       0      0       0
Designate Project Director                                  Entire Year

F. TRAINING:
The Project Director will participate in the CDWI Conference once a year and in any other training
determined by TSB to be necessary to implement program activities.

G. EVALUATION:
The GRANTEE will submit its quarterly reports by October 31, January 31, April 30, and July 31 of
each year this Agreement is in effect.



SECTION FOUR - ACCOUNTABILITY OF RECEIPTS AND DISBURSEMENTS:
There shall be strict accountability for all receipts and disbursements relating hereto. The GRANTEE
shall maintain all books, documents, papers, accounting records, and other evidence pertaining to
costs incurred and to make such materials available at their respective offices at all reasonable times
                                                                                                      63
                       FORM 1 – SAMPLE TSB PROJECT AGREEMENT

during the AGREEMENT period for three (3) years from the date of final payment under the
AGREEMENT. The GRANTEE shall furnish the DEPARTMENT or State Auditor, upon demand, any
and all such records relevant to this AGREEMENT and allow them the right to audit all records, which
support the terms of this AGREEMENT. If an audit finding determines that specific funding use was
inappropriate or not related to the project, the GRANTEE shall reimburse that portion to the
DEPARTMENT within thirty (30) days of written notification. If documentation is insufficient to support
an audit by customarily accepted accounting practices, the expenses supported by such insufficient
documentation shall be reimbursed to the DEPARTMENT within 30 days.


SECTION FIVE - PROJECT RESPONSIBILITY:
This Project is the GRANTEE’s sole responsibility and nothing herein is intended to give the
DEPARTMENT any responsibility for the Project.



SECTION SIX - AUTHORIZATION OF EXPENDITURES:
The terms of this AGREEMENT are contingent upon sufficient appropriations and authorizations being
made by the Congress of the United States if federal funds are involved, or the State Legislature if
State funds involved, for performance of this AGREEMENT. If sufficient appropriations and
authorizations are not made, this AGREEMENT shall terminate upon written notice being given by the
DEPARTMENT to the GRANTEE. The DEPARTMENT is expressly not committed to expenditure of
any funds until such time as they are programmed, budgeted, encumbered, and approved for
expenditure by the DEPARTMENT. The DEPARTMENT's decision as to whether its funds are
sufficient for fulfillment of the AGREEMENT shall be final.


SECTION SEVEN - TERMS OF THE AGREEMENT:
This AGREEMENT constitutes the entire agreement between the parties. Any claimed covenant,
term, condition, warranty or promise of performance not expressly included in this document or its
amendments, is not part of this AGREEMENT and not enforceable pursuant to this AGREEMENT.
Performance of all duties and obligations herein shall conform with and shall not contravene any state,
local, or federal statutes, regulations, rules, or ordinances.


SECTION EIGHT - THIRD PARTY BENEFICIARY CLAUSE:
No provision of this AGREEMENT creates in the public, or any member thereof, a third party
beneficiary or to authorize anyone not a party to the AGREEMENT to maintain a suit for wrongful
death, bodily and/or personal injury to person, damage to property, and/or any other claim(s)
whatsoever pursuant to the provision of this AGREEMENT.



SECTION NINE - NEW MEXICO TORTS CLAIM ACT:
No provision of this AGREEMENT establishes any waiver of immunity from liability for alleged tortuous
conduct of any employee of the DEPARTMENT or the GRANTEE arising from the performance of this
AGREEMENT apart from that set forth in the New Mexico Tort Claims Act, NMSA 1978, Section 41-4-
1, et seq., as amended.




                                                                                                     64
                       FORM 1 – SAMPLE TSB PROJECT AGREEMENT

SECTION TEN - SEVERABILTY:
In the event that any portion of this AGREEMENT is determined to be void, unconstitutional or
otherwise unenforceable; the remainder of this AGREEMENT shall remain in full force and effect.


SECTION ELEVEN - AMENDMENT:
This AGREEMENT shall not be altered, modified, or amended except by an instrument in writing and
executed by the parties hereto.


SECTION TWELVE - REIMBURSEMENT:
Funds expended by the GRANTEE for the purposes stated in Section Three – Program Scope of
Work shall be reimbursed by the DEPARTMENT to the GRANTEE. The DEPARTMENT shall not
reimburse the GRANTEE for any costs incurred PRIOR to the full execution of the AGREEMENT, after
the expiration of the AGREEMENT, or in excess of the maximum dollar amount of the AGREEMENT,
unless the maximum dollar amount is duly amended prior to incurring cost for services or deliverables.
Claims for reimbursement must be fully completed and submitted at least quarterly on the required
forms provided by the DEPARTMENT. All reimbursement claims must be received by the
DEPARTMENT no later than 30 days after the end date of this AGREEMENT. Documentation as
outlined in the Traffic Safety Bureau's Project Management and Accounting Procedures Manual must
be retained in the GRANTEE's files.


SECTION THIRTEEN - EFFECTIVE DATE and TERMINATION:
A This AGREEMENT becomes effective on July 1, 2006 or upon signature by both parties,
  whichever is later.
B This AGREEMENT must be received by the DEPARTMENT within sixty (60) days of the Deputy
  Secretary’s signature date in order to be valid.
C This AGREEMENT shall terminate June 30, 2007. Neither party shall have any obligation under
  this AGREEMENT after said date. If the GRANTEE fails to comply with any provisions of this
  AGREEMENT the DEPARTMENT has the option to terminate this AGREEMENT. By such
  termination neither party may nullify obligations already incurred for performance of failure to
  perform prior to termination of the AGREEMENT.


SECTION FOURTEEN - EQUAL OPPORTUNITY COMPLIANCE:
The GRANTEE agrees to abide by all Federal and State Laws and rules and regulations, and
executive orders of the Governor of the State of New Mexico, pertaining to equal employment
opportunity. In accordance with all such laws and rules and regulations, and executive orders of the
Governor of the State of New Mexico, the GRANTEE agrees to assure that no person in the United
States shall, on the grounds of race, religion, color, national origin, sex, sexual preference, age or
handicap, be excluded from employment with or participation in, be denied the benefits of, or be
otherwise subjected to discrimination under any program or activity performed under this
AGREEMENT. If the GRANTEE is found to be not in compliance with these requirements during the
life of this AGREEMENT, the GRANTEE agrees to take appropriate steps to correct these
deficiencies.


SECTION FIFTEEN - CIVIL RIGHTS LAWS AND REGULATIONS COMPLIANCE:
The DEPARTMENT and GRANTEE shall comply with all federal, state, and local laws and ordinances
applicable to the work called for herein. The DEPARTMENT and GRANTEE further agree to operate
                                                                                                     65
                       FORM 1 – SAMPLE TSB PROJECT AGREEMENT

under and be controlled by Title VI, and Title VII of the Civil Rights Act of 1964, the Age Discrimination
Employment Act, the Americans with Disabilities Act of 1990, the Environmental Justice Act of 1994,
the Civil Rights Restoration Act of 1987, the New Mexico Human Rights act, and Executive Order No.
11246 entitled ''Equal Employment Opportunity'', as amended by Executive Order No. 11375, and as
supplemented by the Department of Labor Regulations (41 CFR Part 60). Accordingly, 49 CFR 21 is
applicable to this AGREEMENT and is incorporated herein by reference.



SECTION SIXTEEN - CERTIFICATIONS AND ASSURANCES:
Where this AGREEMENT involves federal funds the GRANTEE shall comply with all applicable
Certifications and Assurances set forth in the current New Mexico Highway Safety Performance Plan.

IN WITNESS WHEREOF, the parties have executed this AGREEMENT.


NEW MEXICO DEPARTMENT                                        GRANTEE NAME:
OF TRANSPORTATION                                    All Counties Law Enforcement Agency



Sign: _________________________________              Sign:                _____
ANDRES ARAGÓN VIAMONTE,                              All Counties Director, Authorized Official
DEPUTY SECRETARY
                                                     Print Name: _________________________

                                                     Title: City Administrator


DATE: _____________________________                  DATE: ______________________________




                                                                                    Form Updated: 11/2006
                                                                                                       66
                     FORM 2 – TSB PROJECT AGREEMENT AMENDMENT




                  Traffic Safety Bureau        (505) 827-0427       1-800-541-7952

                   TSB PROJECT AGREEMENT AMENDMENT

       AMENDMENT # ____ to PROJECT AGREEMENT#_______________
The agreement made and entered into the ____ day of ______________ by and between the State of New
Mexico Department of Transportation (hereinafter referred to as the DEPARTMENT: and
___________________________ hereinafter referred to as the GRANTEE) is amended by the parties on
________________ as follows:

The following language shall be added to the Scope of Work as follows:




                            Current Amount          Increase        (Decrease)      Revised Amount
Personal Services:
Contractual Svs:
Commodities:
Other Costs:
Indirect Costs:
Totals:


Total compensation shall not exceed $_________________. It is understood between the parties that all
other terms and conditions of the Project Agreement shall remain the same, except as amended in writing.

IN WITNESS WHEREOF, the parties have executed this amendment as of the date written above.

NEW MEXICO DEPARTMENT OF                          GRANTEE
TRANSPORTATION

Sign: ______________________________              Sign: __________________________________
       NMDOT Deputy Secretary
                                                  Print Name: _____________________________
Date: _____________________________
                                                  Title: __________________________________

                                                  Date: __________________________________


Cc:    Finance Unit – for immediate handling      Grant File #
                                                                              Form Updated: 11/2006

                                                                                                      67
                  FORM 3 – PROPERTY AGREEMENT and INVENTORY RECORD




                     Traffic Safety Bureau           (505) 827-0427           1-800-541-7952

             PROPERTY AGREEMENT and INVENTORY RECORD
(One form to be completed for each item over $1000.00 purchased with TSB funds, excludes CDWI and EE Projects)
Agency _______________________________           TSB Project Agreement # ________________________
Project Title ______________________             Project period from ____________ to ______________
Acquisition Date ____/ ____/ ____                Acquisition Cost $_____________________
Serial Number __________________________________
Titleholder _____________________________________________________________
Item Description_________________________________________________________
Physical Location of Item ________________________________________________
Description of Use _______________________________________________________

                                    Note: shaded area is for TSB use only
Amount federal Portion $____________                     Use appropriate? _______YES/_______NO
TSB Inventory #____________________                      TSB Voucher #_________________
Disposition Date ____________________                    Condition: ________New/________Used


TERMS and CONDITIONS - It is mutually agreed that:
A. Items purchased with TSB funds according to the TSB Project Agreement are the property of the Traffic Safety
   Bureau. Items purchased under this project agreement are to be used for the purpose noted on the project
   agreement; whether or not the project continues to be supported by TSB funds.
B. The GRANTEE will immediately notify TSB if any items purchased under this project, during its useful life, ceases
   to be used in the manner set forth in the project agreement. In such event TSB may transfer any item not being
   used as indicated in the project agreement/amendments to another agency or transfer the property to the
   GRANTEE in writing, which will then allow the GRANTEE to transfer or otherwise dispose of this item per
   GRANTEE agency policy.
C. The Project Director will ensure that items purchased will NOT be sold, salvaged, transferred, etc, during the
   useful life of the item, without the prior written approval by the TSB Director. It will be maintained in accordance
   with manufacturer’s instructions and provide for protection against environmental hazards.
D. This item was purchased at the best obtainable price and must comply with the terms and conditions of this
   document; the Project Director’s signature on the claim form and this form certifies compliance.
E. Insurance is to be carried on all items purchased with TSB funds in an amount adequate to replace or repair the
   item, during its useful life, in case of loss, theft, destruction, damage, etc. Replacement of the item is the
   responsibility of the GRANTEE. Such insurance should stipulate the TSB’s interest in the item as lien holder.
   Support documentation will be kept by the Project Director to reflect insurance coverage.
F. The property agreement and inventory record form must be submitted to the Traffic Safety Bureau; once received
   by TSB it will be assigned a TSB inventory number. The inventory number will be forwarded to the Project
   Director.
G. The Project Director will affix the inventory number to the correct item purchased.

Project Director Sign: ________________________________________ Date ___________________

Project Director Print Name: _____________________________________________

_______________________            ___/____/____       ____________________________               ____/____/____
TSB Program Manager                   Date              TSB Financial Manager                     Date

                                                                                          Form Updated: 11/2006

                                                                                                                   68
                                   FORM 4 – TSB LOAN AGREEMENT




                    Traffic Safety Bureau           (505) 827-0427         1-800-541-7952

                                    TSB LOAN AGREEMENT
Item Description: ______________________________________________________________

TSB Inventory Number: ___________________ Serial Number: ________________________

This loan agreement is between the NM Traffic Safety Bureau and the undersigned GRANTEE
agency that agrees to the following:

1)   The Traffic Safety Bureau, on a loan basis provides the referenced item.
2)   Certification of operators for this item on loan is the responsibility of the GRANTEE agency.
3)   The item is loaned for the purpose of enforcing the State’s traffic laws and is not to be used simply as
     a means of gathering revenue.
4)   GRANTEE agency agrees to immediately notify the New Mexico Traffic Safety Bureau if the
     GRANTEE finds it cannot for any reason continue the enforcement operations; this item will then revert
     to the New Mexico Traffic Safety Bureau for reassignment.
5)   The GRANTEE will ensure that this item will NOT be sold, salvaged, transferred, etc, during its useful life,
     without the prior written approval by the TSB Director. It will be maintained in accordance with
     manufacturer’s instructions and provide for protection against environmental hazards.
6)   Insurance is to be carried on all items on loan from TSB in an amount adequate to replace or repair the
     item, during its useful life, in case of loss, theft, destruction, damage, etc. Replacement of the item is the
     responsibility of the GRANTEE. Such insurance should stipulate the TSB’s interest in the item as lien
     holder. Support documentation will be kept by the GRANTEE to reflect insurance coverage.


Receipt of the referenced item and above conditions is hereby acknowledged.

Project Director Sign: ______________________________________                   Date: _______________

Print Project Director Name: _________________________________________________

GRANTEE Agency Name: __________________________________________________

Address: _______________________________________________________________

________________________________________________________________________

Phone: __________________________                Fax: ______________________________




                                                                                       Form Updated: 11/2006

                                                                                                               69
                  FORM 5 –TSB PROJECTS - PERSONNEL ACTIVITY REPORT




                   Traffic Safety Bureau           (505) 827-0427         1-800-541-7952

              TSB PROJECTS - PERSONNEL ACTIVITY REPORT
To be submitted with each project reimbursement claim for personnel whose regular wages and benefits are
paid completely or in part by the Traffic Safety Bureau.

Date of Report

From: __________ To: __________. TSB Project Agreement #______________________________

Employee Information (Please print or type)

Name: ______________________________                  Hourly Rate: __________________________
Title: _________________________________
Department or Organization:   _____________________________________
Address:   ______________________________________________________
__________________________________________________________

Activity Summary
                                REGULAR HOURS          OVERTIME HOURS                  SALARY &
                                                                                       BENEFITS
TSB Grant Work
Non-TSB Work
TOTAL

I certify that the amount and distribution of time is true and accurate, and that the time charged to the Traffic
Safety Bureau is in compliance with the terms of the contract. I further certify that the salaries/wages
indicated as applicable to the Traffic Safety Bureau were received by me.

                                                      ______________________________________
                                                             Signature of Employee

Certified by: Payroll Administrator                           Project Director

_____________________________                         ______________________________
                      Printed Name                                   Printed Name

_________________________________________             __________________________________________
                   Signature                                       Signature

                                                                                     Form Updated 11/2006

                                                                                                             70
                             FORM 6 –NON-EMPLOYEE TRAVEL APPROVAL




                      Traffic Safety Bureau             (505) 827-0427           1-800-541-7952

                                  Non-Employee Travel Approval
The Traffic Safety Bureau is pleased to approve per diem and travel expenses for the person(s) noted below
to attend the following:

Traveler(s)                                                                 Agency Being Represented
Name: _______________________ Phone: _____________                          ____________________________
Address __________________________________________

Name: _______________________ Phone: _____________                          ___________________________
Address __________________________________________

Name: _______________________ Phone: _____________                          ___________________________
Address __________________________________________

___________________________________________                         ___________________________________
Name of Conference/Event/Activity/etc                               Location

_________________________________                          _________________________________________
Date(s)                                                    Name of Sponsor

On a reimbursement basis the Traffic Safety Bureau will pay per diem expenses

   in accordance with standard Department procedures rates or,
     actual costs for:
        lodging        meals (*see below)       transportation to the conference/event/activity, etc.
        mileage          airfare                  transportation from the conference/event/activity, etc.
  __________________________________________________________
  __________________________________________________________
*Actual expenses for meals are limited to a maximum of $30.00 for each 24-hour period of in-state travel
and $45.00 for each 24-hour period of out-of-state travel.

NOTE: Original receipts, reflecting itemized expenses for each item, are required if actual expenses will be claimed.
Enclosed for your review and information is a copy of the New Mexico Department of Transportation’s Administrative
Memorandum #902 regarding per diem and travel. Please complete the enclosed “Non-Employee Reimbursement
Request” form and return it to this office, along with all original receipts as soon as possible following your return. The
request will be processed immediately upon receipt. Please call me if you have any questions on this matter.

Approved by: _______________________________                                _____________________________
               Michael Sandoval, Director, TSB                                          Date

Copies to TSB Program Manager and Project File #_____________________________


                                                                                             Form updated: 11/2006

                                                                                                                         71
                    FORM 7 –NON-EMPLOYEE REIMBURSEMENT REQUEST




                   Traffic Safety Bureau           (505) 827-0427          1-800-541-7952

                      Non-Employee Reimbursement Request
NAME: __________________________________________________ SS#: _______________________________

MAILING ADDRESS: ___________________________________________________________________________

CITY: ___________________________________________ STATE: _______________ ZIP: ________________

DAYTIME TELEPHONE #: _______________________ HOME TELEPHONE #: _________________________

DEPARTURE FROM: _________________________________         TO: ____________________________________

DEPARTURE DATE: __________________________________ TIME: __________________________________

RETURN DATE: ______________________________________ TIME: __________________________________


PLEASE NOTE: a copy of the “approved” NON-EMPLOYEE TRAVEL APPROVAL form and the signed original of THIS
form MUST BE RECEIVED BEFORE REIMBURSEMENT. All “ITEMIZED” RECEIPTS MUST BE ATTACHED if you are
requesting reimbursement for Actual expenses.
PLEASE CHECK ONE:                 PER DIEM (Skip items A & B) ACTUAL EXPENSES

   A) Number of miles claimed for use of PRIVATE CAR ________________ (must equal map miles)

   B) ODOMETER READING: Beginning ___________ Ending __________ (contact TSB for required form)

AIRFARE: _______________ OTHER: ________________ ITEMIZED RECEIPTS MUST BE ATTACHED

REASON FOR TRAVEL: _____________________________________________________________________

SIGNATURE: __________________________________ DATE: ____________________________________

TO BE COMPLETED BY TRAFFIC SAFETY BUREAU’S FINANCIAL MANAGEMENT UNIT
PER DIEM:
# of DAYS: _________ # of HOURS: _________ = $___________ + MISC = $________________
                                                                       TOTAL PER DIEM = $____________________
MISC. EXPENSES:
MILEAGE:   # of MILES: __________              X $0.32 per mile        Total Mileage = $________________
AIRFARE                                                                                $________________
LODGING                                                                                $________________
MEALS                                                                                  $________________
OTHER                                                                                  $________________
                               TOTAL REIMBURSEMENT DUE:                                $___________________




                                                                                       Form updated: 11/2006

                                                                                                               72
                        FORM 8 –PROJECT AGREEEMENT QUARTERLY REPORT




                       Traffic Safety Bureau           (505) 827-0427            1-800-541-7952

                              Project Agreement Quarterly Report
Grantee: ____________________________________                     Project Agreement #: ______________________

Grant Title: ________________________________ Quarter Being Reported: _____/ _____ to _____/_____

Summarize progress in achieving project objectives:____________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Discuss significant problem areas, if any: _____________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Other significant information, including forecast of next quarter activities: ____________________________
______________________________________________________________________________________

Scope of Work/ Activity                                               1st Qtr.    2nd Qtr.        3rd Qtr.   YTD
                                                          Planned
                                                          Actual
                                                          Planned
                                                          Actual
                                                          Planned
                                                          Actual
                                                          Planned
                                                          Actual
                                                          Planned
                                                          Actual


Reimbursement Claims Status

        Budget:                             $_______________________
                  Prior Quarter YTD Claims:                                $______________________
                  Current Quarter Claims:                                  $______________________
        Current Quarter YTD Claims:         $_______________________
        Budget Balance: __________________________________


Submit form to: Safer NM Now, 3220 Richards Lane, Suite A, Santa Fe, NM 87507
                                                                                             Form Updated: 11/2006
                                                                                                                     73
                           FORM 9 –PROJECT AGREEMENT FINAL REPORT




                    Traffic Safety Bureau               (505) 827-0427             1-800-541-7952


                                Project Agreement Final Report
Agency Name: ________________________ Project Agreement Number: _____________________
Submitted with Final Claim #______________ in the amount of: $_____________________________
Project Title: _______________________________________________________________________

Scope of Work/ Activity                                                           4th Qtr.       Year end totals
                                                                    Planned
                                                                    Actual
                                                                    Planned
                                                                    Actual
                                                                    Planned
                                                                    Actual

List Project Agreement Objectives: ______________________________________________________________
__________________________________________________________________________________________

Detail progress made toward achieving Project Objectives: ___________________________________________
__________________________________________________________________________________________

List any problems encountered in conducting the activities and/or in meeting the Project Agreement Objectives:
__________________________________________________________________________________________
__________________________________________________________________________________________

List any recommendations that you think would help you achieve the Project Objectives, or that would help you
conduct the activities in the future: ______________________________________________________________
________________________________________________________________________________ _________

Detail how you think the activities conducted through this Project Agreement were beneficial to your community:
__________________________________________________________________________________________
__________________________________________________________________________________________

Detail how important you think it is to continue to include these same Activities as part of any future State
Highway Safety Program Plans: ________________________________________________________________
__________________________________________________________________________________________

Add any comments: __________________________________________________________________________
__________________________________________________________________________________________

Project Director Sign: ___________________________________                      Date:__________________________

Submit this report with your final claim by no later than October 31 to: NMDOT/ Traffic Safety Bureau, PO Box 1149,
Santa Fe, NM 87504-1149

                                                                                                  Form updated: 11/2006

                                                                                                                          74
                                                        FORM 10 - PROJECT REIMBURSEMENT CLAIM




                                               Traffic Safety Bureau                     (505) 827-0427                 1-800-541-7952

                                                       PROJECT REIMBURSEMENT CLAIM
1. Claim Number: _________               2. TSB Project Agreement #: _____________________________                           3. Period of Claim: _____/__________to _______/____________

4. Grantee Name: ______________________________ Address: ________________________________________________________________________
                                                       ________________________________________________Zip_______________________
                                                       (where check should be sent)
5. Budgeted Category 6. Amount        7. YTD         8. Budget        9. Check 10. Description of Allowable Expenses   11.Amount
                       Budgeted       Expenditures   Balance          Number      Ex: Employee name, Vendor name, item Claimed
                                                                                  description




12. TOTALS
I hereby certify to the best of my knowledge and belief, the above information is correct, expenditures are properly documented, and copies of all required documentation are attached, when
required or on file for review. All payments requests listed are not funded by any other funding source. Funds being claimed were not used to supplant (Replace routine and/or existing State or
local expenditures with the use of project agreement funds and/or use these funds for costs of activities that constitute general expenses required to carry out the overall responsibilities of State,
local, or federally-recognized Indian tribal governments). The GRANTEE has not billed another funding source for the same items and/or services being claimed on this form.

13. IS THIS A FINAL REIMBURSEMENT CLAIM? ________YES                               ________NO

CERTIFIED CORRECT BY:                    __________________________________________________                                  _________________________
                                         Project Director Signature                                                                 Date

                                         __________________________________________________                                  _________________________
                                         Print Project Director Name                                                                Date

                                         __________________________________________________                                  _________________________
Authorized for payment by:               TSB Program Manager                                                                        Date


Submit this claim form and any supporting documentation to: NMDOT/ Traffic Safety Bureau, P.O. Box 1149, Santa Fe, NM 87504-1149
                                                                                                                                                                       Form updated: 11/2006

                                                                                                                                                                                                          75
                                                        FORM 10.1 – SAMPLE REIMBURSEMENT CLAIM




                                               Traffic Safety Bureau                     (505) 827-0427                 1-800-541-7952

                                                       PROJECT REIMBURSEMENT CLAIM
1. Claim Number: ____2_____                         2. TSB Project Agreement #: _xx-xx-xxxx-xxxx___                3. Period of Claim: __10_/___2006____to _11__/__2006___
4. Grantee
Name: ______________________________                          Address: ____________________________________________________________________
                                                                     ___________________________________________Zip_______________________
                                                                             (where check should be sent)
5. Budgeted Category              6. Amount                7. YTD          8. Budget       9. Check       10. Description of Allowable Expenses                                           11: Amount
                                  Budgeted                 Expenditures Balance            Number         Ex: Employee name, Vendor name, item                                            Claimed
                                                                                                          description
Personal Svs                      $65,000.00               $2,000.00       $63,000.00                     Officer Good Cop                                                                $2,000.00
Commodities                       $5,000.00                 -0-            $5,000.00       1008           Collision Reporting System                                                      $3,500.00




12. TOTALS                        $70,000.00               $2,000.00             $68,000.00                                                                                               $5,500.00
I hereby certify to the best of my knowledge and belief, the above information is correct, expenditures are properly documented, and copies of all required documentation are attached, when
required or on file for review. All payments requests listed are not funded by any other funding source. Funds being claimed were not used to supplant (Replace routine and/or existing State or
local expenditures with the use of project agreement funds and/or use these funds for costs of activities that constitute general expenses required to carry out the overall responsibilities of State,
local, or federally-recognized Indian tribal governments). The GRANTEE has not billed another funding source for the same items and/or services being claimed on this form.

13. IS THIS A FINAL REIMBURSEMENT CLAIM? ________YES                               ___X____NO

CERTIFIED CORRECT BY:                    _________________________________________________                                   _________________________
                                         Project Director Signature                                                                 Date

                                         _________________________________________________                                   _________________________
                                         Print Project Director Name                                                                Date

                                         _________________________________________________                                   _________________________
Authorized for payment by:               TSB Program Manager                                                                        Date

Submit this claim form and any supporting documentation to: NMDOT/ Traffic Safety Bureau, P.O. Box 1149, Santa Fe, NM 87504-1149
                                                                                                                                                                       Form updated: 11/2006

                                                                                                                                                                                                          76
         INSTRUCTIONS FOR COMPLETING A PROJECT REIMBURSEMENT CLAIM
1. Claim Number: Fill out claim numbers in sequence according to which claim you are submitting - i.e. 1, 2, 3, 4, etc.

2. TSB Project Agreement Number: Project Agreement Number assigned by TSB, such as: 05-AL-05-115.

3. Period of Claim: Period of dates when work was performed; enter month and year.

4. GRANTEE Name: As it appears on TSB Project Agreement. Address: Use address where check should be mailed.


5. Budgeted Category: From the TSB Project Agreement.

6. Amount Budgeted: From the TSB Project Agreement.

7. YTD Expenditures: Year-to-date expenditures, including the current claim amount.

8. Budget Balance: Balance remaining after this claim is paid.

9. Check Number: Add check number if submitting claim for any individual item costing $1000.00 or more (and attach copy
   of paid invoice).

10. Description of Allowable Expenses: List the name of the person, the vendor, or the items purchased.

11. Amount Claimed: Total current amount to be reimbursed with this claim.

12. Totals: Total each column - 6, 7, 8, 11.

13. Is this the final reimbursement claim? All claims should be marked __X__No, unless you are submitting the final claim;

mark __X__Yes for the final claim.
                                                                                                     Form Updated 11/2006

                                                                                                                            77
                     FORM 11 – REIMBURSEMENT CLAIM FOR ODWI/ OBD GRANTS




                        Traffic Safety Bureau                (505) 827-0427             1-800-541-7952


                 REIMBURSEMENT CLAIM FOR ODWI/ OBD GRANTS
1. AGENCY: _______________________________ COORDINATOR: _________________________________
PHONE #: _____________________ 2. MONTH/ SUPER BLITZ PERIOD:______________________________
3. OPERATION DWI (ODWI) PROJECT AGREEMENT #:
4. Costs Calculated at:                        Regular rate                            Task Force rate
5. # Checkpoints:                 Cost per Checkpoint: $                    Total Checkpoint Cost: $
6. # Officers                     Total hours                               Hourly                    Total Sat Pat Cost:
in Saturation                     Saturation                                Rate per                  $
Patrols                           Patrols                                   Officer
7. Other Costs (Other than CP and SP - Attach appropriate forms to insure reimbursement in
                                                                                                             Total $:
this category)
8. Commodities (Attach appropriate form to insure reimbursement in this category)                            Total $:
Copies of invoices and checks should be attached with each claim.

9. CLAIM NO. FY07 - ___________                          10. TOTAL ODWI REIMBURSEMENT: $_____________________
                                                                                 (total costs for #5, #6, #7, and #8)
11. OPERATION BUCKLE DOWN (OBD) PROJECT AGREEMENT #
12. # Units worked                                                                             Total cost OBD Enforcement:
                                                    Cost per Unit: $
(2 hrs = 1 Unit)                                                                               $
13. ( See page 2 for details)        Total cost OBD Personal Services:                         $
14. CLAIM NO. FY07 - ____________                   15. TOTAL OBD REIMBURSEMENT: $ _____________________
                                                                                                     (total costs for #12 and #13)
16. Is this the FINAL request for ODWI for the year?         Is this the FINAL request for OBD for the year?
            YES                  NO                                 YES                  NO
17. Name & Address to mail reimbursement check:
Agency Name:                                         Street/ P.O. Box:
City:                                                State: NM                 Zip code:
For authorized agency representative and payroll administrator:
"We hereby certify to the best of our knowledge and belief, the information is correct; these services have been provided; expenditures
are properly documented and will not be charged to another funding source; and these funds do not supplant any of our current
funding.”


18. Name of LE Official:                                    Signature:                                            Date:

Name of Payroll Administrator:                              Signature:                                            Date:

TSB Program Manager:                                        Signature                                             Date:
     19. For statistical reporting: Fax Page 2 (and Page 3, if used) to Safer New Mexico Now, C/O Project Coordinator at
     (505) 471-3986, before the 3rd of the month following the month being reported.

     20. For reimbursement: Submit this cover sheet (Page 1), with original signatures, and Page 2 (and Page 3, if used) to Safer NM
     Now, 3220 Richards Lane, Suite A, Santa Fe, NM 87507. Please do not send backup documentation.
                                                        Page 1                                      Form Updated: 11/2006
                                                                                                                                          78
                                 FORM 12 – ODWI/ OBD ACTIVITY REPORT




                     Traffic Safety Bureau                (505) 827-0427          1-800-541-7952

                                  ODWI/ OBD ACTIVITY REPORT
21 . Agency: ________________________ Month/ Super Blitz Period:______________________

22. OPERATION DWI (ODWI) ACTIVITIES
Date:                                      Checkpoint                  Saturation Patrol - # Officers:
Location:             Start Time:          End Time:       Direction Traffic          # Vehicles

                      # DWI arrests                            # Suspended/ Revoked
               # Safety belt citations                           # Uninsured motorists
            # Child restraint citations                                   # Speeding
                     # Felony arrests                               # Reckless Driving
        # Stolen vehicles recovered                                    # Drug Arrests
            # Fugitives apprehended                                   # Other Citations
                                           OBD ENFORCEMENT
23. OPERATION BUCKLE
                                                                                                         Total # Units
DOWN ACTIVITIES
                                           Spotter Used: ______Yes ______ No                             Worked:
                      # DWI arrests                                           # Suspended/ Revoked
               # Safety belt citations                                          # Uninsured motorists
            # Child restraint citations                                                  # Speeding
                     # Felony arrests                                              # Reckless Driving
        # Stolen vehicles recovered                                                   # Drug Arrests
            # Fugitives apprehended                                                  # Other Citations
24. OBD – PERSONAL SERVICES – Overtime for Training/ Car Safety Seat Clinics/ Fitting Stations
                                                                                             Hourly Rate
Officer Name                              List Activity       Date            Total Hours                     Total Paid
                                                                                             x 1.5




25. OBD – PERSONAL SERVICES – Per Diem for Officer(s) to attend Training (Operation Kids or 4-Day
NHTSA Standardized Child passenger Safety Training):
                                                                                             Hourly Rate
Officer Name                              List Activity       Date            Total Hours                     Total Paid
                                                                                             x 1.5




26. PUBLIC INFORMATION AND EDUCATION: For each of the following activity categories, please circle
“No” or “Yes” and give details.
News Release?         NO         YES       (List names of media):
PSAs?                 NO         YES       (List stations):
Broadcast interviews? NO         YES       (List stations):
Other activities?     NO         YES        (Give details):
Trends/ Problems/ Comments:
                                                          Page 2
                                                                                                  Form Updated: 11/2006
                                                                                                                           79
                        FORM 12.1 – ODWI ACTIVITY REPORT (Continuation)




                    Traffic Safety Bureau           (505) 827-0427        1-800-541-7952

                           ODWI Activity Report (Continuation)
Agency: _________________________ Month/ Super Blitz Period: ________________________

OPERATION DWI (ODWI) ACTIVITIES
Date:                                  Checkpoint                Saturation Patrol - # Officers:
Location:           Start Time:        End Time:     Direction Traffic          # Vehicles

                    # DWI arrests                      # Suspended/ Revoked
            # Safety belt citations                      # Uninsured motorists
         # Child restraint citations                              # Speeding
                  # Felony arrests                          # Reckless Driving
     # Stolen vehicles recovered                               # Drug Arrests
         # Fugitives apprehended                              # Other Citations
OPERATION DWI (ODWI) ACTIVITIES
Date:                                  Checkpoint                Saturation Patrol - # Officers:
Location:           Start Time:        End Time:     Direction Traffic          # Vehicles

                    # DWI arrests                      # Suspended/ Revoked
            # Safety belt citations                      # Uninsured motorists
         # Child restraint citations                              # Speeding
                  # Felony arrests                          # Reckless Driving
     # Stolen vehicles recovered                               # Drug Arrests
         # Fugitives apprehended                              # Other Citations
OPERATION DWI (ODWI) ACTIVITIES
Date:                                  Checkpoint                Saturation Patrol - # Officers:
Location:           Start Time:        End Time:     Direction Traffic          # Vehicles

                    # DWI arrests                      # Suspended/ Revoked
            # Safety belt citations                      # Uninsured motorists
         # Child restraint citations                              # Speeding
                  # Felony arrests                          # Reckless Driving
     # Stolen vehicles recovered                               # Drug Arrests
         # Fugitives apprehended                              # Other Citations
Trends/ Problems/ Comments:




                                                    Page 3                                Form Updated: 11/2006
                                                                                                                  80
                          INSTRUCTIONS FOR COMPLETING ODWI/OBD FORMS
1. Agency’s name; Coordinator’s name and phone number.
2. Month/Super Blitz Period, i.e., October 2006, December 3, 2006 - January 7, 2007, etc. (submit each month
even if no reimbursement is requested).

REIMBURSEMENT CLAIM FORM
3. ODWI Project Agreement # (see current Project Agreement).
4. Check box for the cost calculated at regular rate or task force rate (see Project Agreement, Scope of Work).
5. Number of checkpoints times the cost per checkpoint = total checkpoint cost.
6. For saturation patrols, the total number of officers working each saturation patrol times total hours worked by
each officer, times hourly rate per officer = Total sat. pat. Cost.
7. Other Costs (as defined on page 11), if requesting. Attach any appropriate forms to ensure reimbursement.
8. Cost of Commodities (as defined on page 10), if requesting. Attach any appropriate forms.
9. Claim No. FY07-_____(i.e., November 2006 could be Claim number 1 for ODWI Agreement).
10. Total ODWI Reimbursement = Total checkpoint cost + total sat.pat.cost + 10% Indirect Costs + total OT for
court.
11. OBD Agreement # (see current Project Agreement).
12. Number of units times cost per unit (see Scope of Work) = total cost OBD Enforcement.
13. OBD Personal Services (include amounts paid for overtime for training, car seat clinics, and/or fitting stations
and amounts paid for per diem to attend approved training).
14. Claim No. FY07-_____(i.e., November 2006 could be claim number 2 for OBD Agreement).
15. Total OBD Reimbursement = Total claimed for OBD Enforcement + total claimed for Personal Services.
16. Final Request – Is this the last reimbursement request for the project year? Circle YES or NO, as appropriate.
17. Name/Address to mail reimbursement check.
18. Be sure to print the LE official and Payroll Administrator names and have them sign and date the appropriate
lines. LE official signing must be same individual listed in Project Agreement (Scope of Work). If this individual
changes during the course of the grant cycle, Agency Head should send a letter to the Traffic Safety Bureau, with
a copy to Safer New Mexico Now, advising who is authorized to sign.
                                                                                                                rd
19. For statistical purposes, fax activity report form to Safer New Mexico Now at (505) 471-3986 before the 3 of
the following month.
20. Mail the original Claim Form and Activity Report form(s) with signatures to Safer New Mexico Now, 3220
Richards Lane, Suite A, Santa Fe, NM 87507. Do not send backup documentation.

ODWI/OBD ACTIVITY REPORT FORM
21. Fill in Agency Name and the Month/Super Blitz Period.

Operation DWI:
22. Fill in date of activity and check box for activity conducted, i.e., checkpoint or saturation patrol, location (cross
streets/highway/etc.), start and end time, direction of traffic, i.e. north, east, south or west; number of vehicles
through the area, number of DWI arrests, etc. If not all the officers worked the same number of hours on a
saturation patrol, include detail of hours worked for each officer (list in shaded area). List each date separately and
attach additional sheets if necessary.

Operation Buckle Down:
23. List the total number of units (2-hour blocks) for the entire month and list the number of seatbelt citations,
number of child restraint citations etc.
24. Personal Services – overtime for training, car seat clinics, and/or fitting stations – list the officer(s), indicate
which activity, i.e., training, etc., the date, total hours worked, hourly rate X 1.5, and total amount paid.
25. Personal Services – per diem for officer(s) to attend training (Operation Kids or 4-Day NHTSA Standardized
Child Passenger Safety) – list the officer(s), course title, date(s), and total amount paid.

Activity Report Form, Public Information and Education Section
26. Circle Yes or No and provide the details (do not attach clippings). However, include other activities and add
any trends, problems, or other comments. This provides important historical and statistical data, i.e. problems
noted, solutions attempted, what worked, what did not, etc.

                                                                                                Form Updated: 11/2006

                                                                                                                           81
            FORM 13 –TRAFFIC ENFORCEMENT OVERTIME ACTIVITY REPORT




                   Traffic Safety Bureau      (505) 827-0427   1-800-541-7952


                   Traffic Enforcement Overtime Activity Report
(For Grantee Use)

Agency Name: ________________________ Project Agreement Number: ____________________
Submitted with Claim #______________ in the amount of: $_____________________________
Project Title: ______________________________________________________________________
Officer’s Name: _____________________________________


Block of Time:
                 Date: ______________
                 Time: ______________
Activity Report:
       Speeding:      16 to 25 mph   _____________
                       6 to 15 mph   _____________
                       1 to 5 mph    _____________
       Child Restraint:       _____________
       No Driver’s License: _____________
       No Insurance:          _____________
       No Registration:       _____________
       Safety Belt:           _____________
       DWI:                   _____________
Other Citations:______________________________________________________________________
_________________________________________________________________________________



Officer Signature: __________________________ Print Officer Name: __________________________
Supervisor Signature: _______________________ Print Supervisor Name: ______________________
Date: ___________________________________ Date: _____________________________________


                                                                        Form Updated: 11/2006



                                                                                            82
     FORM 14 – TRAFFIC ENFORCEMENT OVERTIME ACTIVITY SUMMARY REPORT




                   Traffic Safety Bureau         (505) 827-0427         1-800-541-7952


         Traffic Enforcement Overtime Activity Summary Report
(Must accompany reimbursement claim form)

Agency Name: ________________________ Project Agreement Number: ____________________
Submitted with Final Claim #______________ in the amount of: $_____________________________
Project Title: ______________________________________________________________________
Program Director Signature: ___________________________________ Date: _________________


Dates Worked: ___________________________                     Location(s) __________________________
Total Hours: _____________________________                            ______________________________
Number of Officers: _______________________                           ______________________________


Activity Report:
       Speeding:      16 to 25 mph    _____________
                       6 to 15 mph    _____________
                       1 to 5 mph     _____________
       Child Restraint:        _____________
       No Driver’s License: _____________
       No Insurance:           _____________
       No Registration:        _____________
       Seat Belt:              _____________
       DWI:                    _____________
Other Citations______________________________________________________________________


Must complete this section when training and/ or equipment expenditures are on claim submitted:
Training (include name of training received and description): ______________________________
______________________________________________________________________________
Equipment (include name of equipment purchased and description): ________________________
______________________________________________________________________________
Submit this claim form and any supporting documentation to: NMDOT/ Traffic Safety Bureau, P.O. Box 1149,
Santa Fe, NM 87504-1149
                                                                                     Form updated: 11/2006

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                                                    FORM 15 – PROJECT REIMBURSEMENT FOR OVERTIME




                                                  Traffic Safety Bureau                    (505) 827-0427                1-800-541-7952

                                          PROJECT REIMBURSEMENT CLAIM for OVERTIME
1. Claim Number: _________              2. TSB Project Agreement #: ___________________________                           3. Period of Claim: _____/_____ to _____/_____

4. Grantee Name: __________________________________________ Address: ___________________________________++__________
________________________________________________________________________________________Zip_______________________
                                                                                           (where check should be sent)
                     5. NAME                                 6. DATES WORKED                 7. Type of           8. # OF OVERTIME                       9. OVERTIME             10 TOTAL PAID
                                                                                             Overtime (regular,    HOURS WORKED                         HOURLY RATE                   AMOUNT
                                                                                             dispatcher, court)




11.TOTALS
I hereby certify to the best of my knowledge and belief, the above information is correct, expenditures are properly documented, and copies of all required documentation are attached, when required or
on file for review. All payments requests listed are not funded by any other funding source. Funds being claimed were not used to supplant (Replace routine and/or existing State or local expenditures
with the use of project agreement funds and/or use these funds for costs of activities that constitute general expenses required to carry out the overall responsibilities of State, local, or federally-
recognized Indian tribal governments). The GRANTEE has not billed another funding source for the same items and/or services being claimed on this form.

12. IS THIS A FINAL REIMBURSEMENT CLAIM? ________YES                             ________NO

          13. CERTIFIED CORRECT BY:                          ____________________________________________                                     _________________________
                                                             Project Director Signature                                                              Date

                                                             ____________________________________________                                      _________________________
                                                             Print Project Director Name                                                              Date

                                                             ____________________________________________                                      _________________________
          14. Authorized for payment by:                     TSB Program Manager                                                                      Date

Submit this claim form to: NMDOT/ Traffic Safety Bureau, P.O. Box 1149, Santa Fe, NM 87504-1149                                                Form updated: 11/2006
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                                  FORM 15 – PROJECT REIMBURSEMENT FOR OVERTIME



                 INSTRUCTIONS FOR COMPLETING A PROJECT REIMBURSEMENT CLAIM FOR OVERTIME


1. Claim Number: Fill out claim numbers in sequence, i.e. 1, 2, 3, 4, etc.
2. TSB Project Agreement Number: i.e. 02-EE-05-115
3. Period of Claim: Dates when work was performed
4. Grantee Name: Agency name and mailing information; address where check should be mailed


5. Name: Name of officer
6. Dates Worked: Dates officer worked
7. Type of Overtime: List type of overtime worked, such as regular, dispatcher, court
8. # of Overtime Hours Worked: Total hours officer worked
9. Overtime Hourly Rate: Round to 2nd decimal place
10. Paid Amount: Total amount paid to officer
11. Totals: Total columns 7 and 9


12. Is this the final reimbursement claim?: All claims should be marked (X) No, unless it is the final claim, in which case, mark
   (X) for Yes


13. Certified Correct by: Claim must be signed and dated by the approved Project Director.
14. Authorized for Payment by: To be signed and dated by TSB Program Manager




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