HomeMy WebLinkAbout7747RESOLUTION NO. 7747
A RESOLUTION APPROVING A CONTRACT BETWEEN
THE CITY OF PUEBLO, A MUNICIPAL CORPORATION
AND THE STATE OF COLORADO RELATING TO
HIGHWAY SAFETY AND COMMUNITY TRAFFIC
SAFETY PROGRAM AND AUTHORIZING THE
PRESIDENT OF THE CITY COUNCIL TO EXECUTE SAME
WHEREAS, the City of Pueblo, on behalf of the Pueblo Police Department, has submitted
an application to the Colorado Department of Transportation, Office of Transportation Safety for
funding a Highway Safety and Community Traffic Safety Program (the "Program "); and
WHEREAS, the State has approved the application and has prepared a Contract for the
Program which requires the City of Pueblo to provide certain matching funds for this Program; and
WHEREAS, the City of Pueblo has the authority and responsibility to fund the Pueblo Police
Department and to sign contracts on behalf of the Pueblo Police Department; and
WHEREAS, the Contract for the Program requires the local agency to provide matching
funds in the amount of $265,119, has been presented to the City Council of the City of Pueblo for
approval; and
WHEREAS, a resolution by the City Council of the City or Pueblo formally approving the
Contract for the Program obligating the required local match funds, and authorizing the proper
signature to be affixed to the Contract indicating such approval is required by the State of Colorado,
NOW THEREFORE,
BE IT RESOLVED BY THE CITY COUNCIL OF PUEBLO, that:
SECTION 1.
The terms, conditions and obligations of the Contract for Highway Safety and Community
Traffic Safety Program (the "Program ") between the City of Pueblo and the State of Colorado, a
copy of which is attached hereto, having been approved as to form by the City Attorney, are hereby
approved. The President of the City Council is authorized to execute and deliver the Contract in the
name of the City and the City Clerk is directed to affix the seal of the City thereto and attest same.
SECTION 2.
Sufficient funds to satisfy the City's local funding requirements of the Contract for the
Program shall and hereby are appropriated and allocated within the budget of the Pueblo Police
Department for the fiscal years 1995 and 1996.
INTRODUCED November 13, 1995
By Al Gun le
Councilperson
ATTEST: A P VED:
City C14 resident of the City Council
DEPARTMENT OR AGENCY NUMBER
CONTRACT ROUTING NUMBER
CONTRACT
THIS CONTRACT, made this ?q day of ,GL'"►0ff1996 , by and between the State of
Colorado, for the use and benefit of the Department of Transportation, Office of Transportation
Safety, 4201 East Arkansas Avenue, Denver, Colorado 80222, hereinafter referred to as the
State, and the City of Pueblo, for the use and benefit of the Pueblo Police Department, 130
Central Main Street, Pueblo, Colorado 81003, hereinafter referred to as the Contractor,
WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated and
otherwise made available and a sufficient unencumbered balance thereof remains available for
payment in Fund Number 400, Appropriation Code 303, Object Number 5110, Org Unit 9823,
Contract Encumbrance Number 9787, GBL Number 9102, FEIN Number 846000615A; and
WHEREAS, required approval, clearance and coordination has been accomplished from
and with appropriate agencies; and
WHEREAS, the State is authorized under Sections 43 -5-401 and 24-42 -103, C.R.S., as
amended, to coordinate with the federal government and other entities to develop and implement
plans and programs involving all aspects and components of traffic safety in Colorado; and
WHEREAS, pursuant to Title 23 United States Code, Sections 402, 408, and 410, and to 23
Code of Federal Regulations, Parts 924, 1204 and 1205, the State has received approval and
federal grant funding for implementation of its Fiscal Year 1996 Highway Safety Plan (HSP) from
the U.S. Department of Transportation, National Highway Traffic Safety Administration; and
WHEREAS, the HSP contains programs and activities which the State has determined, in
accordance with applicable criteria, are designed to reduce the frequency and severity of alcohol
and other drug related traffic crashes or improve the operational efficiency of existing traffic
safety programs regarding the alcohol and drug impaired driver in Colorado; and
WHEREAS, the State solicits and reviews Applications and determines which agencies or
entities would be most appropriate in completing the objectives, conducting the activities and
providing the services required by the HSP; and
WHEREAS, the Contractor has submitted an Application to conduct certain activities
approved in the HSP which Application has been approved by the State; and
WHEREAS, the Contractor has the technical ability to properly complete the objectives and
activities of the Application, as described in Attachment A of this Contract; and
WHEREAS, it has been determined no State agency can reasonably conduct the activities
and provide the services required of the Contractor; and
WHEREAS, this contract is executed by the State under authority of Sections 43- 5-40'( and
24-42 -101, C.R.S., as amended, and is executed by the Contractor under authority of Section
29 -1 -203, C.R.S., as amended, and as authorized by the formal resolution attached hereto; and
Page 1 of 5 pages
WHEREAS, the Contractor warrants it has taken all necessary steps to ensure the
individual Contractor signatory below has the authority to sign this Contract.
NOW THEREFORE, it is hereby agreed as follows:
1. The following Attachments and other documents are incorporated as terms and conditions
of this Contract, to the extent consistent with this Contract. .
A. State "Special Provisions"
B. Attachment A - Contract Objective and Tasks
C. Office of Transportation Safety Contract Management
Manual
D. The Project Application
E. Attachment B - Scope of Work (if other than Attachment A)
The Contractor shall comply with all such terms and conditions in the performance of the
work.
2. If a conflict occurs between the terms and conditions of this Contract proper and the
attachments hereto, the priority to be used to resolve such conflict shall be as follows:
A. State "Special Provisions"
B. This Contract proper
C. Attachment A - Contract Objective and Tasks
D. Office of Transportation Safety Contract Management
Manual
E. The Project Application
F. Attachment B - Scope of Work (if other than Attachment A)
3. The Contractor shall carry out the program, conduct all the activities and provide the
services described in the Scope of Work attached hereto as Attachment A and detailed in
Attachment A.
4. In the performance of the work, the Contractor shall comply with all applicable administrative
procedures and contract requirements contained in the October 1, 1994 Colorado Highway
Safety Contract Management Manual.
5. The Contractor shall submit periodic and final reports to the State according to the
requirements of the Contract Manual and the reporting criteria set forth in page 2 of Attachment
A.
6. The Contractor shall comply with the budget for this contract as set forth in page 3 of
Attachment A. The Contractor shall be solely responsible for all costs incurred in excess of this
budget amount..
7. The total estimated program costs shall be $366,042. Subject to the conditions of this
contract, the State and Contractor shall participate in providing this amount as follows:
.A. State share (federal funds)
shall not exceed $100,923
B. Contractor share 265.119
(estimated in -kind services as
detailed in application)
C. Total estimated program costs $366,042
Page 2 of 5 pages
The State share shall be comprised entirely of federal funds made available to the State. The
State share amount of this Contract shall not be exceeded. If the actual total program costs are
less than the estimated total program costs as a result of the contractor's failure to supply all of
the estimated contractor share, the state's share shall be reduced proportionately. The term
"proportionately" means the ratio of actual expenditures to total planned expenditures for both
State and contractor shares. The contractor may increase the contractor share without further
state approval, but this increase shall have no impact on the state share.
8. The State shall reimburse the Contractor for the satisfactory performance of this Contract
exclusively from funds made available for this contract under the Highway Safety Act, Title 23,
U.S.C. Section 402 Such reimbursement shall be only as provided in the Contract Manual. Such
reimbursement shall be contingent upon the contribution by the Contractor of its participating
share as provided herein, and shall be contingent upon the continuing availability of federal funds
under the Highway Safety Act, Title 23, U.S.C. Section 402, for the purposes hereof.
9. The term of this Contract shall begin on the effective date and shall terminate on September
30, 1996. The effective date of this Contract shall be the date the required signature approval of
the State Controller is obtained on this Contract, as evidenced by the date first appearing above.
Contractor agrees that any contract work performed or costs incurred prior to the effective date
shall not be compensated under the terms of this Contract.
10. The Contractor agrees that any subcontract entered into under this Contract shall meet all
applicable state and federal requirements, including the requirements in Title 49, C.F.R. Section
18.36 concerning competitive procurements, and must be approved by the Director, Office of
Transportation Safety, prior to execution. Contractor shall not assign this Contract without prior
written approval of the State: any assignment without such approval shall be void.
11. a) Termination Due to Loss of Funding The parties hereto expressly recognize the
Contractor is to be paid, reimbursed, or otherwise compensated solely with federal funds
provided to the State for the purpose of contracting for the services provided for herein.
Therefore, the Contractor expressly understands and agrees all its rights, demands and claims to
compensation arising under this Contract are contingent upon receipt of such funds by the State.
In•the event such funds or any part thereof are not received by the State, the State may
immediately terminate or amend this Contract.
b) Termination for Cause If, for any cause, the. Contractor shall fail to fulfill in a timely and
proper manner its obligations under this Contract, or if the Contractor shall violate any of the
covenants, agreements or stipulations of this Contract, the State shall thereupon have the right to
terminate this Contract for cause by giving written notice to the Contractor of such termination
and specifying the effective date thereof, at least 30 days before the effective date of such
termination. In that event, all finished or unfinished documents, data, studies, surveys, drawings,
maps, models, photographs and reports or other material prepared by the Contractor under this
Contract shall, at the option of the State, become its property, and the Contractor shall be entitled
to receive just and equitable compensation for any satisfactory work completed on such
documents and other materials.
Not withstanding the above, the Contractor shall not be relieved of liability to the State for any
damages sustained by the State by virtue of a breach of the Contract by the Contractor, and the
State may withhold any payments to the Contractor for the purpose of setoff until such time as
the exact amount of damages due the State from the Contractor is determined.
Page 3 of 5 pages
on
c) Termination for Convenience The State may terminate this Contract at any time the State
determines the purposes of the distribution of monies under the Contract would no longer be
served by completion of the Project. The State shall effect such termination by giving written
notice of to the Contractor and specifying the effective date thereof, at least 20 days
before the effective date of such termination.
12. Independent Contractor The Contractor shall perform its duties hereunder as an
independent contractor and not as an employee. Neither the Contractor nor any agent or
employee of the Contractor shall be, or shall be deemed to be, an agent or employee of the
State, and they shall have no authorization, express or implied, to bind the State to any
agreements, settlements, liability, or understanding except as expressly set forth herein. The
Contractor shall be responsible to the State for the ultimate results of performance required
hereunder but shall not be subject to the direction and control of the State as to the means and
methods of accomplishing the results. The specifications in this Contract of particular
performance standards the State deems essential to proper performance and Contract value
shall in no event be deemed to alter this relationship. Contractor shall pay when due all required
employment taxes and income tax withholding, including all federal and State income tax on any
moneys paid pursuant to this Grant Contract. The Contractor shall provide and keep in force
worker's compensation (and show proof of such insurance) and unemployment compensation
insurance in the amounts required by law, and shall be solely responsible for the acts of the
Contractor, its employees and agents. The Contractor acknowledges that Contractor and its
employees are not entitled to the benefits of worker's compensation insurance or unemployment
insurance unless the Contractor or a third party provides such coverage and that the State does
not pay for or otherwise provide such coverage.
13. The Special Provisions attached hereto are hereby made a part hereof.
Page 4 of 5 pages
IN WITNESS WHEREOF, the parties hereto have caused the foregoing Contract to be
executed by their duly authorized officers the day and year first above written.
ATTEST STATE OF COLORADO
ROY ROMER, GOVERNOR
Chief Clerk GUI LERMO V. VIDAL
Transportation Department EXECUTIVE DIRECTOR
DEPARTMENT OF TRANSPORTATION
,JOHN E. ONGER, DIR TOR
OFFICE OF TRANSPC�TATION
SAFETY
Contractor
ATTEST
By r A , By
Title p r; t�T rlA, Title president of City Cou
APPROVALS
CLIFFORD W. HALL GALE NORTON
Controller Attorney General
By : By
EORGE MCC LAR BA RY B. RYA
Controller Assistant Attorney General
Department of Transportation Civil Litigation Section
Page 5 of 5 pages
SPECIAL PROVISIONS
CONTROLLER'S APPROVAL
1. This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate. This
provision is applicable to any contract involving the payment of money by the State.
FUND AVAILABILITY
2. Financial obligations of the State of Colorado payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted,
and otherwise made available.
BOND REQUIREMENT
3. If this contract involves the payment of more than fifty thousand dollars for the construction, erection, repair, maintenance, or improvement of any building,
road, bridge, viaduct, tunnel, excavation or other public work for this State, the contractor shall, before entering upon the performance of any such work included
in this contract, duly execute and deliver to the State official who will sign the contract, a good and sufficient bond or other acceptable surety to be approved by
said official in a penal sum not less than one -half of the total amount payable by the terms of this contract. Such bond shall be duly executed by a qualified corporate
surety conditioned upon the faithful performance of the contract and in addition, shall provide that if the contractor or his subcontractors fail to duly pay for any
labor, materials, team hire, sustenance, provisions, provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work
contracted to be done or fails to pay any person who supplies rental machinery, tools, or equipment in the prosecution of the work the surety will pay the same in
an amount not exceeding the sum specified in the bond, together with interest at the rate of eight per cent per annum. Unless such bond is executed, delivered and
filed, no claim in favor of the contractor arising under such contract shall be audited, allowed or paid. A certified or cashier's check or a bank money order payable
to the Treasurer of the State of Colorado may be accepted in lieu of a bond. This provision is in compliance with CRS 38 -26 -106.
INDEMNIFICATION
4. To the extent authorized by law, the contractor shall indemnify, save, and hold harmless the State, its employees and agents, against any and all claims
damages, liability and court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the contractor, or its employees
agents, subcontractors, or assignees pursuant to the terms of this contract.
DISCRIMINATION AND AFFIRMATIVE ACTION
5. The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957, as amended, and other applicable law respecting
discrimination and unfair employment practices (CRS 24- 34-402l and as required by Executive Order. Equal Opportunity and Affirmative Action, dated April 16,
1975. Pursuant thereto, the following provisions shall be contained in all State contracts or sub- contracts.
During the performance of this contract, the contractor agrees as follows:
(a) The contractor will not discriminate against any employee or applicant for employment because of race, creed, color, national origin, sex.
marital status, religion, ancestry. mental or physical handicap. or age. The contractor will take afrwristive action to i rtstu that applicants are employed, and that
employees are treated daring employment. without regard to the above me nioned charaaaisbm Such action shall include. but nix be limited to the following:
employment upgrading, demotion, or transfer, recruitment or recruitment advcrusutgs: lay -offs or wrt inatianst taus of pay or other forms of compensation, and
selection for training. including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment,
notices to be provided by the contracting officer setting forth provisions of this non-discrimination clause.
(b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will
receive consideration for employment without regard to race, creed. color, national origin, sex, marital status, religion, ancestry. mental or physical handicap.
or age.
(c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or
understanding, notice to be provided by the contracting officer. advising the labor union or workers' representative of the contractor's commitment under the
Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, and of the rules, regulations, and relevant Orders of the Governor.
(d) The contractor and labor unions will furnish all information and reports required by Executive Order, Equal Opportunity and Affirmative Action of April
16, 1975. and by the rules, regulations and Orders of the Governor, or pursuant thereto, and will permit access to his books, records, and accounts by the
contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules, regulations and orders.
(e) A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization, or expel any such individual
from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity because of race, creed, color,
sex, national origin, or ancestry.
(f) A labor organization, or the employees or members thereof will not aid, abet, incite, compel or coerce the doing of any act defined in this contract to be
discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder, or attempt, either directly
or indirectly, to commit any act defined in this contract to be discriminatory.
Form 6- AC -02B
Revised 1/93
395 -53 -01 -1022
P. Se 1 of 2 paece
(g) In the event of the contractor's-non-compliance with the non - discrimination clauses of this contractor with any of such rules, regulations, or orders,
this contract may be canceled, terminated or suspended in whole or in part and the cuntractor may be declared ineligible for further State contracts in
accordance with procedures, authorized in Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975 and the rules, regulations, or
orders promulgated in accordance therewith, and such othersanctions as may be imposed and remedies as may be invoked as provided in Executive Order,
Equal Opportunity and Affirmative Action of April 16, 1975, or by rules, regulations, or orders promulgated in accordance therewith, or as otherwise
provided by law.
(h) The contractor will include the provisions of paragraphs (a) through (h) in every sub - contract and subcontractor purchase order unless exempted by
rules, regulations, or orders issued pursuant to Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975, so that such provisions will
be binding upon each subcontractor or vendor. The contractor will take such action with respect to any sub - contracting or purchase order as the contracting
agency may direct, as a means of enforcing sucNprovisions. including sanctions for non - compliance; provided, however, that in the event the contractor
becomes involved in, or is threatened with, litigation, with the subcontractor or vendor as a result of such direction by the contracting agency, the contractor
may request the State of Colorado to enter into such litigation to protect the interest of the State of Colorado.
COLORADO LABOR PREFERENCE
6a. Provisions of CRS 8 -17 -101 & 102 for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereunder and
are financed in whole or in part by State funds.
b. w hen a construction contract for a public project is to be aw•ardeo to a bidder, a resident bidder shall be allowed a preference against a non - resident bidder from
a state or foreign country equal to the preference given or required by the state or foreign country in which the non - resident bidder is a resident. If it is determined by
the officer responsible for awarding the bid that compliance with .hr-Subsection .00 may cau,e denial of federal funds which would otherwise be available or would
otherwise be inconsistent with requirements of Federal law, this subsection shall be suspended, but only to the extent necessary to prevent denial of the moneys or to
eliminate the inconsistency with Federal requirements (CRS 8 -19 -101 and 102)
GENERAL
7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation, execution, and enforcement of this
contract. Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra- judicial body or person or which
is otherwise in conflict with said laws, rules, and regulations shall be considered null and void. Nothing contained in any provision incorporated herein by reference
which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint,
defence, or otherwise. Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to the extent that the
contract is capable of execution.
8. At all times during the performance of this contract, the C_ ontractor shall strictly adhere to all applicable federal and state laws, rules, and regulations that have
been or may hereafter be established.
9. The signatories aver that they are familiar with CRS 18- 8-301, et. seq., (Bribery and Corrupt Influences) and CRS 18- 8-401, et. seq., (Abuse of Public Office),
and that no violation of such provisions is present.
10. The signatories aver that to their knowledge, no state employee has any personal or beneficial interest whatsoever in the service or property described herein:
7(FullLegal HEREOF, thZpartik,-s er eto have executed this Contract the day first above written.
e) STATE OF COLORADO
ROY ROMER, GOVERNOR
By
•t EXECUTIVE CTOR
Position (Title)
Social Security Number or Federal I.D. Number DEPARTMENT
If Corporation:) OF
Attest (Seal)
By
Corporate Secretary, or Equivalent. Tow" City ty Clerk
APPROVALS
ATTORNEY GENER CONTROLLER
By B
Form 6- AC -02C c
Rcvi d 1193 Pa¢2 which it th< lent of pa2rs
395 -53 -01 -1030
COLORADO DEPARTMENT OF TRANSPORTATION
CONTRACT OBJECTIVE PLAN
State Program: Public Ways
Contracting Agency`. Pueblo Police Department
State Sub - Program: Transportation Safety
Project Coordinator: Sergeant Dayton Robinson
Problem Solution Plan: Community Traffic Safety Program
ontract Period: Effective date through September 30, 1996
Project # 96 -26
HSID # 09 -91
ask # 91 -02
Objective:
To reduce traffic crashes at target locations in the City of Pueblo by 10 %, citywide crashes by 5% and increase the
traffic enforcement index to 20 through the use of enforcement, engineering, public information programs and
community involvement through September 30, 1996.
Task
Activity #
Activity Description
91 -02.1
Continue deployment of the four person motorcycle unit for 8000 hours of enforcement at selected
high hazard locations through September 30, 1996.
91 -02.2
Using three to five years of crash and citation information, including speed and DUI, on a quarterly
basis select five to ten target locations for directed enforcement through September 30, 1996. Select
five to ten locations with similar characteristics as comparison locations which will not receive directed
enforcement. Coordinate enforcement activities with the LEAF program and with Operation Buckle
Down.
91 -02.3
In conjunction with the City of Pueblo Department of Transportation, continue the implementation of
the traffic control plan for incident management along the 1 -25 corridor through September 30, 1996.
91 -02.4
Continue the partnership with DRIVE SMART Pueblo with emphasis on the high school and 18 -24
year old age groups, minority groups, impaired driving, pedestrian safety, and occupant protection
programs through September 30, 1996.
91 -02.5
Continue the implementation of the Community Oriented Traffic Enforcement plan through - September
30, 1996.
91 -02.6
Send one traffic Sergeant to the Police Traffic Management School at IPTM in Jacksonville, Florida by
September 30, 1996.
91 -02.7
Submit quarterly reports on January 20, April 20, July 20 and October 20 and a final report and final
claim for costs incurred by November 15, 1996.
Previous editions are obsolete and may not be used CDOT Form #1106
7/92
Attachment A , page 1 of 3
COLORADO DEPARTMENT OF TRANSPORTATION
CONTRACT EVALUATION DATA
Project # 96 -26
HSP # 09 -91
Task # 91 -02
Task
Type of
Report
Activity #
Evaluation Description
evaluation
timeframe
91 -02.1
Describe motorcycle unit's activities including hours of
Performance
Quarterly /Final
enforcement, location, number and types of citations,
enforcement index, etc.
91 -02.2
Provide summary of data analysis used to select locations for
Administrative
Quarterly
targeted enforcement and comparison locations. Include
crash history, violations, etc.
91 -02.3
Describe the implementation of the traffic control plan and
Administrative/
Quarterly /Final
any incidents along the 1 -25 corridor.
Performance
91 -02.4
Provide narrative description of DRIVESMART Pueblo
Administrative/
Quarterly /Final
activities including type of event, target group and outcome.
Performance
91 -02.5
Provide narrative description of the implementation of the
Administrative/
Quarterly /Final
Community Oriented Traffic Enforcement Plan including
Performance
problems encountered and future recommendations.
91 -02.6
Provide course curriculum and student evaluation of the
Administrative
Quarterly
training.
91 -02.7
Were quarterly and final reports submitted in a timely
Administrative
Quarterly /Final
manner? Final report must include an impact analysis
(reduction in crashes) as a result of the enforcement
program.
Previous editions are obsolete and may not be used CDOT Form #1107
7/92
Attachment A , page 2 of
COLORADO DEPARTMENT OF TRANSPORTATION
CONTRACT FINANCIAL BUDGET
PROJECT # 96 -26
BUDGET ALLOCATION FOR HSP# 09 -91 TASK# 91 -02
Cost category
OTS($)
Agency($)
Total($)
Personal Services
90,925
249,922
340,847
Operating expenses
6,170
15,197
21,367
Travel expenses
3,828
-0-
3,828
Capital equipment
-0-
-0-
-0-
Other
-0-
-0-
-0-
Totals
100,923
265,119
366,042
DISTRIBUTION OF OTS FUNDS (BENEFIT OF): STATE $ LOCAL $100,923
BUDGET ALLOCATION FOR HSP# TASK#
Cost category
OTS($)
Agency($)
Total($)
Personal Services
$265,119
$366,042
Operating expenses
Travel expenses
Capital equipment
Other
Totals
I DISTRIBUTION OF OTS FUNDS (BENEFIT OF): STATE $ LOCAL $
BUDGET ALLOCATION FOR HSP# TASK#
Cost catego OTS($) Agency($ Total($)
Personal Services
Operating expenses
Travel expenses
Capital equipment
Other
Totals
DISTRIBUTION OF OTS FUNDS (BENEFIT OF): STATE $ LOCAL $
TOTAL BUDGET
OTS($)
Agency($)
Total($)
$100,923
$265,119
$366,042
Previous editions are obsolete and may not be used
COOT Form #1108
5192
Attachment A page 3 of 3