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contact is required to complete the form that provides feedback on the program content, <br />presentation delivery, printed material and effectiveness. The form also allows for <br />additional comments and/or suggestions. This form will serve as documentation that the <br />program was conducted and will be included in the monthly billing. <br />School Rodeo Certification Forms <br />Each school administrator will be given a Certification Form to verify the rodeo event <br />conducted (i.e. date, time, number of participants). In addition, the school administrator <br />will be asked to complete the survey portion of the Certification Form. The survey <br />portion of the form will include questions on program content, presentation, printed <br />material and effectiveness of the program. The form also allows for additional comments <br />and/or suggestions. All surveys will be reviewed and evaluated after each rodeo. The <br />form will serve as documentation that the program was conducted and will be included in <br />the monthly billing. <br />Community Presentation and Rodeo Certification Form <br />Each community contact will be given a Certification Form to verify the rodeo event <br />conducted (i.e. date, time, number of participants). In addition, the community contact <br />will be asked to complete the survey portion of the Certification Form. The survey <br />portion of the form will include questions on program content, presentation, printed <br />material and effectiveness of the program. The form also allows for additional comments <br />and/or suggestions. The form will serve as documentation that the program was <br />conducted and will be included in the monthly billing. <br />Transportation Surveys and Statistics on Death and Inj~ <br />Safe Moves will conduct transportation surveys at each participating school and senior <br />citizen center to assess the modes of transportation used by students. In addition, Safe <br />Moves will establish statistical data on traffic-related deaths and injuries among the target <br />group the contract year, which can be used for evaluation of the effectiveness of the <br />program. <br />Monthly and QuarterlYPro rag_m Reports <br />The contractor will prepare and submit Monthly and Quarterly Program Reports. These <br />reports will include all scheduled workshops, rodeos, community events with dates, <br />locations and contact names. <br />Surveillance Pro rg ams <br />Safe Moves will coordinate surveillance programs at school sites to assess student <br />behaviors as bicyclists and pedestrians. These surveillance programs will be conducted <br />at strategically placed locations in and around the school site. <br />Final Report <br />Safe Moves will submit a final report within ten (10) days of completion of the program. <br />This report will include an overview of the program as related to the Scope of Work <br />required. <br />SAFE MOVES CSA Page 11 of 21 <br />Project No. 120-38-176 <br />