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14 <br /> Participate in a minimum of one impaired riving checkpoint per month. <br /> Participate in a minimum of one (1) nighttime and one (1)daytime seatbelt initiative per month. <br /> Fourth Quarter(July, August, September) <br /> Attend all BikeSafe meetings and events. <br /> Host 3 BikeSafe classes and assist in 3 BikeSafe classes <br /> Contact local media outlet to promote BikeSafe initiatives, educational events, or other traffic safety topics. <br /> Compile a quarterly report and submit to GHSP BikeSafe NC Statewide Coordinator <br /> Participate in a minimum of one (1) impaired driving checkpoint per month. <br /> Participate in a minimum of one (1) nighttime and one (1)daytime seatbelt initiative per month. <br /> AGENCY AUTHORIZING SIGNATURE <br /> I have read and accept terms and conditions of the grant funding and attached the Grant Agreement. The information <br /> supplied in this application is true to the best of my knowledge. <br /> Name: Timothy B. Whitehurst PIN **** Date: Sep 26, 2017 <br /> NCDOT AUTHORIZING SIGNATURE <br /> Name: Deidra Joyner PIN **** Date: Sep 5, 2017 <br /> Note: <br /> 1. Submitting grant application is not a guarantee of grant being approved. <br /> 2. Once form has been submitted, it cannot be changed unless it has a status of"Return" <br /> Version 1.0 Page 6 of 6 <br />