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All Roads Transportation Safety (Arts) Program Systemic Application - Application Summary Page Page 7

ODOT ARTS Systemic Application Form

Form Date: 3/27/15

Part 3(b): Bicycle and Pedestrian

Countermeasures, Crash Data and COST-EFFECTIVENESS Index

(See application

Instructions)

In the process of completing this application for Bicycle and Pedestrian ARTS funding, the agency is

required to utilize the

Cost Estimator

and

Cost-Effectiveness Index

worksheets. Cost-Effectiveness

Index is only required for Bicycle and Pedestrians ARTS funding applications.

The Cost Estimator and Cost-Effectiveness Index worksheets must be included as part of the official

application as two of the attachments.

NOTE: If any of the values inputted on this sheet do not match the values from the Cost Estimator and

Cost-Effectiveness Index worksheets, THE APPLICATION WILL BE REJECTED. Be careful and

confirm the numbers!

Cost-Effectiveness Index completed for

Bicycle, Pedestrian or both users?

Crash Data Dates

from:

to:

*Most recent 5 years required*

(Refer to ODOT

Crash Data

site)

Peds

Bikes

Number of Fatal and Injury A (Serious Injury) Crashes (if any):

Total Project Cost:

*Use of the provided cost estimator spreadsheet is REQUIRED*

Project's Cost-Effectiveness Index:

Number of countermeasures utilized:

(Refer to

ODOT CRF

List)

Countermeasure 1:

Countermeasure 2:

Countermeasure 3:

Agency Name: ODOT

Page 7 of 9

All Roads Transportation Safety (Arts) Program Systemic Application - Application Summary Page Page 7