HSIP FUNDING APPLICATION

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Page 1 Holmes County County Road 52; 1.19 to 5.48 DATE 5/1/2013 Project Information: COUNTY Holmes County LOCATION TYPE PROJECT SERVICE LIFE 20 years SEGMENT INFORMATION ROUTE County Road 52 BEGIN SLM 1.19 END SLM 5.48 PRESENT YEAR ADT 4,000 FUTURE YEAR ADT 4,050 FUNCTIONAL CLASS Rural Major Collector INTERSECTION INFORMATION Major Road Leg 1 Major Road Leg 2 Cross Road Leg 3 Cross Road Leg 4 Cross Road Leg 5 ROUTE NUMBER (or NAME) SLM PRESENT YEAR ADT FUTURE YEAR ADT FUNCTIONAL CLASS *When analyzing an intersection, an ADT must be provided for each Cross Street Leg. CRASH INFORMATION Fatal Crashes Injury Crashes PDO Crashes Total Crashes Fatalities Incapacitating Injuries 1 3 18 22 1 1 *Blue cells will be filled out automatically if you use the CAMTool layout on the Crashes Worksheet

Page 2 Holmes County County Road 52; 1.19 to 5.48 Project Administration: (Select One) LETTING TYPE Local Let Funding:* FISCAL YEAR REQUESTED 2017 Design Cost 45,00 RightofWay Cost Construction Cost 450,00 TOTAL COST ESTIMATE 495,00 HSIP COST ESTIMATE 360,00 *1. Submit cost estimate in current year dollars and include 10% for CE *2. Requested year and Estimated Costs may differ from the actual approved by the CSTP/LBR Committee *3. HSIP funds are for constuction phase only. Therefore, the HSIP Cost Estimate is base on 80% of the construction cost dollar amount Describe Existing Roadway Conditions and Existing Crash Problem(s) at Project Location Describe Proposed Countermeasures to Address the Crash Pattern Countermeasure 1 Countermeasure 2 Countermeasure 3 Countermeasure 4 New guardrail along embankment Install edgeline rumble strips Undivided NAME OF PERSON COMPLETING APPLICATION CEAO

Page 3 Cells in Green Require User Review RATE OF RETURN ECONOMIC ANALYSIS WORKSHEET County Holmes County Main Roadway County Road 52 Begin SLM 1.19 End SLM 5.48 Intersecting Roadway Prepared by CEAO Date 5/1/2013 Crash BDate 1/1/2008 Crash EDate 12/31/2012 Year TIME OF DAY ROADWAY CONDITION CRASH TYPE DAY DAWN/DUSK DARK DRY WET SNOW / ICE REAR END LEFT RIGHT ANGLE HEAD ON SS PASS FIXED OBJ RAN OFF RD PEDESTRIAN OTHER TOTAL PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F PDO I/F 2008 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2009 2 2 0 0 2 0 3 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0 1 4 2 2010 4 0 0 0 4 1 2 0 1 1 5 0 0 0 0 0 0 0 1 0 0 0 1 0 6 1 0 0 0 0 0 0 8 1 2011 3 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 3 0 2012 2 0 0 0 1 1 3 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0 0 0 0 0 0 0 3 1 2013 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 11 2 0 0 7 2 9 3 3 1 6 0 0 0 0 0 0 0 3 1 0 0 1 0 14 2 0 0 0 0 0 1 18 4 AVG. 2.2 0.4 0.0 0.0 1.4 0.4 1.8 0.6 0.6 0.2 1.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.6 0.2 0.0 0.0 0.2 0.0 2.8 0.4 0.0 0.0 0.0 0.0 0.0 0.2 3.6 0.8 The "TOTAL" and "AVERAGE" row formulas are set to only use 20072011 crash data. If the crash data is not for these five years, the formulas must be modified by the user to calculate the associated year data. Select Countermeasures RECOMMENDED IMPROVEMENTS CRASH TYPE PDO CRASHES INJ. FAT. CRASHES R1 R2 R3 R4 RT AVG PDO EST. RED. R1 R2 R3 R4 RT AVG INJFAT EST. RED. R1 New guardrail along embankment LEFT 0 0 0 0 0 0 0.25 0 0 0.25 R2 Install edgeline rumble strips Undivided RIGHT 0 0 0 0 0 0 0.25 0 0 0.25 R3 ANGLE 0 0 0 0 0 0.60 0 0.25 0 0 0.25 R4 REAR END 0 0 0 0 0 0 0.25 0 0 0.25 HEAD ON SS PASS FIXED OBJ RAN OFF RD OTHER NIGHT WET PEDESTRIAN 0 0 0 0 0 0 0.25 0 0 0.25 0 0 0 0 0 0.20 0 0.25 0 0 0.25 0 0 0 0 0 2.80 0.47 0.25 0 0 0.603 0.07 0 0 0 0.07 0.47 0 0 0 0.47 0 0 0 0 0 0 0.25 0 0 0.25 0 0 0 0 0 1.40 0 0 0 0 0 0 0 0 0 0 0.60 0 0 0 0 0 0 0 0 0 0 0 0.25 0 0 0.25 0.20 0.40 0.20 0.40 0.05 0.24 0.05 0.20 Project Service Life Present ADT (PADT) Future ADT (FADT) ESTIMATED PDO CRASH REDUCTION = ESTIMATED INJ. FAT. CRASH REDUCTION = ADT Factor 20 years 4,000 veh / day Average ADT = (PADT + FADT)/2 = ( 4000 + 4050 ) = 4025 4,050 veh / day ADT Factor = Average ADT / PADT = 4025 / 4000 = 1.01 0.34 Average Annual Benefits Annual PDO Benefits = Estimated PDO Crash Reduction * Avg PDO Cost Select Facility Type Below: = * 8,32 = Annual INJ.FAT. Benefits = Estimated INJ.FAT. Crash Reduction * Avg INJ.FAT. Cost Counties and Unincorporated Villages Counties and Unincorporated Villages = 0.34 * 79,934.00 = 27,257.49 Total Benefits = 27,257.49 AverageAnnual Benefits = Total Benefits * ADT Factor = 1.01 * 27,257.49 = 27,427.85 Total Safety Project Cost (Design, RightofWay, and Construction) Annual Maintenance and Energy Costs See Text Box Below for Additional Details on Project Costs 495,000 Salvage Value Rate of Return Design (PE) RightofWay 45,000 Rate of Return 1.00% Construction 450,000

Page 4 County: Holmes County Main Roadway: County Road 52 Begin SLM: 1.19 End SLM: 5.48 Intersecting Roadway: Prepared by : CEAO Date: 5/1/2013 Crash Bdate: 1/1/2008 Crash Edate: 12/31/2012 RSI Value = 48,403 Cells in Green Require User Review Crash Type Fill in the Number of Crashes by Crash Type Number of Crashes Crash Type Severity Calc Crash Type # Rural NonFreeway* Not Stated 0 0 0 49,391 Head On 0 0 1 177,065 Rear End 0 0 2 29,659 Backing 0 0 3 13,258 Sideswipe Meeting 0 0 4 83,631 Sideswipe Passing 1 33,107 5 33,107 Angle 4 241,293 6 60,323 Parked Vehicle 0 0 7 19,881 Pedestrian 0 0 8 242,586 Animal 0 0 9 11,675 Train 0 0 10 327,227 Pedalcycles 0 0 11 151,102 Other NonVehicle 0 0 12 49,660 Fixed Object 16 703,382 13 43,961 Other Object 0 0 14 28,109 Falling From Or In Vehicle 0 0 15 0 Overturning 1 87,080 16 87,080 Other NonCollision 0 0 17 18,179 Left Turn 0 0 18 61,251 Totals 22 1,064,862 *Costs based on 2011 crash data

Page 5 County: Holmes County Main Roadway: County Road 52 Begin SLM: 1.19 End SLM: 5.48 Intersecting Roadway: Prepared by : CEAO Date: 5/1/2013 Crash Bdate: 1/1/2008 Crash Edate: 12/31/2012 Rural NonFreeway Location Location Type Facility Type Begin Log End Log Length County Road 52 Rural Non Freeway ADT Used for Calculations 1.19 5.48 4.29 4,000 Fatal Crashes Injury Crashes PDO Crashes Total Crashes Fatalities Incapacitating Injuries # of Years 1 3 18 22 1 1 5 Rate of Return: 1.00% High Risk Rural Road Calculation: 6.39 (Fatalities & Incapacitating Injuries per 100 MVMT or Entering Vehicles) Functional Class : HRRR Eligible : Rural Major Collector No Safety Project Scoring Crash Rate (20) Rate of Return (20) RSI (20) Value Score Value Score Value Score 0.70 4 1.00% 0 48,403 14 EPDO Value (20) Funding Request (20) Value Score Value Score 241.04 18 360,00 20 Total Score 56