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Required Test Narrative Evaluation
Number Description Results
$3-61 (700C) WAIVER REQUES,

Full Scale Crash Testing was done in compliance with MASH by the following accredited crash test
laboratory (cite the laboratory’s accreditation status as noted in the crash test reports.):

Laboratory Name:

Laboratory Contact: Same as Submitter [_]
Address: Same as Submitter [_]
Country: Same as Submitter [_]

Number and Date:

Accreditation Certificate

Attach to this form:

ATTACHMENTS

1) A copy of the full test report, video, and a Test Data Summary Sheet for each test conducted in
support of this request.
2) A drawing or drawings of the device(s) that conform to the Task Force-13 Drawing Specifications
(Hardware Guide Drawing Standards]. For proprietary products, a single isometric line drawing is

usually acceptable to illustrate the product, with detailed specifications, intended use, and contact

information provided on the reverse. Additional drawings (not in TF-13 format) showing details that

are key to understanding the performance of the device should also be submitted to facilitate our

review.

FHWA Official Business Only:

Eligibility Letter

AASHTO TF13

Number

Date

Designator

Key Words



Version 6.0 (6/12)
Page 1 of 2

Request for Federal Aid Reimbursement Eligibility
Of Highway Safety Hardware

Date of Request: |9/26/2012 C New  @ Resubmission
Name: | Greg Kirchgesner
Company: |xXcessories Squared Development & Mfg., Inc.
Address: |P.0. Box 135 Auburn, IL 62615

Country: | United States of America

To: Michael S. Griffith, Director
* FHWA, Office of Safety Technologies

Submitter

I request the following devices be considered eligible for reimbursement under the Federal-aid
highway program.

Help

Test

System Type Submission Type Device Name/Variant | Testing Criterion Level

“SS: Breakaway Sign Suppor] © Physical Crash Testing |Trian: gular Slip Base Small INCHRP Report 350 |TL3
C FEA & V&V Analysis —_|Sign Support

By submitting this request for review and evaluation by the Federal Highway Administration, | certify
that the product(s) was (were) tested in conformity with the NCHRP Report 350 (Report 350) and that
the evaluation results meet the appropriate evaluation criteria in the Report 350.

Identification of the individual or organization responsible for the product:

Contact Name: Greg Kirchgesner Same as Submitter [X]

Company Name: —_[Xcessories Squared Development & Mfg., Inc. Same as Submitter [X]

Address: P.O. Box 135 Auburn, IL 62615 Same as Submitter x]

\Country: United States of America Same as Submitter [X]
PRODUCT DESCRIPTION

Modification to Existing Hardware Non-Significant - Effect is positive or Inconsequential

[The hardware variation request that was originally sent identified the product used by Texas DOT and their
Round Slip Base. The Eligibility Letter SS-1348 stated the Type of System as Triangular Slip Base Small Sign
Support for PSST posts. We would like the Eligibility Letter to be corrected to state the Type of System as
Triangular Slip Base Small Sign Support for PSST and for Round posts.

CRASH TESTING
A brief description of each crash test and its result:
Required Test Narrative Evaluation
Number Description Results
3-60 (820) WAIVER REQUES
$3-60 (700C) WAIVER REQUES
3-61 (820C) WAIVER REQUES



@

US.Department 1200 New Jersey Ave., SE
of Transportation Washington, D.C. 20590
Federal Highwa:
‘Administration Y Feb 6, 2013

In Reply Refer To:

HSST/SS-134C

Mr. Greg Kirchgesner
Xcessories Squared
P.O. Box 135

Auburn, Illinois 62615

Dear Mr. Kirchgesner:
This letter is in response to your request for the Federal Highway Administration (FHWA) to

review a roadside safety system for eligibility for reimbursement under the Federal-aid highway
program.

Name of system: Xcessories Squared Redi-Torque Triangular Slip Base
Top (10 3/8”) with galvanized keeper plate

Type of system: Triangular Slip Base Small Sign Support for Perforated
Square Steel Tube (PSST) posts and round posts

Test Level: NCHRP Report 350 Test Level 3

Testing conducted by: N/A
Date of request: September 26, 2012

Decision:
The following devices are eligible, with details provided below
¢ Xcessories Squared Redi-Torque Triangular Slip Base Top (10 3/8”) with galvanized
keeper plate for use with PSST posts and round posts

Based on a review of the information and calculations submitted by the manufacturer certifying
the device described herein meets the crashworthiness criteria of the National Cooperative
Highway Research Program (NCHRP) Report 350, the device is eligible for reimbursement
under the Federal-aid highway program. Eligibility for reimbursement under the Federal-aid
highway program does not establish approval or endorsement by the FHWA for any particular
purpose or use.

The FHWA, the Department of Transportation, and the United States Government do not
endorse products or services and the issuance of a reimbursement eligibility letter is not an
endorsement of any product or service.


Requirements

Roadside safety devices should meet the guidelines contained in the National Cooperative
Highway Research Program (NCHRP) Report 350 or the American Association of State
Highway and Transportation Officials’ Manual for Assessing Safety Hardware (MASH).

Description

FHWA Eligibility Letter SS-134B dated March 30, 2012, addressed the use of Xcessories
Squared triangular slip base upper portion with existing, in-place slip base bottoms. Our letter
addressed the use of these bases with PSST posts only. Your present request is to permit the
same usage with round posts of 2 7/8 inches OD, with a minimum of 10 ga wall, and up to
Schedule 80 wall.

Findings
Therefore, the systems described above and detailed in FHWA Letter SS-134B are eligible for
reimbursement and may be installed under the range of conditions tested, and with round posts.

Please note the following standard provisions that apply to FHWA eligibility letters:

e This finding of eligibility is limited to the crashworthiness characteristics of the systems
and does not cover their structural features, nor conformity with the Manual on Uniform
Traffic Control Devices.

e Any changes that may influence the crashworthiness of the system will require a new
reimbursement eligibility letter.

e Should the FHWA discover that the qualification testing was flawed, that in-service
performance reveals safety problems, or that the system is significantly different from the
version that was crash tested, we reserve the right to modify or revoke this letter.

e You will be expected to supply potential users with sufficient information on design and
installation requirements to ensure proper performance.

e You will be expected to certify to potential users that the hardware furnished has the
same chemistry, mechanical properties, and geometry as that submitted for review, and
that it will meet the crashworthiness requirements of the NCHRP Report 350.

« To prevent misunderstanding by others, this letter of eligibility is designated as number
SS-134C and shall not be reproduced except in full. This letter and the test
documentation upon which it is based are public information. All such letters and
documentation may be reviewed at our office upon request.


w

This letter shall not be construed as authorization or consent by the FHWA to use,
manufacture, or sell any patented system for which the applicant is not the patent holder.
The finding of eligibility is limited to the crashworthiness characteristics of the candidate
system, and the FHWA is neither prepared nor required to become involved in issues
concerning patent law. Patent issues, if any, are to be resolved by the applicant.

Sincerely yours,

phe! 4. ullye

Michael S. Griffith
Director, Office of Safety Technologies
Office of Safety