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Agency Name: NORTH HAWAPI HERITAGE FOUNDATION <br />Program Name-: --,20Z,-,,HAMA—KU-A$U—GA.R,Q-A-Y-$-FEIST.IIVAL. <br />ii. Certification of Understanding (Page 2 of 2) <br />If awarded a grant from the County of Hawaii, I (we) understand that a current Certificate of Liability <br />($2,000,000 general aggregate and $1,000,000 each occurrence) must be provided to the County of <br />Hawai'i Finance Department, which specifically and explicitly indicates that the County of Hawaii is an <br />additional insured prior to receiving any payment(s). <br />I (we) understand that failure to submit the final report within 60 days of June 30th shall result In loss <br />of all grant funds received during the grant period (must be refunded to County) and exclusion from <br />future grant participation for a minimum of one year or until a written report Is submitted to, and <br />accept <br />ed by, the council. <br />I (we) understand there Is no provision for further notification to submit the final report. Information <br />and instructions are available at http-//Www,hawaiicounty.goy/fn-nonprofit-grant-form on or about <br />May 30 of the year the final report is due. <br />As part of this application, I (we) acknowledge that any funds awarded will be restricted for the <br />purposes stated in the application, except for a maximum ten percent (10%) for administrative and <br />overhead costs. I (we) acknowledge that a copy of the submitted application will become a part of any <br />contract/agreement (as Exhibit A) entered into as a result of the proposal. Any funds unused by June <br />30, 2026 must be returned to the County of Hawaii with the final report. Failure to return these funds <br />inatim"I manner will Impact the evaluation of y agency's future funding request and may result in <br />pur <br />actions taken to recover these funds. <br />Awards cannot provide funds for Capital Improvements (Cost of Construction, materials, Insurance <br />or securities) on private properties unless otherwise authorized by law. <br />By signing below, you are acknowledging that you have read and understood these requirements. <br />U 2E <br />SignatureoffAuthorized Person Date <br />_L_ <br />Printed Name and Title/Position of Authorized Person <br />NONPROFIT GRANT APPLICATION FY 2025-2026 Page 2 of 2 <br />