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U.S. Deparfiment 400 Seventh Str®ei, s.w. <br /> of Transportation Washington, D.C. 20590 <br /> ~®~i®n~i ~i~~w~y <br /> Trtrific Sdety' <br /> Asicnini~~r~lfi®n <br /> Hawaii County Police Department <br /> 349 Kapiolani Street <br /> Hilo, Hawaii 96720 <br /> Attention: Major David Kawauchi <br /> RE: NHTSA Grant Agreement No. DTNH22-01-G-55299 <br /> Dear Major Kawauchi: <br /> This letter is in response to your application for Federal <br /> Assistance for the project entitled, "Hawaii County Police <br /> Department Seat Belt Innovative Demonstration Program for South <br /> Hilo and Puna Districts". <br /> ]Enclosed for your review are six (6) copies of the Grant Agreement <br /> document, including one copy of the NHTSA General Provisions. <br /> Also enclosed for your completion and return is one copy of each of <br /> the documents checked below: <br /> X SF=4248, Assurances--Non-Construction Programs <br /> 49 CFR Part 29 - Appendix A - Certification Regarding <br /> Debarment, Suspension, and Other Responsibility Matters- <br /> Primary Covered Transactions <br /> 49 CFR Part 29 - Appendix B - Certification Regarding <br /> Debarment, Suspension, Ineligibility and Voluntary <br /> Exclusion - Lower Tier Covered Transactions <br /> 49 CFR Part 29 - Appendix C - Certification Regarding <br /> Drug-Free Workplace Requirements <br /> 49 CFR Part 20 - Appendix A - Certification Regarding <br /> Lobbying, including Standard Form LLL, Disclosure of <br /> Lobbying Activities <br /> <br /> r-; <br /> <br /> s <br /> t:- <br /> ~ A ~ ~ ® ~ DOT AUTO SAFETY IiOTLINE <br /> ' ' ` ''I ~ 88&DASH-2-DOT <br /> x 6ii8-327-4236 <br /> <br />