COM 0140.025 2002-2004 - Laserfiche WebLink

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DHS- 04 -OYS- 1762 STATE OF HAWAPI AGREEMENT FOR HEALTH AND HUMAN SERVICES: TRANSACTIONS EXEMPT FROM CHAPTER 103F, HRS This Agreement, executed on the respective dates of the signatures of the parries-shown hereafter, is effective as of (date) .rnly 1 ZD03 between the (agency) Department of Human Services, Office of Youth Services State of Hawaii (the "STATE', by its Executive Directox (the "DIRECTOR"), whose address is B20 Mililani Street, Suite H17, Honolulu, Ha,vaii 96813 , and County of Hawaii, Hawaii Police Department (East) (the "PROVIDER"), a (government entity/corporation/partaership/sole proprietorship/other b~iap,~ fv~) goveznment entity r whose business address and taxpayer identification number are: 25 Aupuni St: , silo, Hawaii 9672D State ID U300-16002 Federal ID $99-600D567 RECITALS A. This Agreement is for a purchase of health and human services that is exempt from the requirements of Chapter 103F, HRS, because: ? this Agreement is between or among government agencies as provided in Section 103F-101(a)(2), HRS; ? this Agreement is to award grants or subsidies of state funds appropriated by the legislature to a specific organization as provided im Section 103F-101(a)(1), HRS, and Sedivn 3-141-503(a)(2), HAR, or to award subawards and subgrants to specific organizations directed by the funding source as provided in Section 3-141-503(a}(1); ? this Agreement is wholly or partly funded from federal sources that conflict with the procedures and requirements cstabiishcd by Chapter 103F, HRS, and its implementing regulations; ? this Agreement is wholly or partly funded from federal sources that (1) identifies a target doss of beneficiaries, (2) defines the requirements for a provider to be qualified to participate in the federal pmgram, and (3) has the price of the provided health and human services dictated by federal law; EXEMPT TRANSACTIONS Page 1 Form AG3-Fsem(a/99)