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' APPLICATION FOR HIGHWAY SAFETY PROJECT REIMBURSEMENT GRANT <br /> STATE OF HAWAII SAFE COMMUNITY PROGRAM -SAFE COMMUNITIES OFFICE <br /> PART I FOR SCP~CO USE ONLY <br /> (Applicant to Complete) <br /> Project Number. EM04-04 (01-H-O1) <br /> 1. APPLICANT (Name and Address) Title: HCFD Jaws of Life <br /> Darryl J. Oliveira, Fire Chief <br /> 25 Aupuni St., 11103, Hilo, HI 96720 Standard Area EM <br /> 2. AGENCY UNTT (Narrtie and Address) <br /> Hawaii County Fire Department Efl'ectiveDate: 10/1/03 <br /> 25 Aupuni St., 11103 <br /> Hilo, HI 96720 Federal FundsObligated$ 44,000.00 <br /> 3. DURATION (Month, Day, Yeaz) <br /> A. Grant Period B. Project Period FY Funds04 Addendum _ YES X NO <br /> From From <br /> To: October O1, 2003po:September 30, 2004 Benefitof_STATE XCOUNTY <br /> 4. LOCATION OF PROJECT Sa. TYPE OF APPLICATION (Check Appropriate Item(s)] <br /> <br /> Kawailani Fire Station Kaumana Fire Station Initial -Revision -Continuation <br /> <br /> 411 W. Kawailani ST. 310 Kaumana Dr. Sb. REIMBURSEMENT SCHEDULE DESIItED <br /> Hilo, HI 96720 Hilo, HI 96720 Monthly -Quarterly <br /> 6. PROJECT DESCRIPTION (Schedule A) <br /> 7. PROJECT OBJECTIVES AND TASKS SUMMARY FROM SCHEDULE A To Reduce the total time that a <br /> traffic victim is pinned within a vehicle by providing the first responding fire apparatus <br /> with appropriate power extricatlon tools. <br /> 8. BUDGET (Schedule B) <br /> 8A. COST CATEGORY Total <br /> Grant period Expenditures Project Period <br /> ' Prior Years <br /> (1) Personal Services N/A <br /> N A <br /> (2) Consultant Services <br /> (3) Commodities N/A <br /> (4) OtherDirect/InduectCosts 10 03 - 09 04 None 10/03 - 09/04 <br /> TOTAL ESTIMATED COSTS (Inc. Non-Fed. Share) $44 , 000.00 None $44 , 000.00 <br /> 8B. SOURCE OF FUNDS Federal C. SPECIFY HOW NON-FEDERAL <br /> (1) Federal (100 %ofTOTAL) $44,000.00 SHARE WH,I, BE PROVH)ED <br /> (2) Applicant Ate 42 <br /> 9. MII.ESTONES (Schedule C) <br /> 10. AGREEMENT OF UNDERSTANDING AND COMPLIANCE (See Schedule D, attached) <br /> 11. ACCEPTANCE OF CONDITIONS. It is understood and agreed by the undersigned that a reimbursement grant received as a result of this <br /> application is subject to Public Law 89-564 (Highway Safety Act of 1966) and all administrative regulations governing grants established by the <br /> U.S. Department of Transportation and the State of Hawaii. It is expressly agreed that this project constitutes an official part of the Hawaii <br /> Highway Safety Program and that said applicant agency will meet the requvements as sei forth herein, including accompanying schedules A,B,C <br /> & D, which are ' co rated herein and made a art of this a lication. Authorization to roceed with this Hi hwa Safe Project is re nested. <br /> 11A. PRO HtE R 11B. AUTH G L4L OF AGENCY UNIT <br /> Si¢nature SiP.nature <br /> Name D rry J Oliveira. Name Da ryl iveira <br /> Title Fire Chief Title Fire C ie <br /> Date September 8, 2003 Date September 8, 2003 <br /> I'o be prepazed by applicant, use separate sheets as required. Form HS 3-71 Rev. l0/O1 <br /> <br />