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APPLICATION FOR HIGHWAY SAFETY PROJECT REIMBURSEMENT GRANT <br /> :STATE OF HAWAII SAFE COMI~IUNI'I'Y PROGRAM -SAFETY OFFICE <br /> FOR SCP-SO USE ONLY <br /> PART I <br /> (Applicant to Complete) Project Number: AL04-02 (O1-H-02) <br /> 1. APPLICANT (Name and Address) Title: HCPD Roadblock_P.rogram <br /> Hawaii County Police Department <br /> 349 Kapiolani Street Standard Area AL <br /> Hilo, Hawaii 96720 - <br /> 2. AGENCY UNIT (Name and Address) Effective Date: 10/1/03 <br /> Hawaii County Police Department <br /> 349 Kapiolani Street Federal Funds Obligated $112,688.00 <br /> Hilo, Hawaii 96720 <br /> FY Funds 04 Addendum YES X NO <br /> 3. DURATION (Month, Day, Year) <br /> A_ Grant Period B. Project Period Benefit of STATE X COUNTY <br /> From: 10-01-03 From: 10-01-03 - <br /> To: 09-30-04 To: 09-30-04 <br /> 4. LOCATION OF PROJECT 5a. Type of Application {Check Appropriate Item(s) <br /> Hawaii County Police Department x Initial Revision Continuation <br /> 349 Kapiolani Street - <br /> Hilo, Hawaii 96720 5b. REIMBURSEMENT SCHEDULE DESIRED <br /> Monthly x Quarterly <br /> 6. PROJECT DESCRIPTION (Schedule A) <br /> 7. PROJECT OBJECTIVES AND TASKS SIIMMARY FROM SCHB:DULE A The project objectives are to <br /> reduce the number of alcohol related fatalities and injuries, increase public <br /> awareness, and provide a constant deterrence against drunk driving. <br /> 8. BUDGET (Schedule B) <br /> 8A. COST CATEGORY Total <br /> Expenditures <br /> Grant Period. Prior Years Project Period <br /> (1) Personal Services $56,600.00 $713,398.00 $769,998.00 <br /> (2} Consultant Services $0 SO $0 <br /> (3) Commodities $6088.00 $0 $6088.00 <br /> (4) Other Direct/Indirect Costs $0 $16,090.00 $0 <br /> TOTAL ESTIMATED COSTS (Inc. Non-Fed. Share) $62,688.00 $729,488.00 $792,176.00 <br /> 8B. SOURCE OF FUNDS C. SPECIFY HOW NON-FEDERAL <br /> (1) Federal (100 % of TOTAL) $62,688.00 SHARE WILL BE PROVIDED <br /> (2) Applicant Age <br /> 9. MILESTONES (Schedule C) <br /> lO.AGREEMENT OF UNDERSTANDING AND COMPLIANCI~ (See Schedule D, attached) <br /> 11. ACCEPTANCE OF CONDITIONS. It is understood and agreed by the undersigned that a reimbursement grant received as a <br /> result of this application is subject to Public Law 89-564 (Highway Safety Act of 1966) and all administrative <br /> regulations governing grants established by the U.S. Department of Transportation and the State of Hawaii. It is <br /> expressly agreed that this project constitutes an official part of the Hawaii Highway Safety Program and that said <br /> <br /> applicant agency will meet the requirements as set forth herein, including accompanying schedules A,B,C & D, which are <br /> incorporated herein and made a part of this application. Authorization to proceed with this Highway Safety Project is <br /> requested. <br /> 11A. PROJE R 11B. AU O ZING FILIAL OF AGENCY UNIT <br /> Signature Signature <br /> Name LAWRENCE K. MAHUNA Name HARRY KIM <br /> Title POLICE CHIEF Title MAYOR <br /> Date ~~j 1 ~ Dat e <br /> To be prepared by applicant, use separate sheets as required. Form HS 3-71 Rev. 7/14/00 <br /> EXHIBIT "A" <br /> <br />