Laserfiche WebLink
APPLICATION FOR HIGHWAY SAFETY PROJECT REIMBURSEMENT GRANT <br /> STATE OF HAWAII SAFE COMMUNITY PROGRAM - SAFETX OFFICE <br /> FOR SCP-SO IIS8 ONLY <br /> PART I <br /> (Applicant to Complete) Project Number: PT04-O1 (O1-H-O1) <br /> 1. APPLICANT (Name and Address) Title: HCPD Traffic Investigation <br /> Hawaii County Police Department <br /> 349 Kapiolani Street Standard Area PT <br /> Hilo, Hawaii 96720 <br /> (808) 961-2305 Effective Date: 10/1/03 <br /> 2. AGENCY IINIT (Name and Address) <br /> Same as above Federal Funds Obligated $21,800 <br /> FY Funds 04 Addendum X YES NO <br /> 3. DIIRATION (Month, Day, Year) <br /> A. Grant Period B. Project Period Benefit of STATE X COUNTY <br /> From: 10/1/03 From: 10/1/03 - <br /> To: 9/30/04 To: 9/30/04 <br /> 4. LOCATION OF PROJECT Sa. Type of Application (Check Appropriate Item(s) <br /> Hawaii County Police Department Initial X Revision Continuation <br /> 349 Kapiolani Street - <br /> Hilo, Hawaii 96720 Sb. REIMBIIRSEMENT SCH8DIIL8 DHSIRBD <br /> Monthly X Quarterly <br /> 6. PROJHCT DHSCRIPTION (Schedule A) <br /> 7. PROJECT OBJECTIVES AND TASRS SSJI~fARY FROM SCHSDIILB 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. BIIDGET (Schedule B) <br /> 8A. COST CATHGORY Total <br /> Expenditures <br /> Grant Period Prior Years Project Period <br /> (1) Personal Services $21,800.00 $0 $21,800.00 <br /> (2) Consultant Services $0 $0 <br /> (3) Commodities $0 <br /> $0 <br /> (4) Other Direct/Indirect Costs $0 $0 <br /> TOTAL ESTIMATED COSTS (Inc. Non-Fed. Share) $21,800.00 $0 $21,800.00 <br /> 8B. SOIIRCB OF FIINDS C. SPECIFY HOPI NON-FHDHRAL <br /> (1) Federal (100 ~ of TOTAL) SHARE WILL HH PROVIDED <br /> (2) Applicant Age <br /> 9. MILHSTONBS (Schedule C) <br /> 30. AGRHHMENT OF UNDERSTANDING AND COMPLIANCH (See Schedule D, attached) <br /> 11. ACCHPTANCB OP 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 /> <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 Co proceed with this Highway Safety Project is <br /> <br /> requested. <br /> 11A. PROJHCT DIRHCTOR 11B. AUTHORIZING OFFICIAL OF AGSNCY DNIT <br /> Signature Signature <br /> Name Name <br /> Title Title <br /> Date Date <br /> To be prepared by applicant, use separate sheets as required. Form HS 3-71 Rev. 7/14/00 <br /> <br />