COM 0521.063 2002-2004 - Laserfiche WebLink

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Agreement Number: PY04-SCSEP-H-HCOA STATE OF HAWAII AGREEMENT FOR HEALTH AND HUMAN SERVICES: TRANSACTIONS EXEMPT FROM CHAPTER 103F, HRS This Agreement, executed on the respective dates of the signatures of the parties shown hereafter, is effective as of (date) July 1 2ooa between the (agency) Department of Labor and Industrial Relations State of Hawaii (the "STATE"), by its Director HI 96813 (the "DIRECTOR"), whose address is 830 Punchbowl Street, Room 321, Honolulu, and Hawaii Count Office of A in (the "PROVIDER"), a (government entity/corporation partnership/sole proprietorship/other business form) count overnmental enttt whose business address and taxpayer identification number are: 101 Aupuni Street, Suite 342, Hilo, Hawaii 96720 Federal IDIE: 99-6000567 State IDIl: 30016002 RECITALS A. This Agreement is for a purchase of heath 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 speci5c organization as provided in Section 103F-101(a)(1), HRS, and Section 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 established by Chapter 103F, HRS, and its implementing regulations; ? thls Agreement is wholly or partly funded from federal sources that (1) identifies a target class of beneficiaries, (2) defines the requirements for a provider to be qua]iSed to participate in the federal program, and (3) has the price of the provided health and human services dictated by federal law; EXEMPT TIANSACTIONS Page 1 Foam AG3-Exam{4199)