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APPLICATION FOR HIGHWAY SAFETY PROJECT REIMBURSEMENT GRANT <br /> STATE OF HAWAII SAFE COMMUNITY PROGRAM -SAFETY OFFICE <br /> FOR SCP-SO IISE ONLY <br /> PART I <br /> (Applicant to Complete) Project Number: ALOE-02 (O1-H-02) <br /> 1. APPLICANT (Name and Address) Title: HCPD Roadblock Program <br /> Hawaii County Police Department <br /> 349 Kapiolani Street Standard Area AL <br /> Hilo, Hawaii 96720 <br /> 2. AGENCY IINIT (Name and Address) Effective Date: 10/1/04 <br /> Hawaii County Police Department <br /> 349 Kapiolani Street, Hilo, Hawaii 96720 Federal Funds Obligated $ 138 700.00 <br /> 3. DURATION (Month, Day, Year) FY Funds OS Addendum YES X NO <br /> A. Grant Period B. Project Period <br /> From: 10-01-04 From: 10-01-04 Benefit of STATE X COUNTY <br /> To: 09-30-OS To: 09-30-OS <br /> 4. LOCATION OF PROJHCT Sa. Type of Application (Check Appropriate Item(s) <br /> Hawaii County Police Department x Znitial Revision Continuation <br /> 349 Kapiolani Street <br /> Hilo, Hawaii 96720 Sb. RSIMBIIRSSMENT SCHEDIILE DESIRED <br /> Monthly x Quarterly <br /> 6. PROJHCT DHSCRIPTION (Schedule A) <br /> 7. PROJECT OBJECTIVHS AND TASKS SIIMMARY FROM SCHEDIILH 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. SIIDGET (Schedule B) <br /> 8A. COST CATEGORY Total <br /> Expenditures <br /> Grant Period Prior Years Project Period <br /> (1) Personal Services $108,700.00 $769,998.00 $878,698.00 <br /> (2) Consultant Services $4000.00 $0 $4000.00 <br /> (3) Commodities $26,000.00 $6086.00 $32,088.00 <br /> (4) Other Direct/Indirect Costs $0 $16,090.00 $16,090.00 <br /> TOTAL ESTIMATED COSTS (Inc. Non-Fed. Share) $138,700.00 $792,176.00 $930,876.00 <br /> 8B. SOIIRCS OF FUNDS 0. SPECIFY HOHI NON-FEDHRAL <br /> (1) Federal (100 ~ of TOTAL) $138,700.00 SHARE WILL HH PROVIDED <br /> (2) Applicant Age <br /> 9. MILHSTONHS (Schedule C) <br /> 10. AGRHEMENT OF IINDSRSTANDING 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 <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 O.S. Department of Transportation and the State of Hawaii. It is <br /> <br /> expressly agreed that this project constitutes an oEf icial 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. PROJSC DIRHCTOR 11B. AIITHO ING O FICIAL OF AGENCY IINIT <br /> Signature ~ Signature <br /> Name HARK BOJI I Name ~ HARRY KIM <br /> Title ACTING POLICE CHIEF Title MAYOR <br /> Date Date <br /> To be prepared by applicant, use separate sheets as required. Form HS 3-71 Rev. 7/14/00 <br /> <br />