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American Red Cross Hawaii State Chapter <br />Disaster Services — Hawaii County <br />I (we) have read and understood all of the eligibility requirements; grant <br />conditions; award procedures; and records, reporting and fiscal accountability <br />requirements as mandated in Article 25, Sections 2-135 — 2-142.2, Hawai'i <br />County Code, relating to Appropriation of Funds to Nonprofit Organizations. <br />I (we) hereby certify that information supplied herein including all supporting <br />documents is correct and that I (we) have the authority and ability to fully <br />administer the program(s) pursuant to law. <br />I (we) understand that information supplied herein shall be made public <br />according to Chapter 92F, Hawai'i Revised Statutes. <br />If awarded a grant from the County of Hawai'!, I (we) understand and will <br />comply with the requirement to submit a year-end report to the Legislative <br />auditor within 60 days after June 30 of the fiscal year. The report shall <br />include an explanation of the public benefits derived from the awarding of <br />the grant, a complete accounting of all expenditures supported by County <br />of Hawa!'i grant funds, and a listing of other funding sources and amounts <br />obtained during the award period. Failure to submit a timely, complete, an <br />agency's future funding requests. <br />Tertia Freas, Chapter Chair <br />Signature of Board President/Chair <br />6�� <br />Coralie Chun Matayoshi <br />Signature of Chief Executive Officer <br />07 <br />Date Date <br />i/a(t/o7 <br />Date <br />UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! <br />NONPROFIT GRANT APPLICATION <br />FISCAL YEAR 2007-08 <br />Page 8 <br />