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APPLICATION FOR HIGHWAY SAFETY PROJECT REIMBURSEMENT GRANT <br /> STATE OF HAWAII SAFE COMMUNITY PROGRAM -SAFE COMMUNITIES OFFICE <br /> PART I FOR SCP-SCO USE ONLY <br /> (Applicant to Complete) <br /> Project Number: 8107-04 (O1-H-O1) <br /> 1. APPLICANT (Name and Address) Title: <br /> Darryl 7.Oliveira, Fire Chief Hawaii County Fire Department Generator <br /> 25 Aupuni St. Ste. 103 Hilo, HI 96720 Purchase <br /> Standard Area ~ <br /> 2. AGENCY UNIT (Name and Address) Effective Date: <br /> County of Hawaii Fire Department 10 / 1 /06 <br /> 25 Aupuni St. Ste. 103 Hilo, HI 96720 Federal Funds Obligated $33 , 299 <br /> 3. DURATION (Month, Day, Yeaz) <br /> A. Grant Period B. Project Period FY Funds Addendum _ YES X NO <br /> From: Oct. 1, 2006 From Oct. 1, 2006 Benefit of _ STATEX COUNTY <br /> To: S t 30 2007 To: S t. 30 2007 <br /> 4. LOCATION OF PROJECT Sa. TYPE OF APPLICATION [Check Appropriate Item(s)] <br /> X Initial _ Revision _ Continuation <br /> Hawaii County, Island of Hawaii <br /> County o[ Hawaii Fire Department Sb. REIMBURSEMENT SCHEDULE DESIRED <br /> X Monthly _ Quarteriy <br /> 6. PROJECT DESCRIPTION Schedule A <br /> 7. PROJECT OBJECTIVES AND TASKS SUMMARY FROM SCHEDULE A <br /> To protect automobile accident victims and County otHawaii Fire Department personnel from serious injury or death by <br /> providing equipment and training to create well lit and well marked accident scenes on rural or other low light highways <br /> 8. BUDGET Schedule B <br /> 8A. COST CATEGORY T°~ <br /> Grant Period Expenditures Project Period <br /> Prior Years <br /> 1 Personal Services n/a n/a da <br /> 2 Consultant Services n/a n/a da <br /> 3 Commodities n!a n/a da <br /> 4 Other Drrect/Indirect Cosu $33 299 n/a $33 299 <br /> TOTAL ESTIMATED COSTS Inc. Non-Fed. Share $33 299 n/a $33 299 <br /> HB. SOURCE OF FUNDS S33,299 C. SPECIFY HOW NON-FEDERAL <br /> (1) Federal (100 % of TOTAL) SHARE WH,L BE PROVH)ED <br /> 2 A licant A e 45 <br /> 9. MILESTONES Schedule C ' <br /> 10. AGREEMENT OF UNDERSTANDING 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 result of this <br /> <br /> application is subject to Public Law 89-564 (Highway Safety Act of 1966) and all administrative regulations governing grants established by the <br /> <br /> U.S. Department of Transportation and the State of Hawaii. It is expressly agreed that this project constitutes an af6cial part of the Hawaii <br /> Highway Safety Program and that said applicant agency will meet the requirements as set forth herein, including accompanying schedules A,B,C <br /> & D, which aze into rated herein and made a art of this a licatioa AuUrorization to roceed with this Hi hwa Safe Project is re nested. <br /> 11A. PRO DHIE TOR IIB. RUTH G O CIAL OF AGENCY UNIT <br /> Si tore - Si lure <br /> Name wince Menlo Name D 1 J. Oli ira <br /> Title Assistant Fire Chief Title Fire Chief <br /> Date Se tember 30 2006 Date Se tember 30 2006 <br /> To be prepared by applicant, use separate sheen as required. Form HS 3-71 Rev. 10/OI <br /> F,XHiAIT `~A" <br /> <br />