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APPLICATION FOR HIGHWAY SAFETY PROJECT REIMBURSEMENT GRANT <br /> STATE OF HAWAII SAFE COMMUNITY PROGRAM -SAFETY OFFICE <br /> FOR SCP-SO VSE ONLY <br /> PART Z <br /> (Applicant to Complete) Project Number: OP07-OS (O1-H-02) <br /> 1. APPLICANT (Name and Address) Title: HCPD Seat Belt Program <br /> Hawaii County Police Department <br /> 349 Kapiolani Street Standard Area OP <br /> Hilo, HI 96720 <br /> 2. AGENCY UNIT (Name and Address) Effective Date: 10/1/06 <br /> Hawaii County Police Department <br /> 349 Kapiolani Street Federal Funds Obligated $109,000.00 <br /> Hilo, HI 96720 FY Funds 2007 Addendum X YES NO <br /> 3. DURATION (Month, Day, Year) Benefit of STATE X COUNTY <br /> A. Grant Period B. Project Period <br /> From: 10/1/99 From: 10/1/06 <br /> To: 9/30/07 To: 9/30/07 <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, HI 96720 Sb. REIMHURSEMENT SCHEDULE DESIRED <br /> Monthly X Quarterly <br /> 6. PROJHCT DESCRIPTION (Schedule A) <br /> 7. PROJECT OBJECTIVES AND TASKS SUMMARY FROM SCHEDULE A The project objectives are to <br /> reduce fatalities and injuries to front seat occupants, and rear seat occupants aged <br /> 17 and under, of motor vehicle collisions by increasing the usage rate of seat belts. <br /> 8. BUDGET (Schedule B) <br /> 8A. COST CATEGORY Total <br /> Expenditures <br /> Grant Period Prior Years Project Period <br /> (1) Personal Services $105,000.00 <br /> (2) Consultant Services <br /> (31 Commodities $4,000.00 <br /> (4) Other Direct/Indirect Costs <br /> TOTAL ESTIMATED COSTS (Inc. Non-Fed. Share) $109,000.00 <br /> 88. SOURCE OF FUNDS C. SPECIFY HOW NON-FEDERAL <br /> (1) Federal (100 $ of TOTAL) $109,000.00 SHARE WILL BE PROVIDED <br /> (2) Applicant Age <br /> 9. MILESTONES (Schedule C) <br /> 10. AGREEMENT OF UNDERSTANDING AND COMPLIANCE (See Schedule D, attached) <br /> <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 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 fi D, which are <br /> incorporated herein and made a part of this application. Authorization Co proceed with this Highway Safety Project is <br /> re ested. <br /> 11A. PROJECT DIRECTOR 11B. AUTHORIZING OFFICIAL OF AGENCY VNZT <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 />