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<br /> <br /> <br /> <br /> Lyman Museum - Agency Name <br /> <br /> Education and Public - Program Name <br /> Programs <br /> <br /> <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 1 (we) have the authority and ability to fully <br /> administer the program(s) pursuant to law. <br /> <br /> I (we) understand that information supplied herein shall be made public <br /> according to Chapter 92F, Hawai'i Revised Statutes. <br /> <br /> If awarded a grant from the County of Hawaii, 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 Hawai'i grant funds, and a listing of other funding sources and amounts <br /> obtained during the award period. Failure to submit a timely, complete, and <br /> accurate year-end report will impact the evaluation of your program's or <br /> agency's future fundina requests. <br /> <br /> <br /> 1 - 3es_Cl~ <br /> <br /> Signature of Board President/Chair Date <br /> <br /> <br /> <br /> /--3 <br /> LSignature of ecutive Director Date.. <br /> <br /> <br /> <br /> <br /> <br /> <br /> UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! <br /> <br /> <br /> <br /> <br /> <br /> NONPROFIT GRANT APPLICATION <br /> FISCAL YEAR 2008-09 <br /> Page 61 <br />