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'` ~_~'"''~ STATE OF HAWAII
<br />Y-° CONTRACT FOR GOODS AND SERVICES
<br />`~~~ /F (IN THE FOLLOWING CATEGORIES: EXEMPT; SMALL PURCHASE;
<br />~.a®.~°o SOLE SOURCE; OR EMERGENCY)
<br />This Contract, executed on the respective dates indicated below, is effective as of
<br />March 20 2008 ,between Department of Health ,
<br />(/nsert name of stale deparanent, agency, board or comm&sionJ
<br />State of Hawaii ("STATE"), by its Director, Executive Office on Aging
<br />(Insert Rde ofpersan signing far SmreJ
<br />(hereafter also referred to as the HEAD OF THE PURCHASING AGENCY or designee ("HOPA")),
<br />whose address is 250 South Hotel Street, Suite 406, Honolulu, Hawaii 96813
<br />and County of Hawaii
<br />("CONTRACTOR"), a government entity
<br />pnserl corporation, parbienbip, join! vennve, sale proprietorship. ar other legalfornr ojtke Contractor)
<br />under the laws of the State of Hawaii ,whose business address and federal
<br />and state taxpayer identification numbers aze as follows: 101 Aupuni Street Suite 342, Hilo, Hawaii
<br />96720 Federal Tax I.D. # 99-6000567 State Tax I.D. #W40893544-01
<br />RECITALS
<br />A. The STATE is in need- of the goods and services, or both, described in this
<br />Contract and its attachments. The CONTRACTOR is agreeable to providing the goods and services,
<br />or both, as the case maybe.
<br />B. This Contract is for (check one box):
<br />® (1) A procurement expenditure of public funds for goods or services,
<br />or both, that is otherwise exempt from public bidding as set forth in section 103D-1'02, Hawaii
<br />Revised Statutes ("HRS"), and chapter 3-120, Hawaii Administrative Rules ("HAR"); or
<br />or
<br />^ (2) A small purchase procurement of goods or services, or both, as set forth
<br />in section 103D-305, HRS, and subchapter 8, chapter 3-122, HAR; or
<br />^ (3) A sole source procurement of goods or services, or both, as set forth
<br />in section 103D-306, HRS, and subchapter 9, chapter 3-122, HAR; or
<br />^ (4) An emergency procurement of goods or services, or both, as set forth
<br />in section 103D-307, HRS, and subchapter 10, chapter 3-122, HAR.
<br />C. Money is available to fund this Contract pursuant to:
<br />(1)
<br />or (2) 90AM3117/02
<br />pdmt jy federal saurcuJ
<br />or both, in the following amounts: State $ 0.00
<br />' Federal $ 66,010.00
<br />D. Pursuant to Section 349-3 H.R.S. ,the STATE
<br />(Legal aathoriry to mler into lhu Contract)
<br />is authorized to enter into this Contract.
<br />E. The agency's Chief Procurement Officer is Aaron S. Fujioka
<br />who ^ has approved this procurement or ®is not required to approve this procurement.
<br />NOW, THEREFORE, in consideration of the promises contained in this Contract, the
<br />STATE and the CONTRACTOR agree as follows:
<br />1. Scone of Services. The CONTRACTOR shall, in a proper and satisfactory
<br />manner as determined by the STATE, provide all the goods or services, or both, set forth in Attachment-
<br />S 1, which is made a part of this Contract.
<br />HI-EBI-OS-N-CDSMP EXHIBIT "1"
<br />1
<br />AG-002 Rev 07/24/2006 -
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