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STATE OF HAWAII HIGHWAY SAFETY OFFICE <br /> GRANT AGREEMENT <br /> Grant No: <br /> Page 1 (To be completed by applicant agency) <br /> 1. Grant Title <br /> Hawai'i Police Department Distracted Driving Grant <br /> 2. Name and Address of Applicant Agency 4. Duration <br /> Hawaii Police Department Month - Day - Year <br /> 349 Kapi`olani St. <br /> Hilo, HI. 96720 A. Grant Period <br /> From: 03/01/2011 <br /> To: 09/30/2011 <br /> 3. Agency Unit to Handle Grant (Name and Address) B. Project Period <br /> From: 03/01/2011 <br /> Hawaii Police Department To: 09/30/2011 <br /> 349 Kapi`olani St. <br /> Hilo, Hawaii 96720 <br /> 5. Location of Project 6a. Type of Application <br /> (Check Appropriate Item) <br /> Hawaii Police Department _X _Revision _Continuation <br /> 349 Kapi`olani St. <br /> Hilo, Hawaii 96720 6b. Reimbursement Schedule Desired <br /> Monthly X Quarterl <br /> 7. Grant Description (Summarize the grant plan covering activities that address the major goals and objectives in <br /> approximately 100 words. Limit to 6 lines.) <br /> The project objectives are to reduce the number of motor vehicle collisions resulting in injuries and fatalities caused <br /> by distracted driving. <br /> 8. Federal funds allocated under this agreement shall not exceed $ <br /> 9. Approval Signatures <br /> Acceptance of Conditions: It is understood and agreed by the undersigned that a reimbursement grant received as a result of this grant agreement is subject to <br /> Public Law 89 -564 (Highway Safety Act of 1966) and all administrative regulations governing grants established by the U.S. Department of Transportation <br /> and the State of Hawaii. It is expressly agreed that this project constitutes an official part of the Hawaii Highway Safety Program and that said applicant <br /> agency will meet the requirements as set forth herein, including accompanying schedules A, B, B -1, C & D, which are incorporated herein and made a part of <br /> this grant agreement. Authorization to proceed with this Highway Safety Project is requested. <br /> 9a. Grant Director 9b. Authorizing Official of Agency Unit <br /> Name: Harry Kubojiri Phone: Name: William Kenoi Phone: <br /> Title: Police Chief Fax: Title: Mayor Fax: <br /> Address: Address: <br /> E -Mail: E -Mail: <br /> MAR -- 2 10 <br /> � - i natu (Date) (Signature) (Date <br /> To be prepared by applicant, use separate sheets as required. Form HS 3 -71 Rev. 8/6/09 <br />