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STATE OF HAWAII HIGHWAY SAFETY OFFICE <br />GRANT AGREEMENT <br />Grant No: <br />1. Grant Title <br />Page 1 (To be completed by applicant agency) <br />Hawai'i Police Department Distracted Driving Grant <br />2. Name and Address of Applicant Agency <br />Hawai'i Police Department <br />349 Kapi`olani St. <br />Hilo, M. 96720 <br />3. Agency Unit to Handle Grant (Name and Address) <br />Hawai'i Police Department <br />349 Kapi`olani St. <br />Hilo, Hawaii 96720 <br />4. <br />Duration <br />Month — Day — Year <br />A. Grant Period <br />From: 10/01/2011 <br />To: 09/30/2012 <br />B. Project Period <br />From: 10/01/2011 <br />To: 09/30/2012 <br />5. Location of Project <br />Hawaii Police Department <br />349 Kapi`olani St. <br />Hilo, Hawai'i 96720 <br />6a. Type of Application <br />(Check Appropriate Item) <br />X Initial Revision Continuation <br />6b. Reimbursement Schedule Desired <br />Monthly _X_Quarterly <br />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 $25,278.40 <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 />9b. Authorizing Official of Agency Unit <br />9a. Grant Director <br />Name: Harry S. Kubojiri Phone: <br />Title: Police Chief Fax: <br />Address: <br />E -Mail: <br />Name: William P. Kenoi Phone: <br />Title: Mayor Fax: <br />Address: <br />E -Mail: <br />(Signature) (Date) (Signature) <br />To be prepared by applicant, use separate sheets as required. Form HS 3 -71 Rev. 8/6/09 <br />(Date) <br />