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STATE OF HAWAII HIGHWAY SAFETY OFFICE <br /> GRANT AGREEMENT <br /> Grant No: DD12-10(O1-H-02) <br /> Page 1(To be completed by applicant agency) <br /> 1. Grant Title <br /> Hawaii Police Department Distracted Driving Grant <br /> 2. Name and Address of Applicant Agency 4. Duration <br /> Month—Day—Year <br /> Hawaii Police Department <br /> 349 Kapiolani Street A. Grant Period <br /> Hilo,HI 96720 From: 10/1/11 <br /> To: 9/30/12 <br /> 3. Agency Unit to Handle Grant(Name and Address) <br /> Hawaii Police Department B. Project Period <br /> 349 Kapiolani Street From: 10/1/11 <br /> Hilo,HI 96720 To: 9/30/12 <br /> 5. Location of Project 6a. Type of Application <br /> (Check Appropriate Item) <br /> Hawaii Police Department ❑Initial ZRevision ❑Continuation <br /> 349 Kapiolani Street <br /> Hilo,HI 96720 6b. Reimbursement Schedule Desired <br /> ❑Monthly Quarterly <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 by <br /> distracted driving. <br /> 8. Federal funds allocated under this agreement shall not exceed $38,278.00 <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: Phone: Name: Phone: <br /> Title: Fax: Title: Fax: <br /> Address: Address: <br /> E-Mail: E-Mail: <br /> (Signature) (Date) (Signature) (Date) <br /> To be prepared by applicant,use separate sheets as required. Form HS 3-71 Rev. 8/6/09 <br />