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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 Seat Belt <br /> 2. Name and Address of Applicant Agency 4. Duration <br /> Hawai'i Police Department Month—Day—Year <br /> 349 Kapi`olani St. <br /> Hilo, Hawai'i 96720 A. Grant Period <br /> From: 10-01-13 <br /> To: 09-30-2014 <br /> 3. Agency Unit to Handle Grant(Name and Address) <br /> Hawai'i Police Department B. Project Period <br /> 349 Kapi`olani St. From: 10-01-13 <br /> Hilo, Hawai'i 96720 To: 09-30-2014 <br /> 5. Location of Project 6a. Type of Application <br /> Hawaii Police Department (Check Appropriate Item) <br /> 349 Kapi`olani St. V Initial ❑Revision EContinuation <br /> Hilo, Hawai'i'96720 <br /> 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 /> In Federal Fiscal Year 2014, HPD will issue 1,000 or more seat belt citations and 50 or more child restraint citations during grant <br /> funded projects. <br /> 8. Federal funds allocated under this agreement shall not exceed $85,000.00 <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-I,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 S. Kubojiri Phone: Name: William P. Kenoi Phone: <br /> Title: Police Chief Fax: Title: Mayor 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 />