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HMSA RECEIVED Foundation HAWAII FIRE DEPT. 2013 JUL -3 Af 11: 32 July 2,2013 Mr.Darren Rosario Fire Chief Hawaii Fire Department 25 Aupuni Street,#2501 Hilo,HI 96720 Subject: Grant#021306,Community Outreach/EMS Response Vehicle Dear Mr.Rosario: I am pleased to inform you that the HMSA Foundation has approved a grant of$35,000 to the Hawaii Fire Department for the proposal entitled,Community Outreach/EMS Response Vehicle. This grant is in response to your letter we received on March 28,2013. The terms which apply to your organization's use of this grant are explained in the enclosed grant contract. Payment of grant funds will be made after receipt by the Foundation of a signed copy of the contract and after any respective special conditions are met. Pursuant to federal law and the Foundation's Articles of Incorporation,grant funds may be expended only for charitable,scientific,literary or educational purposes. Your grant is made only for the purposes stated in the grant contract and in your letter of request or proposal,and it is understood that grant fiords will be used solely for such purposes and in accordance with the approved budget. It is also understood that there shall be no material variation from the terms of your proposal,the grant contract or the approved budget without the Foundation's prior written approval. The Foundation or an auditor of its choice may monitor and conduct a review of operations under this grant,which review may include,but shall not be limited to,an on site visit to observe your program,discuss the program and finances with your personnel,and review financial and other records and materials connected with the activities financed by this grant. If this letter and the attached contract correctly set forth your understanding of the terms of this grant,please indicate your organization's agreement to such terms by having the enclosed grant contract signed by an appropriate officer of your organization and returned to me. It should also be understood that by signing this contract,your organization confirms that there has been no change in its representation that it is qualified as an organization exempt from income taxation because it is properly classified as a unit of government. Your organization further confirms that receipt of this grant will not result in a change in this classification. If at any time you become aware of a change in your organization's status as a unit of government,or become aware of a circumstance likely to result in the loss of such status,you must notify the Foundation immediately. On behalf of the Foundation,best wishes for a very successful project. Sincerely, Mark L.Forman Executive Administrator Enclosure cc:Mr.Jesse Ebersole,EMS Captain 818 Keeaumoku St. Phone: (808)948-5585 www.hmsafoundation.org P.O. Box 860 Fax: (808)948-6860 Honolulu, HI 96808-0860 MIDO mail 01■115, A ■