COM 0578.000 2012-2014 - Laserfiche WebLink

Home

GRANT#021306 HMSA FOUNDATION GRANT CONTRACT 1. Organization: Hawaii Fire Department 25 Aupuni Street,#2501 Hilo,HI 96720 2. Primary Contact: Mr.Darren Rosario Fire Chief Mr.Jesse Ebersole EMS Captain 3. Telephone: 808-938-5081 4. Fax: 808-961-8048 5. Email Address: jebersole@co.hawaii.hi.us 6. Amount of Grant: $35,000 7. Term of Grant: 7/1/2013 -6/30/2014 8. Program Title: Community Outreach/EMS Response Vehicle 9. Description: Funds will be used to subsidize the cost of a vehicle to be used for community outreach,education and emergency response. The following terms are agreed upon as conditions for this grant: 1. The tax exempt status verified in your proposal(including your organization's classification as a unit of government)is still valid and the receipt of this grant will not result in a change in that status. You must immediately notify the Foundation of any change in your organization's status as a unit of government or of any circumstance likely to result in the loss of such status. 2. Grant funds will be used by your organization solely for the agreed purposes,and 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. 3. Your organization will keep and maintain records of expenditures adequate to readily verify the use of all grant funds. 4. A written report signed by an appropriate officer of your organization is to be submitted to the executive administrator of the HMSA Foundation no later than ninety(90)days following the end of the grant period. The report should contain: (1)a narrative account of what was accomplished by the expenditure of grant funds,including a description of progress made toward achieving the goals of the grant;(2)a financial accounting of all grants;and(3)copies of any publications resulting from the grant that have previously appeared or are presently in preparation. 1