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COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Hawaii Fire Department DATE: October 8, 2019 <br /> Department <br /> ; <br /> FROM: Karen Eoff, Council District 8 PHONE/FAX: 8081323-4279 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> r <br /> 1. AMOUNT: $1,780 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.221.5221.02.109 y <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. Fire Prot OCE—Eqpt Repairs & Maint <br /> 4. PURPOSE(S)OF TRANSFER: To pay for materials and labor to repair the Air Conditioning <br /> system at the Kailua Fire Station. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. IS IT A 501(c)(3)? ❑YES ® No <br /> If YES,the IRS determination letter and the Nonprofit Conflict <br /> Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Repair and Maintenance <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: To repair and maintain existing <br /> equipment at the Kailua Fire Station. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ®YES ❑ No <br /> 10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,OR DIRECTION <br /> OF THE MAYOR? ®YES ❑No <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> ®APPROVE ❑DENY ❑DEFER: <br /> RATIONALE: <br /> .�h C DATE: T 1 4 2019 <br /> >,_Department Head <br /> C. MAYOR'S ACTION <br /> I <br /> PPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> Managing Director "v, Mayor 3 <br /> 3 <br /> I <br />