2019 Action Plan Final Substantial Amendment for CV2

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Application for Federal Assistance SF -424 16. Congressional Districts Of: ttt��---�--�� ' a. Applicant 'b. Program/Project ip I Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment - 17. Proposed Project: ' a. Start Date: lt)JO1J2020 ' b. End Date 18. Estimated Funding ($): ' a. Federal 2, 521, 217.00 • b. Applicant ' c State " d. Local ' e. Other 'f Program Income g. TOTAL • 19. Is Application Subject to Review By State Under Executive Order 12372 Process? ❑ a. This application was made avai;able to the State under the Executive Order 12372 Process for review on E] b. Program is subject to E O 12372 but has not been selected by the State for review ® c. Program Is not covered by E O. 12372 ` 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) ❑ Yes ® No If "Yes", provide explanal-on and attach 21. `By signing this application, 1 certify (1) to the statements contained In the list of certifications" and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances" and agree to comply with any resulting terms if I accept an award. l am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) ® ••IAGREE •• The list of certifications and assurances, or an Internet sne where you may obta-n this list, is contained in the announcement or agency speck instructions. Authorized Representative: Prefix: Mr. . • First Namu F: a . r m Mrdde Name: ' Last Name: Tim Suffix: "Title: Mayor, County of Hawaii • Telephone Number. 808-961-8211 Fax Number 'Email: Rarry.Kim@hawaiicounty.gov "Signature of Authorized Representative: • Date Signed: ( O ,