HomeMy WebLinkAboutCOM 0228.023 2020-2022 I
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re 655 KILAUEA AVENUE
g ._ HILO,HAWAII 96720
KELDEN B.A.WALTJEN
PH:(808)961-0466
PROSECUTING ATTORNEY f � ��� ,
�.- _ FAX:{808}961-8908
STEPHEN L FRYE , 74-675 KEALAKEHE PARKWAY j
FIRST DEPUTY KAIWA-KONA,HAWAI'I 96740
322-2552
PROSECUTING ATTORNEY > aFAX:{808}322-6584
4_ a� gay
64-1067 MAMALAHOA HIGHWAY,C-3
KAMUELA,HAWAII 96743
OFFICE OF THE PROSECUTING ATTORNEY PH:(808)887-3017
FAX:(808)887-3016
114 CD C14
DATE: October 22, 2021
TO: Maile David, Council Chair and
Council Members `
VIA: Kay Oshiro, Controller
FROM: Kelden B.A. Waltjen, Prosecuting Attorney — —
RE: NOTIFICATION OF GRANT AWARD
Compliance with Ordinance No. 21-38 (current Budget Ordinance), Section 7(1)
Name of Grant Program: East Hawaii BIJIAC
Grantor: State of Hawaii - Department of Human Services
County Grantee Department or Agency: Office of the Prosecuting Attorney
Grant No. (IF KNOWN): DHS-2I-OYS-101 Supp1
Amount of Grant: $ 200,000
Amount of County Match: $ 0
County Revenue & Expenditure Account Numbers: 3308.88 / 010.271.5271.95
Grant Period (Commencement& Completion): 10/1121 to 9130122
Purpose of Grant: Implement a Juvenile Intake and Assessment Center to prevent at-
risk youth from juvenile delinquency and to prevent further involvement with the juvenile justice
system.
Is final report required by grantor? ®Yes ❑No
Notification attached: ®Yes ❑No, because
Comm. No.
Rei. To: _
NawariCounty isanEqual Opportunity Provider and Employer Re Date � Y
OTTYS
CONTRACT NO. DHS-21-OYS-101
R�'R�tP•54�q I
STATE OF RAWAVI
s t=
SUPPLEMENTAL CONTRACT NO. 1
TO CONTRACT DHS-21-OYS-101
nsert contact number or other i enti ing information)
This Supplemental Contract No. 1 , executed on the respective
dates indicated below,is effective as of October 1 20 21 between the
Department of Human Services,Office of Youth Services
9
(Name of the state department,agency board or commission)
State of Hawaii ("STATE"), by its Executive Director
(Title ofperson signing for the STATE)
whose address is: 1010 Richards Street, Room 314, Honolulu, Hawaii 96813
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and County of Hawaii,Office of the Prosecuting Attorney
(Name of PROVIDER)
("PROVIDER"), a Government Entity
}
(Legalform ofPROVIDER i.e., orporation,Limited Liability ompany,etc.
under the laws of the State of Hawaii whose business street address and taxpayer
identification numbers are as follows:
Business street address:
655 Kilauea Street
Hilo, Hawaii 96720
Mailing address if different than business street address:
F ederal employer identification number: 99-6000567
Hawaii general excise tax number. N/A
1 cer* that " b a complete,
true„ end a==* copy of the
eileour UPPLEMENTAL CONTRACT
Page 1 of 4
Off"Of Youth Services AG Form 103F15(02104)
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KE Contract No.DHS-21-OYS-101
t4p t959•s'•.,4
; Attachment S2
4� STATE OF HAWAII
� t Yf
TIME OF PERFORMANCE
1. The PROVIDER shall provide the services outlined in Attachment 1, Scope of Services for this
Supplemental Contract No. 1 from October 1, 2021 to September 30, 2022, unless this Contract
is sooner terminated.
2. The STATE, at its option, may extend this Contract in writing for two (2) more 12-month
period(s) pending the appropriation and availability of funds for each and every fiscal year and
the satisfactory performance of the services as determined by the STATE, or unless this Contract
is sooner terminated.
1
AG-103F11 (10/08)
Contract No. DHS-2I-OYS-101
FISCAL AND BUDGET INFORMATION
33
Original Supplemental Supplemental Supplemental
Contract No. 1 No. No.
Budget Period
SOURCE OF FUNDS
1 Budget Period 2 Total
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Time of Performance From: 10.01.2020 10.01.2021
To: 09.3 0.2021 09.30.202 2
State General Funds
$0.00
Total State General Funds $0.00 $0.00
$0.00
Federal Funds CFDA
DHHS,Social Services
Block Grant,Title XX 93.667
DOJ, OJJDP,Title II $0.00
Formula Grant 16.540 $200,000.00 $200,000.00
$400,000.00
Total Federal Funds $200,000.00 $200,000.00 $0.00 $0.00
$400,000.00
=GrandTotal $200,000.00 $200,000.00 $0.00 $000=$400,000.00
OYS-039(rev 5/2018) EXHIBIT B