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HomeMy WebLinkAboutCOM 0454.000 1998-2000Stephen K. Yamashiro Mayor September 21, 1999 Couutp of'awaii DEPARTMENT OF FINANCE 25 Aupuni Sheet, Room 118 • Hilo, Hawaii 96720-4252 (808)961-8234 • Pax(808)961-8248 Honorable James Arakaki, Chairperson and Members of the County Council Hawaii County Council 25 Aupuni Street Hilo, Hawaii 96720 Re: Resolution Authorizing County to Enter into Agreement Harry A. Takahashi Enclosed is a resolution authorizing the Mayor to enter into an agreement for a Statewide Marijuana Eradication Grant. This grant is to provide expenses to conduct missions for the elimination of controlled substances. Funds have already been appropriated in the Operating Budget. As this grant commenced on July 1, the department requests that this resolution to be heard at the Council meeting scheduled for October 6, 1999. If there are any questions, please do not hesitate to call the Police Department. I,�� �V(di,C',� HA. akahashi Director o Finance APP VED- rt Stephen K. Yamashiro Mayor Enc. Re's. I9 6- 99 Comm. No. Director VS�7 S. K. Schutte Ref. Date --VI 2 4 1999 Deputy tv � co co °- t\D Co crl -= Co Enclosed is a resolution authorizing the Mayor to enter into an agreement for a Statewide Marijuana Eradication Grant. This grant is to provide expenses to conduct missions for the elimination of controlled substances. Funds have already been appropriated in the Operating Budget. As this grant commenced on July 1, the department requests that this resolution to be heard at the Council meeting scheduled for October 6, 1999. If there are any questions, please do not hesitate to call the Police Department. I,�� �V(di,C',� HA. akahashi Director o Finance APP VED- rt Stephen K. Yamashiro Mayor Enc. Re's. I9 6- 99 Comm. No. File No. VS�7 Ref. To: G D WINC-#Z. Ref. Date --VI 2 4 1999 JAMES Y. ARAKAKI Chairman & Presiding Wicer AL SMITH Vice Chairman September 22, 1999 James Y. Arakaki, Chair Hawaii County Council 25 Aupuni Street Hilo, Hawaii 96720 COUNTY COUNCIL County of Hawaii Hawaii County Building 25 Aupuni Street Hilo, llawai'i 96720 AARON S.Y. CHUNG BOBBY JEAN LEITHEAD-TODD LENINGRAD ELARIONOFF JULIE JACOBSON NANCY PI eCHIO J. CURTIS ZNLER, III DQ(�INIC "GONG C_ �J N RE: Resolution No.146 , authorizing the Mayor to enter into an agreement for a Statewide Marijuana Eradication grant. Pursuant to Section 1(e) of Rule 4 of the Rules of Procedure of the Council of the County of Hawai "i, this written request is submitted with my approval that the above -referenced matter be waived from the Committee on Finance to the full Council for immediate action. In reviewing this matter, timely approval is crucial. It is therefore advantageous that approval is granted and the matter placed onto the next Council agenda for review. However, in the event this request is denied, for whatever reason, I understand the matter shall be referred to the Committee on Finance for placement on its future agenda. Sincerely, G - ' Aaron S.Y. Chung, Chair Committee on Finance Disapproved/Date/Refer to FC: James Y. Arakaki, Chair Hawaii County Council Project Number 99 -DB -6 C O N T R A C T THIS CONTRACT, dated , by and between the Department of the Attorney General, State of Hawaii, hereinafter called "Agency", by and through the Attorney General, and the Hawaii County Police Department hereinafter called "Grantee". WHEREAS, Title I of the Omnibus Crime Control and Safe Streets Act of 1968, 42 U. S. C. SS 3711 €t seq., as amended (hereinafter "Act"), was enacted to make grants to state and local government units to assist them in enforcing state and local laws which establish offenses similar to those established in the Controlled Substances Act, and to improve the functioning of the criminal justice system, with emphases on violent crime and serious offenders, including the following programs: (1) demand reduction education programs in which law enforcement officers participate; (2) multi -jurisdictional task force programs that integrate federal, state and local drug law enforcement agencies and prosecutors for the purpose of enhancing interagency coordination and intelligence and facilitating multi - jurisdictional investigations; (3) programs designed to target the domestic sources of controlled and illegal substances, such as precursor chemicals, diverted pharmaceuticals, clandestine laboratories and cannabis cultivations; (4) community and neighborhood programs that assist citizens in preventing and controlling crime, including special programs that address the problems of crimes committed against the elderly and special programs for rural jurisdictions; (5) programs to disrupt illicit commerce in stolen goods and property; (6) programs for improving the investigation and prosecution of white-collar crime, organized crime, public corruption crimes and fraud against the government with priority attention to cases involving drug-related official corruption; (7) programs for: (a) improving the operational effectiveness of law enforcement through the use of crime analysis techniques, street sales enforcement, schoolyard violator programs, gang -related and low-income housing drug control programs; (b) developing and implementing anti -terrorism plans for deep draft ports, international airports and other important facilities; (8) career criminal prosecution programs, including the development of model drug control legislation; (9) financial investigative programs that target the OA identification of money laundering operations and assets obtained through illegal drug trafficking, including the development of proposed model legislation, financial investigative training and financial information sharing systems; (10) improving the operational effectiveness of the court process by expanding prosecutorial, defender, and judicial resources and implementing court delay reduction programs; (11) programs designed to provide additional public correctional resources and improve the corrections system, including treatment in prisons and jails, intensive supervision programs and long-range corrections and sentencing strategies; (12) programs for providing prison industry projects designed to place inmates in a realistic working and training environment which will enable them to acquire marketable skills and to make financial payments for restitution to their victims, for support to their families and for support of themselves in the institution; (13) programs which identify and meet the treatment needs of adult and juvenile drug -dependent and alcohol -dependent offenders; (14) programs to provide assistance to jurors and witnesses and assistance (other than compensation) to victims of crime; (15) programs: (a) to improve drug control technology, such as pretrial drug testing programs, programs which provide for the identification, assessment, referral to treatment, case 3 management and monitoring of drug -dependent offenders and enhancement of state and local forensic laboratories; (b) for criminal justice information systems to assist law enforcement, prosecution, courts and corrections organizations (including automated fingerprint identification systems); (16) innovative programs which demonstrate new and different approaches to enforcement, prosecution and adjudication of drug offenses and other serious crimes; (17) programs addressing the problems of drug trafficking and the illegal manufacture of controlled substances in public housing; (18) programs for improving the criminal and juvenile justice system's response to domestic and family violence, including spouse abuse, child abuse and abuse of the elderly; (19) drug control evaluation programs which state and local units of government may utilize to evaluate programs and projects directed at state drug control activities; (20) programs providing alternatives to prevent detention, jail and prison for persons who pose no danger to the community; (21) programs with the primary goal of strengthening urban enforcement and prosecution efforts targeted at street drug sales; (22) programs for the prosecution of driving while intoxicated charges and the enforcement of other laws relating to alcohol use and the operation of motor vehicles; 4 (23) programs that address the need for effective bindover systems for the prosecution of violent 16- and 17 -year old juveniles in courts with jurisdiction over adults. Certain violent crimes, including murder and felonies committed with firearms, are specified, with reference to 18 U. S. C. § 36; (24) law enforcement and prevention programs that target gangs or youth who are involved with or are at risk of involvement in gangs; (25) programs to develop or improve forensic laboratory capabilities to analyze DNA for identification purposes; and (26) programs to assist states in the litigation processing of death penalty federal habeas corpus petitions. WHEREAS, the Governor has designated Agency to serve as Hawaii's office for administering the federal financial assistance available under the Act; WHEREAS, Grantee, as an agency of the County of --------- is qualified to receive funds available to Hawaii under the Act and its implementing regulations (28 C.F.R. Part 33) or guidelines (Bureau of Justice Assistance, Edward Byrne Memorial State and Local Law Enforcement Assistance Program Guidance), and has applied to Agency for receipt of the same as a subgrantee; WHEREAS, Agency has reviewed Grantee's application for 5 funds, and is satisfied that all of the requirements of the Act and its implementing regulations have been satisfied and that Grantee is capable of using the federal funds requested appropriately; WHEREAS, Grantee has demonstrated the capacity to provide the services, programs and activities described herein and is ready, willing and able to provide the required services, programs and activities; NOW THEREFORE, Agency and Grantee for and in consideration of the covenants, conditions, agreements, and stipulations hereinafter expressed, do mutually agree as follows: A. SCOPE OF SERVICES. Grantee shall, in a proper and satisfactory manner, as determined by Agency, and in accordance with the terms and conditions of this Contract, use the funds received under this Contract for the purposes stated herein and in accordance with the "Application For Grant" (Parts I through IV including all certifications required under Section C) attached hereto as Exhibit "A" and by reference incorporated herein. It is understood that this Contract includes as a part hereof any rules, relevant directives or instructions issued by the United States or the Agency, including the provisions of the federal Office of Management and Budget circulars and the effective edition of the Office of Justice Programs' financial manual entitled "Financial 2 Guide." B. TERM OF CONTRACT. This Contract shall be in effect for the period from July 1 1999 to and including June 30 2000 unless this Contract is sooner terminated as hereinafter provided. C. PERFORMANCE REQUIREMENTS AND CONDITION5. 1. Grantee shall comply with the guidelines set forth in the Act and all applicable federal regulations and guidelines, including but not limited to Bureau of Justice Assistance, Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program Guidance, and office of Management and Budget circulars and the effective edition of the Office of Justice Programs' financial manual entitled "Financial Guide." 2. If so required by Agency, Grantee shall certify to Agency that any expendable or non -expendable personal property purchased or acquired with funds received under this Contract will be used for criminal justice purposes before title in such property may vest in Grantee. If a certification is not provided by Grantee, title to any personal property purchased or acquired with funds received under this Contract shall vest in Agency. 3. Prior to, or concurrently with the execution of this Contract, if so required by Agency, Grantee shall complete, execute and submit to Agency a Certification Regarding Drug -Free Workplace Requirements which meets the requirements of the Drug 7 Free Workplace Act of 1988 (Pub. L. 100-690, Title V, Subtitle D), hereinafter referred to as the "Drug -Free Workplace Certification". A copy of the Drug -Free Workplace Certification shall be included in Part IV of the Application for Grant. Grantee covenants that the representations made in the Drug -Free Workplace Certification are true and that Grantee shall fulfill the requirements set forth therein. Grantee's execution and submission of a false Drug -Free Workplace Certification, or Grantee's violation of the requirements set forth therein shall entitle Agency to suspend one or more payments under this Contract, and/or terminate this Contract pursuant to the provisions of Section N of this Contract. Grantee warrants that it is aware that such false certification or violation of the requirements contained in the Drug -Free Workplace Certification shall subject the State of Hawaii to government -wide suspension or debarment, or other sanctions which, in turn, shall result in the withdrawal of funds from Grantee and/or the unavailability of future funding for Grantee. 4. Prior to, or concurrently with the execution of this Contract, Grantee shall complete, execute and submit to Agency a Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion, hereinafter referred to as the "Debarment Certification". A copy of the Debarment Certification shall be included in Part IV of the Application for Grant. Grantee covenants that the representations made in the Debarment Certification are true and that Grantee shall fulfill any and all terms and conditions set forth therein. 3 5. Prior to, or concurrently with the execution of this Contract, if so required by Agency, Grantee shall complete, execute andsubmitto Agency a Certification Regarding Lobbying, hereinafter referred to as the "Lobbying Certification", and any subsequent disclosure forms required under Section 1352, Title 31 U. S. C. A copy of the Lobbying Certification shall be included in Part IV of the Application for Grant. Grantee covenants that the representations made in the Lobbying Certification are true and that Grantee shall fulfill any and all terms and conditions set forth therein. 6. Grantee shall maintain accounting procedures and practices acceptable to Agency, and books, records, documents and other evidence which sufficiently and properly reflect all direct and indirect expenditures and all interest or other income earned as the result of funds provided pursuant to this Contract. Grantee shall ensure that its own books, records, and documents are available for inspection, reviews or audits at all reasonable times by Agency or the United States Department of Justice. In addition, Grantee shall prepare and submit reports in such form and at such times as Agency or the Bureau of Justice Assistance may require; at minimum, Grantee shall submit quarterly financial reports twenty (20) calendar days after the end of each calendar quarter. Records and financial accounts shall be retained and accessible to Agency and the United States Department of Justice for at least three years after Agency's grant with the Bureau of Justice Assistance is closed. E 7. Grantee shall comply with all the ordinances, codes, rules and regulations of the Federal, State and local government which in any way affect its performance under this Contract. 8. Grantee shall provide for an independent audit of its activities on a periodic basis in accordance with Office of Management and Budget Circular A-128. 9. Grantee will comply with the non-discrimination requirements of the Act, Title VI of the Civil Rights Act of 1964 (with respect to race, sex, religion, creed, national origin), Title VII of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act of 1973 (handicap), as amended, Title IX of the Education Amendments of 1972 (race, sex, religion, creed, national origin), the Age Discrimination Act of 1975 (age), Executive Order 12138, 44 C.F.R. 29637 (affirmative action for women's business), and the United States Department of Justice Non -Discrimination Regulations, 28 C.F.R., Part 42, Subparts C, D, E and G, the American with Disabilities Act of 1990 42 U.S.C. §§ 12101 at sea., and the Hawaii State Fair Employment Practices Act, Chapter 378, Hawaii Revised Statutes. 10. Grantee assures Agency that if it is required to formulate an Equal Employment Opportunity Program in accordance with 28 C.F.R. §§ 42.301 _e_t sea. it will submit a certification to Agency that a current program is on file. 11. Grantee shall ensure that forty-four thousand. 10 are available as matching funds to provide the services under this contract. Grantee shall maintain records which clearly show the source, amount and the timing of match contributions. If, at the end of the contract period, Agency determines that Grantee does not have the required matching contribution, Grantee shall return all of the federal portion of the project cost for which there is no required match. 12. Any funds provided to Grantee under this Contract which are unencumbered on the date this Contract terminates shall be returned to Agency; all funds provided under this Contract which are encumbered but not disbursed within ninety (90) days after this Contract terminates shall be returned to Agency. D. PERSONNEL. 1. Grantee shall secure at its own expense all personnel required to perform the services required under this Contract. All such personnel shall not be considered employees of, or have any contractual relationship with the State of Hawaii unless Grantee is otherwise an agency of the State. 2. Grantee shall ensure that none of the work or services to be provided under this Contract shall be subcontracted or assigned without the prior written approval of Agency. E. SUBCONTRACTS. Grantee may provide some or all of the services 11 required under this Contract by subcontract provided that Grantee secures the prior written consent of Agency. In the event Grantee enters into a subcontract with a private organization to perform any of the services or activities required under this Contract, Grantee agrees that the period of each subcontract shall not exceed one year, and funds to the private organization will not be released unless and until the requirements set forth in applicable State law or implementing rules are complied with by the subcontractor. All subcontracts shall include provisions to ensure that Grantee is capable of satisfying the requirements of this Contract. All subcontracts shall be reduced to writing and shall include all provisions of this Contract required of Grantee. F. SERVICES AS INDEPENDENT CONTRACTOR. 1. In the performance of the services required under this Contract, Grantee shall be an independent contractor with the authority to control and direct the performance and details of the work and services required under this Contract; however, Agency shall have the right to inspect work in progress to determine whether, in Agency's opinion, the work is being performed by Grantee in accordance with the provisions of this Contract. All persons hired or used by Grantee shall be Grantee's agents and employees and Grantee shall be responsible for the accuracy, completeness, and adequacy of any and all work and services 12 performed by its agents and employees. Furthermore, Grantee intentionally, voluntarily, and knowingly assumes the sole and entire liability if such liability is determined to exist, to its agents and employees or to third persons, for all loss, cost, damage or injury caused by Grantee's agents and employees in the course of their employment. The performance of work under this Contract alone shall not be construed as employment with the State of Hawaii and shall not entitle Grantee's agents and employees to vacation, sick leave, retirement, or other benefits directly afforded state employees by statutes. Grantee shall be responsible for payment of income, social security, and other federal, state or local taxes that it may be required to pay. 2. This section shall not be enforced if Grantee is an agency of the State of Hawaii. G. COMPENSATION. 1. Subject to continuing availability of funds, Agency agrees to pay Grantee, for services satisfactorily performed under this Contract, a sum not to exceed one hundred thirty-three thousand. six hundred fourteen and no/?00 dollars ($133,614,00) to be spent for the purposes of this Contract. This sum represents any and all compensation to be paid to Grantee for any and all services it provides, and for any and all travel costs, materials, supplies, equipment, overhead, taxes, and other incidentals and operating expenses which it incurs or may incur in connection with this Contract. 13 2. It is covenanted and agreed by and between the parties hereto that, as to the portion of the obligation under this contract to be payable out of federal funds, this contract shall be construed to be an agreement to pay such portion to the contractor only out of federal funds to be received from the federal government when the federal funds are so received and shall not be construed as a general agreement to pay such portion at all events out of any funds other than those which are received from the federal government. H. METHOD OF PAYMENT. 1. All funds available for use under this Contract shall be subject to the allotment system as provided in Chapter 37, Hawaii Revised Statutes. 2. Payments to Grantee under this Contract shall be made in accordance with and subject to the following provisions: a. Payments shall be made monthly upon receipt of Grantee's completed request for funds. b. All payments shall be made in accordance with and subject to Chapter 40, Hawaii Revised Statutes, which specifies the accounting procedures and controls applicable to payments out of the Treasury of the State of Hawaii. C. If an amount of reported expenditures is preliminarily determined by Agency to be inappropriate and unallowable, Agency may deduct an equivalent amount from the next payable installment and may withhold payment of the amount of the 14 moneys equivalent to the questioned expenditures until later resolution of the discrepancy by audit or other means. If, after payment of the last installment, investigation and examination reveal additional expenditures that are determined by Agency to be inappropriate and unallowable, Agency may require that an equivalent amount of moneys be refunded to Agency notwithstanding Agency's preliminary determination of appropriateness and allowableness. d. Failure to submit required reports by the deadline will result in the withholding of payments until such time as the reports are received by Agency. Grantee shall continue to provide the services, programs and activities during the period that payments are being withheld. 1. It is strictly understood that the State of Hawaii shall in no way be held liable for any damages, cause of action or suits resulting from the acts or activities of Grantee. Grantee shall indemnify and save harmless the State of Hawaii, Agency, and their officers, agents, and employees from and against any and all actions, claims, suits, damages, or costs arising out of or resulting from the acts or omissions of Grantee, its officers, employees, agents, or subcontractors occurring during or in connection with the performance of Grantee's services under this Contract, or arising out of or resulting from breach of this Contract by Grantee. Grantee shall defend the State of Hawaii, 15 Agency, and their officers, agents, and employees against any such action or claim unless the action or claim involves an act or omission solely of Agency, its officers, agents, or employees. 2. This section shall not be enforced if Grantee is an agency of the State of Hawaii. J. CONFIDENTIAL MATERIAL. Any information, data, report, record, summary, table, map, or study given to or prepared or assembled by Grantee under this Contract which is identified as proprietary or confidential information that Agency requests to be kept confidential shall be safeguarded by the Grantee and shall not be made available to any individual or organization other than any subcontractor to which the material may relate, without prior written approval of Agency. Grantee shall submit a completed Privacy Certification for review and approval prior to the expenditure of funds for the collection of identifiable research/ statistical data. All information, data, or other material provided by the Grantee or the Agency shall be kept confidential only to the extent permitted by law. K. COPYRIGHT AND PATENT. The Agency shall have complete ownership of all material, both finished and unfinished, which is developed, prepared, assembled, or conceived by the Grantee pursuant to this Contract, and all such material shall be considered "works made for 16 hire". No summary, report, map, chart, graph, table, study or other documents or discovery, invention, or development produced in whole or in part with funds made available under this Contract shall be the subject of an application for copyright or patent by or on behalf of Grantee, its officers, agents, or its employees, or its subcontractors without prior written authorization from Agency. L. MODIFICATION OF CONTRACT. Any modification, alteration, or change to this Contract other than to the "Application For Grant" (attached hereto as part of Exhibit "A") or to the period during which this Contract is in effect in Section B, including increases (subject to the availability of funds) or decreases in the amount of compensation, shall be reduced to a written supplemental agreement and executed by Grantee and the Attorney General or the Attorney General's designee. Modifications, alterations or changes to provisions of the "Application For Grant" may be requested by Grantee, approved by the Administrator of the Crime Prevention and Justice Assistance Division on Agency's behalf, and made by substituting or inserting the revisions in Exhibit "A". Modifications, alterations or changes to the period during which this Contract is in effect may be requested in writing by Grantee or Agency, up to forty-five (45) days before the Contract would otherwise terminate, and shall be effective as of the date approved by the Administrator of the Crime Prevention and Justice Assistance Division (if requested by Grantee) or Grantee (if requested by Agency) and made by attaching 17 a party's written request with the other party's written approval thereon to this Contract. M. CONFLICT OF INTEREST. Grantee represents that it presently has no interest and promises that it shall not acquire any interest, direct or indirect, that would conflict in any manner or degree with the performance of the services under this Contract. N. TERMINATION OF CONTRACT. If, for any cause, Grantee fails to satisfactorily fulfill in a timely or proper manner its obligations under this Contract, or if Grantee breaches any of the promises, terms or conditions of this Contract and, having been given reasonable notice of and opportunity to cure any such default, fails to take satisfactory corrective action within the time specified by Agency, Agency shall have the right to terminate this Contract by giving written notice to Grantee of such termination ten (10) calendar days before the effective date of such termination. Furthermore, Agency may terminate this Contract without statement of cause at any time by giving written notice to Grantee of such termination at least thirty (30) calendar days before the effective date of such termination. In the event of termination of either type, all finished or unfinished documents, reports, summaries, lists, charts, graphs, maps, or other written material prepared by Grantee, under this Contract shall, at the option of Agency become M Agency's property and, together with all information, data, reports, records, maps, and other materials (if any) provided to Grantee by Agency, shall be delivered and surrendered to Agency on or before the effective date of termination. Grantee shall be entitled to receive only such compensation as shall have been satisfactorily earned prior to the effective date of termination. Agency shall determine the amount of work satisfactorily completed and the amount of compensation satisfactorily earned. If the termination is for cause, any other provisions to the contrary notwithstanding, Grantee shall not be relieved of liability to Agency for damages sustained by Agency because of any breach by Grantee of this Contract. O. WAIVER. It is expressly understood and agreed that no waiver granted by Agency on account of any violation of any promise, term or condition of this Contract shall constitute or be construed in any manner as a waiver of the promise, term or condition or of the right to enforce the same as to any other or further violation. P. DISPUTES. Any dispute concerning a matter of fact arising under this Contract or any subcontract, which is not disposed of by mutual agreement within fifteen (15) calendar days, shall be decided by the Attorney General, or the Attorney General's duly designated representative, who shall reduce the decision to writing 19 and mail or otherwise furnish a copy of the decision to Grantee. The decision of such person shall be final and conclusive. Pending finaldecision of such dispute, Grantee shall proceed diligently with the performance of this Contract in accordance with Agency's request. Additional conditions may be imposed against Grantee by reducing them to writing and designating them as exhibits to this Contract. Any such exhibit shall be attached hereto and thereby incorporated herein. IN WITNESS WHEREOF, the parties hereto have executed this Contract. APPROVED AS TO FORM AND LEGALITY: Corporation Counsel/ County Attorney APPROVAL REQ/CO, ;MM�EINjD�ED: ,Way4 G. Carvalho Chief of Police DEPARTMENT OF THE ATTORNEY GENERAL STATE OF HAWAII ("AGENCY") By Its Attorney General HAWAII COUNTY POLICE DEPARTMENT COUNTY OF HAWAII ("GRANTEE") By Its Mayor By Its Director of Finance ;i] CRIME PREVENTION AND JUSTICE ASSISTANCE DIVISION DEPARTMENT OF THE ATTORNEY GENERAL 425 Quad Street Honolulu, Hawaii 96813 APPLICATION FOR GRANT PART 1. TITLE PA A. PROJECT TTTLE: Statewide Marijuana Eradication Task Force B. APPLICANT AGENCY: Hawaii Police Department C.ADDRESS: 349 Kapiolani Street, Hilo, Hawaii 96720 D. LOCATIONOFPROJECT: 349 Kapiolani Street, Hilo, Hawaii 96720 14.00 AnarneT General Maui E. PROJECT PERIOD: From July 1, 1999 To June 30. 2000 F. AUTHORIZE PURPOSE AREA (2 ) G. TYPE OF AWARD: New H. TOTAL PROJECT COSTS: Continuation X SOURCE OF FUNDS PERCENT AMOUNT Federal Fun& 73%$133,6 14.00 AnarneT General Maui 0 Agency Match 44,538.00 TOTAL 100% $178,152.00 I. PROJECT DIRECTOR Name: Henry J. Tavares, Jr. Title: Lieutenant 349 Kapiolani Street Address: Hilo, Hawaii 96720 Telephone:(808)961-2253 FAX: (808)961-2372 J. FINANCIAL OFFICER Nansc Gary Maesato Title: 349 Kapiolani Street Business Manager Address: Hilo, Hawaii 96720 Telephone.{808)961-2374 FAX. FOA CFJAQ USE D80maived:AUG 18 1999 njeaN.bw AGIMAan MMl Exhibit A STATEWIDE MARIJUANA ERADICATION TASK FORCE HAWAII COUNTY POLICE DEPARTMENT PART II. DESCRIPTION OF PROJECT A. PROBLEM: Marijuana cultivation within the County of Hawaii continues to be a significant, ongoing problem, and a major concern to law enforcement within the County and State of Hawaii. Unfortunately, since the early 1980's to the present, Hawaii gained a reputation of being a major "Source State" for high quality marijuana. National statistics show that Hawaii ranks among the top three states in the amount of "cultivated" marijuana grown and recovered. In 1995, Hawaii was number three in the nation, in the amount of "cultivated" marijuana plants recovered, following Kentucky and California (numbers one and two respectively). In 1996, Hawaii was number one, and in 1997, number two, following Tennessee. In 1998 Hawaii again ranked first. In 1998, the Statewide Marijuana Eradication Task Force, consisting of the four (4) county police departments, as well as other federal and state law enforcement agencies, seized and/or destroyed 631,232 "cultivated" marijuana plants. The County of Hawaii accounted for 202,931 of the total. The County of Hawaii continues to lead the state in illegally cultivated marijuana. The vast land area, a lot of which are remote subdivisions and undeveloped land, as well as ideal weather conditions, provides ideal growing territories and conditions for marijuana cultivators. In the past, Law Enforcement received reports from the public, some of who are hunters, farm workers, and hikers, who were confronted and threatened by persons with weapons. These innocent citizens are warned to stay away from the area, or to "not disturb their crop." More currently, hunters and hikers continue to report sightings of marijuana cultivation. These types of incidents are infrequent, but they still occur, and are indicative of the methods and means the marijuana cultivators resort to, and the value they place on their "crop". There are other documented accounts or incidents that have taken place, whereby crimes of violence, threats, harassments, and property crimes have occurred due to conflicts resulting from "rip-offs" or "territorial rights." STATEWIDE MARIJUANA TASK FORCE DESCRIPTION OF PROJECT PAGE 2 Another primary concern to law enforcement is the increase of marijuana consumption among Hawaii's youth. A recent study conducted by the Hawaii Department of Health, Alcohol and Drug Abuse Division shows that 21.6% of high school students in the 12" grade are dependant on marijuana. Further studies indicate that the upsurge in marijuana use by youth is fostered by society's increasingly casual attitu-e and more permissive atmosphere toward marijuana. Recent movements by national pro -marijuana groups have been highly publicized. These movements include active lobbying, within federal, state, and county public forums, for medicinal use of marijuana, marijuana hemp, and decriminalization of marijuana. Despite ongoing eradication and enforcement efforts by the Statewide Marijuana Eradication Task Force, marijuana cultivation and/or distribution activities, and operations, continue. Marijuana cultivators continue to develop and implement new and innovative methods and expend tremendous efforts to ensure a "successful harvest" of their illicit crop. This makes enforcement efforts more difficult. It is imperative that law enforcement, under the auspices of the statewide task force concept, continue its coordinated efforts in developing and improving progressive eradication, investigative, and prosecutorial avenues, to curtail this problem. B. GOALS AND OBJECTIVES: The overall goals of the Statewide Marijuana Eradication Task Force is to suppress marijuana cultivation, and to minimize product availability in the State of Hawaii. This will be achieved through coordinated efforts of the multi -agency task force, consisting of Federal, State, and local law enforcement agencies. The Objectives Are: 1. Maintain a statewide task force of personnel from the four county police departments, the Drug Enforcement Administration, and other state and federal law enforcement agencies. 2. Coordinate and carry out eradication efforts throughout the State of Hawaii, combining task force resources and manpower. STATEWIDE MARIJUANA TASK FORCE DESCRIPTION OF PROJECT PAGE 3 3. Standardized guidelines and procedures for marijuana eradication field operations. 4. Provide standardized training in detection, eradication and investigative techniques, and safety procedures. 5. Eradicate a minimum of 120,000 marijuana plants during the project period. 6. Effect a minimum of 100 arrests relating to the cultivation and/or obstruction of marijuana. 7. Enforce civil and/or criminal asset for forfeiture proceedings, and to seize assets, as applicable. 6. Provide a minimum of four (4) educational presentations regarding marijuana during the project period. C. PROJECT ACTIVITIES: 1. Enforcement efforts will be directed towards marijuana eradication and investigative efforts to identify and arrest marijuana cultivators and/or distributors. 2. The Hawaii County Police Department will continue to take part in coordinated efforts of the statewide multi -agency task force. This will include combining resources and manpower during field operations and other enforcement efforts throughout the State of Hawaii. 3. The Statewide Marijuana Eradication Task Force will continue to formulate and maintain effective and standardized marijuana eradication operation guidelines and procedures for all member agencies with the State. This will include the development of and training in safety procedures, eradication techniques, and standardized guidelines relative to helicopter operations, in maintaining the safety and welfare of the general public and law enforcement personnel. STATEWIDE MARIJUANA TASK FORCE DESCRIPTION OF PROJECT PAGE 4 4. Training of personnel is an essential and necessary component to ensure effective and successful operations under the task force concept. Training will include attending conferences and workshops on topics that will be instrumental in increasing the attendees knowledge, effectiveness, and work performance. Training will also familiarize the task force officers with current trends of various marijuana concerns and investigative techniques. 5. Personnel will attend bi-monthly meetings in order to share, collectively identify, and address any new or unusual marijuana cultivation and/or distribution trends, techniques, or issues. Intelligence information is also shared at the bi-monthly meetings. 6. Educational presentations relating to marijuana to schools and community groups. D. PROJECT ORGANIZATION AND MANAGEMENT The project director for the Hawaii County Police Department shall be the lieutenant of the Hilo Vice Section. The project director will be responsible for the overall management of the project and will oversee department activities with the Statewide Marijuana Eradication Task Force. The project director reports to the captain of the Criminal Investigation Division. The Criminal Investigation Division falls under the command of the Assistant Chief of Investigative Operations. E. PERSONNEL: Personnel utilized for this project shall be comprised of existing full-time officers of the Hawaii County Police Department. There will be no additional hiring of personnel for this project. STATEWIDE MARIJUANA TASK FORCE DESCRIPTION OF PROJECT PAGE 5 F. PARTICIPATING AGENCIES: 1. The Hawaii County Police Department will be the lead agency for the county police departments. We will be responsible for coordinating communication and liaison activities among representatives of the four county police departments and will have the lead role in project activities. 2. The Statewide Marijuana Eradication Task Force is comprised of the following county, state, and federal agencies. a. Hawaii County Police Department b. Honolulu Police Department C. Maui County Police Department d. Kauai County Police Department e. Department of Land and Natural Resources f. Hawaii Army National Guard g. Drug Enforcement Administration h. U.S. Marshals Office i. Civil Air Patrol G. PROJECT EVALUATION: 1. Analysis The project director will accurately record data and oversee efforts and methods used to achieve the goals and objectives of this project. Data will be compiled monthly. The project director will also determine the success and/or failure of project operations and whether modifications are needed for optimum results. Any modifications or deviations in operating procedures utilized to achieve the goals and objectives will be recorded in order to form a basis of comparison. 2. Performance Indicators: a. The dates of eradication missions where the Hawaii Police Department is the lead agency. b. The total amount of marijuana plants eradicated, as well as volume of processed marijuana recovered. C. The dollar value of marijuana plants eradicated and processed marijuana recovered. STATEWIDE MARIJUANA TASK FORCE DESCRIPTION OF PROJECT PAGE 6 d. The number of persons arrested for cultivation, possession, and/or distribution of marijuana. e. The type, amount, and value of assests seized. f. The number and frequency of personnel provided to other task force agencies' operations. g. The number of multi -agency training sessions, number of officers trained, and types of training received. h. The number of inter -agency and multi -jurisdictional investigations conducted. i. The dates of task force meetings and the number of personnel who attended. j. The dates of educational presentations given and the target audience. H. PROBABILITY TO IMPROVE THE CRIMINAL JUSTICE SYSTEM: Continued eradication missions and other enforcement efforts by the Statewide Marijuana Eradication Task Force will significantly disrupt cultivation and/or distribution operations as well as considerably reduce the availability of the product. In minimizing product availability, marijuana consumption and abuse may be reduced. Broadening the scope of enforcement and/or increasing investigative efforts will serve to deter those who seek profits from marijuana cultivation and/or distribution. This will include conspiracy and financial aspects, along with asset seizures. PART -III..- BUDGET DETAIL AND EXPLANATION COST ELEMENT AMOUNT A. SALARIES AND WAGES 25% Agency Match: .............................. $44,538 Salaries of all Hawaii Police Department personnel who participate in eradication missions on the Big Island or when assisting other agencies Personnel Overtime: 16,800 Overtime and night differential pay (excludes straight time) based on 70 hrs./month @ $20/hr. x 12 mos. Hazard Pay: Hazard pay for aerial observers and rappellers during missions based on 15 missions @ $285/mission 4,275 Sub -total . . . . . . . . . . . . . . . . . . . . . . Employee Benefits @ TOTAL SALARIES AND WAGES B. CONSULTANTS (Itemize) TOTAL CONSULTANTS . . C. TRANSPORTATION AND SUBSISTENCE (Itemize) Air fare: $3,552 $98 inter -island x 2/mo x 12 mos. $600 out-of-state x 2/yr. Per Diem: 7,060 72 days inter -island @ $80/day 10 days out-of-state @ $130/day Ground Transportation: 1,500 15 rentals @ ave 2days per vehicle @ $50/day AG/CPJAD #2 05/96 $ 65,613 S $ 65, 613 $ 0 STATEWIDE MARIJUANA ERADICATION TASK FORCE BUDGET DETAIL AND EXPLANATION PAGE 2 COST ELEMENT TOTAL TRANSPORTATION AND SUBSISTENCE AMOUNT D. SUPPLIES, POSTAGE, PRINTING, ETC. (Itemize) Office Supplies and Equipment $ 500 TOTAL SUPPLIES, POSTAGE, PRINTING, ETC. . . . . . . . . . $ 500 E. OTHER COSTS (Specify) Aircraft Rental: $ 92,500 Rental of civilian helicopters for aerial surveillance and marijuana eradication operations based on 6 hrs. a day missions @ $650.00 per hour. Training: 500 Expense for tuition and registration fees to attend workshops seminars, and conferences Equipment: 2,500 Rappel and field equipment Miscellaneous Supplies: 3,427 Equipment Maintenance: 1,000 TOTAL OTHER COSTS . . . . . . . . . . . . . . . . . . . . $ 99,927 $ TOTAL PROJECT COSTS . . . . . $ 178,152 AG/CPJAD #2 05/96 STATEWIDE MARIJUANA ERADICATION TASK FORCE BUDGET DETAIL AND EXPLANATION PAGE 3 BUDGET EXPLANATION A. SALARIES AND WAGES 25% Match: Hawaii County Police Department will provide the 25% matching funds by using actual time spent managing and investigating marijuana -related operations. Overtime and Night Differential: To compensate officers and civilian staff for working overtime while conducted Statewide Marijuana Eradication Task Force operations and investigations. Hazard P : Hazard duty pay based on 25% of the minimum rate of the salary range for aerial observers and helicopter rappellers as required. IC "'.1 Co ► a ►11 �: Inter -island and Out-of-state Travel: Travel allocation includes airfare, per diem, and ground transportation to take part in Statewide Marijuana Eradication Task Force missions and operations, including other task force members throughout the state; to attend task force meetings and other training within and out-of-state. C. SUPPLIES. POSTAGE PRINTING. ETC Office Supplies and Equipment: Miscellaneous office supplies and equipment that are required to complete the administrative and investigative requirements. Postage/Freight: To pay for the shipment of evidence for advanced processing and for the mailing of correspondence and/or equipment related to the project. Printing: To print necessary identification signs used during operations. D. OTHER COSTS Aircraft Rental: Rental of civilian helicopters for aerial surveillance and marijuana eradication operations, based on $650.00 an hour. AG/CPJAD 92 05/96 STATEWIDE MARIJUANA ERADICATION TASK FORCE BUDGET DETAIL AND EXPLANATION PAGE 4 Training: For tuition and registration expenses to attend a variety of workshops, seminars and conferences which will further develop the investigator's knowledge and techniques in marijuana related investigations and operations. Equipment: The purchase of rappel and field equipment to support personnel in the field. Miscellaneous Supplies: The purchase of supplies that are required for the investigative requirements of the project such as food and meals to support personnel during eradication missions. Equipment Maintenance: To cover the cost of repairing and maintaining the fax machines, copier machine, computers, surveillance and communication equipment, to include county vehicles used for marijuana operations. AG/CPJAD #2 05/96 PART IV. ATTACHMENTS DEPARTMENT OF THE ATTORNEY GENERAL Crime Prevention and Justice Assistance Division • 410101U• • The undersigned agrees, on behalf of the applicant agency, that: 1. This project, upon approval, shall constitute an official part of Hawaii's Drug Control and System Improvement Formula Grant Program established under Title VI, Subtitle C, Part E, Subpart 1, of the Anti - Drug Abuse Act of 1988 (Public Law 100-690). 2. Any grant awarded pursuant to this application shall be subject to and will be administered in conformity with: (a) general conditions applicable to administration of grants under Title VI, Subtitle C, Part E, Subpart 1, of the Anti -Drug Abuse Act of 1988 (Public Law 100-690), as amended, as applicable; (b) conditions applicable to the fiscal administration of grants under Title VI, Subtitle C, Part E, Subpart 1, of the Anti -Drug Abuse Act of 1988 (Public Law 100-690), as amended, as applicable; (c) any special conditions contained in the grant award; and (d) general and fiscal regulations of the Crime Prevention and Justice Assistance Division. 3. Any grant received as a result of this application may be terminated, or fund payment may be discontinued, by the Crime Prevention and Justice Assistance Division when it finds a substantial failure to comply with the foregoing provisions, the application obligations or for non- availability of funds. SUBMITTED BY: Signature: Date: ACTING Name: LAWRENCE K. MAHUNA .Title: POLICE CHIEF Agency: HAWAII POLICE DEPARTMENT AG/CPJAD 014 01/96 DEPARTMENT OF THE ATTORNEY GENERAL Crime Prevention and Justice Assistance Division CERTIFICATION OF NON -SUPPLANTING I certify that federal funds will not be used to supplant State, local or other non-federal funds that would, in the absence of such federal aid, be made available for law enforcement, criminal justice, and victim compensation and assistance activities. SUBMITTED BY: Signature: �� Date: ACTING Name: LAWRENCE K. MAHUNA Title: POLICE CHIEF Agency: HAWAII POLICE DEPARTMENT AG/CPJAD 03 01/96 I certify that the applicant agency will comply with and will insure compliance by its subgrantees and contractors with the non-discrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968, as amended, and 42 USC 3789 (d); Title VI of the Civil Rights Act of 1964, as amended; Section 504 of the Rehabilitation Act of 1973, as amended; Title II of the Americans with Disabilities Act (ADA) of 1990; Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975; the Department of Justice Nondiscrimination Regulations 28 CFR Part 42, Subparts C, D, E, and G; and the Department of Justice regulations on disability discrimination, 28 CFR Part 35 and Part 39. No person shall, on the grounds of race, color, religion, national origin, sex, or disability, be excluded from participation in, be denied the benefits of, be subjected to discrimination under, or be denied employment in connection with any program or activity funded in whole or in partwith funds made available under this title from the U. S. Department of Justice through the Department of the Attorney General, Crime Prevention tnd Justice Assistance Division. The applicant agency also certifies that, if required to formulate an Equal Employment Opportunity Program (EEOP) in accordance with 28 CFR 42.301, et. sea., it will maintain a current one on file. Noncompliance with the discrimination regulations may result in the suspension or termination of funding. SUBMITTED BY: Signature: J�-Cy i �l `�— - Date: his 59 ACTING Name: LAWRENCE K. MAHUNA Title: POLICE CHIEF Agency: HAWAII POLICE DEPARTMENT AG/CPJAD #15 01/96 DEPARTMENT OF THE ATTORNEY GENERAL Crime Prevention and Justice Assistance Division �i _ • i i • • i �i • � • � �Y�� I HAWAII POLICE DEPARTMENT (hereinafter referred to as "grantee") certifies that it will provide a drug-free workplace by: (a) publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) establishing a drug-free awareness program to inform employees about: (1) the dangers of drug abuse in the workplace; (2) the grantee's policy of maintaining a drug-free workplace; (3) any available drug counseling, rehabilitation, and employee assistance programs; and (4) the penalties that may be imposed upon employees for drug abuse violations; (c) making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will: (1) abide by the terms of the statement; and (2) notify the employer of any criminal drug statute conviction for a violation occurring in the workplace not later than five (5) days after such conviction; (e) notifying the Department of the Attorney General, State of Hawaii, within ten (10) days after receiving notice under subparagraph (d) (2) from an employee or otherwise receiving actual notice of such conviction; AG/CPJAD 416 01/96 (f) taking one of the following actions with respect to any employee who is so convicted: (1) taking appropriate personnel action against such an employee, up to and including termination; or (2) requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f). II. The grantee shall insert in the space provided below the site(s) for the performance of work done in connection with this specific grant: 349 Kapiolani Street Street Address Street Address Hilo, Hawaii 96720 City, State, Zip Code City, State, Zip Code Hawaii County County SUBMITTED BY: Signature: Date: ACTING Name: LAWRENCE K. MAHUNA Title: POLICE CHIEF Agency: HAWAII POLICE DEPARTMENT AG/CPJAD #16 01/96 CERTIFICATION Grant Title: Statewide Marijuana Eradication Task Force Grantee Name: Hawaii Police Department Address: 349 Kapiolani Street Contact Persons TOL 4' (808)961-2253 Hilo, Hawaii 96720 Lt. Henry J. Tavares, Jr. Grant Number: 99 -DB -6 Award Amount: $133,614.00 Date and effective duration of EEOP: February 23, 1993 (no expiration date) Policy Statement: See attached. CERTIFICATION (ESOP ON FILE) Certification Statement: 1 LAWRENCE K. HAHUNA (agency executive officer], certify that the HAWAII POLICE DEPARTMENT, COUNTY OF HAWAII (agency] has formulated an Equal Employment Opportunity Plan in accordance with 28 CFR 42.301, S1 sea.. subpart E, that it has been signed into effect by the proper agency authority and disseminated to all employees, and that it is on file in the Office of WAYNE G. CARVALHO (name], 349 Kapiolani Street Hilo Hawaii 96720 [address], [title], for review or audit by officials of the cognizant State planning agency or the Office for Civil Rights, Office of Justice Programs as required by pmkv—anrTa-and regulations. ACTING POLICE CHIEF J-- -i3 jq [signature] 'LAWRENCE K. MAHUNA [titre] [date] CERTIFICATION (NO EEOP REQUIRED) I HEREBY CERTIFY THAT THE FUNDED AGENCY HAS LESS THAN 50 EMPLOYEES AND THEREFORE IS NOT REQUIRED TO MAINTAIN AN EEOP, PURSUANT TO 28 CFR 42.301, F: M. [signature] Expiration Date: 12/31/98 Revised 2%22/96 [title] [date] I 1! T. Wla"e «N The Affirmative Action Plan of the County of Hawaii is avaiianle for review at the Mayor's office, Department of Civil Service, Rona Services Center, and public libraries. --A:EMENT OF POLICY it is the policy o= the County of Hawaii to take positive and continuing actian to promote equal opportunity in its____ empioy=ent ant contract programs and in its activities and Equal employment c-Hporr_nities extend to all persons, recerd:esz of race, sex, age, religion, color, national oricin, handicap, marital status, or arrest and court record. it is the intent of this policy to: 1. Assure equal trParmwnt in recruirment and evaluation of an individual's ability, knowledge, skills, and 2. Ensure ncn-discr:aination in all personnel acticns, including zur. non 11,21;ed to recrUlt-ent, selec- ior., assignment, compensation, transfer, lavotf, and c.a:mrnar- ri 3. Ensure that opportunities for career advancement are Zased on opjective stanoarCs and criteria valicly re.arrd ro oerforaance and that rhe criteria he apcliod ransisr.ertly. 4. Prcviae that the condir.:ons and Benefits of work are available equally and allocated on t:* basis of esta--lisnac criteria and without eiscrzminacion. The pnlic7 of equal opportunity shall be atmlied in accorcan=e wits eceral, state, and local laws relating to equal employment oppor_ur.it_.r �:d affir-ys. alive action, merit sste rules and tegaations, =ro:•isions of collective bargaining lav and contrac=s, and other !;indirc ?ederal and state requ:rer:en=s. ® DEPARTMENT OF JUSTICZ OFFIFFI CE OF JUiT1C! PROGRAMS OFFICL OF TME COMPTROLLER Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions (Sub -Recipient) This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 26 CFR Part 67, Section 67.510, Participants' responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages IIQIW19211� (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSID (1) The prospective lower tier participant certifies, by submission of this proposak that neither It nor its principals aro presently debarred, suspended, proposed for debarment, declared Ineligible, or voluntarily excluded from participation In this transaction by any Federal department or agency. (2) Where the prospective lower tier participant Is unable to codify to any of the statements In this certtfl- cation, such prospective participant shall attach an explanation to this proposal. ACTING LAWRENCE K. KAHUNA, POLICE CHIEF Name and f Authorized Representative Signature HAWAII POLICE DEPARTMENT Name of Organization 349 Kapiolani Street, Hilo, Hawaii 96720 Address of 1 Date Each person shall file the most current edition of this certification and disclosure form, if applicable, with each submission that initiates agency consideration of such person for an award of a Federal contract, grant, or cooperative agreement of $100,000 or more; or Federal loan of $150,000 or more. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the taking of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan or cooperative agreement. (2) If any non -Federal funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with thil Federal contract, grant, loan, or cooperative agreement, the undersigned shall initial here and complete and submit Standard Form 0 LLL, "Disclosure of Lobbying Activities", in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers and that--all,,subrecipients shall certify and disclose according Hawaii Police Department 349 Kapiolani Street, Hilo, Hawaii 96720 ACTING LAWRENCE- K. I.IAHUNA� . POLICE CHIEF Name and Address of Organization Name o! Authorized Individual Signature and date 99 -DB -6 Application No. Rev. 1/90 Bureau of Justice Assistance Name of OJP Agency