HomeMy WebLinkAboutCOM 0228.042 2020-2022 i
J�tV°t°"•"!s
Mitchell A Roth 4° �� ,I' Paul K. Ferreira
A9oyor Police Chief
Kenneth Bugado Jr.
Deputy Police Chief
i
POLICE DEPARTMENT
349 Kapiolani Street o Hilo,Hawai'i 96720-3998
(808)935-3311 = Fax(808)961-8865 Fs
ii
DATE: August 24, 2022
TO: MAILS DAVID, COUNCIL CHAIRWOMAN AND
COUNCIL MEMBERS :ra
VIA: KAY SH RONTROLLER
FROM: PAUL K. FERREIRA, POLICE CHIEF
RE: NOTIFICATION OF GRANT AWARD
COMPLIANCE WITH ORDINANCE NO. 22-63, SECTION 7(1)
Name of Grant Program: STOP Violence Against Women Formula Grant
(Hawaii SAFE/SANE Coordination and Training)
Grantor: State Department of Attorney General,
Hawaii Criminal Justice Data Center
County Grantee Department or Agency: Hawaii County Police Department
Grant No. (IF KNOWN): 21-WF-07
Amount of Grant: $73,327.00
Amount of County Match: $18,332.00
County Revenue & Expenditure Account Numbers: 010.201.5219.67:3302.37
Grant Period (Commencement &Completion): June 1, 2022 to May 31, 2023
Purpose of Grant: To improve Hawai'i County's response to violent crimes
against women
Is final report required by grantor? R Yes [-] No
Notification attached: k Yes ❑ No, because
Comm. No.
, MAI
Ref.To
"Hawai'i County is an Equal Opportunity Provider and Employer" Ref. I Dole— SEP
fx. .
DAVID Y IG#� n �.. HOLLY T.SHiKADA
VALERIE M,KATO
VIRST 6EPUTY ATTORNEY GENERAL
STATE OF HAWAII
REP'
RT 'r E OF € E ATTORNEY GENERAL
;RIMEPREVENTION AND USTICE ASSISTANCE Division
95 S.BE SEI ANIA S€REC€,Son 409
i ow)—UUJ,HAwA#I 96613
(€308)536-115')
ag.haw€tii.goutcpla
Auvust 3, 2022
'The Honorable P Ld Ferreira
Chief of'Police
Havwait Police Department
349 leapi l tni Street
Hdo, Hawaii 96720
Dear Chief Ferreira:
nclosed please find the gully executed agreex lent for the following project:
Project f umber: 21- F-07
Project: Title: Hawaii SAFE/SANE Coordination and Training
Project Period:. JUDe 1, 2022 to May 3 I, 2023
Project , iTiount: 54` 995 (Federal Funds)
I8,- 32-L2561 _Age iy Mattch
` 73,12-7 "Total Project A111OLInt)
You mai, begin to regUIC t funds for y€ur project by subrrinting a completed Request for Funds
and Cash Balance Report (PFF} to our office, if YOU have any questions or concerns regarding
the agreement, please contact F'eiix Mata, Crialit)al justice .Planning Specialist, at (808) 586-
1153 or We look forward to the implementation of this project.
Sincerely,
jcilie, LEbato
Adirainistrator
Il/FM
Enclosure
c: C PJAD Fiscal Office
r,
AGREEMENT
3
by and between the
DEPARTMENTOFTHE ATTORNEY GENERAL
and the
HAWAII POLICE DEPARTMENT
Relating to Pr-oject No. 21-WF-07
This Agreement ("Agreernent") is effective as of June 1, 2022 ("Effective Date"), by and
between the Department of the Attorney General, Mate of Hawaii ("Agency") and the Hawai"i
Police Dc; artment, whose business address is 349 Iia iolani Street, Hilo I awaii 96720
("Grantee") (collectively, "the Parties"'-
RECITALS
WHEREAS, 'Title IV of the Violent Crime Control and Law Enforcement Act of 1994,
42 I.J. S. C. 3796 et seq., as amended (hereinafter "Act"), was enacted to make grants to states for
developing and strengthening effective law enforcement and prosecutorial strategies and victim
services in cases involving crimes against women;
WHEREAS, offices and agencies of the state government, units of local government,
Indian tribes, and non-profit, non-governmental victim services programs are eligible to apply to
states for subgrants under twenty broad purpose areas;
WHEREAS, the Governor has designated the Agency to serve as Hawaii's office for
administering the federal financial assistance under the Act;
WHEREAS, Agency applied for STOP Violence Against Women Formula Grant
Program (V AWA) Funds in the foal of a STOP VAWA award;
WHEREAS, can or about September 13, 2021, the Office on Violence Against Women
(` OVW"), U.S. Department of Justice, awarded Agency $1,1033,635 in STOP VALVA Funds,
Award No. 15JOVW-21-GG-00576-STOP ("Award");
WHEREAS, Grantee is qualified to receive funds available to the State render the Act and
its respective implementing regulations contained in the STOP Violence Against Women
Formula Grant Program Guidance, and the Uniform Administrative Requirements, Cost
Principles, and Audit Requirements in 2 C.F.R. Part 2001, as adopted and supplemented by the
Department of Justice in 2 C,F.R. Dart 28030 (together, the "Dart 100 Uniform Requirements")
and has submitted an application to Agency for receipt of the same as a subgrantee, a copy of
which is attached hereto as Exhibit "A",
1
(VAWA. F1'2021 (County) Rev.0212022)
WHEREAS, Agency has reviewed Grantee's application for funds, and is satisfied that
Grantee has demonstrated that it is ready, willing and able to perform the services described
herein, and that grantee is capable of using the requested federal funds appropriately; and
WHEREAS, Agency is satisfied that the requirements of the Award have been met for
purposes of entering into this Agreement,
AGREEMENT
NOW THEREFORE, the Parties, for and in consideration of the covenants, conditions,
agreements, and stipulations set forth herein, the receipt of which is hereby acknowledged, agree
as follows:
1m SCOPE OF SERVICES
Grantee shall, in a timely and satisfactory manner, as determined by Agency, and in
accordance with the terms and conditions of this Agreement, furnish all labor, materials, and
equipment necessary to satisfactorily perform the services (hereinafter, "Scope of Services")
described in farts II and III of Exhibit"A," attached hereto and incorporated by reference herein.
2e PROJECT PERIOD
Grantee shall perforin the Scope of Services within the project period ("Project Period")
specified in Part I of Exhibit"°A."
3. TERM F AGREEMENT
The terra ("Term") of this Agreement shall commence on the Effective Date and shall
terminate on the date Agency accepts the final financial reports (Request for Funds and Cash
Balance Report ("RFF") and Project Expenditures and Obligations Report ("PEO")) from
Grantee cinder this Agreement ("Termination Date"), unless sooner terminated as provided
herein or as otherwise agreed to in writing by the Parties.
4. MATCHING FUNDS
Grantee shall ensure that matching funds in the amount of eighteen thousand three
hundred thirty-two and 00/100 dollars ($18,332.00) is available for Grantee's use to perform the
Scope of Services (hereinafter, "Required Matching Contribution"), grantee shall maintain
records which clearly and accurately show the source, amount, and the timing of match
contributions. If, at the end of the Project Period, Agency determines that grantee does not have
the Required Matching Contribution, grantee shall return all funds received from the Agency
under this Agreement for which Grantee does not have the required match.
2
M (VAWA FY 2021 (County) Rev. 02/2022)
I
r
E
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5REIMBURSEMENT
(a) Subect to availability of Bands, Grantee shall be reimbursed for all actual,
allowable, allocable, and reasonable costs it incurs in performing the Scope of Services under
this Agreement in an amount not-to-exceed �ift�four thousand nine hundred ninety-five and
00/100 dollars_J,$54 995.00) (hereinafter, "NTE Amount"). Grantee acknowledges and agrees
that it will not be reir-nbursed for any coasts it incurs in excess of the NTE Amount in performing
the. Scope of Services under this Agree mere,.
(b) Grantee acknowledges and agrees that Agency's obligation to reimburse Grantee
is subject to Agency's receipt of federal funds under the Award, and at no time shall this
Agreement be construed as an agreement to reimburse or compensate Grantee with funds other
than those which are received from the federal government. Grantee farther acknowledges and
agrees that federal funds ander this Agreement will be used to supplement, but not supplant, state
or local funds, Failure of Agency to receive anticipated federal funds shall not be considered a
breach by Agency or an excuse for nonperformance by Grantee.
(c) In seeking reimbursement :.ruder this Agreement, Grantee shall submit to Agency:
(i) A monthly RFF for costs it incurs in performing the Scope of Services
under this Agreement within fifteen (15) calendar days after the end of
each calendar month, Grantee shall submit to Agency its final RFF
drawdown within thirty (30) calendar days after the end of the Project
Period; and
Grantee, shall submit to Agency its final RFF within sixty (60) calendar
days after the end of the Project Period.
(h) A quarterly PEG within fifteen (15) calendar days after the end of each
calendar quarter as fellows.
(A) For the January 1" through !march 31" calendar quarter, the PEO is
due April 15`h;
(1J) For the April 1" through,lune 30`h calendar quarter, the PES} is due
July 1.5t t';
(G) For the July I" through September 301x' calendar quarter, the PEG
is due October 15`h; and
(D) For the October I" through December 31" calendar quarter, the
PEG is due January 15`r'.
Grantee shall submit to Agency its final PEG within sixty (60) calendar
days after the end of the Project Period.
(VAAWA FY 2021 (County) Rev. 02/2022)
Grantee expressly acknowledges that non-adherence to the above deadlines may result in the
withholding of funds. Grantee shall continue to perform the Scope of Services during the period
that payment is being withheld.
(d) If Agency determines that a IFF or PEO requires clarification and/or revision,
Agency will notify Grantee and Grantee shall respond with the requested clarification and/or
revised RFF or PEO within the time specified by the Agency. Grantee expressly acknowledges
and agrees that Agency may withhold payment unless and until such time Agency determines
that Grantee has adequately responded to Agency's request for clarification and/or revision.
(e) All funds available for use under this Agreement shall be subject to the allotment
system as provided in Hawaii Revised Statutes Chapter 37.
(f) All payments shall be made in accordance with and subject to Hawaii Revised
Statutes Chapter 40.
(g) If, at any time after payment is issued to Grantee under this Agreement, Agency
determines that certain costs paid by Agency to Grantee were inappropriate or unallowable,
Agency may either require that Grantee return an equivalent amount of monies to Agency or
withhold an equivalent amount from any payments due and owing to Grantee.
(h) If, for any reason, Grantee is in possession of any funds provided to Grantee
under this Agreement which were not encumbered by Grantee during the Project Period, all such
funds shall be returned to Agency within ten (10) calendar days after the end of the Project
Period.
W If, for any reason, Grantee is in possession of any funds provided to Grantee
under this Agreement which Grantee encumbered during the Project Period, but which Grantee
did not disburse within sixty(60) days after the end of the Project Period, all such funds shall be
returned to Agency within ten (10)calendar days.
0) If, at any time during the Term, Agency determines that Grantee is not complying
with the conditions of this Agreement or satisfactorily fulfilling its obligations under this
Agreement, Agency may withhold payments due and owing to Grantee until such time Agency
reasonably determines that payment can be issued. Grantee shall continue to perform the Scope
of Services during the period that payment is being withheld.
6. CERTIFICATIONS
Prior to, or concurrently with the execution of this Agreement, Grantee shall execute and
submit to Agency the certifications attached hereto as Exhibit"B" and incorporated by reference
herein. Grantee covenants that the representations made in the signed certifications are true at
the time this Agreement is executed and will remain true throughout the Term, including any
extensions thereof, and that Grantee shall fulfill any and all terms and conditions set forth
therein.
4
(VAWA FY 2021 (County) Rev. 0212022)
7. CONFIDENTIAL MATERIAL
Any information, data, report, record, summary, tabid, neap, or study given to or prepared
or assembled by Grantee under this Agreement 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 prier 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, Grantee shall comply with the requirements of Chapters 487J, 487N and 487R, Hawaii
Revised Statutes as applicable.
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
Agreement, and all such material shall be considered "works made for hire." No summary,
report, neap, chart, graph, table, study or other documents or discovery, invention, or
development produced in whole or in Dart with funds made available under this Agreement 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.
To the extent that any material, summary, report, map, chart, graph, table, steady, or other
documents, or discovery, invention, or development under this Agreement is not recognized as a
"work made for hire" as a matter of haw, Grantee hereby assigns to the Agency any and all
copyrights in and to the material.
g CONFLICT OF INTEREST
Grantee expressly represents that at the time this Agreement is executed, it presently has
no interest, either direct or indirect, that would conflict or adversely affect, in any manner or
degree, its ability to satisfactorily perform the Scope of Services Linder this Agreement. Grantee
covenants that this representation will remain true throughout the Term, including any extensions
thereof.
10. PROGRESS REPORTS
Grantee shall submit progress reports as required for STOP VAWA fiends to Agency as
required by the Acceptance of VAWA Special Conditions in Exhibit "B." Grantee's obligation
to submit progress reports to Agency shall survive the expiration or termination of this
Agreement.
II. COOPERATION WITH DATA COL,L,ECTION ASSESSMENTS
(VAWA FY 2021 (County)Rev.02/2022)
Grantee expressly acknowledges and agrees that, if requested by Agency, Grantee shall
cooperate with, participate in, and/or support any data collection efforts, assessments, or
information requests involving or relating to Grantee's performance of the Scope of Services
under this Agreement. Grantee's obligations under this section shall survive the expiration of
termination of this Agreement.
12. SUBCON TELCTI NG-_ASSIGNMENT
Grantee shall not subcontract or assign any portion of the Scope of Services under this
Agreement without first obtaining the prior written approval of Agency. If Grantee obtains
Agency's approval to enter into a subcontract, Grantee shall ensure that the subcontract is in
writing signed by both parties, includes all required provisions, and that the term of the
subcontract does not exceed the Project Period of this Agreement. Grantee shall also ensure that
the subcontractor has complied with all applicable requirements and conditions before, any funds
are disbursed to the subcontractor.
13. INDEPENDENT CONTRACTOR
In the performance of the Scope of Services under this Agreement, Grantee shall be an
independent contractor with the authority to control and direct the performance and details of the
Scope of Services; however, Agency shall have a general right to inspect Grantee's work to
determine whether, in Agency's opinion, Grantee is performing the Scope of Services in
accordance with the terms and provisions of this Agreement. Grantee's employees and agents
are not employees or agents of the Agency by reason of this Agreement, and Grantee's
employees and agents shall not be entitled to claim or receive from Agency any vacation, sick
leave, retirement, or other benefits directly afforded toemployees of Agency. Grantee shall be
responsible for the accuracy, completeness, and adequacy of Grantee's performance under this
Agreement. Grantee shall be responsible for payment of any federal, state, and county fees which
may become due and owing by reason of this Agreement, including but not limited to (i) income
taxes, (ii)employment related fees, assessments and taxes and (iii) general excise taxes. Grantee
shall also be responsible for obtaining any licenses, permits and certificates that may be required
in order to perform the Scope of Services under this Agreement.
14. INDEMNIFICATION
Grantee shall defend, indemnify, and hold harmless the State of Hawaii, Agency, and
their officers, agents, and employees from and against all liability, loss, actions, claims, suits,
damages, and costs or expenses (including attorneys' fees) arising out of, relating to, or resulting
from the acts oromissions of Grantee, its officers, employees, agents, subcontractors, and/or
subgrantees under this Agreement; provided, however, that this provision shall not apply if
Grantee is a State agency.
The County of Hawaii will indemnify the State of Hawaii, Agency, and their officers,
agents, and employees to the extent permitted by law, and it is understood that payment is
subject to approval by the county council/or city council, as the case may be.
6
(VAWA FY 2021 (County) Rev.02/2022)
{
The provisions of this section shall survive the expiration or termination of this
Agreement,
15. MODIFICATION F CONTRACT
(a) Modification by Mqtual Areemennt, At any time during the Project period of this
Agreement, the Parties may make modifications within the general scope of this Agreement by a
written amendment signed by both parties.
3
(b) Unilateral Modification by A encu. At any time during the project period, but no
later than 45 days prior to the end of the Project period, the Administrator of the Crime I
Prevention and Justice Assistance Division ("CPJA Administrator"), as the authorized designee
of the attorney General, may issue a unilateral written project grant modification notice which
directs Grantee; to make the following changes effective as of the date specified in the written
notice, or if no date is specified, as of the date the written notice is approved (hereinafter,
`Modification Notice"):
(i) Changes in the Scrape of Services within the scope of the Agreement;
(ii) Changes in the Project period that do not alter the scope of the Agreement;
or
(iii) Changes in Project Director or Financial Officer.
All Modification Notices issued by the CPJA Administrator shall be incorporated in and made a
part of the Agreement. If the parties agree that a Modification Notice increases or decreases
Grantee's coast of performance of the Scope of Services under this Agreement, an adjustment to
the ITE Amount shall be made by written amendment to the Agreement. If Grantee believes
that it is entitled to an adjustment of the NTE Amount as a result of a Modification Notice,
Grantee shall file a written claire within fourteen (14) calendar days after receipt of the
Modification Notice or prior to final payment under this Agreement, whichever is shorter;
provided, however, that the CPJA Administrator may extend such period for filing. The
requirement for ding a timely written claire for an adjustment of the KITE Amount cannot be
waived and shall be a condition precedent to the assertion of a claim, Failure of the Parties to
agree to an adjustment of the NTE Amount shall not excuse Grantee from proceeding with the
Agreement as changed by the Modification Notice. The right of Grantee to dispute the KITE
Amount shall not be waived by its performance, provided Grantee timely files a written claire.
16. TERMINATION FOR CAUSE. CONVENIENCE
(a) Termination for Cause. If Grantee breaches any of its promises or fails to
satisfactorily perform or fulfill its obligations under this Agreement, Agency may notify Grantee
in writing of Grantee's breach or nonperformance under this Agreement (hereinafter, "Notice of
Default"). If the breach or nonperformance is not cured within tern (10) calendar days of the
Notice of Default, or within some other time as may be specified by Agency, Agency may
terminate Grantee's right to proceed with this Agreement or portion thereof by providing
(V AWA FY 2021 (County)Rev. 0212022)
Grantee with a written notice of termination (hereinafter, "Notice of Termination for Cause").
The Notice of Termination for Cause shall be effective as of the date of such notice unless
otherwise specified. The Grantee shall continue performance of the Agreement to the extent it is
not terminated. Notwithstanding any other provisions to the contrary, Grantee shall not be
relieved of liability to Agency for damages sustained by Agency because of Grantee's breach or
nonperformance under this Agreement.
(b) Termination for Convenience. Agency may terminate this Agreement, in whole
or in part, at any time when the interests of the Agency so require by giving written notice of
such termination to Grantee (hereinafter, "Notice of Termination for Convenience"). The Notice
of Termination for Convenience shall be effective as of the date of such notice unless otherwise
specified. The Grantee shall continue performance of the Agreement to the extent it is not
terminated.
(c) Grantee shalt be entitled to be reimbursed for all allowable, allocable, and
reasonable costs actually incurred up to and including the date of Grantee's receipt of the Notice
of Termination for Cause or Notice of Termination for Convenience, whichever is applicable,
Any costs incurred by Grantee after Grantee's receipt of such notice will be eligible for
reimbursement only if they represent unavoidable or reasonable wind-down costs as determined
by Agency in Agency's sole discretion.
(d) Notwithstanding the termination of this Agreement, and subject to any directions
from Agency, Grantee shall take all timely, reasonable steps necessary to protect and preserve
property in the possession of Grantee in which Agency has an interest.
(e) In the event of termination of this Agreement, all finished or unfinished
documents, reports, summaries, lists, charts, graphs, maps, or other written material developed or
prepared by Grantee under this Agreement shall, at the option of Agency, become 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 within such
time specified by Agency.
17, WAIVER
The failure of Agency to insist upon strict compliance with any term, provision, or
condition of this Agreement shall not constitute a waiver or relinquishment of Agency's right to
enforce the same in accordance with this Agreement. In the event Agency is determined to have
waived a term, provision, or condition of this Agreement, it is expressly understood and agreed
that such waiver shall not constitute a waiver or relinquishment of Agency's right to enforce the
same as to any other or further violation.
18. DISPUTES
Any dispute arising under this Agreement which is not disposed of by mutual agreement
of the Parties 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 and
(VAWA FY 2021 (County)Rev. 02/2022)
i
a
mail or otherwise furnish a copy of the decision to Grantee. The decision of such person shall be
final and conclusive, lending final decision of such dispute, Grantee shall proceed diligently
with the performance of this Agreement unless otherwise directed by Agency.
19. GOVERNING LA
The validity of this Agreement and any of its terms or provisions, as well as the rights
and duties of the Parties to this Agreement, shall be governed by the laws of the Mate of/Hawaii.
Any action at law or it equity to enforce or interpret the provisions of this Agreement shall be
brought in a state court of competent jurisdiction in Honolulu, Hawaii. I
20, SEVERABILITY
Should any provision of this Agreement be held to be invalid or unenforceable by its
terms, that provision shall first be applied with a limited construction so as to give it the
maximum effect permitted by law. Should it be held, instead, that the provision is utterly invalid
or unenforceable, such provision shall be deemed severable from this Agreement,
21. ENTIRE AGREEMENT
This Agreement sets forth all of the agreements, conditions, understandings, promises,
warranties, and representations between Agency and Grantee relative to this Agreement. This
Agreement supersedes all prior agreements, conditions, understandings, promises, warranties,
and representations, which shall have no farther force or effect.
22. AUTHORITY TO ENTER INTO AGREEMENT
Each Party represents and warrants to the ether that it is duly authorized to enter into this
Agreement and to folly perform its obligations hereunder.
23. COUNTERPARTS
This Agreement rimy be executed in counterparts, each of which shall be deemed an
original, and all such counterparts shall together constitute;one and the same agreement.
9
(VAWA FY 2021 (County)Rev.02/2022)
IN WITNESS WHEREOF, the Pat-ties hereto have executed this Agreement as of the
Effective Date,
"Agency"
DEPARTMENT OF THE ATTORNEY GENERAL
STATE OF HAWAII
APPR*S TO FORM-
�11T
Deputy Attorney General By; Valerie M. Kato
Its: First Deputy Attorney General
Date:
"Grantee"
aC.IMMENDED, HAWAII POLICE DEPARTMENT
By: Paul Ferreira-_ By: Mitchell D. Roth
Its: Chief of Police eits:
Date: JUL 52OZZ Date.
APPROVED AS TO FORM AND
LEGALITY:
By:
Its: Co oration Counsel
— I
Date: if I I
Approved os to Availability of Funds
In the amounts and for the purpo-%"
set forth herein.
�O
DIRECTOR OF fl"ANa,
JUL 0 6 2022
to
(VAWA FY 2021 (County) Rev.0212022)
i
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r
CRIME I �,VENTION AND JUSTICE ASSISTA,,i-'E DIVISION
DEPARTMENTOF THE ATTORNEY GENERAL
235 otath ei-etatai;a Sti-ect, Sstite 41 1', Honolulu, ' awaii 96913
APPLICATION FOR FY 2021 STOP VIOLENCE AGAINST ME
FORMULA T _
PARI`Ip TITLE PAGE
A. PROJE T TILE: Ha wai'i SAFE/BADE Coordination and Tratntt
B. APPLI AT A ,NCY.— Hawa.i'i Polic T et,at-trent
C. ADDRESS: 349 iiolaraa Street t Hilo T 96720
h, SYSTEM FOR AWARD ANAGEME dT(SAM)-, 19 Yes _L1 No
DUNS Nol 613154335
PRIMARY PLACE OF
PERFORMANCE: City Hilo State HI � Zip+4 d1 1es 96720-3912
F. PROJECT PERIOD: From hune t 2€322 To may : 1,2132
1 FJ 2E] 3 M 4 Z 5E] 6 [J' 78E 9 10
G. VAWA PROGRAM A PURPOSE(S): 11 El 12 E3 13[] 14 [J 15 [] 16 E] 17 1 BED 10 20
l
20 3 L 4
1I> FLjNDING PRIORITY AREA(S). 6 [:j 7 EJ 3 9 [D 10
L TOTAL PROJECT COST,
13OURCE OF FUNDS PERCEN AMOUNT
FFeeral Funds _— -- 75% $54,995.00
25% $18,33100
TOTA.L., i 00% $73,327.00
Name: Robert Patiole Title:: Police Lieutenant,Area I JAS
Address: 349 K solani Sheet Hilo, HI 9672.4
Telephone: 808-961-22 54 Fax: 808-961-2327
E-M,,, 1- o-bert.Pat ol-e@hlawat,ic..ou-r,��,Vv _. ..._,r .._
KFINANCIAL OFFICER
Name: Kellie Katitnli 'Title: Accountant III, Finance Section
Address: 349 K4piolani Street, Hilo, FII 96724
Telephone: 808--961-2274 Fax: 808-961-2.3409
E-Mail: Deis€e.kkkailitjii@ltawaiicottbt
FOR CPJA€J tJS
----------
i [hate received: prE129,2022 Protect Number: 21-WF-07 _
EXHIBIT A
AG/CP,tAD#1 V AWA Application for LE and Pray(Rev£212021)
APPLICATION FOR STOP VIOLENCE AGAINST WOMEN GRANT
PART 11. DESCRIPTION OF Egg ECT'
Note:This form does not provide spell check.
A. THE PROBLEM
Hawaii Police Department(HPD) views violence against women as a serious and on-going
problem. HPD currently serves residents and visitors to the County of Hawaii which is considered
a rural/isolated location.
In 2020, there were 913 Abuse of a Family or 11ousehold Member cases initiated by HPD. HPD
also responded to an additional 1,601 domestic related calls not resulting in criminal action.
According to the National Coalition Against Domestic Violence (NCADV), 34.710 of Hawaii
women and 24,1% of Hawaii men experience intimate partner physical violence, intimate partner
sexual violence and/or intimate partner stalking in their lifetimes (NCADV Hawaii Fact Sheet).
Victims of sexual assault and domestic violence include men, women and children who range in
age from very young to the elderly.
Sexual assault and domestic violence adversely affects the community of Hawaii County, the
criminal justice system and law enforcement agencies which include HPD, the Hawai'i Off-ice of
the Prosecuting Attorney and the Judiciary. Sexual assault and domestic violence against women
have previously and is currently being addressed by all these agencies along with multiple non-
profit organizations.
It is important that this problem be addressed for the health and safety of our families, residents,
and community as a whole.
In 1995, HPD established the Sexual Assault Forensic Examination (SAFE) Program to improve
investigations of sexual assault cases and effectively address the needs of victims. The SAFE
Program provided medical and forensic services to victims through certified SAFE personnel
known as Sex Assault Nurse Examiners (SANEs). The SANEs received extensive training in
recognition,evaluation, and classification of various injuries resulting from traumatic sexual
contact. SANEs also receive training in performing a medical-legal examination, forensic
photography, evidence collection, report-writing, and other methods of documenting injuries for
evidential purposes. In March 2021, SANEs trained specifically in strangulation forensic exams
began providing services to strangulation victims on the island,
The collected evidence and testimonials provided by the SANEs to HPD's Criminal Investigation
Division (CID), Sex Crime Unit (SCID), and Juvenile Aid Section (JAS) detectives and the county
prosecutors have contributed to the successful prosecution of sex assault offenders. From July
2021 to present day, there were 21 SAFE exams and nine (9) strangulation examinations
performed.
From 1995 to 2010, the SAFE Program was spearheaded by an experienced certified SANE who
was employed with the county.The SANE coordinator was responsible for all aspects of the
program and worked directly with the CID, SCU and JAS personnel. In October 2014, the SANE
coordinator retired and efforts to fill the position were unsuccessful due to lack of qualified
AGIC HAD#1(a)(Rev 3/23/2010)
3
To ensure SANEs and SANE candidates are Elly trained and offered continuing education
opportunities required to conduct forensic examinations. Specifically to have two
additional .nurses recruited and trained by the end of the grant period.
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To offer strangulation training to SANEs to increase the pool of available SANEs to
perform stranguation examinations,
4, To improve collaboration between the YWCA, HPD and SARI'members through regular
meetings, consultations, and trainings/conference (as available).
5 To provide training for HPD personnel which is victim centered with focuses on domestic
violence and sexual assault.
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. To replenish supplies which will aid in enhancing data collection and service to victims of
sexual assault and domestic: violence.
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`. PROJECT ACTIVITIES
_ �.
Sub-contractor Coordination Activities
I, Continue to recruit and contract registered nurses to become approved SANEs to provide
SAFE services, schedule SAME coverage for Hawaii County,
2. Continue to recruit and facilitate training and certification of qualified SANE candidates;
provide continuing education to SANEs to obtain and/or maintain certification. To recruit
current SANEs and facilitate training in strangulation. Facilitate professional development 3
and continuing education as opportunities arise,both on-island and off.-island.
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3. Continue to keep the SAFE rooms available and stocked.
4. Maintain the Secure Digital Forensic Imaging (SDFI) system, the camera system in place
for evidence collection in the SAFE rooms, implemented in Hawaii County.
5. Provide narrative and statistical progress reports to the:HPD to meet requirements of
contract finding.
6Participate in the Inter-Agency Council (IAC), Big Island Coalition Against Sexual and
Physical Assault(EICAPSA), Hawaii Sex Assault Resource and Training (HSART),
Ilawai'i Coalition Against Sexual Assault(HCASA)and other meetings or
trainings/conferences(as available) involving the SANE program services and/or
coordination of care.
D, PROJECT ORGANIZATION AND MANAGEMENT
This project will be managed by HPD Area I Juvenile Aid Section. The project director is
Lieutenant Robert Pauole who reports to Captain Peed Mahuna, the commander of HPD Area I
Criminal Investigation Division. The project director will track and approve data and billing
provided by the subcontractor(YMCA of Hawaii Island) along with snatching services and hours
AG/CPJAD#[(a)( car 3/23/2010)
candidates. The position was subsequently frozen and then unfunded because of county budget,
shortfalls.
Without the SANE coordinator, HPD's SAFE Program lacked the quality assurance activities,
including quality improvement goals and peer review process. Peer review or review by a certified
SANE is critical to ensuring consistency of victim care and the quality of reporting and evidence
collection. Lack of peer review could result in loss of skills, inadequate knowledge of up-to-date
processes, and increase in errors that could lead to compromised evidence.
To continue with the SAFE Program,HPD used Violence Against Women Act(VAWA)funds
and outsourced what was previously an in-house program. The contracted provider took on the
role of SANE recruitment, coordinated SAFE training and preceptorship,maintained coverage of
SANEs in both East and West Hawaii, managed the island's SAFE rooms, developed policies and
procedures, and developed a peer review process.
For this funding round, HPD will use VAWA funds to contract with the provider to continue
recruitment and training for the SAFE/SANE Program. Funding will be used for travel and
training for the subcontractor, the YWCA of Hawaii Island (YWCA),to qualify SANE nurses.
Funding will be used to replenish supplies which will aid in data collection and service to victims
of sexual assault.
Additionally, HPD will work collaboratively with SANEs and community partners to effectively
respond to victims of sexual assault and identify/implement best practices in investigating sexual
assault crimes.
The YWCA had successfully completed a request for proposal for the continuation of providing
the coordination of SAFE/SANE services and was awarded the contract with the County of
Hawai'i,
This is a continuation project which currently utilizes VAWA funding. Due to COVID 19 health
restrictions of travel and gatherings,travel and training opportunities have been limited.
B. GOALS AND OBJECTIVES
Goal:
To improve Hawaii County's response to violent crimes against women through comprehensive
medical and forensic services for victims of sexual assault and domestic violence. To determine
the success of the program,the program manager will properly document when a SANE is unable
to respond within the necessary timeframe for proper evidence collection.
Objectives:
I To coordinate and continue recruitment and training for the SAFE/SANE Program.
Recruitment is a continues process due to the ability to retain nurses on their part time/on
demand status. The overall objective is to sustain 10 SANEs island-wide in order to
service the east and west side of Hawaii island. Being able to staff five(5) SANEs on each
side of Hawaii island will adequately service victims island-wide.
AG/CPJAD#1(a)(Rev 3/23/2010)
for HPD personnel. `I'.i;s data will be reported to the State Offi:. of the Attorney general as
indicators of performance. The project director will also schedule travel and framing for HPD
Personnel relative to sexual assault and domestic vioience.
The financial officer is Accountant III Kelsie I ailiuli of the HPD Finance Section. The financial
officer will review requisitions for billing and generate requests for funds (RFF) and submit these
to the State Office of the Attorney General. The financial officer will also update grant
expenditures.
Lorraine Davis of the YWCA, the current agency provider, will coordinate SANE nurse training
and recruitment. Upon receipt of /A IA STOP funding, HIED will contract with the current
agency provider that will coordinate and continue recruitment and training for the SAFE/SANE
program.
E, PERSONNEL
The following HPD personnel will provide the 25% agency match:
Lieutenant Robert Pauole (SCU/JAS, Area I) will spend approximately 12 hours per month
as the Project Director.
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Captain Reed Mahuna will spend approximately 4 hours per month providing guidance
and administrative oversight.
HPD SCU/JAS: Lieutenants (Area I and II) and twelve (12)Detectives (Areas I and II)
will spend a total of approximately, 20-24 hours per month participating in multi-
disciplinary meetings or trainings/conferences; and conducting interviews or interacting
with victims of sexual assault(age I I or older).
The following HPD personnel will assist in managing the project:
Kelsie Kailiuli, Accountant III, will serve as Financial Officer,
Police Investigative Operation Clerk will provide support with fiscal activities.
1'-. BRIEF PERSONNEL 3IOGRAPHIFS
Project personnel tenure with HIED is as follows. Resumes ,are available upon request.
Lieutenant Robert Pauote (,area I), Has 22 years of police experience and has been the
commander of the Area I Juvenile Aid Section since July 2021.
Captain Reed. Mahuna (Area I): Has 24 years of police experience and has been the
commander of the area I Criminal Investigation Division since March 2021.
Lieutenant Perrcell Hanna (Area II). Inas 17 years of police experience and has been the
commander of the Area II Juvenile Aid Section since July 2021
AGICRJAD#na)(Rev 3/23/2010)
Detectives (Areas,I and 11 Juvenile Aid Section): Have I I to 21 years of police experience.
Kelsie Kailiuli, Accountant III: Has 3 years of grant financial experience.
Police Investigative Operation Clerk: Has 32 years of departmental experience
G. PARTICIPATING AGENCIES
The HPD collaborates with the YWCA of Hawai'i Island, Sexual Assault Support Services
(SASS), a program that provides 24/7 sexual assault crisis response and stabilization and other
wrap-around services for victims. Other partner entities include: the Big Island Coalition Against
Physical and Sexual Assault (BICAPSA); Children's Justice Center(CJQ of East and West
Hawai'i; Sexual Assault Treatment Center (SATC); State Department of Human Services;
Prosecuting Attorney of Hawai'i County; Hilo Medical Center(HPD/ CA have a current MOU
with Hilo Medical Center), Kona Community Hospital, North Hawai'i Community Hospital-, Ka'u
Hospital; Kapiolani Women and Children's Hospital.
H. PERFORMANCE INDICATORS/OUTCOME MEASURES
Performance Indicators
1. To recruit and complete didactic training/qualification for 2 SANE nurses during this grant
period.
2. Funded travel and training for prospective SANE nurses.
3. The number of BICAPSA, IAC,and HSART multi-disciplinary team meetings attended by
HPD and YWCA personnel
Outcome Measures
1. 2 SANE nurses recruited and completed didactic training by the end of the grant period,
2. Travel and training funded for the two new SANE nurses.
3. Attend 2 BICAPSA, 2 HSART and a minimum of 6 IAC meetings during the grant period,
L PROBABILITY TO IMPROVE THE CR DIAL JUSTICE SYSTEM
The Hawai'i Police Department's SAFE Program must continue to provide highly qualified and
responsive medical and forensic services to victims of sexual assault and domestic violence. These
services encourage reporting of sex and domestic violence crimes to police, improve law
enforcement investigations, and successful prosecution, and enhance working collaborations
between partner agencies
AG/CPJAD#1(a)(Rey 3/23/2010)
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TMEN I'O THE ATI'ORNEY GENERALICPJAD
APPLICATION FOR GRANT
PARTIll. BUDGET DETAIL AND EXPLANATION
BUDGET DETAIL. I
Salaries and ' s
Potsi ion Title to nioMonthly rate Subtotalr:s
_
l oskiun'Title Position's Hourly Rate Hours Subtotal
dol is _� $60.20 i I _a.$602,00
Police Lieutenant 2 ,$54.00 60 1 $6,480.00
--Police Detecti vee 10 $45,00
Total Salaries and a as $18,332.00
. Frig e Benefits -- Employee Benefits Ca) %
Position Title Positions MontIrly Date Subtotal
No.of , moo.of
Position"Title _ Positions H- IE! Pate Hours Subtotal
Total rin e Bene its
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C. Consultant Services/Contracts, _
Length of
C:onsu tarttl
Scope orconsultant Estimated Contract
ervice/contract Cost Service Select as t ro nate
` WIC €f Hawaii Island ` 54,995 1 ear Elconsunant N Contract
_.......�....�___,._.._._._ v....__w.. .,_.� �_ LJ Consu tart 0 Contract
Itemize for
maiolandlinterisland airfare, No.of No. of
ground transportation. rental I j
Travelers as Days
_. ca•,Baer diem `Jnit Cost a 3 licable _Subtotal
Total Consultant Services/C o tracts $54,995
COST ELEMENL Al OUNIT
D. Transportation and Subsistence
No. of
Itemize for mainland/interisland Travelers No,of
airfare,ground transportation, as Days
rental car,per dietr Unit Cost applicable Subtotal
$ $
$
Total Transportation and Subsistence
E.Supplies
Itemize supplies and related costs
Such as printing,paper,binders,
etc. Quantity_-2g2Lt_bUnit— Subtotal
$ $
$ $
Total Supplies $
F. Equipment
Specify equipment that will be
purchased,leased,or rented. Quantity Cost b Utah Subtotal
$ $
$ $
$
Total E m went
G.Other Costs Quantity Cost by Unit Subtotal
$
$
Total Other Costs $
H.Indirect Costs Base Rate(%) Subtotal
$ $
Total Indirect Costs $
TOTAL PROJECT COSTS $73 7 O�
j2j10
AG/CPJAD#1(b) (Rev 10/2018)
6 BUDGET
A, Salaries and Wages
This portion of the budget will provide the agency's 25% in-kind match.. The police
Lieutenants will spend approximately 5.0 hours per month each as the project director(Area
i) and attending meetings and generating timesheets (ureas 1 and 11). The police Captain will
spend approximately I0 hours during the grant period providing overall supervision of the
project, The 10 police detectives will spend approximately 25 hours each during the grant
period conducting interviews and interacting with women victims of violence.
10 Detectives: Average $45/hoar salary x 2.5 fours =$11,250,00
2 Lieutenants: $54/hour salary x 60 hours=$6,450.00
1 Captain: $60.20/hour salary x 10=$602
Total Salary for HPD: $18,332
Salaries contributing to 25% match: $18,332
Grant matching funds are to start June 01, 2022.
B, Fringe Benefits
The composite fringe benefit rate is at 0% for 0 (list positions). The rate consists of the
following fringe benefit items and computed rates:
C. Consultant Services/Contracts
The HPD will contract with the YWCA for the operation, management, and services of the
SAFE, Program. Contracted services include: SANE recruitment, contracting planning and
coordination of SAME training and preceptorship process. The subcontractor will provide
seasoned SANEs training opportunities to enhance their skills on both the medical-forensic
examinations as well as training opportunities to provide SDFI services for victims of
strangulation_
Consultant fees will include the SANE Coordinator fees: YWCA COO/SANE Coordinator to
facilitate progress it the program on real time bases at a salary of$32.8lfhour, West Hawaii
Crisis Coordinator to assist with scheduling and keeping SAME room stocked on a real time
basis at a salary of$23,98, East Hawaii Intervention Specialist to help heep the SANE room
stocked on a real tinge basis at a salary of 18,17/hour
In addition to salaries, benefits which include medical, FICA, Social Security, retirement at
an average of 2517o are included in the budget.
The subcontractor's budget includes mainland clinical training for two nurses. The costs for
the 7 day trip are broken down as follows:
AG/C JAD 41(b) (Rev 1012018)
Airfare $1,200
Per them or subsitance $3,115
Ground transportation: $ 364
For a total of$4,679 allotted per nurse per trip.
The YWCA will pay a prorated portion of work performed by subcontractors to the YWCA.
Taketa, Iwata, Dara& Associates performs an annual 3rd party audit of the agency and
Elevate! provides computer tech support, licensing and set up for all computers.
Respectively, it is anticipated that audit services will be $664 to the program and Elevate!
charges will be $300.
Supplies for the SANE room vary from year to year and the budget amount was based on the
average of two years of expenses. Supplies range from paperclips and paper, R/W DVDs,
toner for the printer, to batteries, specuturn and protective equipement. It is anticipated that
supply costs will run approximately$2,597 for this grant period.
Nurses who begin their didactic training with the YWCA will begin with enrollment in an
on-line course specifically for SANE adults and then follow up with a SANE course for
pediatrics. It is expected that$3600 will be spent to enroll the nurses in the appropriate
didactic program.
The YWCA has regular costs associated with running any program and it is anticipated that
this contract will pay a portion of rent, telephone, software licenses, liability insurance and
untilities.
In order to keep SANE rooms stocked, employees of the YWCA will be required to travel to
the hospitals and back in their private vehicles. Employees will be reimbursed at a rate of
$0.56/per mile.
The program will pay SANEs for services rendered from this contract:
SAFE or Strangulation exam: 25 occurances at $470,25 each (includes GE Tax)
$11,756.25
SAFE/Strangulation combination: 10 occurances at $679.58 each (includes GE Tax)
$6,795.90
Quick Response to services (on site within 2 hours) 15 incidents at$150 each =$2,250
YWCA Administrative Fees at 10% of deminimus:
The YWCA does not have a Federally Approved Indirect rate and therefore uses the accepted
10% de minimus rate. It is anticipated that the 10% wilt equal $5,000 during this contract
period.
A detailed budget on SPO forms is available upon request.
D. Transportation and Subsistence
HPD is not anticipating transportation and subsistence purchases. The YWCA has described
the supplies in the Subcontractor section.
AG/CPJAD#I(b) (Rev 1012018)
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E. Supplies
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HPD is not anticipating purchasing any supplies. The YWCA A has described the supplies in
the Subcontractor section,
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HPD is not anticipating purchasing any equipment,
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G Other Costs
HPD is not anticipating any additional casts. The YWCA A has described the other assts in the I
Subcontractor section.
H. Indirect Costs I
Not applicable,
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AG/CPJAD ffl(b) (Rev 1012018)
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CERTIFICATIONS
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Acceptance of Conditions (AG/CPJAD#14)
• Acceptance of VAWA Special Conditions (AG/CPJAD#25)
• Certification of Non-Supplanting(AG/CPJAD#3)
• Certification of on-Discriniination (AG/CPJAD#15)
• Certification n of Non-Discrimination Complaint Procedures (AG/CPJAD#30)
• Certification Form —Compliance with "he Equal Employment Opportunity Platt
Requirements (.OMB Control No. 11.21-0340)
• Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion
Lower Tier Covered Transactions (Sub-Recipient) (OJP Form 4061/1)
• Certificate of Collaboration (AG/CPJAD#24)
• Certification regarding,Forensic Medical Examination Pay eats and Polygraph Testing
Prohibition (AG/CPJAD#34)
• Certification Regarding Paling Costs for Criminal Charges or Protection Orders and Judicial
Notification of Firearms Prohibition (AG/CPJAD#35)
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EXHIBIT
(1 AWA FY 2021 (Cour;ty)Rev,212022)
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DFPARTrAENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
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ACCEPTANCE OF CONDITIONS
The undersigned agrees, on behalf of the applicant agency, that:
1. This project, upon approval, shall constitute: an official part of Hawaii's Violence Against
Women Formula Grant Program established under "Title IV of the Violent Crime Control
and Law Enforcement Act of 1994, Public Law No. 103-322,
2.
Any grant awarded pursuant to this application shall be subject to and will be administered
its confornutv with;
{a) general conditions applicable to administration of grants under Title IV of the
Violent Crime Control and Law Enforcement Act of 1994, public Law No.
103-322, as applicable;
(b} conditions applicable to the fiscal administration of grants under Title IV of the
Violent Crime Control and Law Enforcement Act of 1994, Public Law No.
103-322, 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 Cringe 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.
SUBMITTM BY:
Sigpature bate. i a
Name: Paul Ferreira Title: Chief of Police,
Agency: Hawaii Police Dc)artment
AGft MAD#14 VAWA and SASP(6/2014)
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DEPARTMENT OF THE ATTORNEY GENERAL �
Crime Prevention and Justice Assistance Division
ACCEPTANCE OF VAWA SPECIAL CONDITIONS
ifor Gove.rnrnent.Contracts)
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The undersigned Grantee understands and agrees, on behalf of its agency that
fK Requirements of the Award; Remedies for Non-Compliance or for Materially False
Statements i
The conditions of this award are rnatcrial requirements of the award, Compliance with
anv certifications or assurances submitted by or on behalf of the Grantee that relates to
conduct during the period of performance also is a material requirement of this award.
Failure to comply with any one or more of these award requirements-- whether a
condition set out in full below, a condition incorporated by reference below, or a
certification or assurance related to conduct during the award period—may result in
CPJAD taping appropriate action with respect to the Grantee and the award. Among
outer things, CPJAD may withhold award funds, disallow costs, or suspend or terminate
the award. The Department of Justice and CPJAD also may take other legal action as
appropriate.
Any materially false, fictitious, or fraudulent statement to the state and/or federal
government related to this award (or concealment or omission of a material fact) may be
the subject of criminal prosecution (including under 18 U.S.C. 1001 and/or 1621, and/or
34 U.S.C. 10271-1€1273), and also may lead to imposition of civil penalties and
administrative remedies for false claims or otherwise (including under 31 U.S.C. 3729-
3730 and 3801-3812),
Should any provision of a requirement of this award be held to be invalid or
unenforceable by its terms, that provision shall first be applied with a limited construction
so as to give it the maximum effect permitted by law. Should it be held, instead, that the
provision is utterly invalid or unenforceable, such provision shall be deemed severable
from this award.
2. Applicability of Part 200 Uniform Requirements
Grantee agrees to comply with the financial and administrative requirements set forth in 2
C,I--,R. Part 200 and the current edition of the Department of Justice (DOJ) Grants
Financial Guide,
Grantee understands and agrees that CPJAD may withhold award funds, or may impose
other related requirements, if the Grantee does not satisfactorily and promptly address
outstanding issues from audits required by the Part 200 Uniform Requirements (or by the
AG/CPJAD#26 FY 2021 VAWA Govt Special Conditions(revised 0412022) 1
terms of this award),or other outstanding issues that arise in connection with audits,
investigations, or reviews of CPJAD awards.
3. Reporting Requirements
Grantee shall submit a Semi-Annual Progress Report to CPJAD every six (6) months
following the calendar year. The progress reports are to cover activities that Grantee has
completed during that reporting period. The semi-annual reporting periods and due dates
are:
• January I -June 30 Due: July 15
• July I -December 31 Due: January 15
A Final Progress Report is due 30 days after the project end date and should report
cumulatively on the entire project period. The appropriate report form will be provided
to each project by CPJAD (AG/CPJAD #20), The report shall contain information
describing progress, accomplishments, activities,changes, and problems during the report
period and any additional information specified by CPJAD.
The annual STOP report required by CSV W shall be submitted to CPJAD by February I
unless mandated earlier by CPJAD.
4. DOJ Regulations Pertaining to Civil Rights and Nondiscrimination
28 C.F.R. Part 38
Grantee, and any subgrantee at any tier, must comply with all applicable requirements of
28 C.F.R. Part 38.
Among other things, 28 C.F.R. Part 38 includes rules that prohibit specific forms of
discrimination on the basis of religion, a religious belief, a refusal to hold a religious
belief, or refusal to attend or participate in a religious practice. Part 38 also sets out rules
and requirements that pertain to grantee and subgrantee organizations that engage in or
conduct explicitly religious activities,as well as rules and requirements that pertain to
grantees and subgrantees that are faith-based or religious organizations.
The text of the regulation, now entitled "Partnerships with Faith-Based and Other
Neighborhood Organizations,"is available via the Electronic Code of Federal
Regulations (currently accessible at htt]3s://www.ecfr.aov/c:giL--zbin/F-CFR?page.:—br�oAlse),
by browsing to Title 28-Judicial Administration, Chapter 1, Part 38, under e-CFR
"current"data.
28 C.F.R. Part 42
Grantee, and any subgrantee at any tier, must comply with all applicable requirements of
28 C.F.R. Part 42, specifically including any applicable requirements in Subpart E of 28
C.F.R. Part 42 that relate to an equal employment opportunity program.
AG/CPJAD#26 FY 2021 VAWA Govt Special Conditions(revised 04/2022)
28 C.F. . Fart 54.
Grantee, and any subrecipient ("subgrantee") at any tier, rest comply with all applicable
requirements of 28 C.F.R. Fart 54, which relates to nondiscrirnination on the basis of sex
in certain "education programs, .
a Restrictions on "Lobbying"and Policy Development
In general, as a matter of federal law, federal funds may not be used by the Grantee, or
any subrecipient ("subgrantee") at any tier, either directly or indirectly, in support of the
enactment, repeal, _modification or adoption of any lair, regulation or policy, at any level
of government,ent, ire order to avoid violation of lg U.S.C. 1913. Grantee, or any
subrecipient("subgrantee")may, however, use federal funds to collaborate with and
provide information to federal, state, local, tribal and territorial public officials and
agencies to develop and implement policies and develop and promote state, local, or
tribal legislation or model codes designed to reduce or eliminate domestic violence,
dating violence, sexual assault, and stalking (as those terms are defined in 34 U.S.C.
12291(a)) when such collaboration and provision of information is consistent with the
activities otherwise authorized under this grant program.
Another federal law generally prohibits federal funds awarded from being used by the
Grantee, or any subrecipient at any tier,to pay any person to influence (or attempt to
influence) a federal agency, a Member of Congress, or Congress (or an official or
employee of any of them) with respect to the awarding of a federal grant or cooperative
agreement, subgrant,contract, subcontract, or loan, or with respect to actions such as
renewing, extending, or modifying any such award. See 31 U.S.C. 1352. Certain
exceptions to this law apply, including an exception that applies to Indian tribes and tribal
organizations,
Should any question arise as to whether a particular use of federal funds by a Grantee (or
subrecipient) would or might fall within the scope of these prohibitions, the Grantee is to
contact CPJAD for guidance, and may not proceed without the express prior written
approval of C PJAD.
a Reporting Potential Crazed, Waste, and Abse,and Similar Misconduct
Grantee and any subrecipient ("subgranteeR9) at any tier, must promptly refer to the DCIJ
Office of the Inspector General (01G) any credible evidence that a principal, employee,
agent, contractor, subcontractor, or other person has, in connection with funds under this
award— 1) submitted a claim that violates the False Claims Act; or 2)committed a
criminal or civil violation of laws pertaining to fraud,conflict of interest, bribery,
gratuity, or similar misconduct. Potential fraud, waste, abuse, or misconduct involving or
relating to funds ander this award should be reported to the OIG by online submission
accessible via the OIG webpage at lattps.lAoi .jLIstice.gov/hotline/contact=grants.htm
(select "Submit Report Online"), or by:
AGICPJAD#26 FY 2021 VAWA Goer SpeciJ� Conditions(revised 0412022) A
Mail: Office of the Inspector General
U.S. Department of Justice
Investigations Division
ATTN: Grantee Reporting
950 Pennsylvania Avenue, NW
Washington, DC 20530-0001
Hotline fax: (202) 616-9881
Additional information is available from the DOJ OIG website at
htti)s:/Ioi£,,,iustice.aov/hotline
1. 41 U.S.C.4712 (Including Prohibitions on Reprisal; Notice to Employees)
Grantee, and any subgrantee at any tier, must comply with, and is subject to, all
applicable provisions of 41 US.C. 4712, including all applicable provisions that prohibit,
under specified circumstances, discrimination against an employee as reprisal for the
employee's disclosure of information related to gross mismanagement of a federal grant,
a gross waste of federal funds, an abuse of authority relating to a federal grant, a
substantial and specific danger to public health or safety, or a violation of law, rule,Or
regulation related to a federal grant.
Grantee also must inform its employees, in writing (and in the predominant native
language of the workforce), of employee rights and remedies under 41 U&C. 4712.
8. Federal Leadership on Reducing Text Messaging While Driving
Pursuant to Executive Order 13513, "Federal Leadership on Reducing Text Messaging
While Driving," 74 Fed. Reg, 51225 (October 1, 2009), the CPJAD encourages grantees
and subgrantees to adopt and enforce policies banning employees from text messaging
while driving any vehicle during the course of performing work funded by this grant, and
to establish workplace safety policies and conduct education, awareness, and other
outreach to decrease crashes caused by distracted drivers.
9. Training(s)/Conference(s) Compliance
Grantee agrees to comply with all applicable laws, regulations,policies, and guidance
(including specific cost limits, prior approval and reporting requirements, where
applicable) governing the use of federal funds for expenses related to conferences,
meetings, trainings, and other events. Information on pertinent laws, regulations,
policies, and guidance is available in the DOJ Grants Financial Guide Conference Cost
Chapter.
Grantee understands and agrees that any training or training materials developed or
delivered with funding provided under this award must adhere to the OVW Training
Z)
Guiding Principles for Grantees and Sub-grantees, available at
htti)s://www-justice.2ov/ovw/grantees#Resources
AG/CPJAD#26 FY 2021 VALVA Govt Special Conditions(revised 04/2022)
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l a Duplicate.Award of Federal Funds �
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Grantee agrees that if it currently has an open award of federal funds or if it receives an
award of federal funds Cather than this CPJAD award, and those award funds have been,
are being, or are to be used, in whole or in part, for one or more of the identical cost items
for which funds are beim provided under this CPJAD award, the grantee will promptly
notify, in writing, the assigned Criminal Justice Planning Specialist for this CPJAD
award, and, if so requested by CPJAD, seek a budget or project narrative modification to
eliminate any inappropriate duplication of funding. Further, the Grantee agrees and
understands that any duplicative funding that cannot be re-programmed to support non-
duplicative activities within the program's statutory scope will be deobligated from this
award and returned to CPJAD,
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11. Restrictions and Certifications regarding Non-Disclosure Agreements and Related
Matters
No Grantee or subgrantee under this award, or entity that receives a contract or
subcontract with any funds under this award, may require any employee or contractor to
sign an internal confidentiality agreement or statement that prohibits or otherwise
restricts, or purports orts to prohibit or restrict, the reporting (in accordance with law) of
waste, fraud, or abuse to an investigative or law enforcement representative of a federal
department or agency authorized to receive such information,
12. Prohibited Conduct Related to Trafficking icking in Persons
Grantee, and any subgrantee at any tier, must comply with all applicable requirements
(including requirements to report allegations) pertaining to prohibited conduct related to
the trafficking of persons, whether on the part of Grantees, su grantees, or individuals
defined (for purposes of this condition) as "employees" of the grantee or of any
subgrantee,
The details of the Grantee's obligations related to prohibited conduct related to
trafficking in pet-sons are posted on the OVW web site at
htti)s://www.iustice.Rov/ovw/gEqntee,s (Award condition: Prohibited conduct by grantees
and subgrantees related to trafficking in persons (including reporting requirements and
OVW authority to terminate award), and are incorporated by reference here.
13. General Appropriations-Law Restrictions
Grantee, and any subgrantee at any tier, must comply with all applicable restrictions on.
the use of federal funds set out in federal appropriations statutes. Pertinent restrictions,
for each fiscal year, are set out at https.//www.iustice.gov/ovw/award-conditions (Award
Condition: General appropriations-law restrictions on use of federal award funds), and
are incorporated by reference here.
Should a question arise as to whether a particular use of federal funds by a Grantee or
FSC/CPJAD#26 FY 2021 VAWA Govt Special Conditions (revised 04/2022) 5
subgrantee would or might fall within the scope of an appropriations-law restriction, the
grantee is to contact CPJAD for guidance, and may not proceed without the express prior
written approval of CPJAD.
14. Requirements to Report Actual or Imminent Breach of Personally Identifiable
Information (PTI)
Grantee shall have written procedures in place to respond in the event of an actual or
imminent"breach" (OMB M-17-12) of"personally identifiable information" (P11) (2
CFR 200.1), if Grantee 1)creates, collects, uses, processes, stores, maintains,
disseminates, discloses, or disposes of such"personally identifiable information" within
the scope of the grant-funded program or activity, or 2) uses or operates a"Federal
information system" (OMB Circular A-130),
Grantee's response procedures must include a requirement to report by email actual or
imminent breach of PH to the assigned CPJAD grant manager and to
hawaiiag@hawaii,�ov no later than t2 hours after an occurrence of an actual breach, or
the detection of an imminent breach, with the date and time of the breach or detection of
animminent breach, description of actual or imminent breach, project number, project
title, name of Grantee, and Grantee contact information,
15. Determination of Suitability to Interact with Participating Minors
This condition applies to this award if it is indicated in the application for award (as
approved by CPJAD) (or in the application for any subaward at any tier), the funding
announcement(solicitation), or an associated federal or state statute- that a purpose of
some or all of the activities to be carried out under the award (whether by the Grantee or
subgrantee at any tier) is to benefit a set of individuals under 18 years of age.
Grantee, and any subgrantee at any tier, must make determinations of suitability before
certain individuals may interact with participating minors. This requirement applies
regardless of an individual's employment status.
The details of this requirement are posted on the ON web site at
htti)s:floir).Rov/fLinding/Explore/Interact-Minors.htfn (Award condition: Determination of
suitability required, in advance, for certain individuals who may interact with
participating minors), and are incorporated by reference here.
16. .A .A Federal Eligibility Requirements
Grantee shall comply with the federal eligibility requirements established by the Violence
Against Women and Department of Justice Reauthorization of 2013
(https://www.usdoi.gov/ovML/regulations.htm) and the effective edition of the DDI Grants
Financial Guide in order to receive STOP Program funds.
AG/CPJAD#26 FY 2021 VAWA Govt Special Conditions(revised 04/2022) 6
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3
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17< Civil Rights Provision
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Grantee small comply with civil rights provisions prohibiting the excluding, denying
benefits to, or discriminating against any person on the basis of actual or perceived race,
color, religion., stational origin, sex, gender-Identity, sexual orientation, or disability in j
any program or activity funded in whole or In part by OVW,
I
I& Non-Disclosure of Confidential at- Private Information
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3
3
Grantee shall comply with provisions of 34 U&C, 12291(b)(2), non-disclosure of
confidential or private information, which includes treating and maintaining I
documentation of compliance, such as policies and procedures for release of victim
information. Grantee shall also ensure that any subgrantees meet these requirements.
1% Policy for Response to Workplace-related Incidents of Sexual Misconduct,Domestic
Violence, and Dating Violence
Grantee, and any subgrantee at any tier, must have a policy, or issue a policy within 270
days of the award date,to address workplace-related incidents of sexual misconduct, �
domestic violence, and dating violence involving an employee, volunteer. consultant, or j
contractor. The details of this requirement are hosted on the OVW website at
https://www.,jusice.gov/ovw/award-conditions (Award Condition: Policy for response to
workplace-related sexual misconduct, domestic violence, and dating violence), and are I
incorporated by reference here.
20. Timely Expenditure of Funds
If federal grant monies are not timely obligated or expended by Grantee, such monies
may lapse anchor need to be returned to C'PJAD. The, lapsing and/or return of monies
may adversely affect C~PJAD's ability to secure additional federal grant monies,which is
not in the State's best interest. It is therefore of the utmost importance that Grantee
timely and property obligates and/or expends funds shade available under an awarded j
contract. Accordingly, should there be a substantial balance (50% or ore) of
unobligated funds remaining after the end of the first six months without adequate
E
justification, CrPJAD reserves the right to unilaterally reduce the amount of funds made
available to Grantee for the remainder of the project period.
2I Required Training
Grantee must receive and engage in any training and technical assistance activities
recommended by CPJAD and/or the Department of Justice.
SUBMITTED
Sigssattrre: date:
1
Name: Paul Ferreira 'Title: Chief of Police
Agency: Hawaii Police Department
AC=/Ct'JAD##26 FY 2021 VAwA Govt Special Conditions(revised 0412022) 7
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DEPARTMENT OF THE,ATTORNEY GENERAL
Cr-itne Prevention and Justice Assistance Division
CERTIFICATION OFNC'aN-SUPPL N"fM
I certify that federal funds will not be used to supplant State, local or other non-federal funds that
would, in s.he absence of such federal aid, be made available for lase enforcement,criminal justice,
and victim c�onrpensafion and assistance activities.
SUBMITTED BY-
Signature: � Dare: € L 5 2R
Name: Paul Ferreira Title: Chief of Police
Agency: �§aWdE6 krslicc Cie artQ�cut
DEPARTMENT OF THE AT70RNEY GENERAL,
Crime Prevention and Justice Assistance Division
CER11 ICATIO N OF NON-DISCRIMINATION
1 certify that the applicant agency will comply with and will insure compliance by its subgrantees and
contractors with the non-discrimination requirements of:
• The OninibBas Crime Control and Safe Streets Act of 1968, as amended, which prohibits
disCriroluation on the basis of race, color, national origin, religion, or sex, in Office of Justice
Programs, Office of Community Oriented Policing Services, and Office on Violence against Women
funded programs or activities, (42 U.S.C. §3789d and 28 CY.R, §42.2031 eett se .
• Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race,calor or
national origin in Office. of Justice Programs, Office of Community Oriented Policing Services, and
Office on Violence Against Women funded programs or activities. (42 U.S.C. §20004 and 28 C.F.R,
§42.101 etse
• Section 5034 of the Rehabilitation Act, which prohibits discrimination on the basis of disability in
Office of justice Programs, Office of Community Oriented Policing Servicer, and Office on Violence
Against Women funded programs or activities, (29 U.S,C, §794 and 28 C.F.R. §42.501 et sack.)
• Section 1407 of the; Victims of Crime Act (VOLA), which prohibits discrimination on the basis of
rake, color; national origin, religion, sex, or disability in VOCA funded programs or activities. (42
Ut&C, §10604)
Title 11 of the Americans with Disabilities Act of 1990, as it relates to discrimination on the basis of
disability in Office of Justice Programs, Office of Community Oriented Policing Services, and Office
on Violence Against Worsen funded programs or activities, (42 U,S.C, §12132 and 28 C,1~,R.Pt. 35)
Title IX of the Education Amendments of 1972, as it relates to discrimination on the basis of sex in
Office of Justice Programs, Office of Community Oriented Policing Services, and Office on Violence
Against Wosteen funded training or educational programs, (20 LI,S,C. §1681 and 28 C.F.R. Pt.54)
The Age Discrimination Act of 1975 as it relates to services discrimination on the basis of age in
Office of Justice Programs, Office of Coteemunity Oriented Policing Services, and Office on Violence
Against Women funded programs or activities, (42 U.S.C, §6102 and 28 CYF R. §42.700 et sec,)
Executive Order No, 13166 prohibiting discrimination of Limited English Proficient Persons,
Executive Order filo, 13279 and 28 C,F,R, pt. 38 regarding equal protection of the laws for faith-
based organizations.
The Violence Against Women reauthorization Act of 2013, Pub. L. No. 113-4, 127 Stat, 54 §
3(b)(2013) which prohibits excluding, denying benefits to, or discriminating against any person on
the basis of actual or perceived race, calor, religiose, national origin, sex, gender identity, sexual
orientation, or disability in any program or activity funded in whole or in part with funds made
available through VAWA or the Office on Violence Against Women. (42 U.S,C, § 13925(b)(13)).
No person shall, on the grounds of race, color, religions, 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 part with funds trade
available under this title from the U.S. Department of Justice through the Department of the Attorney
General, Crime Prevention and Justice Assistance Division. Noncompliance with the discrimination
regulations may result in the suspension or termination of funding.
SUBMITTED BY� ' Q
ti
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Signature: -- Date: JUL
Name: Paul Ferreira Title: Chief of Police
Agency: Hawaii Police Departments LL
AG/CPJAD t#15 (revised 7/2015)
a
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION OF NON-DISCRIMINATION COMPLAINT PROCEDURES
The U.S. Department of Justice, Office of.Tustice Programs (OJP), Office for Civil Rights ((JCR)
has,jurisdiction to investigate complaints of discrimination against recipients of funding from
OJP (which includes component agencies such as the Bureau of Justice Assistance, the Office for
Victims of Crime, and the National Institute of Justice), Office on Violence Against Women, and
the COPS Office. OCR has indicated that recipients and subrecipients of federal funding should
have non-discrimination complaint procedures. "therefore,
I certify that the Hawaii Police 1Jeasgrtrrsent (name of agency) has non-discrimination complaint
procedures which include:
(1) a coordinator who is responsible for overseeing the complaint process. The agency's
coordinator is:
Paul K. Ferreira Chief of Police 808-961-2244
Name Title .. Phase
(2) a procedure to ensure that beneficiaries or employees of funded subrecipients are aware
Haat they may complain of discrimination directly to a subrecipient, to the Department of
the Attorney General, or to the Office for Civil Rights.
k/3) a procedure to investigate the complaint. (The procedure may be an internal investigations
or forwarding the complaint to the Department of the Attorney General, the OCR, or
another appropriate;external agency.)
(4) a procedure to notify the Department of the Attorney General, Crime Prevention and
Justice Assistance Division of the complaint. (The Department will forward the
eoMplaint information to OCR. and may conduct ars investigation of the complaint.)
( ) a procedure to notify the Department of the Attorney General of the findings of the
investigation.
SLrBMITTED BY:
Swiature: Da t c: JU L 5 i
Marne: Pard Ferreira 'Title: Chief of Police
(Head of Agency or Designee)
G/CP1AD##30 61121010
CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (ESOP) Requirements
Pleasc read carefully the Instructions(.see bel=ow)and then complete Section A err Section-6 or Section C, not all three. If recipient J
completes Section A or C and sub- ran=ts a sits mviard over S500,000, in addilionn,�Please e=rrs lefe Section D.
Recipient's Name:Hawaii Police Department
kddress:a4g Kapiolani Street,We,Hawaii 96720
n,:aenc Direct or @ Sub rec ei]�,of OJP,OVW or COPS fundinZI enc ?is�Yes i No
r-1-rin �j_jpL _I Law Enforcement A
DUNS Number-613154335 T-,V-,--n,—dor 1-lumber(only if direct,E
Name and'fitle of Contact Person:Paul K.Ferreira,Police Chief
Telenhone Nuri ber:808-961-2244 E-Mail Address:Paul Ferreira@hawailcour,,ty.gov
.................... ag i!! l
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Section A—Dealar ation Claiming Complete Exemption from the EEOP Requirement
Please check all the
ficillowing boxes dirvapply,
o Uss than fifty employees. a Indian Tribe 0 Medical Institution,
0 Nonple fe Organization a Educational Institution n Receiving a single award{s}less than$25,000,
[responsible
ojjiciafl, certify that
frecipienl]is not required to prepare an EFOP for life re sons)checked above,pursuant to 28 C.RR§41302.
I further certify that [recipient]
will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of
services.
ffrecipient sub-grants a single and over$500,000, in addition,please complete Section D
Print or T e Name and Title Si true Date
itirm Claiming r
'5- C 8 -7
Section B--Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying
That an EEOC' Is on File for Review
it age
rf�'or",a"
pjcy'�"
I -ee4yielo agetre),hasfilfo;or met-,,employees and is receiving a single award or,stibmaard,of$25,000 or tnore,but less than$500,000,then
pr
the recipient agency
v r)oesnof have to submit at?LEOP to the OCR.far review as long ash certifies the following 1`42 CF.R,§42.305).-
Paul K Ferreira
[responsible
(Yfif ialj. certify that Hawaii Police Dripailment
Vecipient],which has fifty or more employees and is receiving a single award or subaward for$25,000 or more,but less
than$500,000,has fon-nulated an EEOP in accordance with 28 CFR pt.42.subpL E. I further certify that within the last
twenty-four months, the proper authority.has formulated and signed into effect the ESOP and,as required by applicable
federal law, it is available for review by the public,employees,the appropriate state planning agency,and the Office for
Civil Rights, Office of Justice Programs,U,S. Department of Justice. The ESOP is on file at the following office:
Hswa;�Po4ce Oeparifnent
[organi7ationj,
349 Kapolanr Sireel,Hilo,Hi 96720
Paul K,Ferreira,Chief of Police JUL5.2022
-------------- -------------—
Print or T 1,e Name and lisle Si nature Date
1: AN i
Section C—Declaration Stating that an EEOP Short Form Has Been Submitted to the Office for Civil
Section
FRights lor-Review
o"a racip iem'agency halei, a?-more em=ployees and is receiving a single award,or suir award,oj"$500,000 or more,then the recipient agencIi
artart send an FUEOP Short Form to the OCRfairreview,
[responsible
certify
[recipient],which has fifty or more employees and is receiving a single award of$500,000 or more,has formulated an
_ � 0�recipient],
Qfficiall, certify that
P , I en
-cep',
E E
�O I accord
EOP in accordance with 28 CFR pt, 42, subpt. E, and sent it for review on
P
(date] to the Office for Civi I Rights,Office of Justice Programs, U.S. Department of Justice.
If recipient suit-grants a single award over$500,000, in addition,please complete Section D
�rirat or T a Name and Title Si natarre 13=14
Section Declaration Stating that Recipient Subawards a Single Award Over$500,000
If a recipient agency,submvards a single award of 5500,000 or more then the granting age icv slat ittd prr a irle uF fist;including,name,address
and DUNS it of each such sub-recipient.
Sub-Recipient Agency Name/Address Sub-RZO_�pT�_nl
If additional space in necessaty,please duplicate this page.
OMB Controt No 1121-0340 Expirahm Date, 12131120t5
INSTRUCTIONS x
�k
Complipting the Certification Form
Compliance with the Equal Employment Opportunity Flan (EEOP) Requirements
The federal regulations implementing the Omnibus Crime Control and Safe Streets ,pct(Safe Streets Act)of 1968,as
amended, require some recipients of financial assistance from the U.S. Department of Justice subject to the statute's
administrative previsions to create, keep on file, submit to the Office for Civil Rights(OCR)at the Office of Justice
Programs(OJP)for review, and implement an Equal Employment Opportunity Plan(EEOP). See 28 C.F.R. pt.42,subpt.
E. All awards from the.Office ofC:omrnunity Oriented Policing Services(COPS)are subject to the ESOP requirements;
Harty awards from OJP, including awards from the Bureau of Justice Assistance(BJH.),the Office of Juvenile Justice and
Delinquency Prevention (OJJIT),and the Office for Victims of Crime(OVC)are subject to the ESOP requirements; and
many awards from the Office on Violence Against Women (OVW)are also subject to the EEOP requirements. If you
have any questions as to whether your award from the U.S. Department of Justice is subject to the Safe Streets Act's
EEOP requirements,please consult your grant award document,your program manager,or the OCR.
Recipients should complete either Section Agar Section If or Section C. not all three. If recipient completes Section
A or C and sub-grants a single award over$500,000,in addition,please complete Section D.
Section A
The regulations exempt some recipients from all of the EEOP requirements. Your organization srnay claim an exemption
fiomn all of the EEOP requirements if it meets any of the following criteria; it is a nonprofit organization,an educational
institution,a medical institution,or an Indian tribe;or it received an award Linder$25,000; or it has less than fifty
employees, To claim the complete exemption from the ESOP requirements, complete Section A.
Section I
Although the regulations require some recipients to create, maintain on rile, and implement an ESOP,the regulations
allow some recipients to forego submitting the ESOP to the OCR for review, Recipients that(1)are a unit of state or local
government, an agency of state or local government,or a private business; and(2)have fifty or more employees; and(3)
have received a single grant award of$25,000 or more, but less than $500,000, may claim the limited exemption from the
submission requirement by completing Section E. In completing Section B,the recipient should note that the ESOP on
file has been prepared within twenty-four months of the date of the most recent grant award.
Section C
Recipients that(1)are a unit of state or local government, an agency of state or local government, or a private business,
and(2)have fifty or more employees,arra'(3)have received a single grant award of$500,000 or more, must prepare,
maintain on file,submit to the OCRfor review,and implement an EEOP. Recipients that have submitted an EEOP
Utilization Deport(or in the process of submitting one)to the OCR,should complete Section C,
Section
Recipients that(1)receive a single award over$500,000; and(2)subaward a single award of$500,000 or more must
provide a list; including,name, address and DUNS#of each such sub-recipient by completing Section D.
Submission Process
Recipients should download the online Certification Form,complete required sections,have the appropriate official sign
it,electronically scan the signed document, and then send the signed document to the following e-mail address:
EFOPForins@kisdoj.gov. The c ocutnent must have the following title.EEOP Certification. If you have questions about
completing or submitting the Certification Form, please contact the Office for Civil bights, Office of Justice Programs,
810 71h Street,NW, Washington, OC; 20531 (Telephone: (202)307-0690 and TTS':(202)307-2027).
ON48;approval No. €f21-0340 Expiration Date: €2/31/15
iblic Reporting Burden Statement
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to respond to a collection
of information unless it displays a current valid OMB control number. We try to create forms and instructions that are
accurate,can be easily understood,and which impose the least possible burden on you to provide us with information.
The estimated minimum average time to complete and file this application is 20 minutes per form. If you have any
comments regarding the accuracy of this estimate, or suggestions for making this form simpler,you can write to the,
Office of Justice Programs, 810 7th Street,N.W,, Washington, D.C. 20531.
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U. . EPAR T MENT O JUSTICE k
OFFICE Chi* JU'STICE PROGRAMS
OFFICE OF THE COMPTROLLER
'i
Certification Regarding
Debarment, Suspension, Ineligibility and Voluntarycl i n
Lower Tier Covered Transactions
(Sub-Recipient)
This certification is required by the regulations implementing Executive Order 12649, Debarment and
Suspension, 26 CFR Fart 67, Section 67.610, Participants' responsibilities. The regulations were published as Part V11 of
the PAay 26, 1986 Federal Register(pages 19160-19211).
(BEFORE COMPLETING CERTIFICATION,READ INSTRUCTIONS ON REVERSE)
(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals are
presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department of agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such
prospective participant shall attach an explanation to this proposal.
Paul Ferreira, Chief of Police
Name and Title of Authorized Representative
' JUL 5202
Signature Date
Hawaii Police Department
t4am of(}rganization
349 Kapiclani Street, Hilo, Hawaii 96720
Address of Organization
E
OjP FORM 408119 (REV.2180 Previous editions are obsolete
Instructions for Certification
1, By signing and submitting this proposal, the prospective lower tier participant is providing the
certification set out below.
2. The certification in this clause is a material representation of fact upon which reliance was placed
when this transaction was entered into. If it is later determined that the prospective lower tier participant
knowingly rendered an erroneous certification, in addition to other remedies available to the Federal
Government, the department or agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to which
this proposal is submitted if at any time the prospective lower tier participant learns that its certification was
erroneous when submitted or has become erroneous by reason of changed circumstances.
4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered
transaction," "participant," "person," "primary covered transaction,®t „principal," "proposes," and "voluntarily
excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of
rules implementing Executive Order 12549.
5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed
covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with
a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this
covered transaction, unless authorized by the department or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that it will include
the clause titled, "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion —
Lower Tier Covered Transaction," without modification in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a
lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the
covered transaction, unless it knows that the certification is erroneous. A participant may decide the
method and frequency by which it determines the eligibility of its principals. Each participant may check the
Nonprocurement List.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of
reports in order to render in good faith the certification required by this clause. The knowledge and
information of a participant is not required to exceed that which is normally possessed by a prudent person
in the ordinary course of business dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a
covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntary excluded from participation in this transaction, in addition to other
remedies available to the Federal Government, the department or agency with which this transaction
originated may pursue available remedies, including suspension and/or debarment.
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CrimeDEPARTWENYT OF THE AYFORCEY GENERAL
Prevention aud J - c;i ,sistan Division
STOP VIOLENCE AG IN'S f WOMEN FORIVRJFLA GRANT PROGRAM
a
CER
TIF ICATE OF COLLABORATION
i
f.ml a t ra y i Hawaii i Polic
41 saxisfection oft requirements under this giant program, dais agency certifies that it
bass consulted with ilje localyicilm services program during the course of developing tis
proposal in order to ensure that our proposed activitiesand/or equipment acquisitions are
designed to promote the safety, on—Iffid , d lity,and economic independence of victims of
domestic violence,sexual as `ult.,AaMing and dating vlolsamen
Please provide a briefdescuiption of the oi tion vndh and/or collaborative relationship
established bensteen the applicant and the local victim services organization identified below;
TheYWCA of Hawaii Island_will recruit
s "r vide �.__SAN
:_n _ t n s _ pis d« radvfss �
q _3 202 _. mw
Date Authorized Signorine of Applicant Agency
b. _. ie Baa xs ar� f i � t �t b l the
As a designated representative of ; of Hawaii sla d, a recognized local victim
services organization, I certilly that the above is an accurate description oft e consultation
with and/or col,labointive relationship sta lished between my agency and that applicant
agency identified above,
Name of Organization, YWCA of flawaii Island
tb ion Title ofSigning Authority: Kathleen
.w_ 017 t
AG/f"P AD 24 901011 A GIPJAM 124 VAWA Cernficate ofCollaboration YWCA
i
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DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
f
CERTIFICATIONREGARDING ORE SIC MEDICAL EXAMINATION PAYMENTS
AND POLYGRAPH TESTING PRC} ITIO
As required by tate Statutory Eligibility Requirements of the Violence Against Wornen Act
(`AA AI, STOP Formula Grant Program found in 42 IJ.S.C~. 3796gg-4 and U.S.C. 3796gg-8 and
implemented at 28 CFR Dart 90,
I certify that the Hawaii Police Iartne�t (name of Grantee) will:
1, Ensure victims of sexual assault will not incur out-of-pocket costs for forensic
medical examinations by either providing such exams free, of charge or arranging
for victims to receive such exams free of charge, without regard to whether or not
the victim participates in the criminal justice system or cooperates with law
enforcement,
1 Coordinate with health care providers in the region to notify victims of sexual
assault of the availability of forensic medical exams at no cost to victims.
3. Ensure that any victims of an alleged sexual offense as defined under federal, state,
or local law will not be asked or required to submit to a polygraph examination or
other truth telling device as a condition for proceeding with the investigation of
such an offense. The refusal of a victim to submit to a polygraph or other truth
telling exaniimtion shall not prevent the investigation, charging, or prosecution of
ars alleged sex offense by a state or unit of local government.
The undersigned understands and agrees, on behalf of the Grantee, that if it fails to comply with
any of the provisions stated above, it will jeopardize the Grantee and the State of Hawaii from
receiving any funds from the VAWA STOP Formula Chant.
SUBMITTED BY:
JUL 5 2022
Date:
Name: Paut-Ferreira __ _— Title-. Chief of Police
(Head of Grantee Agency or Designee)
AG/C PAD x#34 312016
DEMRTMENT OF THE ATTORNEY GE�qERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION REGARDI G FILING COSTS FOR CRIMINAL CHARGES OR
PROTECTION ORDERS AND TLTI�[C �iI l�t�Z IT A TICS CST
FIREARMS PROHIBITION
As required by the. Statutory Eligibility Requirements of the violence Against Women pct(VAWA), STOP
l"orniula Grant Program found in 42 U. S.C. 3796gg--5 and 18 U. S.C. § 922(g)(8)-(9) and implemented at 28 CFR
Part 90,
l certify that the Hawaii Police 12� �rttnent(name,of Grantee) will:
1. insure its policies and practices do not require that the victim bear the costs associated with the prosecution
of any mnisderneanor or felony doanestic violence,dating violence, sexual assault,or stalking offense, or in
connection with the filing., issuance, registration, modification, enforcement,dismissal, withdrawal,or service
of a warrant, protection order, or a petition for a protection order to protect a victim of domestic violence,
dating violence, sexual assault,or stalking, or witness subpoena,whether issued inside or outside the state.
2. Provide notification to domestic violence offenders of the requirements delineated in section 922(g)(8)and
(g)(9) of the title 18, United Staters Code and any applicable related federal,state, and local laws.
18 CLS-C. § 922(g)(8)-(9) states:
"it shall be unlawful for any person--
(8) who is subject to as court order that—
(A) was issued after a hearing of which such person received actual notice,and at which such
person had an opportunity to participate;
(B) restrains such person from harassing, stalking,or threatening an intimate partner of such
person or child of such intimate partner or person,or engaging in other conduct that®could
place an intimate partner in reasonable fear of bodily injury to the partner or child-,and
(C) (i)includes a finding Haat such person represents a credible threat to the physical safety of
such intimate partner or child;or(ii)by its terms explicitly prohibits the use,attempted use,
or threatened use of physical force against such intimate partner or child that would
reasonably be expected to cause bodily injury; or
(9) who has been convicted in any court of a misdemeanor crime of domestic violence
to ship or transport in interstate or foreign commerce,or possess in or affecting commerce, any firearm or
ammunition; or to receive any firearm or ammunition which has been shipped or transported in interstate or
foreign commaaerc:e."
The undersigned understands and{agrees,on behalf of the Grantee, that if it fails to comply with any of the
Provisions stated above, it will jeopardize the Grantee and the State of Hawaii from receiving any funds from the
VAWA STOP Formula Grant.
Signature: _ n_ s .a �,,-
ais
l?ate:
ae: Paul Ferreira _ 'Title: Chief of Police
(J-lead of Grantee Agency or Designee) � _
AG/CP AD#15 3/2016