HomeMy WebLinkAboutCOM 0108.014 2022-2024Mitchell D. Roth
Kazuo S. K. L. Todd
Mayor u 4h
Fire Chief
Lee E. Lord Eric H. Moller
Managing Director Deputy Fire Chief
OF'NPJr
Countp of W Tf-abiail
HAWAII FIRE DEPARTMENT
25 Atipuni Street * Suite 2501 - Hilo, Hawaii 96720
(808) 932-2900 - Fax (808) 932-2928
,2
Memorandum
TO: Heather Kimball, Council Chair and
Council Members
VIA: Kay Oshiro, Controller
FROM: KAZUO S.K.L.TODD, FIRE CHIEF
DATE: July 28, 2023
SUBJECT: NOTIFICATION OF GRANT AWARD
Compliance with Ordinance No. 22-63, Section 7(l)
Name of Grant Program
Grantor:
County Grantee Department or Agency:
Gran No. (IF KNOWN):
Amount of Grant:
Amount of County Match
County Revenue & Expenditrue Account Numbers
Grant Period (Commencement & Completion)
Purpose of Grant:
Is final report required by grantor?
Notification attached?
Emergency Ambulance Services for the County of Hawaii
State of Hawaii, Dept. of Health
Fire
ASO LOG NO. 18-045, Mod 8
$620,999
n/a
3304,02/010.221.6227*
7/1/2022 — 6/30/2023
To fund emergency ambulance services on the Island of
Hawaii
Yes
Yes (Received on 7/17/2023)
Comm. No.
Ref. To:
Ref. Date SEP - 1 20
Hawai'i County is an Equal Opportunity Provider and Employer.
CONTRACT MODIFICATION FORM
STATE OFHAWAII
DEPARTMENT OF HEALTH
Date April 18, 2023
ADM. SERV. OFFICE LOG NO. _1A}45 MODIFICATION ORDER NO. _8___
Contractor/Provider: County of Hawaii
Contract Title: F�niergency Ambulance Services for the Coujj�f H�awah
A. MODIFICATIONS
The following modifications are tob*performed (naccordance vvitha||conhautu(izulatiuno
(apooihuationo, delivery point, nate of delivery, period of perfnrmono*, price, quanU(y, or other
provisions bymutual action ofthe parties tothe cuntraoL).
See Attachment for contract modifications.
-3
G
CONTRACTDR/PROV|DEFYmQUOTAT|ON
The modifications described inA.above, will beperformed sdacontract
phoe[] increase | |door*amsof$f20,!�K}1}O,
��
The Contractor/Provider will not undertake to perform the changes in A, above, until this
modification order has been approved and issued,
Cnntmotor/Pmvkje/oGignotuva
STATEMENT OFCONTRACT FUNDS
Original Contract Price
Previous Adjusted Contract Price
Amount ofthis Change: Plus |}( | KA�ue| |
�
� L�
New Adjusted Contract Price
VALIDATION OFCONTRACT MODIFICATION
ASO-CO03 MOD FORM
$ 16,830,274.00
$ 124,191,769.00
$ 620,990.00
$ 124,812,759.00
Director of Health