HomeMy WebLinkAboutCOM 0749.000 1998-2000
MtY OF M
Stephen K. Yamashiro Harry A. Takahashi
Mayors Director
:r•.. S. K. Schutte
?h of Deputy
Couutp of 'T"amaii
DEPARTMENT OF FINANCE
25 Aupunt Street, Room 118 a Hilo, Hawaii 967204252
(808) 961-8234 a Fax (808) 961-8248
April 17, 2000
Honorable James Arakaki, Chairperson and
Members of the County Council
Hawaii County Council
25 Aupuni Street
Hilo, Hawaii 96720
Re: Resolution
Enclosed is a resolution to authorize the Mayor to enter into an agreement with
the U. S. Department of Justice, Drug Enforcement Administration, for a
marijuana eradication grant.
If there are any questions, please do not hesitate to call the Hawaii County
Police Department.
t i I ~ Q'1;Lk1A
Harry A. T ahashi
Director of inance
APPROVED: J~
(rte`
eK. ashiro
Mayor
Enc.
Res, eZ46-OD
Comm. No. 74q
File No. P0L
Ref. To: FG
Ref. Date APR 1 9 2000
JMiV Oi ,,,,L
y~]'•'' Wayne G. Carvalho
Stephen K. Yamashiro Police Chief
'u''-AO. James S. Correa
~~{lei of a~'~~j Deputy Police Chief
(fnunfg of ~ttiuttit
POLICE DEPARTMENT
April 10, 2000 339 Kapiolani Street • Hilo, Hawaii 96720-3998
(808)93r3311 • Fax(808)961-1702
Mr. Thomas E. Kelly
Assistant Special Agent in Charge
Drug Enforcement Administration
Honolulu District Office
300 Ala Moana Blvd., #3-147
Honolulu, Hawaii 96813
Dear Mr. Kelly:
SUBJECT: DOMESTIC CANNABIS ERADICATION/SUPPRESSION PROGRAM
(DCE/SP), CY 2000, LETTER OF AGREEMENT NO. 2000-43
Enclosed is the signed Agreement for the above project.
the following information is being provided, as requested, to
authorize the disbursement of our DCE/SP funds by wire transfer
directly to our bank account:
Agency Name on Bank Account: Department of Finance, County of
Hawaii;
2. Account Number: 48-002544;
3. Names of Bank/Financial Institution: Bank of Hawaii
Address of Bank/Financial Institution: Kaiko'o Brach, Hilo,
Hawaii 96720
5. Telephone Number of Bank/Financial Institution: (808)935-9701;
6. Contact Person of Bank/Financial Institution: Joyce Kaitoku;
7. Bank/Financial Institution ABA Number: 12130128.
Should you require further information, please contact Lieutenant
Henry Tavares of our Vice Section at (808)961-2253.
Thank you for the continued support provided by your agency.
Sincer/ely,
/ . y'~~IN V I~Cf/'V
. E G. CARVALHO
POD CE CHIEF
.:if
nclosure
A NO ~ U. S. Department of Justice
T~y Drug Enforcement Administration
Agreement Number: 2000-43
AGREEMENT
This agreement is entered between the HAWAII COUNTY POLICE DEPARTMENT
hereinafter referred to as the HCPD and the DRUG ENFORCEMENT ADMINISTRATION OF
THE UNITED STATES DEPARTMENT OF JUSTICE, hereinafter referred to as DEA, with a
reference to the following:
There is evidence that trafficking in controlled substances exists and that such illegal activity has a
substantial and detrimental effect on the health and general welfare of the people of the State of
HAWAII. The parties hereto agree that it is to their mutual benefit to cooperate in locating and
eradicating illicit cannabis plants and in the investigation and prosecution of cases before the courts
of the United States and the courts of the State of HAWAII involving controlled substances. The
DEA, pursuant to the authority of 21 USC 873, proposes to provide certain necessary funds and the
HCPD is desirous of securing funds.
NOW, therefore, in consideration of the mutual covenants hereinafter contained, the parties hereto
have agreed as follows:
1. The HCPD, will, with its own law enforcement personnel and employees, as hereinafter perform
specified, performed the activities and duties described below:
A. Gather and report intelligence data relating to the illicit possession and distribution
of marijuana.
B. Investigate and report instances involving the trafficking in controlled substances.
C. Provide staffing of law enforcement personnel for the eradication of illicit marijuana
located within the State of HAWAII.
D. Arrest and bring to prosecution defendants charged with violation of the controlled
substance laws.
E. Send required samples of eradicated marijuana to the NIDA marijuana Potency
Monitoring Program.
It is understood and agreed by the parties to this agreement that the activities described in
Sub-paragraphs A, B, C, D, and E above shall be provided with the existing personnel and that
the scope of the HCPD program with respect to those activities by such personnel, shall be solely at the
HCPD discretion, subject to appropriate limitations contained in the budget adopted by the HCPD.
Letter of Agreement No. 2000-43 Page 2
2. DEA will pay to the HCPD the amount of TWO HUNDRED SIXTY FIVE THOUSAND
DOLLARS ($265,000) for the period of JANUARY 1, 2000 TO DECEMBER 31, 2000 to defray
the cost relating to the eradication and suppression of illicit marijuana. It is explicitly understood
and agreed that Federal funds provided to the HCPD under this agreement may not be used to
defray costs relating to herbicidal eradication of marijuana without the advance written consent of
DEA.
The expenses shall include payment of deputies'/officers' overtime, salary and overtime of reserve
officers during the period of time they are engaged in the eradication process, and per diem as
appropriate, as well as other direct costs such as purchases of expendable equipment, rental of
equipment and vehicles, and fuel for vehicles and aircraft and minor repairs and maintenance
necessitated by their use. These funds shall not be used for the purchase of non-expendable
equipment defined as property having a useful life of more than one year and all purchases with an
acquisition cost of $600 or more per unit or an aggregate cost of $5,000 must have verbal approval
from the DEA DCE/SP Coordinator. In the event DEA approves the purchase of non-expendable
equipment that costs $5,000 or more per unit for the use by the HCPD personnel pursuant to this
Agreement, DEA may elect to claim DEA ownership of this equipment at. the end of the period of
this Agreement, or DEA may at its discretion, allow the HCPD to retain ownership of the equipment
for its future use in accordance with applicable federal rules and regulations.
Payment by DEA to the HCPD will be in accordance with a schedule determined by DEA and said
payment will be made pursuant to the execution by the HCPD of a Standard Form SF-270, Request
for Advance or Reimbursement, and receipt of same by DEA. However, no funds will be paid by
DEA to a state/county agency under this Agreement until DEA has received to its satisfaction an
accounting of the expenditures of all funds paid to this state/county agency during the periods of
previous Agreements for this same purpose. These expenditures will be reported on a Standard
Form SF-269, Financial Status Report, or equivalent document.
3. Employees of the HCPD shall at no time be considered employees of the United States
Government or the Drug Enforcement Administration for any purpose, nor will this Agreement
establish an agency relationship between the HCPD and the Drug Enforcement Administration.
4. The HCPD shall maintain complete and accurate reports, records and accounts of all obligations
and expenditures of DEA funds under this Agreement in accordance with generally accepted
accounting principle and in accordance with State laws and procedures for expending and
accounting for it's own funds. The HCPD shall further maintain its records of all obligations and
expenditures of DEA funds under this Agreement in accordance with all instructions provided by
DEA to facilitate on-site inspection and auditing of such records and accounts.
5. The HCPD shall permit and have available for examination and auditing by DEA, the United
States, Department of Justice or the Comptroller General of the United States, or any of their duly
authorized agents and representatives, any and all investigative reports, records, documents,
accounts, invoices, receipts or expenditures relating to this Agreement. In addition, the HCPD will
maintain all such foregoing reports and records until all audits and examinations are completed and
resolved, or for a period of three (3) years after termination of this Agreement, whichever sooner.
Letter of Agreement No. 2000-43 Page 3
6. The recipient agrees to comply with the organizational audit requirements of OMB Circular A-
133, "Audits of States, Local Governments, and Non-Profit Organizations." In conjunction with the
beginning date of the award, the audit report period of the state or local government entity to be
audited under the single audit requirement is (1/2000) to (12/2000). The audit report must be
submitted no later than (1/02) and each audit cycle thereafter covering the entire award period as
originally approved or amended. The management letter must be submitted with the audit report.
Subsequent audits must be submitted no later than thirteen (13) months after the close of the
recipient organization's audited fiscal year. The submission of the audit report shall be as follows:
When the Department of Justice (DOJ) is the cognizant agency, an original and one copy of the audit
report shall be sent to:
DOJ Regional Inspector General for Audit
San Francisco regional Audit Office
525 Market Street, Suite 3522
San Francisco, California 94105
415-974-0993
A copy of your audit transmittal letter addressed to the Regional Inspector General, shall be sent to:
Audit Services
Office of the Controller
Office of Justice Programs
633 Indiana Avenue, NW, Room 942
Washington, D.C. 20531
When DOJ is not the cognizant agency, an original and one copy of the audit report shall be sent to
the cognizant agency:
Also, a copy of the audit report shall be sent:
DOJ Regional Inspector General for Audit
San Francisco regional Audit Office
525 Market Street, Suite 3522
San Francisco, California 94105
415-974-0993
Letter of Agreement No. 2000-43 Page 4
A copy of your audit transmittal letter addressed to the Regional Inspector General, shall be sent to:
Audit Services
Office of the Controller
Office of Justice Programs
633 Indiana Avenue, NW, Room 942
Washington, D.C. 20531
The recipient agrees to submit their corrective action plan with the audit report to the DOJ Regional
Inspector General for Audit, when there are findings/recommendations disclosed in the audit report.
The corrective action plan should include: (1) specific steps taken to comply with the
recommendations; (2) timetable for performance and/or implementation date for each
recommendation; and (3) description of monitoring to be conducted to ensure implementation.
A Department of Justice Order requires the Office of Justice Programs (OJP) to maintain a data base
of all grants made by DOJ components. DOJ Order 2900.8A (June 20, 1990) copy attached). To
implement this requirement, OJP requires all DOJ components to submit to it a completed form,
"Grantee Information for Access, a copy of which is attached, for completion by the recipient.
The recipient acknowledges that failure to furnish an acceptable audit as determined by the
cognizant Federal agency may be a basis for denial of future Federal funds and/or refunding of
Federal funds and may be a basis for limiting the recipient to payment by reimbursement on a case
basis.
7. Executive Order 12549
The participant agrees that an authorized officer or employee will execute and return to the DEA
State and Local Programs Section, Washington, D.C. 20537, the attached OJP Form 4061/3,
"Certification Regarding Lobbying; Debarment, Suspension, and other Responsibility Matters; and
Drug Free Workplace Requirements." The participant acknowledges that this agreement will not
take effect and that no Federal funds will be awarded by DEA until the completed certification is
received.
8. Disclosure of Federal Participation
In compliance with Section 623 of Public Law 102-141, the recipient agrees that no amount of this
Award shall be used to finance the acquisition of goods or services (including construction services)
for the Project unless the recipient:
(a) Specifies in any announcement of the awarding of the contract for the procurement of
the goods and services involved (including construction services) the amount of
Federal funds that will be used to finance the acquisition; and
(b) Expresses the amount announced pursuant to paragraph (a) as a percentage of the total
cost of the planned acquisition.
Letter of Agreement No. 2000-43 Page 5
The above requirements only apply to a procurement for goods or services (including construction
services) that have an aggregate value of $500,000 or more.
9. It is further covenant and agreed that the HCPD will hold the DEA, its agents and employees and
the United States Government harmless from any and all claims, demands, suits, liabilities and cases
of action, of whatever kind and designation, and where-ever located in the State of HAWAII,
resulting from the Domestic Cannabis Eradication/Suppression Program funded by DEA. The DEA
acknowledges that the United States is liable for the wrongful or negligent acts or omissions of its
officers and employees while on duty and acting within the scope of their employment to the extent
permitted by the Federal Tort Claims Act, 28 USC Sections 1346(b), 2671, et seq.
10. The HCPD will comply with Title VI of the Civil Rights Act of 1954 and with section 504 of
the Rehabilitation Act of 1973, as amended, and with all requirements imposed by or pursuant to the
regulations of the Department of Justice (28 CFR Part 42, Subparts C, D, and G) issued to those
Acts relating to discrimination on the grounds of race, color, creed, sex, age, national origin or
handicap and to equal employment opportunities.
11. Within sixty (60) days after termination of the Agreement, the HCPD will prepare SF-269,
Financial Status Report, itemizing the breakdown of final expenditures. This SF-269, along with a
refund check for any unexpended funds which were advanced by DEA, pursuant to this
Agreement will be returned to DEA.
12. Upon submission of the SF-269 to State and Local Programs Section (DOS) for the preceding
year, a copy of the general ledger and the underlying supporting documentation reflecting the
expenditures for equipment in excess of $5,000 and the expenses associated with the rental or
leasing of vehicles or aircraft must be attached.
13. The duration of this Agreement shall be as specified in Paragraph 2. The terms of this
Agreement may be terminated by either party for good cause shown by notice in writing given to the
other party thirty (30) days prior thereof. All obligations that are outstanding on the above
prescribed termination date or on the date of any thirty (30) day notice of termination shall be
liquidated by HCPD within sixty (60) days thereof, in which event DEA will only be liable for
obligations incurred by the HCPD during the terms of this Agreement. In no event shall the HCPD
incur any new obligations during the period of notice of termination. The HCPD shall return to
DEA all unexpended funds forthwith after the sixty (60) days liquidated period.
Letter of Agreement No. 2000-43 Page 6
THE HAWAII COUNTY POLICE DEPARTMENT
By. WAYNE b. LARVA`HO
Title: POLICE CHIEF
Date: 4 - 1- Ca
DRUG ENFORCEMENT MINIS TION
By:
Special Agent in ge
~3
Date:
*DEA ACCOUNTING DATA:
DEA/FFS INPUT DATE: BY:
*DIVISIONAL FISCAL CLERK MUST INPUT INTO DEA/FFS
TO BE FILLED OUT BY HEADQUARTERS:
APPROVAL FOR PAYMENT
This is to verify that all of the administrative determinations have been made, that the payment is
legal, proper, correct and approved for payment.
Amount:
Obligation Doc No.
Line No.
Signature
Printed Name /Title
Date Approved
U.S. DEPARTMENT OF JUSTICE
1 OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest. Applicants should also review the instructions for certification included in the regulations before completing this
from. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying" and 28 CFR Part 67, "Government-wide Department and Suspension (Nonprocurement) and
Government-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material
representation of fact upon reliance will be placed when the Department of Justice determines to award the
covered transaction, grant, or cooperative agreement.
1. LOBBYING public (Federal, State, or local) transaction or contract under a
As required by Section 1352, Title 31 of the U.S. Code, and public transaction; violation of Federal or State antitrust
implemented at 28 CFR Part 69, for persons entering9 into a statutes or commission of 'embezzlement, theft forgery,
grant or cooperative agreement over $100,000, as defined at bribery , falsification or destruction of records, making false
28 CFR Part 69, the applicant certifies that: statements, or receiving stolen property;
(a) No Federal appropriate funds have been paid or will be (c) Are not presently indicted for or otherwise criminally or
aid, by or on behalf of the undersigned, to an civil) charged by a governmental entity (Federal, State, or
p any person for in- locao with commission of any of the offenses enumerated in
tluencing or attempting to influence an officer or employee of paragraph (1)(b) of this certification; and
any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in con- (d) Have not within a three-year period preceding this applica-
nection with the making of any Federal grant, the entering into tion had one or more public transactions (Federal, State, or
of any cooperative agreement, and extension, continuation, local) terminated for cause or default; and
renewal, amendment, or modification of any Federal grant or
cooperative agreement: B. Where the applicant is unable to certify to any of the
(b) If any funds other than Federal statements in this certification, he or she shall attach an
been id or will be aid to an appropriated funds have explanation to this application.
temptnag to influence an officer or employee of anyn agencyaa
Member of Congress, an officer or employee of Congress, or 3. DRUG-FREE WORKPLACE
an employee of a Member of Congress in connection with this (GRANTEES OTHER THAN INDIVIDUALS)
Federal grant or cooperative agreement, the undersigned shall
complete and submit Standard Form - LLL, Disclosure of As required by the Drug-Free Workplace Act of 1988• and
Lobbying Activities," in accordance with its instructions; implemented at 28 CFR Part 67, Subpart F, for grantees, as
(c1 The undersigned shall require that the tanguage of this car- defined at 28 CFR Part 67 Sections 67.615 and 67.620-
tiff"ication be included in the award documents Tor all subawards A, The applicant certifies that it will or will continue to provide
at all tiers (including subgrants, contracts under grants and a drug-free workplace by:
cooperative agreements, and subcontracts) and that all sub-
recipients shall certify and disclose accordingly. (a) Publishing a statement notifying employees that the
unlawful manufacture, distribution, disPensing, possession, or
2. DEBARMENT SUSPENSION , AND OTHER use of a controlled substance is prohibited in the grantee's
2. TIt MATTERS workplace and specifying the actions that will be taken against
(DIRECT RECIPIENT) employees for violation of such prohibition;
As required by Executive Order 12549, Debarment and (b) Establishing an on-going drug-free awareness program to
Suspension, and implemented at 28 CFR Prt 67, for prospec- inform employees about-
tive participants in prima covered transactions, as defined at (1) The dangers of drugs abuse in the workplace;
28 CFR Part 67, Section 67.510-
A. The applicant certifies that it and its principals: (2) The grantee's policy of maintaining a drug-free workplace;
(a) Are not presently debarred, suspended, proposed for debar- assistance programs; andunseling, rehabilitation, and employee
ment, declared ineligible sentenced to a denial of Federal
benefits by a State or dederal court, or voluntarily excluded (4) The penalties that may be imposed upon employees for
from covered transactions by any Federal department drug abuse violations occurring in the workplace,
or agency;
(b) Have not within athree-year eriod recedin this a lira- (c) Making it a requirement that each employee to be engaged
p p g PP in the performance of the grant be given a copy of the state-
lion been convicted of or had a civil judgment rendered against ment required by paragraph (a);
them for commission of fraud or a criminal offense in connec-
tion with obtaining, attempting to obtain, or performing a (d) Notifyin the employee in the statement required by
gaan9rap a?a) that, will-a condition of employment under the
OJP FORM 4061/6 (3-91) REPLACES OJP FORMS 4061/2,4062/3 AND 406114 WHICH ARE OBSOLETE.
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a
violation of a criminal drug statute occurring in the workplace
no later than five calendar days after such conviction;
(el Notifying. Ne agency, in writing, within 10 calendar days
afHfer receiving no ice under subparagraph (d)(2) from an Check ? if there are workplace on file that are not identified
emptoYee or otherwise receiving actual notice off such convic- here.
tion. Employers of convicted employees must provide notice,
including position title, to: Department of Justice, Office of Section 67, 630 of the regulations provides that a grantee that
Justice Programs, ATTN: Control Desk'_ 633 Indiana Avenue, is a State may elect to make one certification in each Federal
N.W., Washington, D.C. 20531. Notice hall include the iden- fiscal year. A copy of which should be included with each ap-
tification number(s) of each affected grant; plication for Department of Justice funding. States and State
(f) Taking one of the following actions, within 30 calendar agencies may elect to use OJP Form 406117.
days of receiving notice under subparagraph (d)(2), with Check ? if the State has elected to complete OJP Form
respect to'any employee who is so convicted- 4061/7.
(1) Taking ap ropriate personnel action against such an
employee, up Po and including termination, consistent with the DRUG-FREE WORKPLACE
requirements of the Rehabilitation Act of 1973, as amended; or (GRANTEES WHO ARE INDIVIDUALS)
(2) Requiring such employee to participate satisfactorily in a As required by the Drug-Free Workplace Act of 1988, and
drug abuse assistance or rehabilitation program approved for implemented at 28 CFR Part 67, Subpart F, for grantees, as
such purposes by a Federal, State, or local health, law enforce- defined at 28 CFR Part 67; Sections 67.615 and 67.620-
ment, or other appropriate agency;
A. As a condition of the grant I certify that I will. not engage
Jg) Making a good faith effort to continue to maintain adrug- in the unlawful manufacture distribution, dispensngg posses-
ree workplace through implementation of paragraphs (a), (b), sion, or use of a controlled substance in coAtion any
(c), (d), (e), and (f). activity with the grant; and
B. The grantee may insert in the space provided below the B. If convinced of a criminal drug offense resulting from a
site(s) for the performance of work done in connection with violation occurring during the conduct of any grant activity, I
the specific grant: will report the conviction, in writing within 10 calendar days
of the conviction, to: Department of Justice, Office of Justice
Place of Performance (Street address, city, country, state, zip Programs, ATTN: Control Desk, 633 Indiana Avenue, N.W.,
code) Washington, D.C. 20531.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications.
1, Grantee Name and Address:
Hawaii Police Department
349 Kapiolani Street
Hilo, Hawaii 96720
2. Application Number and/or Project Name 3. Grantee IRS/Vendor Number
DCE/SP Agreement No. 2000-43
4. Typed Name and Title of Authorized Representative
WAYNE G. CARVALHO
POLICE CHIEF
5. Signature n 66.. Date
00
OMB APPROVAL NO. PAGE OF
0348-004 PAGES
REQUEST FOR ADVANCE xoa°aO"hb°'1d 2. BASIS OF REQUEST
OR REIMBURSEMENT
TYPE OF ®ADVANCE F--'REIMBURSE-
PAYMENT ~ CASH
MENT
b. x the apoticable box
(See instructions on back) REQUESTED FINAL PARTIAL u~ ACCRUAL
3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT 4. FEDERAL GRANT OR OTHER 5. PARTIAL PAYMENT REQUEST
TO WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED NUMBER FOR THIS REQUEST
DRUG ENFORCEMENT ADMINISTRATION BY FEDERAL AGENCY
2000-43
6. EMPLOYER IDENTIFICATION 7. RECIPIENTS ACCOUNT NUMBER B, PERIOD COVERED BY THIS REQUEST
NUMBER OR IDENTIFYING NUMBER FROM (month, day, year) TO
(month, tlay„year)
996000567 N/A JANUARY 1, 2000 DECEMBER 31, 2000
9. RECIPIENT ORGANIZATION 10. PAYEE (Where check is to be sent it different than Item 9)
Name: Name:
HAWAII COUNTY OF HAWAII POLICE
DEPARTMENT
Number Number C/O DEA
and Street: N/A and Street:
300 ALA MOANA BOULEVARD, ROOM 3129
HONOLULU, HAWAII 96650
City, State City, State
and ZIP Code: and ZIP Code:
1 COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED
(a) (b) (C)
PROGRAMS/FUNCTIONS/ACTIVITIES f- TOTAL
a. Total program (As of date)
outlays to date 265 000.00
265 000.00
b. Less: Cumulative program income 0.00
c. Net program outlays (Line a minus
fine b 265,000-00 0.00 0.00 265 000.00
d. Estimated net rash outlays for advance
period
0.00
e. Total (SumofinescIld) 265 000.00 0.00 0.00 265, 000.00
I. Non-Federal share of amount on line e
0.00
g. Federal share of amount on line a 265,000.00 265,000.00
h. Federal payments previous) requested 0.00
i. Federal share now requested (Line g
minus line h) 265 000.00 0.00 0.00
j. Advances required by 265 000.00
month, when requested 1st month
265,000.00 265,000.00
by Federal grantor
agency for use in making 2nd month
prescheduled advances 0.00
3rd month
0.00
12, F ADVANCES a. Estimated Federal cash outlays that will be made during period covered !2y the advance $
b. Less. Estimated balance of Federal cash on hand as of beginning of advance period
Amount requested (Line in i @ 0. 00
AUTHORIZED FOR LOCAL REPRODUCTION (Continued on Reverse) STANDARD FORM 270 (Rev. 7-97)
Prescribed by OMB Circulars A-102 and A-110
ceRT1FiCATION -
i ceraty that to the best of my SIGNATURE OR AUTHORIZED CERTIFYING OFFICIAL DATE REOUES7
knowledge and belief the data on SUBMITTED -
the reverse are correct and that all
, .
outlays were made in accordance
with the grant conditions or outer TYPED OR P I ED NAME AND TITLE TELEPHONE (AREA CODE.
agreement and that payment is NUMBER AND EXTENSION)
due and has not been previously WAYNE G. CARVALHO, POLICE CHIEF (808)961-2244
requested.
This space for agency use
Public reporting burden for this collection of information is estimated to average 60 minutes per
response, including time for reviewing instructions, searching existing data sources. gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send
comments regarding the burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to the Office of Management and Budget.
Paperwork Reduction Project (0348.0004), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT
AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
INSTRUCTIONS
Please type or print legibly. Items 1, 3, 5, 9, 10, 11e, 11f, 11g, 11i, 12 and 13 are self-explanatory; specific instructions
for other items are as follows:
Item Entry Item Entry
2 Indicate whether request is prepared on cash or accrued activity. If additional columns are needed, use as many
expenditure basis. All requests for advances shall be additional forms as needed and indicate page number in
prepared on a cash basis. space provided in upper right; however, the summary
totals of all programs, functions, or activities should be
4 Enter the Federal grant number, or other identifying shown in the "total" column on the first page.
number assigned by the Federal sponsoring agency. If
the advance or reimbursement is for more than one Ila Enter in "as of date," the month, day, and year of the
grant or other agreement, insert N/A; then, show the ending of the accounting period to which this amount
aggregate amounts. On a separate sheet, list each applies. Enter program outlays to date (net of refunds,
grant or agreement number and the Federal share of rebates, and discounts), in the appropriate columns. For
outlays made against the grant or agreement. requests prepared on a cash basis, outlays are the sum
of actual cash disbursements for goods and services, the
6 Enter the employer identification number assigned by the amount of indirect expenses charged, the value of
U.S. Internal Revenue Service, or the FICE (institution) in-kind contributions applied, and the amount of cash
code if requested by the Federal agency. advances and payments made to subcontractors and
subrecipients. For requests prepared on an accrued
7 This space is reserved for an account number or other expenditure basis, outlays are the sum of the actual cash
identifying number that may be assigned by the recipient. disbursements, the amount of indirect expenses
incurred, and the net increase (or decrease) in the
8 Enter the month, day, and year for the beginning and amounts owed by the recipient for goods and other
ending of the period covered in this request. If the property received and for services performed by
request is for an advance or for both an advance and employees, contracts, subgrantees and other payees.
reimbursement, show the period that the advance will
cover, if the request is for reimbursement, show the 11b Enter the cumulative cash income received to date, if
period for which the reimbursement is requested. requests are prepared on a cash basis. For requests
prepared on an accrued expenditure basis, enter the
Note: The Federal sponsoring agencies have the option of cumulative income earned to date. Under either basis,
requiring recipients to complete items 11 or 12, but not enter only the amount applicable to program income that
both. Item 12 should be used when only a minimum was required to be used for the project or program by the
amount of information is needed to make an advance terms of the grant or other agreement.
and outlay information contained in item 11 can be
obtained in a timely manner from other reports. l l d Only when making requests for advance payments, enter
the total estimated amount of rash outlays that will be
11 The purpose of the vertical columns (a), (b), and (c) is to made during the period covered by the advance.
provide space for separate cost breakdowns when a
project has been planned and budgeted by program, 13 Complete the certification before submitting this request.
function, or
STANDARD FORM 270 (Rev. 7-97) Back
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W1
Subject Date
April 10, 2000
Grantee Information for ACCESS
To From
Audit Services Drug Enforcement Administration
State and Local Programs Section
1. GRANTEE: Hawaii County Police Department
2. GRANTEE ADDRESS: 349 Kapiolani Street
Hilo, Hawaii 96720
GRANT NO: 2000-43
4. GRANT PERIOD: January 1. 2000 - December 31. 2000
5. AUDIT REPORT PERIOD:
6. COGNIZANT AGENCY: Department of Justice
7. RECIPIENT TYPE: 01 AGENCY LEVEL: 03
(Code) (Code)
8. REASON OR MEMO: (Check As Many of the Following As Apply)
a. New Grantee: [ ] e. Change in Audit Report Period: [ ]
b. New Award: [ X ] f Change in Cognizant Agency: [ ]
c. Chance in Grantee Address: [ ] g. Other: [ ]
d. Change in Award Report Period: [ ] (Specify)
NOTE: If submission is for a CHANGE ONLY (8c-8g) to information previously submitted to Audit
Sen ices. you will only need to complete Item 1 in Items 1- 6 in addition to your change information.
* CODES for Item 7: Recipient Type and Agency Level
01 - Law Enforcement 02 - State 03 - Countv 04 - City