HomeMy WebLinkAboutRES 146 Draft 02 2002-2004 COUNTY OF HAWAII STATE OF HAWAII
RESOLUTION NO. 146 04
(Draft 2)
RESOLUTION AUTHORIZING THE OFFICE OF THE MAYOR TO ENTER INTO AN
AGREEMENT WITH THE HAWAII COMMUNITY FOUNDATION, PURSUANT TO
HRS 46-7, FOR THE COMMUNITY ORIENTED POLICING SERVICES (COPS)
GRANT FOR THE OFFICE OF THE PROSECUTING ATTORNEY
WHEREAS, the Hawaii Island Meth Initiative is a joint effort of U.S. Senator Daniel K. Inouye,
the Hawaii Community Foundation, and the County of Hawaii to respond to the overwhelming
concern of the community to the devastating effect that ICE or crystal methamphetamine is having on
our children, our families, and our communities; and
WHEREAS, through the successful efforts of Senator Inouye, monies were put into the budget
of the U.S. Department of Justice, assigned to its Community Oriented Policing Services (COPS)
agency, passed through the Hawaii Community Foundation (HCF), and awarded to selected County
of Hawaii Departments and community agencies; and
WHEREAS, the Office of the Prosecuting Attorney is one of the recipients of the COPS Grant
and intend to use their funds in the area of enforcement by creating additional deputy prosecutor
positions to work with the County, State, and Federal law enforcement officials in prosecuting
individuals and organizations distributing large quantities of ice and other drugs; and
WHEREAS, Hawaii Revised Statutes, Section 46-7, requires that county departments obtain
the consent of the council to enter into agreements with the federal or state governments respecting
action to be taken pursuant to any of the powers granted by law to furnish, expend, and receive any
funds or other assistance in connection with projects being or to be undertaken pursuant to those
powers.
NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE COUNTY OF HAWAII,
in accordance with section 46-7, Hawaii Revised Statutes, that the Mayor of the County of Hawaii is
authorized to execute, on behalf of the County, the Hawaii Community Foundation Award
Agreement, attached hereto and incorporated herein by reference as Exhibit "1" to enable the Office
of the Prosecuting Attorney to use their funds in the area of enforcement by creating additional deputy
prosecutor positions to work with the County, State, and Federal law enforcement officials in
prosecuting individuals and organizations distributing large quantities of ice and other drugs.
~E IT FURTHER RIESOLVE® that the Mayor of the County of Hawaii is authorized to sign the
above-referenced agreement and any related documents on behalf of the Office of the Mayor and the
County of Hawaii pursuant to the Hawaii County Charter.
~E IT FURTHER RESOLVED that the County Clerk of the County of Hawaii shall transmit
copies of this resolution to the Hawaii Community Foundation, the Offices of the Mayor and
Prosecuting Attorney and to the Department of Finance.
Dated at xilo ,Hawaii, this 19th day of February , 2004.
INTRODUCED BY:
COUNCIL MEMBER, C UNTY OF HAWAII
COUNTY COUNCIL ROLL CALL VOTE
County of Hawaii
Hilo, Hawaii AYES NOES ABS EX
ARAKAKI X
I hereby certify that the foregoing RESOLUTION was by the CHUNG
vote indicated to the right hereof adopted by the COUNCIL of ELARIONOFF X
the County of Hawaii on February 19, 2004 HOLSC?IUH X
.IACOE3SON X
ATTEST REYNOLDS
snrnR~K X
'I'ULANG X
"rYL1;R X
7 0 2 0
Reference ~ ~ ' 1
COUNTY CLERK CHAIRMAN & PRESIDING OFFICER RESOLUTION NO. (Draft 2)
Y
HAWAII COMMUNITY FOUNDATION
February 9, 2004
Jay Kimura, Prosecuting Attorney
Office of the Prosecuting Attorney
County of Hawaii
34 Rainbow Drive
Hilo, Hawaii 96720
Dear Mr. Kimura:
On behalf of the volunteers and staff of the Hawaii Community Foundation, I am pleased to inform you
that a grant has been awarded to your organization in connection with the Hawai' i Island Meth Initiative
grantmaking program, a partnership of the County of Hawai' i and the Hawai' i Community Foundation
(HCF). The project is funded by the U.S. Department of Justice, Community Oriented Policing (COPS)
federal grant program (the "Federal Grant") and is subject to the conditions of that program. We are excited
about your project and believe it is the kind of work that can help to make a difference in Hawaii.
Proposal ID#: Grant Award: $192,347
Grant Period: (March 8, 2004 to March 7, 2005)
Grant Purpose: Hawaii County Drug Prosecution Unit
Please read the following grant conditions carefullX
? This grant is to be used only for the purposes set forth in the proposal and work plan you submitted to
HCF for the Hawai' i Island Meth Initiative (the "Proposal"). If there is any change in any of the
activities described in the Proposal, please contact us before expending the funds.
? As grantee, you acknowledge that the grant is being made in connection with the Federal Grant. You
further acknowledge and agree that you are familiar with the requirements and conditions of the Federal
Grant and agree to comply with all requirements that may be applicable to your organization as a sub-
recipient of the Federal Grant.
? The grant will be paid in increments as set forth in Exhibit "A". All deliverables funded by prior
increments must be completed before additional grant increments will be paid. Any exceptions must be
requested and approved by HCF in writing in advance of the deadline.
? A grant activities report and financial report are required to be submitted to HCF quarterly in order to
administer the grant and maintain necessary expenditure records. Deadlines for the quarterly reports are
set forth in Exhibit A.
? HCF reserves the right to require site visits while the project is in progress and/or once the project has
been completed.
? You must notify HCF of any unexpended funds at the end of the grant period, or if (i) your organization
has not performed in accordance with the Proposal or this agreement, (ii) your organization loses its
exemption from federal income taxes under Section 501(c)(3) of the Internal Revenue Code, or (iii) your
organization materially changes its programs, activities or mission.
? You acknowledge that the services provided in connection with the Proposal are provided solely as a
grantee and there is no principal/agent or employee/employer relationship between your organization
and HCF.
EXHIBIT "1"
? Should you publicize the receipt of this grant, please send a copy of any articles, video taped television
coverage, annual reports, or similar publications to the HCF Communications Officer. Please see the
attached "Publicity Tips for your HCF Grant" for more information.
? Subject to the legally required appropriations, and subject to all federal, state, and county laws, as
grantee, you agree to defend, to save harmless, and to indemnify HCF against all claims, losses, liability,
damages, and expenses in connection with the services provided by your organization pursuant to the
Proposal, including, but not limited to, any failure to comply with the requirements applicable to
grantee pursuant to the Federal Grant requirements.
Should you have any questions call me at i-888-731-3862. I wish you great success and look forward to
hearing about the success of your project.
Sincerely,
Christine van Bergeijk
Vice President -Programs
Enc.
I hereby agree to comply with the above grant terms:
Harry Kim, Mayor, Hawaii County
Exhibit "A"
Schedule for Payment of Grant Installments and Expected Deliverables
For the Office of the Prosecuting Attorney, County of Hawaii
Period Quarter( Re rt Deadline Pa out
March 8 -March 31, 2004 Aril 15, 2004 $ 14,634
A ril 1 - une 30, 2004 ul 15, 2004 $ 43,904
ul 1 - Se temher 30, 2004 October 15, 2004 $ 43,904
October 1 -December 31, 2004 anu 15, 2005 $ 43,904
anua 1 - Februa 28, 2005 March 30, 2005 $ 46,001
TOTAL $192,347
8085218288 T-816 P.02 F-IBS
Jan-21-O4 04:50pm From^HAWhII . .hUNITY FOIk{DATION
Assurances
Several provisions of fedml hw and poGry apply to a8 gone programs Wr (she O(fica of Community Oncored - jog Services) need ro
secure your assurance shat the appfirrm will comply with these provisitm3 If you would like farther jnformation a many o[ these
astunnccs, please eonnu your snm'¢ COPS Grcnt Program Specialiss ar (800) 421-6770. .
Hy the applicant's authorised repretenratrrr's sigmrore, ohs applinnr assvret shat it will comply +rith >Il legal acrd a live
regeritemem¢ rhs govern the app4cant (oi accepurece and use of lydenl gent funds In grejeedu, she app6canr ss ores m char
1- is Ins born 1rga9y and u(FxriOy >ushoriaed by ehc appropriase 7lrese ejv9 rights requirements arc (otmd i the ewn-
garrnv+g body ((w esampk, mayor w city eounsil) to apply for this r7jscriminatifaa provisions o! the OmniDos tune Control and
grant and shat the persons rigning We application and chest Safe Streets Act of 1964, as amended (42 SG § 37g9(d)?; 7-itle
assurances on us behalf arc aarhorired ro do so and to set on in V I of the Civil Rights Act Of 1964, as a (g2I1.S.G § .
behalf wish respen to any itraes shat may arise during processing e( ZOOpdJ; the ]radian Civet Righq Acs (2S II.S C 1307-1303);
shin applitadon. Section 509 0( ehc Rehabiljntion Aet of 1 3, az >meoded (29
715.0. § 799); Tide 1J, Suhfitk A of the A rticaro with
2 ]f volt comply with the provisions of (etknl hw which Lrlli/ certain D;ssDjlitia Act (ADA) (42 U.SC. § 12101, rtq); the Age
polities) actividrs o/ granter employeq whOSr psineipal rmploymene D7scriminaritM An O( 1975 (42 US.C § 61 1, ct req.); aced
h in eonaKdon with an tirrry fimnecd m whole or in qtr w;th This Drpartmenr of Justice Non-Discriresirw - Regsdations
grur+s. '('here resai[eroM a,c to forth in 5 U.SG § 1507, rr x¢ con[ained in Tatle 2g, Parts 35 and 92 (tub tts C, D, Ir and G)
of the Code of Federal Regahvons
3. It wall comply wish rhr minimum wage and m+uimum hours
provisions of the Ardent )itir labor Snrsduds Act, if applinble. A_ )n ehc evr»t that any court er adminjrr c agency rmlrrs a
fording of discrunination o» grovnde of >a color, M;gion,
4. Ir will tsrslrlisA sa(egvardz, if it has nos done w dmdy, ro prohibit aa7ional orig;rr, senile , d;mbiliry w age zr the appllnnt afro
employers from using rhei. posidons for a pwpo¢r spar iS m gives a due process hraring,;r agrKS rv (orwarid copy O( the finding
the appesaancr of being, motjvarrd by a tlo;re fw ymner gain for m the Ogke cr( ~ivd Rights, O(Gci e(J.rs a Program; g10 7th
themxlves ra oshrrs, partit uhrly shore with whom they have family, Srrcer, NW, Washington, IIC 20331.
business orpeher ties.
li Gnnecez that Mve 50 w more employ sad goon over
le will give she Department O( Justice or the ComptrOBer Grneral !500,000 (w over 11,000,000 if+ grans butt o dghtern-month
xcess to arW ehc right re e.smine records and documents re6ted to pcrio~, must mhmir an xcrpbble figrd p7oymenr
ehc gent. Oppmronity Phn ("F.EOP7 w ESOP shot farm (f ggntec is
squired to trrbm;r a» ESOP under 2E CFR 92302), that is
Fh It wig comply with a8 m:ryjrements impbred bl the 17epartmcnt of approved by the Q(fiee of Jaztiee Program •(fxe For C.rvsl
Justice as a eundioen or adrnjniatnuve requirement of ehc gram, Rights vrish;n 60 days of the award start rla Pot grans corder
;ncludveg Dm not limited ra ehc requirements of OM8 Cjm+hn A- 1500,000, bus wet 125,000, or Fof grantees fewer than 50
7q, A-21, A-122, or the Peden, I AcgedsiGrm Rsguhdotu, as sppfirable <mpleyees, the grantee mast submit an !E Cerr~eaeore.
(goverreu+g con prindplesj; OMB Grestlara A-702 or A-170, ss (Gnnreesbf lest than SZS,OOD arc not sabj t re the ESOP
applinbk Nevlorm At4reimctsative Regairemrnra fns Grants and requirement)
Cooprzativt Agrrrmcnn); OMB C;rrulat A-133 (governing audits):
the applicable provsionz of the Omrdbus Crarse Control and Sale 9- Pursaant ro Dcyartmens of Justice gaide" s Qune 16, 2002
54eees Att of 7968, as amended; the rurrrne edition of the COPS Federal Acgisrv (VOlumr 67, Ndm7atr 777, gee 47g55~q 972)),
Gnm Monitoring Stanehrds and Guldeljnes and with >V ocher adder lSde V1 0( the Civil Rights Act O( 19 , it wiD ensure
applicable p+ogrun requirrmen(3, law; orders, regulations, of meaningful xrest e0 it: programs and activ; by ptnotsr with
dreularz limi~rd English proficiency.
7. 1( appfidbk, a will, to rht urrnt practicable and corlsirtMt wish 10. It will ensure that soy (utilities under its nership ka:e or
applicable law, reek, recruit and hire qualifttd mrmbcsa of neial and supaviaon which sha11 br ublixrd in the ace mpfishmenr of the
ethnic minority groups and qualified women in order so furdrrr projecs are net fisted bra she EnvjranmenN weetion Agency's
- e(fedive law enforcement by increasing chest ranks withj» the sworn (EpA) fist of Violating frocilities and that it w nod(y us i(
positions in the agenry, ~ advised by the EPA that a (aciliry so be used i this grant is under
consideration for such listing by the EPA.
8. le wiU not, on the ground of race, color, rdigion, national origin,
gender, ~ssbiliry Or age, unlaw(uUy exclude any person Irom 71. IC the applieanl't 9are has established a r iew and comment
pud4pa~ion in, drny the bennfiss of or employment so any pttsoq proerdure under Executive Order 12372 and as selected this
or subject any person ro djscrunination in connection with any program for review, is has made shjs appbeari avaihbk for
s or activities funded in whole or in parr with federal funds- review by ehc tote Single Point of Conncc
+
)
,t,'
Jan-Il-04 04:50am Froe-HAWAII ~ .JNITY FOUNDATION B08S216286 T-516 P.03 F-185
pgeney-owned, r[med yr personptlr-owned vehidea, increaxo.l oRren rNePem~mem revsr, as al ueasae, r.nu a.a.r
ur local funds (or a minimum v( cure fvfl +eal budRcK [;rck
13. h WIII rat use COPS funds to supplAm (rephce) stage, local, Or fnao.uing rxp"rraunn n( ellr y~ane lehigd,
Bureau 0( Indian Af(ain (und5 that Orheraise would lx made
available for tlec purpuscs of ehis gnm, as apptieable Palst starrmrno nr claims nude ire inn oar wish e:giK
gnrlu (inducting coulxsauve aYreemrnn) may resuh m
fines, ianprisonmrnt, dicbarmern from p rcrPaturK in
federal grants or rlMrnct;end/or any nr R ra-m~tiy
miMbk 6v law
1 certify that the assurances pmvidrd arc e[ur and accurate M the best of my knrnvledge.
l:kTtirms nr other sdct dines v( new officials will na reline nc~ gronret rndry of its ob6garivns under this gram
al~ 09/05/2003
Sibmature of p •arev a (or f6r~a1 with Daee
Yr d[ nXirre, P/resvrgt2~t~oA
~C~l.~•v~ / 8 / 03
amre of enr ecuuve far Official Wirh 17ate
Y`rmn[ral dmlrority, as applisablr)
up red
~ Moreh Y0. 2003 r03031909
Jan-21-04 04:61 pm From-HAWAII iUNITY FOUNDATION 8085216286 T-516 P.04/15 F-185
- Certifications
Regarding Lobbying Debarmertt, Suspension and Ottler Responsbilily Matters; -Free Workptafx
Requirements Ccwrdination with Affected Agencies; Non-Supplanting; and Ret
Although [hc Dcpartmenl of lusticc has made every effort ro almplify the uppkntinn process. other pro+marss n fedetal law regttirc m ro
seek your cetrificarbm rcgarJing ctatain manors Applicants should mad iht eegnladrans oiled below and the jou ctions fw eartifiearion
included in nc~ rcgulainns ro indcrstand the regiircmcnts and arherher thry apply ro s particuly appGtsat- - of ehia farts provdea
/nr eompbance wnh cr Rifitatinn rrtprirenxnes trtrdR 28 C!'R Part 69,'7Jtw Rearircriona on lAbbyiag," std 28 Part 67,
"(invtrruncnnwide 17,:buntcm tied Suxpeosirm (Nortprvcurement) and Gn.~ernmme-untie Requueroeaq for Free VRwkplacc
(Come)," anJ the cun+dimprsn and non-supplaotjng rtytrvemenK of the Public Ssktp Parntetship and Cwnnsu ry Policing t~tY of 1991.
7be certifications sha8 fx vntni as a material reprtseneatirm nt Cact upon which relance wiG be placed ~trbett t 1]epatrtsnmt of)ospq
dcteratines w award the ewered grant.
t. Lobbying (i) Have not within a thrte- ear
Y peadod «eerlCr.g the applicatjpa
been convicted n( nr had a tire; itd t iearderud aga-dart them
AS required 6y Section 1352,7-ide 31 n( the US Cak, and Coe axnnilssion o! fowl or a criminal o fens[ ur copnetyon aridr
implemented at 28 CFk Part 69, for penxom entering intro a gran[ or nbeirtirrg, attempting Iq obnirl, or Per a publk (federal,
cooperative agrtemrne owe;100,000, a: defined at 28 CFR Pan 69, ante a (oral) warnaclion a eomm~ a ptlblie h'+tt>'x'bssra;
rite appGane terrifies sloe. triahtion of federal to sett aaritrust sa tea m commission of
A. Nu federal appraprined funrkt have been paid ur will be paid, by emberalemmr, rhefr, fwgery, bra-berg, f -6capon or destrectwrr
or nn bthalf of the un.krsigrted, to am pgson fry irlGucncing a n( records, making false starcnrntrs, m ttiving stolen luopary;
attempting m in0urnee an officer or rmployet of any agency, a
member of Congress, nn officer rn emplrryee of Congress, err an (tit) Arc not preacndy indicted fnr of etwisC ~^^"rMrty or
evnployte of a member of Congress in connection wiih the malting civiuy charged by a gwemmrnel entity federal, state or Igcan
of anv federal grade, the cmcring inro of any [nnpmtive agreement with cemmiss;en of am of she ofra amumemred in paragraph
and :he encsuion, conrinmrion, renewal, amerdment w mudificarion (A)(a) of this certification; and
eF any 7rdaal gram or enopmrire agreorren ,
(n•) Hns not within a three•yeu pc ' preeerbaag chin
S ]f any fonds ocher tfan federal approprra[ed funds have been paid ppplicatien Aad tine er more public to eYOrsa (federal, state a
or wi8 be pail to anY person for in8urnring it attanptkrg to loran tvmimrrrl (or Dore or default' a d
(n0urncc an offrecr w employee of any agrnq, a member of
Congress, an offices ter employee of Congreaa, err an empluyav of s H Where nc~ applicant is unable ro eerti ro any of the
member of <:rnfgresa u. ennnectinn with this Cedenl grant o: seremrnts in d+;s e~nden, he or shall attach an
coapcrative agreemen4 the undersigned shall eomplerc and submit rxplanarion re rho application
Sonda:d rrorm - l~r "Disdistrre of Lobbying Activities," in
OGCUrdancc with ifs instructions; 3. Drug-Free \Gorkplace (Grantaes Than individuals)
G The unJmigned alull require dot the Iangiage of this eertifl4arion Ax regiiteJ by the Drug-Fme Woe An eF 1988. sod
be included in the swat J dncymenrs for all suhawards x >V tiers implemented at 28 C.f7e Put 67, Su F, fa graareuq as
(deluding subgranrs, cr,otracts under gnnrs and eonperative Je6ned at 26 CFR Put 67, Sections 67. 15 and 67.620 -
ag:eemenrs, and subcm.tracts) and char wsub-rcopirnts shag certify .1. The applicant certifXS char it wdl. or continue tt\ ptwide
anJ disdosa aeeurJin~v, a drug•(ree workplace by:
2 Debsrmenr, Sttspenr~on and Other Reaponsfbtb'ty illattcrs (Direct n PibG36i»g a setement narifying sm layees char tha udsaful
Recipient) manufacnue, disenbution, dispensing, -nor ix of a
controlled subsertcr is prohibited tll gnoree's workp)xe
As required by Executive Order 12599, Dcbarmrnt and Suspension, and specifying the actions chat wdll ter raker against txapbyets
and implcmrnred at 28 CFR Part 67, (or prtxxpective participants in for .iolation of such prohibition;
primary crrvered vanrae rinds, as defined at 28 CFR Part 67, Sectign
67.510 • u L•seblixhin an on.
B Kong drug-free wveness pragrarn to
inform cmpl'nj•ccx aGwr -
rl The appbcam cao~~s that rt anJ in principals:
(a) Thr dangcn of drug abuse in nc~ workplacq
Are not presently Jc barred, vspmded, prupoeed for debarment,
dcclutd ineJi fjble, semtrced to a decrial of federal benefits by a state (b) The granrcls policy n( rrraintti g a drug-free wnrkphce;
yr feJrral mart, or .vlunnrily excluded from covcad cansacriuna 6t'
any Federal dcpucmrnt ar agrnm,,
Jan-21-04 04:51 pm From-HAWAII JUNITY FOUNDATION 8005216286 T-516 P.05/15 F-105
abarc viohtirma acmringio nc~ avrkplacc; B. 7'he grantee may inscn io the sraee 6eyov the
(tie) Mal~irtg;e a rcquircmrnt eMt rack emplgyre to be rngagcd in i~(s) for the petfermanee of tvorl date conrreetiort with
the rfwmanee u( [he rat be a c oL the statcnrnt alredfie granC
Pr b'ra @~ nPy Place of pc,fumancc (sVeq ath)ress, ~7 Oontp, sets, =,p
raqutrtd by T~'+BtaPb n: cods)
(n) Notifying the emph yce in the srstemenl rtquircd by pstagnpb
thati ac a condition of employment undo dte g,any the
c'r'deYtt Chak O if theft are workplaces rte Gk bal are rtes
idrnofied brae.
(a} Abide by the toms of the shtetnrnt and Section 67-630 of the regulations that • granter
' th.e is a sate aey elect rv rmke one taati oaV in pdt
(b) Notify the amplolu in westing of his or tier torrvictiw fora federal fad ; ear, s copy of arhicb bs ieeh[dri with
vialaptm of a crirtw.al dreg s»rote occurring in the atsrkphcc nch application for Depanmem of ]m ' ftrnt{atg Sates
no Iato than five caleedar days after such conviction; red :bte agrncies may deer to tits OjP m 4061/],
(v) Notifying the agmty in wdtin withht 10 dendar after Check O if rive stars has eketed toe O]P Fiorro
i• ~Yr' 4061/7.
receiving notice under aubparagnpb (rv)(b) (tan an ernployM a
ntherwjse receiving artual ootlee of such conviction. Employee G Contdination
of cnrrvkwd employter man ptevide notice, iodwfutg posidan
title, to COPS Olfice, 1100 Verrrtont Avg, NW,'lVaahington, DC The Public Safety Partttrrshi(t and Comm airy P'nlicnR Art
20530. Nofice aha0 inchtde nc~ idendfuation number(s) of Bath ~ 1990 nga,a appL'onts w crsrify rho[ then has been
afkered gran , appropriate coo.dirrauon with ad ages tlrt envy be
(y) Talrirtg one of the follrrvutg xtiona, within 30 Calendar dayr of the appOcanNa grrM proptrsl appeared
rc[eiving rwtice under sabparsgnph (rv)ro), with respect to arty genoe[ rA..L. aID°'~ OfGer of
(tic Uniled Stites Attarttry, slate rx loed lar; Vi
eenployre who M w crxrvigtd • cmratinrul ageneiss 7ha appGesnt eerti
that their has
lien appropriarc eeordinatien aieh ag a agenoes.
(a) 7aktng appropratt<perwmrel aetiw agaurst rack an
employee, up ro ann inclvrlarlj terminagpn, conaistane wied the
requvemrnrs of the Rchabdibtitm Au of 1973, as amended;
or
(b) Rcquviag such a.rplq~ ro participate satia(aetot0y m a drug
abuse asa;snnee of rrhabrLnrion progn+n approved for sudt
purposes by a fedtrsl, state a local hrallh, hw ecfor[emmt a
other ~prapriate agency;
Gram«NmncmMAdbm:Hawai'i Community Foundaiton, 1164 Bishop St, Ste 00, Honolulu, HI 9681
Applitarion Na tutNar )tojxlNmn~ Me thamahetamine ProieCGarsee lltS/Yertdor Numheer_
Non r fit~Or an~zation
lyptd Ntanc and Title oi'gaytnmaaF~ecuttrc Re lv'n H. Taketa President 6 RO
As the ray anrhortcrd.epresertHrfiv~ ofµegovtmint 6oAy, / hesebj trrrrb µaf/ sere pgdne,• µs yroarrrtiny ea a6e o6otte avtff?
r~onc EleHfous njrtew oj/Fdals wilt par rt~rre rhs tr ipg baly oflts obfitwlionsrrnda µagamre
Typed Name and 7'tk of Govannlent Exeeutlve; Ha ry Kim, Mayor, County of Ha aii
Signatttrc ~ pys; 9 / 8 / 0 3
8085216286 T-516 P.O6115 F-185
Jan-21-04 04:52pm From-HAWAII ~ .UNITY FOUNDATION ,ti„?~
Aisdosure of Lobbying Ac4viLies
arts far Compla6an of SFtLL, 6sdasure at toblryirg Activities
This disclosure farm shall be completed by the reporting entity, whether svbawardee tx pni a Federal recipi-
ent, at the initiation or receipt of a covered Federal action, or a material change to a previou frling, ptarsuant
to title 31 7f.S.C. section 1352. The tiling of a form is required for each payment to a t to make pay-
ment to any lobbying entity for inflvendng or attempting to influence an officer or empJ of any agency, a
Member of Congress, an officer or employee of Congrtss, or an employee of a Member of C egress in non-
nection with a covered Federal action. Complete all items that apply far both the initial g and material
change report. Refer to the implementing guidance published by the Office of Mana6ement and Budget for
additional information.
7. Identity the type of courted Federal action for which lab- erect Federal action (item 7). if known, a er the full Catalog
hying acti»ry is and/ or has bern secured to irJluerrce theout- of Federal DOmastic Assistance ([7`bIU n her for grants,
come of a covered Federal :a'tion cooperative agreements, le7atts and loan mOribrstrets.
8. Fstex the atost appropriate Federal id mrmba
2. )dsntify the status of the .,t~vered Federal action. avarlable for the Federal action identified item 7 (eg,
3.7dentdy are appropriate clasy3fication d this reptat. if this ~lueat for Proposal (ltFP) number lmvi lion for $id QFB)
number geant announcement number crnattgct. grant, or
is a follow.up report caused by a aweerial change tothe infor- loan award number, ttte appli®tionf cvrttroi nuaeber
motion pre»ously repoRed, enter the year a»d quarter in assi ed the Federal a
whJdt ehe change ocnvred. Enter the date of the Iasi previ. ~ ~ S~Y1, include , egg "RFP-
D7:~94007:'
otc5ly submitted nPort by dos reporting entity for this cov-
ered Federal action 9. Far a covered Feeieral action where has been an
gthe fu)1 name address dry, state and by code od the award or loan coatatibnent by the Federal ry enter the
enti Ine9ede Cwt Federal amount ~ the award/loan ootoenti t for the prime
ry. ge~ioria) District number, $ emtity identified in item 4 a 5.
known Check the appropriate classi5cation of the reporting '
entiry'that designates if it is .x expe:c~ to be a prime or sub-
]0. (a}Ender the ftrU roam, addrs
; nty, quid tip code d
award redpient_ Identify the tier of the subawardee, e.g., the the lobbying entity engaged by the rebfstanl ident~
first sulaawardee of the prime fs the 1st tier: Subawards fled in item 4 ro influence the covered Fed action.
indade but are not limited tD subeontrac•~ tatbgrants and
rontract awards under grants. (b} ):rater the full name(s) of the individual
Performing tam
vices, and induda full address if different 70 (a). Fnler
S. Y the organization filing the: report in item 4 checks last Name First Name, and Middle Initial Ik
"Subawardee," then enter the fuU rtam~ address, dry, state
and zip code of tfu> prime Federal recipient. Include 77. The certifying otfkial shay] sign and date the foam, Pratt
Corsgressional DlstrinL iT known his/her ntursC title and telephone number.
6. Frier the name of the Federal agency making the award rn Pr.btic rrpoMing border for this cd/arian ef' - is astfagld to
feat[otrwtitment.lndudeatleastaneargani2ationallevel a+^~8e•~mrrruhspcrrerponsr,irrludin8frarJa ;nstructiatu,
below agency name, if known. Foc example, Department Of rmrrJring rsisfiag dam roams, gaPrrf»g cad main ' fng are data rurifd,
and tmrrylrnieg and revinoing the co/lachbn ref" 'en. Sand corn -
Trar~portatiory Urtifed States ("oast Guazd. mrntf regarding the burden atimatr or nrryothrr ofgns cv!lydfon of
iaframatioa, inducting suggertiorxs
jot natacirrg Ndr m the O~irr of
7. Enter the Federal program corm[ yr desq ip4on foc the cav- ManoBemrnt and Budgct, Pafxruurk XMnctien f03f8-0f196),
YVaJtingwn, D.C 22'/530.
Jan-21-04 04:52pm From-HAWAII t ,UNITY FOUNDATION BO55216255 T-515 P.OT/15 f-185
Disdasure of Lobhying Activities
Complete this form to disclose lu6bying activities pursuant to 37 US.G 1352 fas arrterrdea)
(See reverse for instructions and public burden disclosure)
1. Type of Federal Action: b Z. Status of Federal Action: a 3. Report Type
a. contract a. bid/offer/application a. ini6alfif'
b. grant b. wtia! award b. material tinge
c. cooperative agreement c. post-award
d. loan ForA~lefcrial gcOnfy:
e. loan guarantee Year:
f. loan GLtnrantt Quarnr.
Date of last port
9. Name and Address of Repotting Entity: 5. If Reporting Empty Itn No. S is Suba ardee, Enfer
XS Prime O Subawardee Name and Address of Prim
Tier if ktrown:
Hawaii Community Foundation
116G Bishop Street, Suite 800
Honolulu> Hawai.'i 96813
Congressional District (number), if known: ~ Congressional District (number), if kn n
6. Federal Dcparimmt/Agrncy: 7. Federal Program Name/DesQiptiorr
CFDANumber, if applicable:
& Federal Ration Nuxi~ber' if known: 9. Award Amoon[, if known-
10. a. Name and Address of Lobbying Registrant 10. b. Individuals Performing SgrVices
(ijindividual,.las[ rWme, first name,Ml): (including address if different fro NalOa)
(last name, fast mate, N.f!):
11. Worasation requested thron6h this form is mthorized try $i8rrattlre: r
7iile 3] U.S.C Section 7x52 This dtaclostve of IobbyinS
activities is a tnaleriil repnseneation of fact upon which
nlian¢ was placed by the tier strove when thin bansaction PYrltt Name: S Iv1n A . Ta ce to
was made or entered into. this disclosure is required pares
scant to 3]US.G ]35; This information will be reported to lisle- President 6 CEO
the Congress semi-arauraNy and will be available for public
inspectir.~ Any person who fails Iv file the required dine]o-
sure shall be subject to a rivil penalty of not less than S]0,000 Telephone No.: 808-53 7-fi333 bate; Qg/OS /20 3
and raw more ti~an S'100,Ot10 for each arch failure.
Federal Liss only: Authorized for Local Reprodudiw4 S Bard Form _ LI.L