HomeMy WebLinkAboutCOM 0727.003 2018-2020 Harry Kim : ��`v o`"+y, Deanna S. Sako
Alayor �•� �' ` Director
Steven A.Hunt
4;NV MO: ;!s Deputy Director
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County of Haaii
Finance Department
25 Aupuni Street,Suite 2103 • Hilo,Hawai`i 96720
(808)961-8234 • Fax(808)961-8569
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February 19 2020 '
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Aaron Chung, Council Chair and
Members of the Hawai`i County Council
Hawai`i County Council
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25 Aupuni Street -s
Hilo, Hawai`i 96720
Re: Nonprofit Grant Applications
As per our discussion with Council Member Maile David, Finance Committee Chair, and
in compliance with Chapter 2, Article 25 of the Hawai`i County Code, I am submitting
the County of Hawai`i Nonprofit Grant applications from Project Vision Hawai`i for your
review and appropriation of funds for the FY2020-21 nonprofit grant program along with
a revised list of the organizations and applicable information.
Should you have any questions, please feel free to call Lisa Tada at 961-8489.
Deanna S. Sako
Director of Finance
Enc. Project Vision Applications for Nonprofit Grant Funds
Revised List of Nonprofit Grant Applicants
Comm. No. _ 121
Ref.Tos....K.
Hawai'i County is an Equal Opportunity Employer and Provider Ref. hate FFR 2 0 2020
NONPROFIT GRANT APPLICANTS FOR FY2020-21
Sort order matches se aration sheet numbers(hard copies). Note that the disqualified applicants sort order are AFTER qualified applicants.
Numerical Sort
Order Order ORGANIZATION NAME PROGRAM NAME ' REQUESTED
28 1 After-School All-Stars Hawaii After-School at Ka'0 High&Pahala Elementary 8,000
29 2 After-School All-Stars Hawaii After-School at Kea'au Middle School 10,000
31 3 After-School All-Stars Hawai'i After-School at Pahoa High&Intermediate • 10,000
30 4 After-School All-Stars Hawai'i After-School at Waiakea Intermediate 10,000
186 5 Aloha Club of Hilo Hale'Oluea Clubhouse 40,000
71 6 Aloha Ilio Rescue East Side-Spay&Neuter Grant 20,000
156 7 Aloha Independent Living Hawaii IL Skills Training 10,000
118 8 Aloha Kuamo'o'Aina Mama Kuamo'o:Community Based Engagement Program 35,757
126 9 Aloha Performing Arts Company dba Aloha Theatre Theatre Education Program 20,000
35 10 ALS'Ohana of Hawaii Excellence in ALS Care-Equipment Loan Program 20,000
36 11 ALS'Ohana of Hawaii Excellence in ALS Care-Professional Care Management 89,480
25 12 American National Red Cross,The Disaster Preparedness&Response in Hawaii County 50,000
16 13 Arc of Kona Inclusion and Community Education 27,424
72 14 Arts&Sciences Center ASC Community Learning Services 99,000
150 15 Bay Clinic Inc. Diabetes Self-Management and Education 25,000
151 16 Bay Clinic Inc. Pediatric Dental 25,000
103 18 Big Island Mediation Inc.,DBA West Hawaii Mediation Center Community Mediation 15,000
102 19 Big Island Mediation Inc.,DBA West Hawaii Mediation Center Peer Mediation and Youth Conflict Resolution Education 15,000
233 20 Big Island Resource Conservation&Development Council BIISC Hazardous Albizia Removal at HonomO Cemetery 15,000
232 21 Big Island Resource Conservation&Development Council BIISC Rapid'Ohi'a Death Response Program 25,000
234 22 Big Island Resource Conservation&Development Council Crop,Vegetable and Flower Husbandry Practices 10,000
231 23 Big Island Resource Conservation&Development Council Hawai'i Ulu Co-op Consumer Outreach&Educational Program 50,000
235 24 Big Island Resource Conservation&Development Council Nutrition Grown Farming Educational Program 30,000
77 25 Big Island Substance Abuse Council Community Outreach 10,000
82 26 Big Island Substance Abuse Council East Hawai'i Substance Abuse Treatment 96,240.96
81 27 Big Island Substance Abuse Council Hawaii Island Health&Wellness Center-Provider Training 50,000
79 28 Big Island Substance Abuse Council Hawaii Island Health&Wellness Center-Hilo 50,000
78 29 Big Island Substance Abuse Council Hawai'i Island Health&Wellness Center-Kea'au 50,000
83 30 Big Island Substance Abuse Council Intensive Case Management Services 20,000
84 31 Big Island Substance Abuse Council Ola Kino Health Fitness Program 75,000
86 32 Big Island Substance Abuse Council Po'okela Vocational Training Program 75,000
76 33 Big Island Substance Abuse Council Therapeutic Living and Clean and Sober Program 100,000
80 34 Big Island Substance Abuse Council West Hawaii-Dual Diagnosis Treatment 100,000
85 35 Big Island Substance Abuse Council Youth Services Program 150,000 .
90 36 Bishop Museum Advancing Stream Maintenance in Waipio Valley 16,405
172 37 Boy Scouts of America Scoutreach 56,160
205 38 Boys&Girls Club of the Big Island Daily Nutritional Security to Support Income Challenged Youth 90,000 I
204 39 Boys&Girls Club of the Big Island Daily Transport Services for Income-Challenged Youth45,000
NONPROFIT GRANT APPLICANTS FOR FY2020-21
Numerical Sort .
Order , Order ORGANIZATION NAME PROGRAM NAME' REQUESTED
202 40 Boys&Girls Club of the Big Island,Hilo Club Literacy,Homework&Tutoring Support for Income Challenged 45,000
203 41 Boys&Girls Club of the Big Island,Kea'au Club Literacy,Homework&Tutoring Support for Income Challenged 45,000
200 42 Boys&Girls Club of the Big Island,Kealakehe&Ulu Wini Club Literacy,Homework&Tutoring Support for Income Challenged 90,000
201 43 Boys&Girls Club of the Big Island,Ocean View Literacy,Homework&Tutoring Support for Income Challenged 45,000
199 44 Boys&Girls Club of the Big Island,Pahala Club Literacy,•Homework&Tutoring Support for Income Challenged 45,000
198 45 Boys&Girls Club of the Big Island,Pahoa Club Literacy,Homework&Tutoring Support for Income Challenged 45,000
94 46 Boys to Men Mentoring Network of Hawai'i Boys to Men Mentoring Program 40,000
133 47 Brantley Center Inc. Job Skills Development Program 35,000
89 48 Bridge House,Inc. Clean&Sober Living Program 25,000
88 49 Bridge House,Inc. Vocational Skills Building Program 20,000
98 50 Child&Family Service East Hawaii Alternatives to Violence 13,500
99 51 Child&Family Service East Hawaii Domestic Abuse Shelter 36,000
101 52 Child&Family Service West Hawai'i Alternatives to Violence 20,000
100 53 Child&Family Service West Hawai'i Domestic Abuse Shelter 35,000
155 54 Children's Law Project of Hawaii,The Project Permanence: Guardianships/Adoptions for At-Risk Kids 20,000
154 55 Children's Law Project of Hawaii,The Victim Options for Investigation,Child Empowerment and Safety 20,000
Community First-Fiscal Agent for Hawaii Island Healthy
223 56 Coalition Keep Hawaii Island Blue Zones'Momentum,Join the Movement 117,000
142 57 Cooper Center Council Volcano Friends Feeding Friends 12,027
49 58 Effective Planning&Innovative Communication,Inc. 'Ohana Conferencing and Youth Circles 10,750
50 59 Effective Planning&Innovative Communication,Inc. Family Wraparound Hawai'i 3,000
51 60 Effective Planning&Innovative Communication,Inc. HI HOPES Initiative HI HOPES Match 14,000
67 61 Family Support Services of West Hawai'i Fatherhood Program-Hamakua 10,000
66 . 62 Family Support Services of West Hawaii Fatherhood Program-North and South Kohala 10,000
65 63 Family Support Services of West Hawaii Fatherhood Program-North Kona,South Kona and Ka'u 35,000
69 64 Family Support Services of West Hawai'i First Foods Initiative(FFI) 40,000
68 65 Family Support Services of West Hawaii Healthy Keiki 24,000
70 66 Family Support Services of West Hawaii Pathways Mentoring 30,000
211 67 Five Mountains Hawai'i dba KKpuka o ke Ola Health Services for Underserved Populations 40,000
212 68 Five Mountains Hawai'i dba Krpuka o ke Ola Medical Case Management for Chronic Disorders 20,000
210 69 Five Mountains Hawaii dba Kipuka o ke Ola Preventative and Holistic Health Services 18,000
56 70 Food Basket Inc.,The Hamakua Emergency Food Program 4,656
60 71 Food Basket Inc.,The Ka'u Emergency Food Distribution Program 8,524
61 72 Food Basket Inc.,The NORTH HILO Emergency Food Distribution Program 2,664
57 73 Food Basket Inc.,The NORTH KOHALA Emergency Food Program 952
64 74 Food Basket Inc.,The NORTH KONA Emergency Food Distribution Program 9,916
62 75 Food Basket Inc.,The PUNA Emergency Food Distribution Program 24,301 1
58 76 Food Basket Inc.,The SOUTH HILO Emergency Food Distribution Program 40,713
63 77 Food Basket Inc.,The SOUTH KOHALA Emergency Food Distribution Program 2,092
59 78 Food Basket Inc.,The SOUTH KONA Emergency Food Distribution Program 2,325
•
NONPROFIT GRANT APPLICANTS FOR FY2020-21
Numerical Sort
Order . Order • ' ORGANIZATION NAME PROGRAM NAME REQUESTED
159 79 Friends of KPPCS dba West Hawaii Community Kitchen West Hawaii Community Kitchen Value-Added Program 24,500
91 80 Friends of the Children's Justice Center of East Hawaii Special Needs,Enhancement,Support,Education&Training 20,000
27 81 Friends of the Future Mobile Family Outreach 26,403
39 82 Friends of the Palace Theater Children and Youth Theater Program 13,500
41 83 Friends of the Palace Theater Fall Musical 18,000
40 84 Friends of the Palace Theater Hawaiian Roots Festival of Talent 20,500
209 85 Friends of the Pana'ewa Zoo Educational and Accessible Signage 40,000
208 86 Friends of the Pana'ewa Zoo Replace Sloth/Lemur Exhibit 520,000
145 87 Full Life Adult Day Health Community Learning and Transportation 10,000
144 88 Full Life Associated Costs for Self-Determined Living 6,000
143 89 Full Life Empowering Creativity-Pua Na Pua and Abled Hawai'i Artists 9,000
32 90 Girls Scouts of Hawaii Hawai'i Girl Scout Leadership Experience 40,000
109 91 Going Home Hawai'i Hawai'i Island Going Home Consortium 9,000
108 92 Going Home Hawaii West Hawai'i Coalition 6,400
163 93 Goodwill Industries of Hawaii,Inc. Career Services 30,000
162 94 Goodwill Industries of Hawai'i,Inc. Ho'olana Educational and Arts Program 40,000
164 95 Goodwill Industries of Hawai'i,Inc. Ola I Ka Hana Youth Program 30,000
207c 96 Grassroots Community Development Group Empowering Girls/Educating About Gender Based Violence 7,500
207a 97 Grassroots Community Development Group Hawai'i Youth Business Center: La'au'Ohana 8,500
207b 98 Grassroots Community Development Group Hawaii Youth Business Center: Media Literacy 7,000
104 99 Green Will Conservancy Inc 501 c-3,The Hui Mana'o 15,000
152 100 Hale Kipa Ka'i Like Program 4,000
177 101 Ha akua Health Center,Inc.dba Hamakua-Kohala Health Hamakua-Kohala Health Monthly Cancer Awareness 3,000
175 102 Hamakua Health Center,Inc.dba Hamakua-Kohala Health HKH HONOKA'A Wellness Bash and School Supply Giveaway 3,000
176 103 Hamakua Health Center,Inc.dba Hamakua-Kohala Health HKH KOHALA Wellness Bash and School Supply Giveaway 3,000
HKH LAUPAHOEHOE Wellness Bash and School Supply
178 104 Hamakua Health Center,Inc.dba Hamakua-Kohala Health Giveaway 3,000
179 105 Hamakua Health Center,Inc.dba Hamakua-Kohala Health HKH WAIMEA Wellness Bash and School Supply Giveaway 3,000
138 106 Hamakua Youth Foundation,Inc. Hamakua Youth Center Program 20,000
140 107 Hamakua Youth Foundation,Inc. Keiki Learning Garden Program 8,750
139 108 Hamakua Youth Foundation,Inc. Multicultural Awareness Program 10,000
141 109 Hamakua Youth Foundation,Inc. Teen Program 10,000
34 110 Hawaii Alliance for Community-Based Economic Development Vibrant Hawai'i 22,000
147 111 Hawai'i Artist Collaboaration Art4Moore Parent Teacher Shopping Spree 15,000
52 112 Hawai'i Children's Action Network(HCAN) Hawai'i Diaper Bank(a fiscally sponsored program of HCAN) 15,000
130 113 Hawai'i County Economic Opportunity Council East Hawai'i Nutrition Transportation 114,740
131 114 Hawaii County Economic Opportunity Council East Hawai'i Seniors Farmers Market 35,628.24
127 115 Hawaii County Economic Opportunity Council Mass Transit East Hawaii 114,601
132 116 Hawaii County Economic Opportunity Council Mass Transit West Hawai'i 130,530
129 117 Hawai'i County Economic Opportunity Council West Hawai'i Nutrition Transportation 107,763
NONPROFIT GRANT APPLICANTS FOR FY2020-21
Numerical Sort .
Order Order ORGANIZATION NAMEPROGRAM NAME REQUESTED ,
128 118 Hawaii County Economic Opportunity Council West Hawaii Seniors Farmers Market 38,628.24
215 119 Hawaii Institute of Pacific Agriculture 11th Annual'Aina Fest 10,000
213 120 Hawaii Institute of Pacific Agriculture K-20 Agricultural Education Pipeline 20,000
214 121 Hawaii Institute of Pacific Agriculture Kohala Food Hub 17,000
15 122 Hawaii Island Adult Care,Inc. Adult Day Care 40,000
188 123 Hawaii Island HIV/AIDS Foundation Community STD Testing and Education 15,000
187 124 Hawaii Island HIV/AIDS Foundation Food Pantry Program 12,000
46a 125 Hawaii Island Home for Recovery,Inc.HIHR Consolidated HIHR Permanent Supportive Housing Programs 39,000
46c 126 Hawai'i Island Home for Recovery,Inc.HIHR HIHR Kitchen&Pantry Food Outreach Programs 39,000
46b 127 Hawaii Island Home for Recovery,Inc.HIHR HIHR Transitional Housing Program 39,000
165 129 Hawaii Rise Foundation Conscious Community Workshop Series 155,000
166 130 Hawaii Rise Foundation Malama Na Keiki BackPack Food Program 40,000
167 131 Hawaii Rise Foundation Rise-Up Domestic Violence Housing Program 20,000
230 132 Hawaii Sober Living and Recovery Center Sober Support Program 19,200
48 133 Hawaii Society of Obstetrician and Gynecologists Hawaii Island OB/GYN Resident Rotation 62,500
189 134 Heart Ranch Heart Ranch 18,000
134 135 Hilo Community Players 42nd Annual Shakespeare in the Park Festival 8,000
137 136 Hilo Community Players Annual Fall Community Musical Project 10,000
135 137 Hilo Community Players Disney in the Park 6,000
136 138 Hilo Community Players Theatre of Hawai'i 10,000
157 139 Ho'ola Na Pua Services for At-Risk Youth&Victims of Trafficking 75,000
Holualoa Foundation for Arts&Culture dba Donkey Mill Art
158 140 Center Donkey Mill Art Center Exhibition Program 41,500
185a 141 Holualoa Village'Ohana Coffee&Art Stroll 12,200
185b 142 Holualoa Village'Ohana Music&Light Festival 4,970
192 143 Homeless Task Force dba 808 Homeless Task Force Outreach,Engagement and Safe Haven Program 207,750
107 144 Ho'Ola Veteran Services 501c3 GoFarm Hawaii:Growing Veterans 15,000
219 145 HOPE Services Hawaii,Inc. East Hawaii Emergency Shelter 50,000
218 146 HOPE Services Hawaii,Inc. Kukuiola Assessment Center 100,000
220 147 HOPE Services Hawaii,Inc. North Hawaii Homeless Services 50,000
217 148 HOPE Services Hawaii,Inc. Sacred Heart Shelter 50,000
221 149 HOPE Services Hawaii,Inc. Street Medicine 50,000
216 150 HOPE Services Hawaii,Inc. West Hawaii Emergency Housing Program 50,000
96 151 Hospice of Kona Bereavement 30,000
95 152 Hospice of Kona Nakamaru Hale Hospice Residential Home 35,700
97 153 Hospice of Kona Volunteer 15,600
23 154 Hua 0 Lahui Queen Kapi'olani Canoe Project,phase 3 45,000
169 155 Hui Ho'oleimaluo La Mama 13,292.73
168 156 Hui Ho'oleimaluo Puakahinano 62,000
170 157 Hui Ho'oleimaluo Waiuli Fest 21,139.88
NONPROFIT GRANT APPLICANTS FOR FY2020-21
Numerical Sort
Order Order ORGANIZATION NAME PROGRAM NAME REQUESTED
125 158 Hui Kahu Malama(HKM) UH Internal Medicine Residency Program Rural Health Elective 35,000
197 159 Hui Malama Ola Na'Oiwi Transportation Program-Kokua Hall Specialty ParaTransit 45,600
55 160 Hui Pono Holoholona Low Cost Spay/Neuter Clinics 76,000
3 161 Innovations Public Charter School Foundation Na Kalai Ola-Life Navigators-Wellness Program 10,000
47 162 Innovations Public Charter School Foundation Na Kalai Ola-Life Navigators-Wellness Program 10,000
6 163 Island of Hawai'I YMCA,The Family Visitation Center(FV) 78,000
38 164 Island of Hawaii YMCA,The Youth Services Program-Child Care Program 15,000
148 165 Japanese Cultural Center of Kona Accounting and Office Systems 32,000
153 166 Ka'G Skate Club Ka'G Skate Club 50,000
7 167 Kamuela Philharmonic Orchestra Society Senior Program 10,000
14 168 Keaukaha One Youth Development Ho'ola Hou-Hawaiian Warriorship Program 25,000
10 169 Keaukaha One Youth Development Hokualaka'i Restoration Project 25,000
12 170 Keaukaha One Youth Development Junior Lifeguarding Program 25,000
11 171 Keaukaha One Youth Development PISCES-VEX IQ Robotics Program 25,000
8 172 Keaukaha One Youth Development RISE 21st Century After School Program 25,000
13 173 Keaukaha One Youth Development Temple Children Collaboration Project 25,000
9 174 Keaukaha One Youth Development Youth Paddling Program 25,000
37 175 Kohala Animal Relocation And Education Service(KARES) Basic Veterinary Care&Spay/Neuter for Owned Pets 52,520
4 176 Kona Adult Day Center,Inc Adult Day Care 15,000
161 177 Kona Historical Society Experiencing Kona's Traditions 17,300
160 178 Kona Historical Society Kona Akau to Kona Hema:KHS Community Outreach Program 16,000
73 179 Ku'ikahi Mediation Center Community Conflict Prevention&Resolution Services 17,000
74 180 Ku'ikahi Mediation Center Youth Peer Mediation Program 12,000
228 181 Laupahoehoe Train Museum The Honeybee Education Program ! 10,000
53 182 Legal Aid Society of Hawai'i Hawai'i Island Medical Legal Partnerships 10,000
54 183 Legal Aid Society of Hawaii Providing Civil Legal Access to Rural Communitites 25,000
2 184 Little Big Tots Foundation Scholarship Awards 50,000
43 185 Lokahi Treatment Centers,Inc Adolescent Substance Abuse Treatment Programs 28,000
44 186 Lokahi Treatment Centers,Inc Adult Substance Abuse Treatment Programs 40,000
45 187 Lokahi Treatment Centers,Inc Anger Management Treatment Programs 20,000
42 188 Lokahi Treatment Centers,Inc Domestic Violence Intervention Treatment Programs 28,000
191 193 Mala'ai: The Culinary Garden of Waimea Middle School Hawai'i Island School Garden Network 51,000
224 194 Malama Waldorf School Hawaiian Cultural Classes for Our Community 10,000
227 195 Malama Waldorf School Hul Ano Ano Parent/Child Development Program 10,000
225 196 Malama Waldorf School Puna Arts in the Park Program 10,000
226 197 Malama Waldorf School Puna Off the Streets Aftercare 9,000
106 202 Na'alehu Main Street,Inc. Na'ohulelehu Historical Garden Restoration 23,600
75 203 Neighborhood Place of Puna Family Strengthening,Support,and Outreach Program 25,000
92 205 North Kohala Community Resource Center WasteStream Wastewater Regional Assessment 36,288
NONPROFIT GRANT APPLICANTS FOR FY2020-21
Numerical Sort
Order Order _,'-' ORGANIZATION NAME _ - , __ ' - - - 'PROGRAM NAME _ , - , REQUESTED
21 206 '0 Ka'0 Kakou Family Fun Fest 7,000
20 207 '0 Ka'O Kakou Kai)Coffee Trail Run 10,000
18 208 '0 Ka'O Kakou Ka'0 Sanitation Program 9,500
22 209 '0 Ka'0 Kakou Ka'0 Veterans'Day Celebration 3,000
19 210 '0 Ka'O Kakou Punalu'u Annual Fishing Tournament 9,000
171 211 Pacific Tsunami Museum Tsunami Sites:Signage(Phase 3) 23,900
17 212 PATH-People's Advocacy for Trails Hawai'i 4th Grade Bike Safety Education 12,000
123 214 Project Vision Hawai'i Better Vision for Keiki 25,000
124 215 Project Vision Hawai'i HiEHiE-Hawai'i Island 25,000
122 216 Project Vision Hawaii Hui for Health-Hawaii Island25,000
146 217 Rainbow Friends Animal Sanctuary Community&Pet Spay/Neuter Program 30,500
229 218 Recycle Hawaii Zero Waste Support Services 30,000
93 219 Re-use Hawaii Deconstruction and Redistribution for Resilient Communities 100,000
116 220 Salvation Army Family Intervention Services,The Cultural Based Program 10,000
117 221 Salvation Army Family Intervention Services,The Cultural Program 10,000
112 222 Salvation Army Family Intervention Services,The Independent Living Skills Program-East Hawai'i 10,000
113 223 Salvation Army Family Intervention Services,The Independent Living Skills Program-West Hawaii 10,000
114 224 Salvation Army Family Intervention Services,The Kea'au Prevention and Outreach Programs 10,000
110 225 Salvation Army Family Intervention Services,The Noho Olu Safehouse 10,000
115 226 Salvation Army Family Intervention Services,The Pahoa Prevention and Outreach programs 10,000
111 227 Salvation Army Family Intervention Services,The , Project TLP Hilo 10,000
105b 228 Society for Kona's Education&Art(SKEA) Art Camps for Children&Teens 11,000
105a 229 Society for Kona's Education&Art(SKEA) South Kona Events&Workshops 9,800
24 230 Special Olympics Hawai'i Special Olympics East Hawaii 20,000
33 231 Special Olympics West Hawai'i General Fund 25,000
119 232 Teach for America Hawaii Hawaii Island Initiatives 40,000
174 233 Uhane Pohaku Na Moku 0 Hawaii Ho'okupu Hula No Ka'0 Cultural Festival 10,000
173 234 Uhane Pohaku Na Moku 0 Hawaii Mo'olelo Traditions of a Moo Lawai'a 10,000
1 235 Volunteer Legal Services Hawaii Hawai'i County Pop-Up Legal Clinics 15,000
26 236 Waimea Outdoor Circle Ulu La'au Waimea Nature Park Removal of Invasive Trees 45,000
190a 237 West Hawaii Community Health Center,Inc.(WHCHC) Adult Dental Program for Under-Served 40,000
190b 238 West Hawaii Community Health Center,Inc.(WHCHC) Community Outreach to Vulnerable Populations 40,000
149 239 West Hawaii Parks&Athletic Corporation Program Planning&Development of Kealakehe Regional Park 25,000
121 240 YWCA Hawaii Island Developmental Preschool 15,000
120 241 YWCA of Hawaii Island Sexual Assault Support Services 20,000
' Total 7,542,691
NONPROFIT GRANT APPLICANTS FOR FY2020-21
Numencal, Sort a '.` : .
OderORGANIZATION NAME = PROGRAM'NAME . 7,REQUESTED
Note. The following applicants did not meet•oneor more application requirements.(disqualified)
5 17 Big Brothers Big Sisters of Hawaii Island One-to-One Mentoring for At-Risk Youth 10,000
222 128 Hawai'i Oil Seed Producers(HOSPRO) Developing a Biofuel Stem Program for Hawaii County 15,000
193 189 Maika'i Health Corporation Discount Pharmacy 55,000
195 190 Maika'i Health Corporation Expanding Dental Access to East Hawaii 44,300
194 191 Maika'i Health Corporation Health Information Technology(HIT) 28,158
196 192 Maika'i Health Corporation Training and Networking Opportunities 50,000
183 198 Na Maka Onaona Hui Ho'ona'auao 40,000
181 199 Na Maka Onaona Malama Hilo 15,000
182 200 Na Maka Onaona Mohala 30,000
184 201 Na Maka Onaona Pilimai 8,775
236 204 North Kohala Community Resource Center Ho'ola Honey Bee Relocation 11,200
180 213 Pop Warner Little Scholars Hamakua Cougars 15,000
Total 322,433
Project Vision Flawai'i
Better Vision for Keiki
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Better Vision for Keiki
Agency Director: Darrah Kauhane-Floerke Phone No.: (808) 306 — 4406
Contact Person: Same Phone No.: ( ) —
Mailing Address: Address: P.O.Box 21232
Address:
City,ST,Zip Honolulu,HI 96823
Facility Address: Address: 1110 Nuuanu Avenue
Address:
City,ST,Zip Honolulu,HI 96817
Email Address: darrah@projectvisionhawaii.org Fax No.: (808) 591 — 9909
Accountant/CPA:, Alison A.Miyasaki,CPA, Inc. Phone No.: (808) 285 — 9934
Firm (if applicable):
Mailing Address: Address: P.O.Box 11723
Address:
•
City,ST,Zip Honolulu, HI 96826-0723
YOU ARE RESPONSIBLE TO KEEP THE ABOVE INFORMATION CURRENT AND TO
PROMPTLY NOTIFY THE FINANCE DEPARTMENT AND COUNCIL OF ANY CHANGES
Amount of Request for County Nonprofit Grant Program Funds: $25,000
Geographical Areas To Be Served: (One or more can be checked)
✓❑ Puna ❑✓ Hamakua ;
County. of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Better Vision for Keiki
1. Prior Year Award of County Nonprofit Grant Program Funds:
FY 17-18 FY 18-19 FY 19-20
$8,875 $5,925 $10,925
•
2.Agency Mission Statement:
Project Vision Hawaii is a locally grown nonprofit with a mission to work in partnership with the people of Hawaii to promote
health,happiness and dignity for all.Our success in serving vulnerable populations comes largely because of two unique
strategies:(1)we bring services to access-challenged communities via mobile screening units;and(2)services are always
100%free of charge to participants.
Project Vision brings to local communities six mobile service units,enabling access to health care and human services.
In 2019, Project Vision accomplished the following:
-Vision-screened 25,819 keiki in 59 public schools,which was a 36%increase over 2018
-Provided vision and health screenings to 1,279 adults and 883 children in need through community outreach on five islands
-Helped reduce preventable falls by screening 678 seniors and providing education to 537 additional seniors
-Provided hot showers and support to 1,908 people experiencing homelessness on Oahu and Hawaii Island
3. Program Description:
Project Vision proposes to increase access to vision healthcare for children in partnership with public schools on Hawaii Island.
Children will benefit from improved vision,reduced risk of undetected eye problems,and improved academic performance.
Our project partner is Vision to Learn,which has provided children with more than 550,000 screenings, 140,000 eye exams,and
115,000 pairs of glasses,nationwide.Vision to Learn serves children in low-income communities in more than 220 cities from
Honolulu to Baltimore,becoming the largest school-based program of its kind in the nation.
Project Vision partners with Hawaii Department of Education(HIDOE),schools, Hawaii Keiki Nurses,local Lions Clubs,and
Vision to Learn to conduct school-wide screenings,provide comprehensive exams,manage parent/guardian consent forms,
coordinate schedules on each island,and manage project data.The organization performs vision screenings using the
Plusoptix mobile vision screener.This technology enables one student to be screened in less than three minutes and accurately
assesses visual acuity and depth perception.
As a result of the school-wide vision screenings,students receive comprehensive eye exams and free eyeglasses as needed.
Vision to Learn visits each school in a mobile clinic staffed with a trained optometrist and optician. If a student needs glasses,
the optician helps him or her choose a frame from a wide selection at the clinic. Free eyeglasses are delivered and fitted at
school about one month after the exams.Vision to Learn provides replacement glasses and returns to each school site every
other year to provide continuity of care.The cost for exams and glasses as needed is$100 per student to Vision to Learn.
4.Total Budget&Position Count:
Total Program Budget: $121,500 Total Program Position Count: 4
Total Agency Budget: $1,582,400 Total Agency Position Count: 18
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 2 of 8
County of Hawai i Nonprofit Grant Application
FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Better Vision for Keiki
5.Program Funding Sources(identify all sources of funding applied to this program):
FY20-21
Revenue Source Estimate
Kamehameha Schools 28,000
Atherton Family Foundation 16,250
First Hawaiian Bank Foundation 17,500
HKL Castle Foundation 16,750
Freeman Foundation 18,000
TOTAL: 96,500
Attach additional pages,if needed.
6. Explain what plans your agency or program has to increase revenues to support this program:
Project Vision continually pursues funding to,support our work of ensuring health equity and better quality of life for all.We strive
for a diverse revenue plan with various types and sources of income.The 2020 operating budget includes corporate and
foundation contributions(49%),special event revenue(9%),individual contributions(2%),public grants(30%),and contracted
services(10%).
In order to increase revenue for the vision program,Project Vision convened stakeholders and funders statewide.The hui raised
$1.4 million to implement a three-year project with a goal of providing eyeglasses to 7,000 students in Title I schools.This project
will establish data to show how vision screening and follow up care can improve educational outcomes.With our project partner,
Vision to Learn,we are also pursuing Medicaid reimbursements for screenings,for long-term sustainability.
7. Program Objectives Using County Nonprofit Grant Program Funds:.
Better Vision for Keiki will pursue the following objectives in FY2021 -Hawaii Island
Objective 1: Project Vision will conduct at least 5,000 vision screenings of students in public school to identify children who
require eye exams.
Objective 2: A projected 750 children will be referred to Vision to Learn for eye exams.
Objective 3: Vision to Learn will provide 600 eye exams and glasses as needed to children.
Project Vision and our partner,Vision to Learn,have the experience,relationships and resources to respond to these community
needs.Our program model involves physically driving mobile health RVs to low-income schools,bringing trained technicians,
physicians and resources to underserved communities.Working with innovative technology and impactful partners,we are able
to screen large numbers of children at a low cost.
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 3 of 8
•
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Better Vision for Keiki
8.TABLE I:
What are the intended measurable outputs or outcomes that would be achieved with this funding?
PROGRAM PERFORMANCE MEASURES Applicant Projected Results
(i.e.:Number of clients served,workshops or events held,volunteer hours,etc.Describe,be specific.)
Number of vision screenings provided to public school children on Hawaii Island 5,000
Number of children referred to Vision to Learn for eye exams 750
Number of eye exams delivered with glasses as needed 600
•
Attach additional pages as necessary.
9.TABLE II:
PROGRAM EXPENDITURES FY 19-20 FY 20-21 FY 20-21
Actual* Total Budget Grant Req
Salary and Wages 6,000 50,500 13,000
Professional Fees
Operations 1,500 3,100 1,500
Supplies 2,000 6,700 2,500
Equipment
Other: Vision to Learn-exams and glasses 1,425 60,000 8,000
Other:Travel-inter-island 1,200
Other:
Other:
Other:
TOTAL 10,925 121,500 25,000
*If applicable
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 ' Page 4 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Better Vision for Keiki
10. ORGANIZATION CONFLICT DISCLOSURE FORM
Please disclose any conflicts or potential conflicts of interest that any board member, officer, director,
or administrator of your organization may have with the County of Hawaii. Only those listed below
need to be disclosed. One form per person with a conflict is needed. If no conflicts exist, one form for
the organization, with the "No conflicts exist" option checked needs to be submitted. Please duplicate
as needed to fully disclose. All disclosure forms must be signed, regardless of whether a conflict exists.
NAME:
POSITION:
May have a conflict or potential conflict of interest, including any familial relationship, with any of the
following (check all that apply):
n Member or members of the Council
n Staff appointed by a member of the Council
n The Mayor
n The Managing Director
❑ The Director of Finance
Fl The Corporation Counsel, the Assistant Corporation Counsel, or a Deputy Corporation
Counsel
Conflict of Interest is defined as:a substantial probability that action taken by an individual will result in measurable direct
benefits accruing to the individual as opposed to benefits accruing in general to an industry.
Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential
conflicts of interest:
•
ri If no conflicts exist, check here.
4,X-8C-4-- Ve- �.� t&Icor
Signature of Authorized Person (specify title) Date
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 5 of 8
I
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii •
Program Name: Better Vision for Keiki
11. Certification of Understanding (Page-1 of 2)
I (we) have read and understood all of the eligibility requirements;grant conditions;award procedures;
and records, reporting, and fiscal accountability requirements as mandated in Article 25,Sections 2-
135—2-142.1, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations.
I (we) agree to allow the County(the Legislative Auditor,the Department of Finance,designated
Council representative, or expending/oversight agency)full,free,and unrestricted access and authority
to examine and inspect any facility, equipment, property, or records pertinent to the grant, contract, or
program for which funds were used.
I (we) hereby certify that information supplied herein, including all supporting documents, is correct
and that I (we) have the authority and ability to fully administer the program(s) pursuant to law.
I (we) understand that information supplied herein shall be made public according to Chapter 92F,
Hawai'i Revised Statutes.
I (we) understand that applications will not be reviewed by County personnel receiving our County
Nonprofit Grant submittal, and that we have full responsibility to ensure that all documents are
complete and accurate prior to submittal.
I (we) understand that all documents requiring a current signature must be the ORIGINAL,SIGNED
document. Unsigned documents will be disqualified. Faxed or copied documents will not be accepted
as original documents.
If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement
to enroll with Hawai'i Compliance Express and be compliant prior to receiving payment(s). To register,
go to http://vendors.ehawaii.gov, complete the easy step-by-step process, and pay the annual
registration fee online using a credit card.
If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement
to submit a year-end report to the County Council within 60 days after June 30 of the contractual year
for which the grant was awarded.The report, using the template provided,shall include an
explanation of the public benefits derived from the awarding of the grant(focusing on specific,
measurable outcomes),a complete accounting of all expenditures supported by County of Hawaii
grant funds,and a listing of other funding sources and amounts obtained during the award period.
Failure to submit a timely, complete, and accurate year-end report, using the template provided, will
impact the evaluation of your program's or agency's future funding requests.
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 6 of 8
1
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Better Vision for Keiki
11. Certification of Understanding (Page 2 of 2)
If awarded a grant from the County of Hawai`i, I (we) understand that a current Certificate of Liability
($1,000,000 general liability, $50,000 each occurrence) must be provided to the County of Hawaii
Finance Department, which specifically and explicitly indicates that the County of Hawai'i is an
additional insured prior to receiving any payment(s).
I (we) understand that failure to submit the final report within 60 days ofJune 30th shall result in loss
of all grant funds received during the grant period(must be refunded to County)and exclusion from
future grant participation for a minimum of one year or until a written report is submitted to,and
accepted by,the council.
I (we)understand there is no provision for further notification to submit the final report. Information
and instructions are available at http://www.hawaiicounty.gov/fn-nonprofit-grant-forms/on or about
May 30 of the year the final report is due.
As part of this application, you acknowledge that any funds awarded will be restricted for the purposes
stated in the application, except for a maximum ten percent(10%) for administrative and overhead
costs. Any funds unused by June 30, 2021 must be returned to the County of Hawai'i with the final
report. Failure to return these funds in a timely manner will impact the evaluation of your agency's
future funding request and may result in actions taken to recover these funds.
Awards cannot provide funds for Capital Improvements (Costs of Construction, materials, insurance •
or securities).
By signing below, you are acknowledging that you have read and understood these requirements.
t
Signature of Authorized-Person Date
Darrah Kauhane-Floerke, Executive Director
Title/Position of Authorized Person
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 7 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name:Better Vision for, Keiki
12.COUNCIL AWARD WORKSHEET -
TABLE I:
PROGRAM PERFORMANCE MEASURES Applicant Council Proposed
Projected Results Projected Result
Number of vision screenings provided to public school children on Hawaii Island 5,000
Number of children referred to Vision to Learn for eye exams 750
Number of eye exams delivered with glasses as needed 600
TABLE II:
FY 20-21 Council
PROGRAM EXPENDITURES
Grant Request Award
Salary and Wages 13,000
Professional Fees
Operations 1,500
Supplies 2,500
Equipment •
Other: Vision to Learn-exams and glasses 8,000
Other: Travel-inter-island
Other:
Other:
Other:
TOTAL 25,000
Additional Council directives regarding award:
EXHIBIT B
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 8 of 8
Project Vision Hawaii
HiEHiE - Hawai'i Island
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: HiEHiE - Hawaii Island
Agency Director: Darrah Kauhane-Floerke Phone No.: (808) 306 — 4406
Contact Person: Same Phone No.: - ( ) —
Mailing Address: Address: P.O.Box 21232
Address:
City,ST,Zip Honolulu, HI 96823 •
Facility Address: Address: 1110 Nuuanu Avenue
Address:
City,ST,Zip Honolulu,HI 96817
Email Address: darrah@projectvisionhawaii.org Fax No.: (808) 591 — 9909
Accountant/CPA: Alison A.Miyasaki,CPA, Inc. Phone No.: (808) 285 — 9934
Firm (if applicable):
Mailing Address: Address: P.O.Box 11723
Address:
City,ST,Zip Honolulu,HI 96826-0723
YOU ARE RESPONSIBLE TO KEEP THE ABOVE INFORMATION CURRENT AND TO
PROMPTLY NOTIFY THE FINANCE DEPARTMENT AND COUNCIL OF ANY CHANGES
Amount of Request for County Nonprofit Grant Program Funds: $25,000
Geographical Areas To Be Served: (One or more can be checked)
❑✓ Puna ❑✓ Hamakua ❑✓ North Kona
❑✓ South Hilo ✓❑ North Kohala ❑✓ South Kona
❑✓ North Hilo ❑✓ South Kohala ❑✓ Ka'u
Services or Activities To Be Provided: (One or more can be checked)
❑ Educational concerns ❑✓ Youth ❑Victims of Crimes
❑Culture and the arts ❑✓ Aged ❑Victims of Health or Social Crises
❑✓ Needs of the poor ❑✓ Physical/Emotional Disabilities
❑✓ Public Health and Welfare of the People and the Environment
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 1 of 8
-County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: HiEHiE - Hawaii Island
1. Prior Year Award of County Nonprofit Grant Program Funds:
FY 17-18 FY 18-19' FY 19-20
$8,875 $5,925 $13,875
•2.Agency Mission Statement:
Project Vision Hawai'i is a locally grown nonprofit with a mission to work in partnership with the people of Hawai'i to promote
health,happiness and dignity for all.Our success in serving vulnerable populations comes largely because of two unique
strategies:(1)we bring services to access-challenged communities via mobile screening units;and(2)services are always
100%free of charge to participants.
Project Vision brings to local communities six mobile service units,enabling access to health care and human services.
In 2019, Project Vision accomplished the following:
-Vision-screened 25,819 keiki in 59 public schools,which was a 36%increase over 2018
-Provided vision and health screenings to 1,279 adults and 883 children in need through community outreach on five islands
-Helped reduce preventable falls by screening 678 seniors and providing education to 537 additional seniors ,
-Provided hot showers and support to 1,908 people experiencing homelessness on Oahu and Hawaii Island
3.Program Description:.
The HiEHiE Hospitality Project uses mobile hygiene trailers to bring hot showers and resources to people experiencing
homelessness on Hawaii Island.HiEHiE meets the basic need for hygiene,which has positive implications for health,
well-being,and disease prevention.
In addition to the tangible benefit of hot showers,participants gain access to resources and information provided by HiEHiE and
its partners.At each location,.HiEHiE trailers becomes a gathering place,connecting people with services in collaboration with
public agencies,community organizations,and local churches. Participants gain access to:onsite vision and health screenings,
referrals,and basic necessities such as dental care supplies,hair care products and hygiene products.The HiEHiE trailers have
three compartments,each with a private shower,sink and toilet;a utility room;and outdoor awnings to allow for a small
gathering area.They are ADA accessible and are powered with solar panels.
Through HiEHiE, Project Vision has cultivated a culture of"radical hospitality."This means we provide an unexpected level of
care-clean facilities,hot water,toiletries and clean clothes-for children and adults experiencing homelessness. It means we
take time to build relationships with shower users and treat them with utmost respect.This opens doors for conversations about
the barriers to housing,toward the goal of helping people discover a path forward.
We also collect and manage data regarding the usage,demographics,locations and general feedback,which informs the public
discussion on addressing homelessness.We work with the network of public and private agencies focused on homelessness to
improve data management,including HI State Point in Time Count, UH Center on Family Homeless Utilization and HMIS.
4.Total Budget&Position Count:
Total Program Budget: $202,332 •Total Program Position Count: 6
Total Agency Budget: $1,582,400 Total Agency Position Count: 18
•
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 2 of 8
County of Hawaii Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: HiEHiE - Hawaii Island
5. Program Funding Sources(identify all sources of funding applied to this program):
FY20-21
Revenue Source Estimate
Anonymous Foundation-50%allocated to Hawaii Island 25,000
Kaiser Foundation-50%allocated to Hawaii Island 25,000
Hawaii Island Visitor Industry Charity Walk, 2,500
TOTAL: 52,500
Attach additional pages,if needed.
6. Explain what plans your agency or program has to increase revenues to support this program:
Project Vision continually pursues funding to support our work of ensuring health equity and better quality of life for all.We strive
for a diverse revenue plan with various types and sources of income.The 2020 operating budget includes corporate and
foundation contributions(49%),special event revenue(9%),individual contributions(2%),public grants(30%),and contracted
services(10%).
Employing the assets of mobile service units,we have public contracts that enable sustainable earned income.As an example,
Project Vision provides year-round outreach to connect families with the Supplemental Nutritional Assistance Program(SNAP)in
Maui County.This outreach is conducted as part of ongoing health programs,including 1)community health screening events,
2)educational events and 3)vision screenings in public schools.Since 2017,Project Vision has provided education and
information to.320 individuals and has enrolled 179 individuals in SNAP for Maui County.
We recently to provide direct services for the Homeless Outreach and Navigation for Unsheltered(HON U)LIFT Mobile
Navigation Center.The term"LIFT"refers to lifted restrictions on community park regulations that inhibit street-level outreach.
The City will provide a hygiene vehicle and temporary shelters,establishing a short-term home base for targeted outreach and
support.Through this project,54 individuals have advanced to stable shelters since December 14,2019.
7.Program Objectives Using County Nonprofit Grant Program Funds:
Homelessness is a complex issue with no single,definite solution.Our local community has put forth different approaches to
reducing the number of people experiencing homelessness and to improve conditions for this population.There is no quick-fix;
however,we believe in the power of people coming together with great ideas that make a difference.
The program will be considered successful if we achieve the following objectives on Hawaii Island in FY21:
-Provide 800 showers to people experiencing homelessness.'
-Outreach to 200 children and adults experiencing homelessness with resources and support.
-Host 25 HiEHiE outreach events on Hawaii Island.
-Engage 30 partners in HiEHiE project.
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 3 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: HIEHIE - Hawaii Island
8.TABLE I:
What are the intended measurable outputs or outcomes that would be achieved with this funding?
PROGRAM PERFORMANCE MEASURES Applicant Projected Results
(i.e.:Number of clients served,workshops or events held,volunteer hours,etc.Describe,be specific.)
Number of showers provided 800
Number of children and adults served 200
Number of outreach events on Hawaii Island 25
Number of partners engaged in outreach efforts 30
Attach additional pages as necessary.
9.TABLE II:
FY 19-20 FY 20-21 FY 20-21
PROGRAM EXPENDITURES Actual* Total Budget Grant Req
Salary and Wages 13,000 146,772 16,000
Professional Fees 1,600 3,600 1,600
Operations 2,000 28,860 2,650
Supplies 1,523 9,600 2,500
Equipment
Other: Travel-inter-island 750 1,500 750
Other: Trailer fuel, maintenance,waste/water dumping 1,500 12,000 1,500
Other:
Other:
Other:
TOTAL 20,373 202,332 25,000
*If applicable
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 4 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: HiEHiE - Hawaii Island
10. ORGANIZATION CONFLICT DISCLOSURE FORM
Please disclose any conflicts or potential conflicts of interest that any board member, officer, director,
or administrator of your organization may have with the County of Hawaii. Only those listed below
need to be disclosed. One form per person with a conflict is needed. If no conflicts exist, one form for
the organization, with the "No conflicts exist" option checked needs to be submitted. Please duplicate
as needed to fully-disclose. All disclosure forms must be signed, regardless of whether a conflict exists.
NAME:
POSITION:
May have a conflict or potential conflict of interest, including any familial relationship, with any of the
following (check all that apply):
❑ Member or members of the Council
Staff appointed by a member of the Council.
The Mayor
❑ The Managing Director
❑ The Director of Finance •
❑ The Corporation Counsel, the Assistant Corporation Counsel, or a Deputy Corporation
Counsel
Conflict of Interest is defined as:a substantial probability that action taken by an individual will result in measurable direct
benefits accruing to the individual as opposed to benefit accruing in general to an industry.
Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential
conflicts of interest:
n If no conflicts exist, check here.
Zq- 'Z-0
Signature of Authorized Person (specify title) Date
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 5 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: HiEHiE - Hawaii Island
11.Certification of Understanding (Page 1 of 2)
I (we) have read and understood all of the eligibility requirements;grant conditions;award procedures;
and records, reporting, and fiscal accountability requirements as mandated in Article 25,Sections 2-
135—2-142.1, Hawai'i County Code, relating to Appropriation of Funds to Nonprofit Organizations.
I (we)agree to allow the County(the Legislative Auditor,the Department of Finance,designated
Council representative, or expending/oversight agency)full,free, and unrestricted access and authority
to examine and inspect any facility, equipment, property, or records pertinent to the grant, contract, or
program for which funds were used.
I (we) hereby certify that information supplied herein, including all supporting documents, is correct
and that I (we) have the authority and ability to fully administer the program(s) pursuant to law.
I (we) understand that information supplied herein shall be made public according to Chapter 92F,
Hawai'i Revised Statutes.
I (we) understand that applications will not be reviewed by County personnel receiving our County
Nonprofit Grant submittal,and that we have full responsibility to ensure that all documents are
complete and accurate prior to submittal.
I (we) understand that all documents requiring a current signature must be the ORIGINAL,SIGNED
q g g
document. Unsigned documents will be disqualified. Faxed or copied documents will not be accepted
as original documents.
If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement
to enroll with Hawai'i Compliance Express and be compliant prior to receiving payment(s). To register,
go to http://vendors.ehawaii.gov, complete the easy step-by-step process,and pay the annual
registration fee online using a credit card.
If awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement
to submit a year-end report to the County Council within 60 days after June 30 of the contractual year
for which the grant was awarded.The report,using the template provided,shall include an
explanation of the public benefits derived from the awarding of the grant(focusing on specific,
measurable outcomes),a complete accounting of all expenditures supported by County of Hawaii
grant funds,and a listing of other funding sources and amounts obtained during the award period.
Failure to submit a timely, complete, and accurate year-end report, using the template provided, will
impact the evaluation of your program's or agency's future funding requests.
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 6 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: HiEHiE - Hawaii Island
11. Certification of Understanding (Page 2 of 2)
If awarded a grant from the County of Hawaii, I (we) understand that a current Certificate of Liability
($1,000,000 general liability, $50,000 each occurrence) must be provided to the County of Hawaii
Finance Department, which specifically and explicitly indicates that the County of Hawaii is an
additional insured prior to receiving any payment(s).
I (we) understand that failure to submit the final report within 60 days June 30th
shall result in loss
of all grant funds received during the grant period (must be refunded to County) and exclusion from
future grant participation for a minimum of one year or until a written report is submitted to,and
accepted by,the council. ,
I (we) understand there is no provision for further notification to submit the final report.Information
and instructions are available at http://www.hawaiicountv.gov/fn-nonprofit-grant-forms/on or about
May 30 of the year the final report is due.
As part of this application, you acknowledge that any funds awarded will be restricted for the purposes
stated in the application, except for a maximum ten percent (10%) for administrative and overhead
costs.Any funds unused.by June 30, 2021 must be returned to the County of Hawai'i with the final ,_
report. Failureto return these funds in a timely manner will impact the evaluation of your agency's
futurefunding request and may result in actions taken to recover these funds.
Awards cannot provide funds for Capital Improvements (Costs of Construction, materials, insurance
• or securities).
By signing below, you are acknowledging that you have read and understood these requirements.
C•/ f-teq--!
Signature of Authorized Person Date
Darrah Kauhane-Floerke, Executive Director
Title/Position of Authorized Person
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 7 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name:HiEHiE - Hawaii Island
12.COUNCIL AWARD WORKSHEET
TABLE I:
PROGRAM PERFORMANCE MEASURES Applicant Council Proposed
Projected Results Projected Result
Number of showersP rovided 800
Number of children and adults served 200
Number of outreach events on Hawaii Island 25
Number of partners engaged in outreach efforts 30
TABLE II:
FY 20-21 Council
PROGRAM EXPENDITURES
Grant Request Award
Salary and Wages 16,000
Professional Fees 1,600
Operations 2,650 •
Supplies - 2,500
Equipment
Other: Travel-inter-island 750
Other: Trailer fuel, maintenance,waste/water dumping 1,500
Other:
Other:
Other:
TOTAL 25,000
Additional Council directives regarding award:
EXHIBIT B
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 8 of 8
Project Vision Hawai'i
Hui for Health - Hawai'i Island
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project'Vision Hawaii
Program Name: Hui for Health - Hawaii Island
Agency Director: Darrah Kauhane-Floerke Phone No.: (808) 306 — 4406
Contact Person: Same Phone No.: ( ) —
Mailing Address: Address: P.O.Box 21232
Address:
City,ST,Zip Honolulu,HI 96823
Facility Address: Address: 1110 Nuuanu Avenue
Address:
City,ST,Zip Honolulu,HI 96817
Email Address: darrah@projectvisionhawaii.org Fax No.: (808) 591 — 9909
Accountant/CPA: Alison A.Miyasaki,CPA, Inc. Phone No.: (808) 285 — 9934
Firm (if applicable):
Mailing Address: Address: P.O.Box 11723
Address:
City,ST,Zip Honolulu,HI 96826-0723
YOU ARE RESPONSIBLE TO KEEP THE ABOVE INFORMATION CURRENT AND TO
PROMPTLY NOTIFY THE FINANCE DEPARTMENT AND COUNCIL OF ANY CHANGES
Amount of Request for County Nonprofit Grant Program Funds: $25,000
• Geographical Areas To Be Served: (One or more can be checked)
❑✓ Puna ❑✓ Hamakua ❑✓ North Kona
❑✓ South Hilo ❑✓ North Kohala ❑✓ South Kona
❑✓ North Hilo ❑✓ South Kohala ❑✓ Ka'u
Services or Activities To Be Provided: (One or more can be checked)
❑ Educational concerns ❑✓ Youth ❑Victims of Crimes
❑Culture and the arts ❑✓ Aged ❑Victims of Health or Social Crises
❑✓ Needs of the poor Physical/Emotional Disabilities
❑✓ Public Health and Welfare of the People and the Environment
EXHIBIT A •
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 1 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Hui for Health - Hawaii Island
1.Prior Year Award of County Nonprofit Grant Program Funds:
FY 17-18 FY 18-19 FY 19-20
$8,875 $5,925 $20,373
2.Agency Mission Statement:
Project Vision Hawaii is a locally grown nonprofit with a mission to work in partnership with the people of Hawaii to promote
health,happiness and dignity for all.Our success in serving vulnerable populations comes largely because of two unique
'strategies:(1)we bring services to access-challenged communities via mobile screening units;and(2)services are always
100%free of charge to participants.
Project Vision brings to local communities six mobile service units,enabling access to health care and human services.
In 2019, Project Vision accomplished the following:
-Vision-screened 25,819 keiki in 59 public schools,which was a 36%increase over 2018
-Provided vision and health screenings to 1,279 adults and 883 children in need through community outreach on five islands
-Helped reduce preventable falls by screening 678 seniors and providing education to 537 additional seniors
-Provided hot showers and support to 1,908 people experiencing homelessness on Oahu and Hawaii Island
3. Program Description:
Project Vision proposes to bring health and human services to the most vulnerable populations on Hawaii Island via mobile
health vehicle.Through Hui for Health-Hawaii Island,we are partnering with agencies to bring vision screenings,diabetes
screenings,blood pressure tests,and other healthcare services to people in need.This is needed because,despite the
advanced scientific and medical technologies available,too many disadvantaged people lack access to fundamental,basic
healthcare.Thus,preventable and treatable diseases disproportionately affect low-income,rural and poor populations.As long
as these inequities exist,there is a need for community outreach dedicated to increasing access to healthcare.
Vision problems also contribute to difficulties for homeless people and elderly adults.Again,the formidable challenge is access
to preventative,regular healthcare.For example,while blindness from diabetes is largely preventable with annual evaluation
and treatment,the Hawai'i Diabetes Report estimates that there are up to 29,000 cases of blindness from diabetes each year in
Hawai'i.Through free,local,accessible vision and retinal screenings, Project Vision is able to help people identify and treat
medical problems,including diabetes,glaucoma and macular degeneration.
For elderly individuals, poor vision is one of four issues that contribute to falls,which can have a devastating effect on their
health and way of life. Falls are the leading cause of both fatal and nonfatal injuries for people over the age of 65. Falls can
result in hip fractures,broken bones,and head injuries.Even falls without a major injury can cause an older adult to become
fearful or depressed,making it difficult for them to stay active,according to the National Council on Aging.
4.Total Budget&Position Count:
•
Total Program Budget: $100,000 Total Program Position Count: 4
Total Agency Budget: $1,582,400 Total Agency Position Count: 18
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 2 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
• Program Name: Hui for Health - Hawaii Island
5. Program Funding Sources(identify all sources of funding applied to this program):
• FY20-21
Revenue Source Estimate
Zilber Foundation-unrestricted grant 75,000
TOTAL: 75,000
Attach additional pages,if needed.
6. Explain what plans your agency or program has to increase revenues to support this program:
Project Vision continually pursues funding to support our work of ensuring health equity and better quality of life for all.We strive
for a diverse revenue plan with various types and sources of income.The 2020 operating budget includes corporate and
foundation contributions(49%),special event revenue(9%),individual contributions(2%),public grants(30%),and contracted
services(10%).
Employing the assets of mobile service units,we have public contracts that enable sustainable earned income.As an example,
Project Vision provides year-round outreach to connect families with the Supplemental Nutritional Assistance Program(SNAP)in
Maui County.This outreach is conducted as part of ongoing health programs,including 1)community health screening events,
2)educational events and 3)vision screenings in public schools.Since 2017, Project Vision has provided education and
information to 320 individuals and has enrolled 179 individuals in SNAP for Maui County.
We recently to provide direct services for the Homeless Outreach and Navigation for Unsheltered(HONU)LIFT Mobile
Navigation Center.The term"LIFT"refers to lifted restrictions on community park regulations that inhibit street-level outreach.
The City will provide a hygiene vehicle and temporary shelters,establishing a short-term home base for targeted outreach and
support.Through this project,54 individuals have advanced to stable shelters since December 14,2019.
7. Program Objectives Using County Nonprofit Grant Program Funds:
Project Vision seeks$25,000 to support Hui for Health-Hawaii Island,an outreach initiative to bring vision services,health
screenings,and human services resources to communities in need.
The measurable outcomes are:
1. Project Vision will provide or partner on 25 Hui for Health events.
2. 500 adults will access vision and health screenings.
3. 200 seniors will access vision and health screenings. •
This program targets three distinct populations:1)low-income adults;2)low-income seniors;and 3)people experiencing
homelessness,including adults,seniors and children.We will serve individuals and families who lack health insurance or are
under-insured;those living in remote areas,in shelters,or who are unsheltered;and seniors who desire to maintain sufficient
health so they can"age in place,"and stay in their home as long as possible.
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 3 of 8
•
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Hui for Health - Hawaii Island
8.TABLE I:
What are the intended measurable outputs or outcomes that would be achieved with this funding?
PROGRAM PERFORMANCE MEASURES Applicant Projected Results
(i.e.:Number of clients served,workshops or events held,volunteer hours,etc.Describe,be specific.)
Number of of community care events on Hawaii Island 25
Number of adults provided vision and health screenings 500
Number of seniors provided vision and health screenings 200
Attach additional pages as necessary.
9.TABLE II: _
•
PROGRAM EXPENDITURES FY 19-20 FY 20-21 FY 20-21
Actual* Total Budget Grant Req
Salary and Wages 13,000 87,000 16,000
Professional Fees 1,600 3,600 1,600
Operations 2,000 3,600 2,650
Supplies 1,523 1,800 2,500
Equipment •
Other: Travel-inter-island 750 1,500 750
Other: RV Fuel and maintenance 1,500 2,500 1,500
Other:
Other:
Other:
TOTAL 20,373 100,000 25,000
*If applicable
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 4 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Hui for Health - Hawaii Island
Zo. ORGANIZATION CONFLICT DISCLOSURE FORM
Please disclose any conflicts or potential conflicts of interest that any board member, officer, director,
or administrator of your organization may have with the County of Hawaii. Only those listed below
need to be disclosed. One form per person with,a conflict is needed. If no conflicts exist, one form for
the organization, with the "No conflicts exist" option checked needs to be submitted. Please duplicate
as needed to fully disclose. All disclosure forms must be signed, regardless of whether a conflict exists.
NAME:
POSITION:
May have:a conflict or potential conflict of interest, including any familial relationship, with any of the
following (check all that apply):
❑ Member or members-of the Council
❑ Staff appointed by a member of the Council.
❑ The Mayor
❑ The Managing Director
❑ The Director of Finance
❑ The Corporation Counsel, the Assistant Corporation Counsel, or a Deputy, Corporation
Counsel
Conflict of Interest is defined as:a substantial probability that action taken by an individual will result in measurable direct
benefits accruing to the individual as opposed to benefits accruing in general to an industry. ,
Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential
conflicts of interest:
❑✓ If no conflicts exist, check here.
4;0c.A ,.,,e. ��.,✓ i/1- 4- I SC'
Signature of Authorized Person (specify title) Date
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 5 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Hui for Health - Hawaii Island
11.Certification of Understanding (Page 1 of 2)
I (we) have read and understood all of the eligibility requirements;grant conditions;award procedures;
and records, reporting, and fiscal accountability requirements as mandated in Article 25, Sections 2-
135—2-142.1, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations.
I (we)agree to allow the County(the Legislative Auditor,the Department of Finance,designated
Council representative, or expending/oversight agency)full,free,and unrestricted access and authority
to examine and inspect any facility, equipment, property, or records pertinent to the grant, contract, or
program for which funds were used.
I (we) hereby certify that,information supplied herein, including all supporting documents, is correct
and that I (we) have the authority and ability to fully administer the program(s) pursuant to law.
I (we)understand that information supplied herein shall be made public according to Chapter 92F,
Hawai'i Revised Statutes.
I (we) understand that applications will not be reviewed by County personnel receiving our County
Nonprofit Grant submittal, and that we have full responsibility to ensure that all documents are
complete and accurate prior to submittal.
I (we) understand that all documents requiring a current signature must be the ORIGINAL,SIGNED
document. Unsigned documents will be disqualified. Faxed or copied documents will not be accepted
as original documents. -
If awarded a grant from the County of Hawai`i, I (we) understand and will comply with the requirement
to enroll with Hawaii Compliance Express and be compliant prior to receiving payment(s). To register,
go to http://vendors.ehawaii:gov,complete the easy step-by-step process, and pay the annual
registration fee online using a credit card.
If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement
to submit a year-end report to the County Council within 60 days after June 30 of the contractual year
for which the grant was awarded.The report, using the template provided,shall include an
explanation of the public benefits derived from the awarding of the grant(focusing on specific,
measurable outcomes),a complete accounting of all expenditures supported by County of Hawaii
grant funds,and a listing of other funding sources and amounts obtained during the award period.
Failure to submit a timely, complete, and accurate year-end report, using the template provided, will
impact the evaluation of your program's or agency's future funding requests.
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 6 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name: Hui for Health - Hawaii Island
11. Certification of Understanding (Page 2 of 2)
If awarded a grant from the County of Hawaii, I (we) understand that a current Certificate of Liability
($1,000,000 general liability, $50,000 each occurrence) must be provided to the County of Hawai'i
Finance Department, which specifically and explicitly indicates that the County of Hawai'i is an
additional insured prior to receiving any payment(s).
I (we) understand that failure to submit the final report within 60 days of June 30th shall result in loss
of all grant funds received during the grant period (must be refunded to County) and exclusion from
future grant participation for a minimum of one year or until a written report is submitted to,and •
accepted by,the council.
I (we) understand there is no provision for further notification-to submit the final report. Information
and instructions are available at http://www.hawaiicounty.gov/fn-nonprofit-grant-forms/on or about
May 30 of the year the final report is due.
•
As part of this application, you acknowledge that any funds awarded will be restricted for the purposes
stated in the application, except for a maximum ten percent (10%) for administrative and overhead
costs. Any funds unused by June 30, 2021 must be returned to the County of Hawaii with the final
report. Failureto return these funds in a timely manner will impact the evaluation of your agency's
future funding request and may result in actions taken to recover these funds.
Awards cannot provide funds for Capital Improvements (Costs of Construction, materials, insurance
or securities).
By signing below, you are acknowledging that you have read and understood these requirements.
•
• Signature of Authorized Person
Date
Darrah Kauhane-Floerke, Executive Director
Title/Position of Authorized Person `
EXHIBIT A
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 7 of 8
County of Hawai`i Nonprofit Grant Application FY2020-21
Agency Name: Project Vision Hawaii
Program Name:Hui for Health - Hawaii Island
12.COUNCIL AWARD WORKSHEET
TABLE I:
PROGRAM PERFORMANCE MEASURES Applicant Council Proposed
Projected Results Projected Result •
Number of of community care events on Hawaii Island 25
Number of adults provided vision and health screenings 500
Number of seniors provided vision and health screenings 200
TABLE II:
FY 20-21 Council
PROGRAM EXPENDITURES
Grant Request Award
Salary and Wages 16,000
Professional Fees 1,600
Operations • 2,650
Supplies 2,500
Equipment
Other: Travel-inter-island 750
Other: RV Fuel and maintenance 1,500
Other:
Other:
Other:
TOTAL 25,000
Additional Council directives regarding award:
EXHIBIT B
NONPROFIT GRANT APPLICATION FY 2020-2021 Page 8 of 8