HomeMy WebLinkAboutCOM 0017.031 2018-2020Harry Kim
Mayor
DATE:
TO:
VIA:
FROM:
RE:
County of Hawaii
POLICE DEPARTMENT
349 Kapiolani Street Hilo, Hawai' i 96720-3998
(808) 935-3311 Fax(808)961-8865
Paul K. Ferreira
Police Chief
Kenneth Bugado Jr.
Deputy Police Chief
May 28, 2020
AARON CHUNG, COUNCIL CHAIR AND
COUNCIL MEMBERS
KAY HI 0 ROLLER
.
PAUL K. FERREI , POLICE CHIEF,°
�W'"
:
NOTIFICATION OF GRANT AWARD
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COMPLIANCE WITH ORDINANCE NO. 18-68, SECTION 7(1)
Name of Grant Program: SANE/SAFE Program Expansion & HPD Training
Grantor: Department of the Attorney General, State of Hawaii
County Grantee Department or Agency: Hawaii County Police Department
Grant No. (IF KNOWN): 18-V2-15
Amount of Grant: $262,507
Amount of County Match: $52,502
County Revenue & Expenditure Account Numbers: 010.201.5216.51:3309.22
Grant Period (Commencement & Completion): July 1, 2019 to June 30,2021
Purpose of Grant: To improve medical and forensic services for victims of
sexual assault, strangulation and domestic violence.
Is final report required by grantor? W Yes ❑ No
Notification attached: R Yes ❑ No, because
Comm. No. 0. 10*5 1
P,af, Date ,lit b ,nen
"Hawai' i County is an Equal Opportunity Provider and Employer"
4 I
D Project Number 18 V2-15
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C O N T RAC T
THIS CONTRACT, executed on the respective dates
indicated below, is effective as of July 1, 2019 , by and
between the Department of the Attorney General, State of Hawaii,
hereinafter called "Agency", by and through the Attorney
General, and the Hawaii Police Department , whose business
address is 349 Kapiolani Street, Hilo 96720 , hereinafter
called "Grantee. "
WITNESSETH
WHEREAS, the Victims of Crime Act of 1984, Public Law
98-473, Title II, Chapter XIV, as amended by the Children ' s
Justice and Assistance Act of 1986, Public Law 99-401, as
amended by the Anti-Drug Abuse Act of 1988, Public Law 100-690,
Title VII, Subtitle D, as amended by the Crime Control Act of
1990, Public Law 101-647, as amended by the Federal Courts
Administration Act of 1992, Public Law 102-572, as amended by
the Department of Justice Appropriations Act for 1994, Public
Law 103-121, Title I, Section 110, and as amended by the Violent
Crime Control and Law Enforcement Act of 1994, Public Law 103-
1 (rev 1/2020)
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•
322, Title XXIII, Subtitle B, codified at
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seq. (hereinafter "Act") , was enacted to assist states to
support or enhance state and local victim assistance programs,
and to designate a state office to solicit the federal financial
assistance for such programs available under the Act and
distribute the federal funds amongst state and county agencies
in Hawaii;
WHEREAS, the Department of the Attorney General, as
the designated State Administering Agency, applied for and was
awarded funds under the Act;
WHEREAS, Grantee is qualified to receive funds
available to Hawaii under the Act and its respective
implementing regulations, contained in the Victims of Crime Act
Victim Assistance Program Rules in 28 C. F.R. Part 94 ("VOCA
Victim Assistance Program Rules") , and the Uniform
Administrative Requirements, Cost Principles, and Audit
Requirements in 2 C. F. R. Part 200, as adopted and supplemented
by the Department of Justice in 2 C. F. R Part 2800 (together the
"Part 200 Uniform Requirements") , and has applied to Agency
under the Hawaii Revised Statutes (H.R.S) Chapter 103F
Competitive Request for Proposal process;
2 (rev 112020)
r.
WHEREAS, Agency has reviewed Grantee' s application for
funds, and is satisfied that all of the requirements of the Act
and its implementing regulations have been satisfied and that
Grantee is capable of using the federal funds requested
appropriately;
WHEREAS, Grantee has demonstrated the capacity to
provide the services, programs and activities described herein;
has been selected for receipt of the federal funds as a Grantee
under H. R. S . Chapter 103F, and is ready, willing and able to
provide the required services, programs and activities;
NOW THEREFORE, Agency and Grantee for and in
consideration of the covenants, conditions, agreements, and
stipulations hereinafter expressed, do mutually agree as
follows:
A. SCOPE OF SERVICES.
Grantee shall, in a proper and satisfactory
manner, as determined by Agency, and in accordance with the
terms and conditions of this Contract, use the funds received
under this Contract for the purposes stated herein and in
accordance with the "Application For Grant" (Parts I through IV
including all certifications required under Section C) and the
3 (rev 1/2020)
Acceptance of VOCA Special Conditions attached hereto as Exhibit
"A" and by reference incorporated herein. It is urderstood that
this Contract includes as a part hereof any rules, relevant
directives or instructions issued by the United States or the
Agency, including the provisions of the federal Office of
Management and Budget' s Uniform Guidance and the effective
edition of the Office of Justice Programs ' financial manual
entitled "DOJ Grants Financial Guide. "
B. TERM OF CONTRACT.
This Contract shall be in effect for the period
from July 1, 2019 to and including June 30, 2021
unless this Contract is sooner terminated as hereinafter
provided or unless this Contract is extended in accordance with
Section L. of this Contract.
C. PERFORMANCE REQUIREMENTS AND CONDITIONS.
1 . Grantee shall comply with the guidelines set
forth in the Act and all applicable federal regulations and
guidelines, including but not limited to the provisions of the
VOCA Victim Assistance Program Rules, 28 C. F. R. Part 94; Uniform
Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards, 2 C. F.R. Part 200; and the DOJ
Grants Financial Guide, December 2017.
4 (rev 1/2020)
2 . Grantee shall comply with all the
ordinances, codes, rules and regulations of the Federal, State
and local government which in any way affect its performance
under this Contract .
3. Grantee shall provide for an independent
audit of its activities on a periodic basis in accordance with
Part 200 Uniform Requirements.
4 . Prior to, or concurrently with the execution
of this Contract, if so required by Agency, Grantee shall
complete, execute and submit to Agency a Certification Regarding
Drug-Free Workplace Requirements which meets the requirements of
the Drug-Free Workplace Act of 1988 (Pub. L. 100-690, Title V,
Subtitle D, U.S.C. , Title 41, Chapter 10, §702) , hereinafter
referred to as the "Drug-Free Workplace Certification. " A copy
of the Drug-Free Workplace Certification shall be included in
Part IV of the Application for Grant. Grantee covenants that
the representations made in the Drug-Free Workplace
Certification are true at the time this Contract is executed and
will remain true throughout the entire term of this Contract and
any extensions, and that Grantee shall fulfill all the
requirements set forth therein. Grantee' s execution and
submission of a false Drug-Free Workplace Certification, or
Grantee's violation of any or all of the requirements set forth
therein shall entitle Agency to suspend one or more payments
5 (rev 1/2020)
under this Contract, and/or terminate this Contract pur:want to
the provisions of Section N of this Contract. Grantee warrants
that it is aware that such false certification or violation of
the requirements contained in the Drug-Free Workplace
Certification shall subject the State of Hawaii to government-
wide suspension or debarment, or other sanctions which, in turn,
shall result in the withdrawal of funds from Grantee and/or the
unavailability of future tunding for Grantee.
5. Prior to, or concurrently with the execution
of this Contract, Grantee shall complete, execute and submit to
Agency a Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion, hereinafter referred to
as the "Debarment Certification. " A copy of the Debarment
Certification shall be included in Part IV of the Application
for Grant . Grantee covenants that the representations made in
the Debarment Certification are true at the time this Contract
is executed and will remain true throughout the entire term of
the Contract and any extensions, and that Grantee shall fulfill
any and all terms and conditions set forth therein.
6. Prior to, or concurrently with the execution
of this Contract, Grantee shall complete, execute and submit to
Agency a Certification of Non-Supplanting, hereinafter referred
to as the "Non-Supplanting Certification. " A copy of the Non-
Supplanting Certification shall be included in Part IV of the
6 (rev 1/2020)
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Application for Grant. Grantee covenants that the
representations made in the Non-Supplanting Certification are
true at the time this Contract is executed and will remain true
throughout the entire term of the Contract and any extensions,
and that Grantee shall fulfill any and all terms and conditions
set forth therein.
7 . Prior to, or concurrently with the execution
of this Contract, if so required by Agency, Grantee shall
complete, execute and submit to Agency a Certification Regarding
Lobbying, hereinafter referred to as the "Lobbying
Certification, " and any subsequent disclosure forms required
under Section 1352, Title 31 U. S. C. A copy of the Lobbying
Certification shall be included in Part IV of the Application
for Grant . Grantee covenants that the representations made in
the Lobbying Certification are true at the time this Contract is
executed and will remain true throughout the entire term of the
Contract and any extensions, and that Grantee shall fulfill any
and all terms and conditions set forth therein.
8 . Grantee shall comply with the non-
discrimination requirements of the Omnibus Crime Control and
Safe Streets Act of 1968 which prohibits discrimination in
employment and in the delivery of services or benefits on the
basis of race, color, national origin, religion, or sex; Title
VI of the Civil Rights Act of 1964 which prohibits
7 (rev 1/2020)
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discrimination in the delivery of services or benefits on the
basis of race, color, or national origin; Section 504 of the
Rehabilitation Act of 1973 and Title II of the Americans with
Disabilities Act of 1990 which prohibit discrimination in
employment and in the delivery of services or benefits based on
disability; Title IX of the Education Amendments of 1972 which
prohibits discrimination on the basis of sex in training or
educational programs; the Age Discrimination Act of 1975 which
prohibits discrimination in the delivery of services or benefits
on the basis of age; the Department of Justice regulations
implementing the above-referenced statutes at 28 C. E. R. Part 42,
subpts. C, D, G, and I, 28 C. F. R. Part 35, and 28 C. F.R. Part
54; Exec. Order No. 13279, 28 C. F. R. Part 38 (equal protection
of the laws for faith-based and other neighborhood
organizations) ; Exec. Order No. 13166 and U.S . Department of
Justice, Guidance to Federal Financial Assistance Recipients
Regarding Title VI Prohibition Against National Origin
Discrimination Affecting Limited English Proficient Persons; the
Hawaii State Fair Employment Practices Act, Chapter 378, Hawaii
Revised Statutes; and all other applicable federal and state
laws, rules and regulations.
9. Grantee assures Agency that if it is
required to formulate an Equal Employment Opportunity Program in
8 (rev 1/2020)
accordance with 28 C.F.R. §§ 42 . 301 et seq. it will submit a
certification to Agency that a current program is on file.
10 . Grantee shall maintain accounting procedures
and practices acceptable to Agency, and books, records,
documents and other evidence which sufficiently, accurately and
properly
reflect all direct and indirect expenditures and all
interest or other income earned as the result of funds provided
pursuant to this Contract. Grantee shall ensure that its own
books, records, and documents are available for inspection,
reviews or audits at all reasonable times by Agency or the
United States Department of Justice. In addition, Grantee shall
prepare and submit to the Agency reports in such form and at
such times as Agency or the Office for Victims of Crime may
require. Grantee shall submit quarterly financial reports
fifteen (15) calendar days after the end of each calendar
quarter. Grantee shall submit monthly request for funds and
cash balance reports fifteen (15) calendar days after the end of
each month. The final fiscal reports must be received by Agency
within sixty (60) days after the date this Contract terminates
or unless mandated earlier by Agency. Records and financial
accounts shall be retained by the Grantee and shall be
accessible to Agency and the United States Department of Justice
for at least three years after Agency' s grant with the Office
for Victims of Crime is closed.
9 (rev 1/2020)
11 . The final drawdown for funds• mast be
received by Agency within thirty (30) days after the date this
Contract terminates.
12 . Any funds provided to Grantee under this
Contract which are unencumbered on the date this Contract
terminates shall be returned to Agency; all funds provided under
this Contract which are encumbered but not disbursed within
sixty (60) days after this Contract terminates shall be returned
to Agency.
13. Grantee shall submit progress reports as
required for the Act funds to Agency during the term of the
Contract as stipulated under Part IV. of the Application for
Grant, Attachments, Acceptance of VOCA Special Conditions.
14 . If so required by Agency, Grantee shall
certify to Agency that any expendable or nonexpendable personal
property purchased or acquired with funds received under this
Contract will be used for victim assistance purposes before
title in such property may vest in Grantee. Grantee shall submit
a certification to Agency within thirty (30) days after the date
this Contract terminates. If a certification is not provided by
Grantee, title to any personal property purchased or acquired
with funds received under this Contract shall vest in Agency and
such personal property shall be delivered to the Agency in good
10 (rev 1/2020)
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working order upon expiration or sooner termination of this
Contract.
15. Grantee shall ensure that Fifty two thousand
five hundred two and no/100 dollars ($52, 502 . 00) are available
as matching funds to provide the services under this Contract .
Grantee shall maintain records which clearly and accurately show
the source, amount and the timing of match contributions. If,
at the end of the Contract period, Agency determines that
Grantee does not have the required matching contribution,
Grantee shall return all of the federal portion of the project
cost for which the Grantee does not have the required match.
D. PERSONNEL.
1 . Grantee shall secure at its own expense all
personnel required to perform the services required under this
Contract . All such personnel shall not be considered employees
of, or have any contractual relationship with the State of
Hawaii unless Grantee is otherwise an agency of the State.
2 . Grantee shall ensure that none of the work
or services to be provided under this Contract shall be
subcontracted or assigned without the prior written approval of
Agency.
11 (rev 1/2020)
E. SUBCONTRACTS.
Grantee may provide some or all of the services
required under this Contract by subcontract provided that
Grantee secures the prior written consent of Agency. In the
event Grantee enters into a subcontract with a private
organization to perform any of the services or activities
required under this Contract, Grantee agrees that the period of
each subcontract shall not exceed the term of this Contract, and
funds to the private organization will not be released unless
and until the requirements set forth in applicable state law and
implementing rules are complied with by the subcontractor. All
subcontracts shall include provisions to ensure that Grantee is
capable of satisfying the requirements of this Contract . All
subcontracts shall be reduced to writing and shall include all
provisions of this Contract required of Grantee.
F. SERVICES AS INDEPENDENT CONTRACTOR.
1 . In the performance of the services required
under this Contract, Grantee shall be an independent contractor
with the authority to control and direct the performance and
details of the work and services required under this Contract;
however, Agency shall have the right to inspect work in progress
to determine whether, in Agency' s opinion, the work is being
12 (rev 1/2020)
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performed byGrantee in accordance with the provisions of this
Contract. All persons hired or used by Grantee shall be
Grantee' s agents and employees and Grantee shall be responsible
for the accuracy, completeness, and adequacy of any and all work
and services performed by its agents and employees .
Furthermore, Grantee intentionally, voluntarily, and knowingly
assumes the sole and entire liability if such liability is
determined to exist, to its agents and employees or to third
persons, for all loss, cost, damage or injury caused by
Grantee' s agents and employees in the course of their
employment. The performance of work under this Contract alone
shall not be construed as employment with the State of Hawaii
and shall not entitle Grantee' s agents and employees to
vacation, sick leave, retirement, or other benefits directly
afforded state employees by statutes . Grantee shall be
responsible for payment of all applicable federal, state, and
county fees which may become due and owing by the Grantee by
reason of the Contract, including but not limited to (i) income
taxes, (ii) employment related fees, assessments and taxes and
(iii) general excise taxes . The Grantee also is responsible for
obtaining all licenses, permits and certificates that may be
required in order to perform this Contract .
2 . This section shall not be applicable if
Grantee is an agency of the State of Hawaii.
13 (rev 1/2020)
G. COMPENSATION.
1 . Subject to continuing availability of funds,
Agency agrees to pay Grantee, for services satisfactorily
performed under this Contract, a sum not to exceed Two hundred
ten thousand five and 00/100 dollars ($210, 005. 00) to be spent
•
for the purposes of this Contract . This sum represents any and
all compensation to be paid to Grantee for any and all services
it provides, and for any and all travel costs, materials,
supplies, equipment, overhead, taxes, and other incidentals and
operating expenses which it incurs or may incur in connection
with this Contract .
2 . It is covenanted and agreed by and between
the parties hereto that, as to the portion of the obligation
under this Contract to be payable out of federal funds, this
Contract shall be construed to be an agreement to pay such
portion to the Grantee only out of federal funds to be received
from the federal government when the federal funds are so
received and shall not be construed as a general agreement to
pay such portion at all events out of any funds other than those
which are received from the federal government .
14 (rev 1/2020)
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H. METHOD OF PAYMENT.
1 . All funds available for use under this
Contract shall be subject to the allotment system as provided in
Chapter 37, Hawaii Revised Statutes .
2 . Payments to Grantee under this Contract
shall be made in accordance with and subject to the following
provisions :
a. Payments shall be made monthly upon
receipt of Grantee' s completed request for funds.
b. All payments shall be made in
accordance with and subject to Chapter 40, Hawaii Revised
Statutes, which specifies the accounting procedures and controls
applicable to payments out of the Treasury of the State of
Hawaii .
c. If an amount of reported expenditures
is preliminarily determined by Agency to be inappropriate and
unallowable, Agency may deduct an equivalent amount from the
next payable installment and may withhold payment of the amount
of the moneys equivalent to the questioned expenditures until
later resolution of the discrepancy by audit or other means .
If, after payment of the last installment, investigation and
examination reveal additional expenditures that are determined
by Agency to be inappropriate and unallowable, Agency may
require that an equivalent amount of moneys be refunded to
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Agency notwithstanding Agency' s preliminary determination of
appropriateness and allowability.
d. Failure to submit required reports by
the applicable deadline will result in the withholding of
payments until such time as the reports are received by Agency.
Grantee shall continue to provide the services, programs and
activities during the period that payments are being withheld.
I . INDEMNIFICATION.
1 . It is strictly understood that the State of
Hawaii shall in no way be held liable for any damages, cause of
action or suits resulting from the acts, activities, or
omissions of Grantee. Grantee shall indemnify and save harmless
the State of Hawaii, Agency, and their officers, agents, and
employees from and against any and all liability, loss, actions,
claims, suits, damages, costs or expenses, including all
attorneys' fees, and all claims, suits, and demands therefor,
arising out of or resulting from the acts or omissions of
Grantee, its officers, employees, agents, or subcontractors
occurring during or in connection with the performance of
Grantee ' s services under this Contract, or arising out of or
resulting from breach of this Contract by Grantee. Grantee
shall defend the State of Hawaii, Agency, and their officers,
agents, and employees against any such action or claim unless
16 (rev 1/2020)
the action or claim involves an act or omission solely of
Agency, its officers, agents, or employees .
2 . This section shall not be applicable if
Grantee is an agency of the State of Hawaii.
3 . The County of Hawaii will indemnify to
the State of Hawaii, Agency and their officers, agents, and
employees to the extent permitted by law, and it is understood
that payment is subject to approval by the county council/or
city council, as the case may be.
J. CONFIDENTIAL MATERIAL.
Any information, data, report, record, summary,
table, map, or study given to or prepared or assembled by
Grantee under this Contract which is identified as proprietary
or confidential information that Agency requests to be kept
confidential shall be safeguarded by the Grantee and shall not
be made available to any individual or organization other than
any subcontractor to which the material may relate, without
prior written approval of Agency. Grantee shall submit a
completed Privacy Certification for review and approval prior to
the expenditure of funds for the collection of identifiable
research/statistical data. All information, data, or other
material provided by the Grantee or the Agency shall be kept
confidential only to the extent permitted by law. Grantee shall
17 (rev 1/2020)
comply with the requirements of Chapters 487J, 487N and 487R,
Hawaii Revised Statutes as applicable.
K. COPYRIGHT AND PATENT.
The Agency shall have complete ownership of all
material, both finished and unfinished, which is developed,
prepared, assembled, or conceived by the Grantee pursuant to
this Contract, and all such material shall be considered "works
made for hire. " No summary, report, map, chart, graph, table,
study or other documents or discovery, invention, or development
produced in whole or in part with funds made available under
this Contract shall be the subject of an application for
copyright or patent by or on behalf of Grantee, its officers,
agents, or its employees, or. its subcontractors without prior
written authorization from Agency. To the extent that any
material, summary, report, map, chart, graph, table, study, or
other documents, or discovery, invention, or development under
this Contract is not recognized as a "work made for hire" as a
matter of law, Grantee hereby assigns to the Agency any and all
copyrights in and to the material.
L. MODIFICATION OF CONTRACT.
Any modification or change in any term,
provision, or condition of this Contract shall be made by
18 (rev 1/2020)
written amendment signed by both the Grantee and the Attorney
General; provided, however, that the Administrator of the Crime
Prevention and Justice Assistance Division or the
Administrator' s designee (hereinafter, "CPJA Administrator")
may, on the Agency' s behalf and to the extent permitted by law,
approve the following when requested by the Grantee: (a)
changes to the budget categories set forth in Part III of
Exhibit A, provided that there is no change to the total
compensation under this Contract; and (b) extensions of the
Grantee' s Time of Performance, provided that there is no change
to the total compensation under this Contract. Any such
requests by the Grantee shall be submitted in writing to the
Agency no later than forty-five (45) days before the Contract
would otherwise terminate and, if approved, shall be effective
as of the date approved by the CPJA Administrator.
M. CONFLICT OF INTEREST.
Grantee represents that it presently has no
interest and promises that it shall not acquire any interest,
direct or indirect, that would conflict in any manner or degree
with the performance of the services under this Contract.
N. TERMINATION OF CONTRACT.
19 (rev 1/2020)
1. If, for any cause, Grantee refuses or fails
to satisfactorily fulfill in a timely or proper manner its
obligations under this Contract or any extension thereof, or if
Grantee breaches any of the promises, terms or conditions of
this Contract and, having been given reasonable notice of and
opportunity to cure any such default, fails to take satisfactory
corrective action within the time specified by Agency, Agency
shall have the right to terminate this Contract by giving
written notice to Grantee of such termination ten (10) calendar
days before the effective date of such termination. The Grantee
shall continue performance of the Contract to the extent it is
not terminated. Notwithstanding termination of the Contract,
and subject to any directions from the Agency, the Grantee shall
take timely, reasonable, and necessary action to protect and
preserve property in the possession of the Grantee in which the
Agency has an interest.
2 . Furthermore, Agency may terminate this
Contract without statement of cause at any time by giving
written notice to Grantee of such termination at least thirty
(30) calendar days before the effective date of such
termination.
3. In the event of termination of either type,
all finished or unfinished documents, reports, summaries, lists,
charts, graphs, maps, or other written material prepared by
20 (rev 1/2020)
Grantee, under this Contract shall, at the option of Agency,
become Agency' s property and, together with all information,
data, reports, records, maps, and other materials (if any)
provided to Grantee by Agency, shall be delivered and
surrendered to Agency on or before the effective date of
termination.
4 . Grantee shall be entitled to receive only
such compensation as shall have been satisfactorily earned prior
to the effective date of termination. Agency shall determine
the amount of work satisfactorily completed and the amount of
compensation satisfactorily earned. If the termination is for
cause, any other provisions to the contrary notwithstanding,
Grantee shall not be relieved of liability to Agency for damages
sustained by Agency because of any breach by Grantee of this
Contract.
0. WAIVER.
The failure of the Agency to insist upon strict
compliance with any term, provision, or condition of this
Contract shall not constitute or be deemed to constitute a
waiver or relinquishment of the Agency' s right to enforce the
same in accordance with this Contract. It is expressly
understood and agreed that no waiver granted by Agency on
account of any violation of any promise, term or condition of
21 (rev 112020)
this Contract shall constitute or be construed in any manner as
a waiver of the promise, term or condition or of the right to
enforce the same as to any other or further violation.
P. DISPUTES; GOVERNING LAW; VENUE.
Any dispute concerning a matter of fact arising
under this Contract or any subcontract, which is not disposed of
by mutual agreement within fifteen (15) calendar days, shall be
decided by the Attorney General, or the Attorney General ' s duly
designated representative, who shall reduce the decision to
writing and mail or otherwise furnish a copy of the decision to
Grantee. The decision of such person shall be final and
conclusive. Pending final decision of such dispute,. Grantee
shall proceed diligently with the performance of this Contract
in accordance with Agency' s request . The validity of this
Contract and any of its terms or provisions, as well as the
rights and duties of the parties to this Contract, shall be
governed by the laws of the State of Hawaii. Except as
otherwise provided in this Section, any action to enforce this
Contract or for breach of this Contract shall be brought only in
a State court of competent jurisdiction in Honolulu, Hawaii .
Q. ADDITIONAL CONDITIONS.
22 (rev 1/2020)
,
Additional conditions may be imposed upon Grantee
by reducing them to writing and designating them as exhibits to
this Contract . Any such exhibit shall be attached
hereto and thereby incorporated herein.
IN WITNESS WHEREOF, the parties hereto have executed
this Contract .
DEPARTMENT OF THE ATTORNEY GENERAL
APPROVED AS • FORK: STATE OF HAWAII, ("AGENCY")
ALdilk. (Z-21 .----.....,,
BY
Deputy Att.'rney General, State of Hawaii
Print Name Dana O. Viola
Its First Deputy Attorney General
Date MY 1 12020
, ("GRANTEE")
By istil-i •—°'
Print Nam Harry Kim
Title 'cAr-- Mayor
Date MAY 0 5_2020
23 (rev 1/2020)
APPROVED AS TO FORM
& LEGALITY: APPROVAL RECOMMENDED:
CDc024,,--
PEPUTYCOR'•RATION COUNSEL POLICE DEPARTMENT
C•UNTY OF HAWAII COUNTY OF HAWAII
Date:
7-, ' Date: MAR 2 4 2020
Approved os to Availability of Funds
In the on•o',r'S anti for the purposes
set forth herein.
1.7
l DIRECTOR OF FINANCE
`O"
,MAR 3 0 2020
CRIME PREVENTION AND JUSTICE ASSISTANCE DIVISION
DEPARTMENT OF THE ATTORNEY GENERAL
235 South Beretania Street,Suite 401, Honolulu, Hawaii 96813
FY 2018 VICTIMS OF CRIME ACT FORMULA GRANT APPLICATION
PART I. TITLE PAGE
A. PROJECT TITLE: SANE/SAFE Program Expansion and HPD Training
B. APPLICANT AGENCY: Hawaii Police Department
C. SYSTEM FOR AWARD MANAGEMENT(SAM): ® Yes ❑ No DUNS No. 613154335
D. APPLICATION RANKING WITHIN AGENCY: 1 (as determined by agency head)
E. ADDRESS: 349 Kapiolani Street
City Hilo State HI Zip+4 digits 96720-3912
F. LOCATION OF PROJECT: Hawaii Island
G. PROJECT PERIOD: From July 1 2019 To June 30,2021
H. VOCA PRIORITY AREA(S): ❑Underserved Populations (specify population)
❑Elderly Victims ❑ Rural or Geographically Isolated
❑Homeless Victims 0 Survivors of Homicide/Neg Homicide
❑Immigrant/LEP Victims 0 Victims with MH/SA Issues
❑LGBTQQ Victims 0 Victims of Sex Trafficking
❑Native Hawaiian Victims 0 Victims of Violent Property Crime
❑Tourist/Visitor Victims 0 Youth Aging Out of Foster Care
❑Victims with Disabilities ❑Youth Offender Victims
®Sexual Assault ❑Domestic Violence
❑Child Abuse
I. ADDITIONAL CONSIDERATION(S): ❑Underserved Population—additional points
❑Priority Services—additional points
❑Child Abuse Set Aside
0 Geographic Set Aside
J. TOTAL PROJECT AMOUNT: Federal Funds Requested $ 210,005
20%Match $ 52,502
Total Project Funds $ 262,507
K. OTHER FUNDING SOURCES:
Is the proposed project seeking other sources of funding? Yes 0 No ® *If yes,then provide name of source and the
amount of funds that is being sought: Source: Amount$
L. PROJECT DIRECTOR
Name: Sandor Finkey Title: Lieutenant Arca I Juvenile Aid Sec
Address: 349 Kapiolani Street
City: Hilo State: HI Zip: 96720
Telephone: 961-2254 Fax: 961-2390 E-Mail: sandor.finkey@hawaiicounty.gov
M. FINANCIAL OFFICER
Name: Kelsie Kailiuli Title: Accountant III
Address: 349 Kapiolani Street
City: Hilo State: HI Zip: 96720
Telephone: 961-2274 __.. Fax: 961-2390 E-Mail: kelsie.kk.kailiuli@hawaiicounty.gov
FOR CPJAD USE
Date received: Project Number:
AG/CPJAD#1A(Rev 02/2018)
EXHIBIT A
i i
CONTRACT NO. 'I 8-V2-1 5
Exhibit A
Part I. Title Page
h
FY 2018 VICTIMS OF CRIME ACT FORMULA GRANT APPLICATION
PART II. DESCRIPTION OF PROJECT
A. THE PROBLEM
The HPD views sexual assault as a serious and on-going problem. The number of sexual
assaults in Hawaii County has remained fairly constant over the years. In 1995, the HPD
established the SAFE (Sex Assault Forensic Exam) Program to improve investigations of sexual
assault cases and effectively address the needs of victims. The SAFE Program provided medical
and forensic services to victims through certified SAFE personnel known as Sex Assault Nurse
Examiners (SANEs). The SANEs received extensive training in recognition, evaluation, and
classification of various injuries resulting from traumatic sexual contact. SANEs also receive
training in performing a medical-legal examination, forensic photography, evidence collection,
report-writing, and other methods of documenting injuries for evidential purposes.
The collected evidence and testimonials provided by the SANEs to the HPD's Criminal
Investigation Division(CID), Sex Crime Unit (SCU), and Juvenile Aid Section (JAS) detectives
and the county prosecutors have contributed to the successful prosecution of sex assault offenders.
The number of SAFEs performed per year is slowly increasing. Since 2007 through 2019, the
number of SAFEs performed per month has increased from 3 SAFEs per month to 5.3 SAFEs per
month.
This may be attributed to HPDs increased awareness of the need for a SAFE, the window for
evidence collection increasing from 72 hours to 120 hours, increased disclosure by victims and
increased coordination within the Sex Assault Response Team (SART).
From 1995 to 2010, the SAFE Program was spearheaded by a highly experienced certified SANE
who was employed with the county.The SANE coordinator was responsible for all aspects of the
program and worked directly with the CID, SCU and JAS personnel. In October 2010, the SANE
coordinator retired and efforts to fill the position were unsuccessful due to lack of qualified
candidates; The position was subsequently frozen and then unfunded because of county budget
shortfalls.
Without the SANE coordinator, the HPD's SAFE Program lacked the quality assurance activities,
including quality improvement goals and peer review process. Peer review or review by a certified
SANE is critical to ensuring consistency of victim care and the quality of reporting and evidence
collection. Lack of peer review could result in loss of skills, inadequate knowledge of up-to-date
processes, and increase in errors that could lead to compromised evidence and care for the victim.
In order to continue with the SAFE Program, the HPD, using FY 10 VAWA funds, outsourced
what was previously an in-house program. The contracted provider took on the role of SANE
recruitment,coordinated SAFE training and preceptorship,maintained coverage of SANEs in both
East and West Hawaii,managed the island's SAFE rooms,developed policies and procedures and
developed a peer review process.
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CONTRACT NO. 18-V2-15
Exhibit A
Part IL Project Narrative
The contractor began the process of recruitment and,to date,has four qualified Adult and Pediatric
trained SANEs working in both East and West Hawaii. Four additional nurses and a retired
OB/GYN are in the process of completing their preceptorship for adult SAFEs,two of which have
started the didactic portion of the pediatric training.
Progress has been made to strengthen the SAFE program and to he a strong component of the
investigative procedures and evidence collection for the County of Hawaii. Using VAWA and
other private funds,the subcontractor has been able to provide didactic training, both on-line and
in person, upgrade the SDFI system, recruit for a medical director for peer review and quality
improvement oversite and begin collaboration toe incease SANE service to the County of Hawaii,
With the progress in recruiting and training additional nurses, the HPD, along with the
subcontractor,the YWCA,it has been determined that there is an increased need for the following:
1 Chart review and peer review on all exams,follow-up care to victims such as outreach regarding
medical follow-up care, safety planning, and other services required to help the victim restore a
sense of power and control. Currently,there is no regular chart review being performed, and peer
review is done with a certified SANE only where the nurse is unsure of her interpretation. Follow-
up outreach is at the discretion of the victim.
2. The HPD currently has a specified budget of$140,500 to support the payment of forensic
testing. "Forensic testing" includes all forensic testing conducted by the HPD for all crimes. This
budget is not specific to SAFEs or sexual assault investigations. With the increased number of
SAFEs and Hawaii County's budget reductions, the cost of the SAFEs are not being fully realized
by the Hawaii County and therefore HPD is required to look for other means of supporting the
program. The cost of each SAFE is approximately $468. The County is on track to peform 55
exams in this fiscal year.
3. On-call pay has been critical to maintaining qualified nurses in the SAFE program. This was
evident when the SAFE program was subcontracted out; the on-call pay was discontinued at that
time. All nurses who had contracted with the County of Hawaii, with the exception of one nurse,
left the program and found employment elsewhere. If on-call pay were to be reduced or
discontinued,there would be a reduction of contracted nurses available for SAFE exams. For this
funding round, the HPD is proposing part of the VOCA funds are used to contract to the provider
who will continue to coordinate and implement a portion of the SAFE Program, with portions of
the funding to be provided for increased services to victims (post-SAFE outreach}, outreach to
victims who do not qualify for or refuse a SAFE, to establish and implement a quarterly chart
review of all SAFE exams (for completeness), and to establish and implement a quarterly peer
review meeting for all island SANEs to review, discuss and establish corrective actions and
training for nurses. An additional portion of the funding would be to pay for 55 SAFE exams and
a final portion of the funds will be used for on-call pay for the SAFE trained nurses.
4. Currently victims can receive a SAFE exam at the Hilo Medical Center and the Kona
Community Hospital. Victims from the outlying areas of island are required to travel to either of
these locations to receive services. The subcontractor has two nurses in training in the Waimea
area and has secured a location at a women's clinic in Waimea to provide SAFE services at no cost
to the program. The clinic is willing to provide an area for families to wait, a quiet, confidential
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, a
room to provide the SAFE, and a quiet, confidential area for the nurse, advocate or detective to
talk with the victim and/or family. To provide the services, the two nurses need to complete their
preceptorship and the room needs to be equipped with the SDFI system, a rolling cart, sex assault
kits and a drying rack.
5. Strangulation cases are increasing on the island and the use of SANEs and the SDFI system
will support providing victims with the necessary referrals for medial assistance as well and
provide photo-documentation of the injuries over time. In order to provide this services, the
SANEs and HPD would require training in Strangulation Protocols and establishing island-wide
protocols for Hawaii Coutny.
6. When Strangulation cases and subsequently cases of Domestic Violence and victims of physical
violence are presented to HPD, the SAN Es can provide photo documentation of the injuries over
time to strengthen the medical collection of evidenceand provide referrals to medical care HPD
is requesting that VOCA funding would be used to support payment to the SANEs who provide
the services for the cases.
7. Trauma informed care has been at the forefront of recent best practices. The SANEs and HPD
need additional training in understanding trauma and providing care and services to the victim that
support best practices.
All of the above items are part and parcel of the desire by HPD to provide evidence based practices
to victims of crime, strengthen the knowledge base of the staff providing services, collect and
photo document medical evidence,ensure outreach to victims likely to fall through the cracks, and
have consistent peer review on SANE work and quality improvement processes in place.
B. GOALS AND OBJECTIVES
Goal:
To improve Hawaii County's island-wide response to sexual assault by ensuring 24-hour access
to comprehensive medical and forensic services for victims of sexual assault, strangulation and
domestic violence.
To provide training opportunities for SANEs and HPD to obtain new knowledge and techniques
in assisting victims crimes of violence.
Objectives:
1. Two additional on-call SANE nurses will be available to provide medical forensic services
to 50%more clients(sexual assault,domestic violence and strangulation)by the end of the contract
period.
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2. Ensure that 100% of all victims receiving SANE services receive follow-up services to
insure care with regards to medical,therapeuticand other referrals for services related to sexual
assault trauma through the use of a Medical Director and Peer Reviewer.
3. Provide training to SANEs in training around strangulation, trauma informed care and
domestic violence.
4. Set up a 3rd SANE room in Waimea.
5. Provide on-call pay to Waimea based SANEs.
6. Provide funds for SANEs to perform SAFEs for sex assault victims, strangulation victims
and victims of domestic violence.
7. Provide additional training for SANEs and HPD in order to receive the latest techniques
regarding working with victims of violent crimes.
C. PROJECT ACTIVITIES
Upon receipt of VOCA 2018 funding, the HPD will contract to the YWCA of Hawaii to
oversee, coordinate, and continue to perform the services of the SAFE Program. The contracted
agency will be responsible for the following activities throughout the project period.
Coordination Activities:
1. Continue to provide coordination of the SAFE program for HPD.The YWCA will continue
to receive referrals from HPD,the crisis line,Child Welfare Services and self-referrals for a victim
to receive SAFE services. The call-out, made through the crisis line will begin the process for the
coordination of the services at either Hilo Medical Center or Kona Community Hospital. Services
will include the participation of a SANE and a YWCA advocate. Services will be provided
according to Statewide Guidelines established by the Hawaii Sexual Resource and Training Task
Force. At all times, during the service, both the SANE and the advocate will be working with a
victim-centered approach,with the victim having decision making authority with regards to her/his
case.
The nurse will provide the forensic examination on the victim, while the advocate provides
emotional support to the victim during the exam. The advocate, with permission from the victim,
will remain with the victim during the entire exam.
Resources and referrals for future care will be provided to the victim after the exam is completed.
Both the SANE and the advocate will work in tandem to provide information to the victim. The
SANE will provide follow-up health care tips and referrals and the advocate will provide
community resource information and referrals to other services.
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The availability of on-call SANEs will be increased upon completion of ongoing training. Several
nurses are currently attending training to achieve proper certification as a SANE and are expected
to achieve this status before the end of this contract period.
Services will be provided island-wide and at no cost to the victim.
2. In conjunction with HPD,the YWCA will establish outreach procedures to support victims
of sexual assault who do not qualify for a SAFE or opt out from receiving the SAFE.
Currently, if a victim does not qualify for a SAFE and/or refuses to have a SAFE,the victim may
not necessarily receive services from service providers who specialize in sex assault services and
the victim is left to her own devices to heal from the trauma. While HPD works with the victim
to move the case forward, and will refer the victim to the specialized services,the victim may not
want to initiate services for whatever reason.
To better serve the victim, HPD and the YWCA will work together to determine if there are ways
to provide outreach to a victim without violating confidentiality. For example, one way may be
that is an HPD Detective may call an advocate to provide services when they meet with the victim
during the investigation. Another example may be to ask the victim if they may be contacted for
services. The goal is to get the victim into services without violating investigative policies and
procedures.
3. In conjunction with HPD, the YWCA will bring on a medical director to provide chart
review,peer review and follow-up referrals to the victim who have been provided SAFE services.
A sex assault victim requires referrals for follow-up care which often involves medical treatment,
therapeutic services, and other services that directly correlate to the sex assault trauma.
4. Participate in the Inter-Agency Council,Big Island Coalition Against Sexual and Physical
Assault, HSART, SAKI, Hawai'i Coalition Against Sexual Assault and other meetings involving
the SANE program services and/or coordination of care.
Both HPD and the YWCA participates in a variety of meetings that are related to sexual assault
and sex assault services. Additional meetings that are a result activities associated with the grant
will be included in the report as well.
5. Provide appropriate documentation/pictures of sex assault medical evidence
Currently, cameras used during the SAFE exam are specifically designed to take photographs up
close to show bruising, scarring, injuries and have the capacity to zoom in to see ridges of
fingertips.The nurses turn over the memory stick that was used in the camera during the SAFE to
the attending detective along with the evidence kit.The only pictures on the memory stick will be
the pictures of the victim. The detective takes the memory stick along with the Sex Assault Kit
into custody.
To allow the SANE more time to complete and review the SAFE report,HPD will copy the pictures
from the memory stick and burn at least two CDs.One CD is put into evidence with the Sex Assault
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Kit. Another CD is given to the SANE to be able to review and complete the SAFE report. Once
the report is completed,the report and the CD copy are submitted back to HPD.
6. Provide narrative and statistical progress reports to the HPD to meet requirements of
contract funding.
Currently information regarding victims and demographics are maintained on a custom data base
that is HIPAA compliant. Reports are easily generated for reporting purposes. To ensure that
required information is captured,the YWCA will work with their software developer to determine
if all information is captured and reported. The YWCA also maintains information in an excel
spreadsheet to compare results. Information collected includes the location and date of the SAFE,
victim's age and gender, if the SAFE was conducted within the recommended 120 hours or not,
and where the SANE bill was sent.
7. Provide additional training to SANEs to enhance their skills in working with victims of sexual
assault,domestic violence and strangulation.
S. On Call Pay Activities
a. Provide on-call pay to nurses who are qualified in Adult SANE and Pediatric SANE who
are willing to be on-call for 24 hour shifts or a portion thereof.
Currently there is a VAWA S.T.O.P grant that provides some of the on-call pay for SANEs. This
grant basically covers one side of the island for on-call pay. As nurses train and come on calendar
for the other side of the island, there will be a lack of funds to provide the on-call pay. Therefore,
on-call pay is being requested from this grant.
b. Nurses with both SANE adult and SANE pediatric training will receive on-call pay. While
on-call, nurses are expected to be able to respond to a phone call/call-out within 15 minutes of the
call and schedule a SAFE exam within 60 minutes of the call-out. While on-call, it is expected
that nurses will remain at the ready which will include being within reasonable cell phone
coverage, will not drink or take any form of medication that may inhibit their ability to provide
services to a victim of sexual assault.
c. Nurses with SANE adult training will receive on-call pay. While on-call, nurses are
expected to be able to respond to a phone call/call out within 15 minutes of the call and schedule
a SAFE exam within 60 minutes of the call-out.While on-call,it is expected that nurses will remain
at the ready which will include being within reasonable cell phone coverage, will not drink or take
any form of medication that may inhibit their ability to provide services to a victim of sexual
assault.
d. When a nurse with Adult SANE training completes the Pediatric SANE training, the on-
call pay will increase. All conditions for being on-call will remain the same.
e. Maintain fiscal records to support compliance with the grant.
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9. SAFE Pay Activities
a. Provide payment to SANEs who have performed a SAFE or a portion of a SAFE.
The nurses will be required to submit an invoice to the YWCA for services rendered. At a
minimum,the nurses will provide the following information:
• Name
• Address
• GE Tax ID
• Date of Service
• Type of Service
• Name of Victim
• Age of Victim
• Gender of Victim
• HPD Case.Number
• Pre or Post 120
• Number of Hours of Service if it was not a SAFE or a part of a SAFE
The Program Director will review the invoice for completeness,enter the appropriate data into the
database/spreadsheet,code the invoice(determine which grant will be supporting the expenditure)
and approve for processing.
The invoice will then be submitted to the Finance Department for processing.
b. Payment will be in conjunction with the contract that has been signed by the nurses with
the YWCA and approved by HPD.
c. Maintain fiscal records to support compliance with the grant.
Records will be found in both the Program Director and the Finance Department,with some of the
records in duplication.The Program Director will place a copy of the invoice from a SANE in the
appropriate SANE contract file(one per nurse)to show the history of work and payments.
The Finance Department scans every invoice and attaches it to the appropriate fund in the
Accounting software utilized by the YWCA. With the current accounting software, the Program
Director is able to access reports on a real time basis and work with the Finance Department should
there be any issues. Fiscal audits by the Program Director, HPD or any other funder may be
initiated at any time
HPD Activities
1. Provide guidance to the contract provider with regard to the SAFE Program.
This will be done with regular meetings and conversations between HPD and the YWCA.
Feedback will be provided during these meetings and conversations, and if corrective actions are
required, will be established and monitored by HPD.
7
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2. Conduct regular monitoring visits (dates to be determined) with the contract provider to
assess and evaluate the status and progress of the SAFE program and review submitted
Performance Measurement Reports submitted by the contract provider.
3. Participate in the Inter-Agency Council, Big Island Coalition Against Sexual and Physical
Assault (BICASPA), HSART, and other meetings involving the SANE program services and/or
coordination of care.
4. Reimburse the contract provider for the actual cost of services provided under the SAFE
Program.
The contractor will provide invoices on a regularly established basis that details the expenditures,
including the timesheets of YWCA employees who were involved with the project, and copies of
receipts and/or invoices to support the expenditures.
5. Submit all required programmatic and financial reports to the Department of the Attorney
General on a timely basis.
D. PERFORMANCE INDICATORS/OUTCOME MEASURES
Outputs-Coordination
1. The number of sexual assault victims served through the SAFE Program.
2. The number of BICAPSA and other sex assault/SANE related meetings attended by HPD
and the contract provider.
3. Pertinent documentation regarding outcome of collaborative meetings between the HPD,
the contracted provider and other partner agencies.
4. The number of charts reviewed during the course of the grant. Documentation supporting
the outcomes and corrective actions, if required.
5. The number of peer review meetings during the course of the grants. Documentation
supporting the outcomes and corrective actions, if required.
6. Procedures for peer review,chart review and client outreach for victims who do not qualify
for a SAFE or opt not to have a SAFE performed.
7. A SANE room established in Waimea with SANEs on call.
8. SANE nurses have been provided with training regarding trauma informed care,
strangulation documentaiton and examinations and domestic violence.
Outputs-On-Call
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1. The number of SANEs receiving on-call pay.
Outputs- SAFE Pay
1. The number of SAFE exams paid for by VOCA funds.
Outcomes:
Outcomes-Coordination
I. 100% of the sexual assault victims requesting services through the SAFE Program are
served.
2. Compliance with HSART protocols and guidelines as evidenced by the number of
complaints by SART members, or end users of the SAFE reports, and the results of the chart
reviews and peer reviews.
4. Increased outreach to victims of sexual assault as evidenced by referrals from HPD who
did not qualify for a SAFE exam or who opted to not have an exam,and by call-outs from HPD to
assist victims in crisis at the station.
Outcomes- On-Call
I. No nurses will leave the SANE program due to lack of stand-by pay.
Outcomes- SAFE Pay
1. No nurse will not be paid for the service provided during a SAFE exam duc to lack of
funds.
E. PROJECT ORGANIZATION AND STAFFING
HPD's staff that will be involved in this project for administering this program are Captain
Chad Basque and Lieutenant Sandor Finkey. Captain Gregory Estaban and Lieutenant Royce
Serrao will assist in implementing procedural changes that are a result of this project. Lieutenant
Finkey will serve as the project manager for this project. His responsibilities will
include subcontracting, according to State and County protocols, ensuring project compliance
to both VOCA regulations and to the grant criteria, serving as liaison with the YWCA and
monitoring expenditures.
Lorraine Davis serves as the YWCA's program director for the SANE program and will serve in
the same capacity in this project. Ms. Davis will be responsible for implementing the project
collecting data,drafting reports and ensuring compliance to both VOCA regulations and the grant
9
specifications. Ms. Davis will also monitor expenditures against the grant to ensure that the
appropriate expenditures are documented appropriately and accounted for.
The key staff members involved in this project are all seasoned supervisors and leaders in their
respective departments and jobs. As supervisors, all the key personnel have been responsible for
making sure that their staff are fully trained to provide the appropriate victim centered services to
the client. Whether. the training is done personally by the supervisor or through other sources, the
supervisor is responsible for ensuring that the delivery of services is appropriate and effective. On
the job training frequently occurs as new best practices are identified through supervisory
meetings, feedback and review.
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CONTRACT NO. 1 8-V2-1 5
Exhibit A
Job Descriptions
Lieutenant Sandor Finkey
Commander Juvenile Aid Section
Area I Field Operations
WORK HISTORY/EXPERIENCE
I began employment as a recruit police officer in July, 2001 and received my first
district assignment to Hilo Cellblock. In November of 2003, I transferred to Puna
Patrol. I worked in Puna Patrol until I was temporarily promoted to Puna Community
Policing where I worked 4 out of the 9 years in the Puna District.
In January of 2013, I was promoted to Detective in the Area II Criminal Investigation
Section (Kona) where I spent two and a half years investigating violent, financial and
felony property crime. In August of 2015, I was transferred to Detective in the Area I
Criminal Investigation Section where I conducted the same types of investigations until
May of 2017.
In May of 2017, I transferred to Puna Patrol where I worked as a Sergeant (First Line
Supervisor). I supervised 14 Puna Patrol officers during my tenure which lasted until
August of 2019.
In August of 2019, I was promoted to Lieutenant of the Area I Juvenile Aid Section.
The Juvenile Aid Section consists of three investigative units. They are the Sexual
Assault Unit which focuses on sexual assaults of both adults and juveniles; the
Domestic Violence Unit which investigates felony abuse cases; and the General Detail
which investigates juvenile felony and status offense cases as well as manages our
canine unit which assists in missing persons cases.
POSITION DESCRIPTION
Position acts as a commander of an investigative section and is responsible for
planning, directing and coordinating the functions and activities of the section's
operations.
I t
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•
CONTRACT NO. 1 8-V2-1 5
Exhibit A
Part III. Budget
•
BUDGET
Period July 1, 2019 to June 30, 2021
Applicant/Provider: Hawaii Police Department
RFP No.: AG-CPJAD-VOCA-VA-2018 RFP
Contract No. (As Applicable):
BUDGET Budget HPD
CATEGORIES Request Year 1 Year 2 Match
(a) (b) (c) (d)
A. PERSONNEL COST
1. Salaries
_ 42,368
2. Payroll Taxes&Assessments 1,556
3. Fringe Benefits
8,578
TOTAL PERSONNEL COST 52,502
B. OTHER CURRENT EXPENSES
1. Airfare,Inter-Island
2. Airfare,Out-of-State
3. Audit Services
4. Contractual Services-Administrative
5. Contractual Services-Subcontracts 210,005 77,277 132,728
6. Insurance
7. Lease/Rental of Equipment
8. Lease/Rental of Motor Vehicle
9. Lease/Rental of Space
10. Mileage
11. Postage,Freight&Delivery
12. Publication&Printing
13. Repair&Maintenance
14. Staff Training
15. Substance/Per Diem
16. Supplies
17. Telecommunication
18. Transportation
19. Utilities
20
21.
22.
23. •
TOTAL OTHER CURRENT EXPENSES 210,005 77,277 132,728
C. EQUIPMENT PURCHASES
D. MOTOR VEHICLE PURCHASES
TOTAL (A+B+C+D)
210,005 77,277 132,728 52,502
qbudget Prepared thy.
SOURCES OF FUNDING Lieutenant Sandor P
e08-961•2254
(a) Budget Request 210,005 Name(Please type or print) P
(b) HPD Match 52,502 FEB 1 2 ` o
Signature of ARth,o :? I Date
it'n LJ c�►". 3setilr-I2
(d) >�
Name and Title( se type or print)
TOTAL REVENUE For State Agency Use Only
262,507
Signature of Reviewer Date
Form SPO-H.205 (Effective10101198)
. t
BUDGET
Period July 1,2019 to June 30, 2020
Applicant/Provider: Hawaii Police Department
RFP No.: AG-CPJAD-VOCA-VA-2018 RFP
Contract No.(As Applicable):
B U D G E`i` Budget HPD HPD Match YWCA
CATEGORIES Request
(a) (b) (c) (d)
r 1
A. PERSONNEL COST
1. Salaries • 21,184778
2. Payroll Taxes&Assessments
3. Fringe Benefits - 4,289
TOTAL PERSONNEL COST 26,251 -�—
B. OTHER CURRENT EXPENSES
1. Airfare.Inter-Island
2. Airfare,Out-of-State
3. Audit Services
4. Contractual Services-Administrative
5. Contractual Services-Subcontracts 77,277 77,277
6. Insurance
7. Lease/Rental of Equipment
8. Lease/Rental of Motor Vehicle
9. Lease/Rental of Space 4
10. Mileage
11. Postage,Freight&Delivery
12. Publication&Printing
13. Repair&Maintenance
14. Staff Training
15. Substance/Per Diem ,
16. Supplies
17. Telecommunication
18. Transportation
19. Utilities
20.Administrative Indirect Expense
21.
22.
23.
TOTAL OTHER CURRENT EXPENSES 77,277 77,277
C. EQUIPMENT PURCHASES
D. MOTOR VEHICLE PURCHASES
TOTAL (A+B+C+D) 77,277
26,251 77,277
8udgetPrepa -. 3 .
�
SOURCES OF FUNDING Lieutenant San,• inkey 808-961-2254
Nerve(Please type or print) Phone
(a) Budget Request 77,277FEB 12 2020
(b) HPD Match 26,251 PAidat4. &. 6/./
(C) Signature of Authorized of Date
kenL 014-14h)0"nDept 4-11.441
Name and Title(Ptee type or print)
For State Agency Use Only
TOTAL REVENUE 103,528
Signature of Reviewer Date
Form SPO-H-205 (Effective10101198)
BUDGET JUSTIFICATION
PERSONNEL-SALARIES AND WAGES
AppiicantiProsnder: Hawaii Police Department
RFP No.. AG-CPJAD-VOCA-v.,2018 RFP Period:,July 1,2019 to lune 30,2020 Date Prepared: 2/1/2.020
Contract No.(As Applicable):
FULL TIME • ANNUAL.SALARY %OF TIME TOTAL SALARY
POSITION POSITION TITLE EQUIVALENT TO INCLUDING BUDGETED BUDGETED TO BUDGETED
NO. ORGANIZATION SALARY INCREASE THE CONTRACT TO THE CONTRACT
A B AxR
1 Ca stain-Criminal Investi atiori Division-Area 1 1 • 139980 2,0000% 2,602
2 Lieutenant-Juvenile Aid Section Area 1 1 104,820 5,0000% 5.241
3 Lieutenant-Juvenile Aid Section Area 2 1 119,352 1.0000'A 1194
4 Detectives-Area 1 and 2 1 93,600 10,0000°A,
5 HPD-Accountant III 1 52,956 0.5000% 265
6 HPD-Police Operations Investigation Clerk 1 54,432 0,5000% 272
7 HPD-potectives Areas 1&2(SANE related) 1 03,600 2.4030% 2,250
8
10
11
12
TOTAL: jelegialiiiliall.20111011A1 ittakeineijel 2 1:18,1
JUSTIFICATION/COMMENTS:MATCH
Form SPO-H-206A(Effective 10101/98)
BUDGET JUSTIFICATION
PERSONNEL: PAYROLL TAXES,ASSESSMENTS,AND FRINGE BENEFITS
Applicant/Provider Hawaii Police Department -------- . .
.P.FP No: AG-CRAD-VOCA-VA-2018 R Period: July 1.2019 to June 30,2020 Date Prepared: _217/2029
Contract No.:
BASIS OF
ASSESSMENTS OR OF ,. HPD YWCA
TYPE FRINGE BENEFITS SALARY TOTAL TOTAL
PAYROLL TAXES&ASSESSMENTS AND FRINGE fini.000111,41400100,ingt. kiiiiii0l*T.P.OtaM-1:,-niii:: :;:g.:1',; :'.:1F0.1:1j4:.n•I,A6:,'",,-':,.,:,,A,-,,,,i,-
__Social Sect,_ ___ s21,184 . 1.45% i ' 307..
Unemployment Insurance(Federal) $21 184 M required tr,kviv $ -
--------t--------------........-.. ------ .
Unemployment Insurance(State) $21184 07400% : $ (57 .
.„_. --,,,—— -
Workers Compensation S21.184 0.9250L • $ 196
_ Terilorary_pqapriEtrice _ _•. s2i,ii34 0.5570% : $ 118 , .....,.
SUBTOTAL: . , . , 1-11,0,00$ 778
gliiilibilliallakilliallaiti.111,11.401111116:1 :,011-1$1,
FRINGE BENEFITS: -
igihlligiK+Migjjffttlppialliif.kftrplmsgpiomfipaplirlanimlug eitoktzgri.: ,_
Captain Area I CID - .. 130080 0.66000% $ 4$9
Lieutenant Area I Area 2 JAS . 224172 0.97600% $ 2,188 $
._ __ _ —
Detectives Area 1 and Area 2 JAS 93600 4.34180%. $ 4,064_
SUBTOTAL: Inaillitiligilialit NOW 11311.111,011•11.11011
. -
TOTAL: illillnen1111111111111111111111111111111111111611111,1111- $ 4,289 $ -
.,,,,,..„.....,._„„,„.,,..,.,..„,_,..:,„,..,,„.„,......_,....,,_,..,__,..„,„..„,,,,„„„..„,.„.,,_:„.,...,.,„..„,„,„..„_„:„..,,,,.,,,..„...,...,.,,:• ,:.........
JUSTIFICATIONICOMMENTS:
For fringe benefits,the total is$7,1 11 but the Hawaii Police Department is using only$4,289 as match,
F.,,,,SPO-R.2066 (Effectiva 10101198)
BUDGET JUSTIFICATION
CONTRACTUAL SERVICES.SUBCONTRACTS
APP,C.,11PrOver: Hawaii Police Department
Rri,No AG-CPJAD-VOCA-VA:2018 RFP Period „..J,uly,J„7020 in June 30„2021 Date Prepared
........--
SERVICES
NAME OF BuSiNEBS OR INDIVIDUAL 1.22TAL BUDGETED PROVIDED JUSTIFICATION/COMMENTS
YWCA SANE Nurse on Contract 16,449 PerfOrfri SAFE Examination on victims 135 exams at',4,.,50 per exam,p.A§.19,9•,f tjF.T ax__
c7,-,A SANF ,cm(online _...,45-0_11!eertieyieyv Chaqs 70 hours at$75/nr.
YWCA SANE Nurse on Contract , ..„3„9,00!Medir,..ai Consuity1.&Outreach 4 hours a month at S75Thr
YwCIA SANE,Nurses On-Call Pav 4.538 Jof,cao Pay for Nurses 1815„20 hours at$250ihr _
,, I - — .
_f_ayroll Taxes f 4.020 ticf‘ !Jntnelarttent Workers Comp,!DI rWCAtaff
YWCA-Fringe Benefrts ' 6,868-Retirement,Health tnsurance PNCA Staff
Indirect cost.fe @ 10'?"..deminin;i:7stiridirect--
YWCA Administrative Cost 7,025 Administrative Syyport
.„.
administrative costs include insurance costs,IT
Seniices tees,payroll and accounting Jr general
1 maintenance of facilities where nrourarn In tV,:11.1,3041,
— - financial audit fees and mst,.
y\ity_C.AIfrp9rain Director 19500 SalarieS
'YWCA Staff
.
S
vv(‘ .Accioupyr-ilManar r 6YWCA taffZ70.Salari?s
YWCA-Finance Assistant 1YWCA Staff
'WC
Salaries . .
- , „ 4
1,792 .5.'.r.„.l.P....5.,....,..,...,.„._ YWCA Staff
yWCA,-Intervention Specialist
_ ...•..,_.,„,,......,. .,..,.., — ..........,.....__—........_„„ ,,, „. „. .<,„„„ ..._„. ... . • , 1
..._...., ..„.._.,..,..,..................__
TOTAL, 77277 164.0fillignalligaimiOngitgailaNattnittutlieg,aklialnA.: ::,,,,,i .'-:-..:.:.::::::::::::;?,?::'.:,I.,:l4,,,,r..
Form SPO-14-206F;Effective 10/01.8)
BUDGET
Period July 1,2020 to June 30, 2021
Applicant/Provider: Hawaii Police Department
RFP No.: AG-CPJAD-VOCA-VA-2018 RFP
Contract No.(As Applicable):
BUDGET Budget HPD HPD Match YWCA
CATEGORIES Request
(a) (b) (c) (d)
A. PERSONNEL COST
1. Salaries 21,184
2. Payroll Taxes&Assessments 778
3. Fringe Benefits 4,289
TOTAL PERSONNEL COST 26,251
B. OTHER CURRENT EXPENSES
1. Airfare,Inter-Island
2. Airfare,Out-of-State
3. Audit Services
4. Contractual Services-Administrative 132.728
5. Contractual Services-Subcontracts 132,728
6. Insurance
7. Lease/Rental of Equipment
8. Lease/Rental of Motor Vehicle
9. Lease/Rental of Space
10. Mileage
11. Postage,Freight&Delivery
12. Publication&Printing
13. Repair&Maintenance
14. Staff Training
15. Substance/Per Diem
16. Supplies
17. Telecommunication
18. Transportation
19. Utilities
20.Membership Dues
21.Administrative Indirect Expense
22.
23.
TOTAL OTHER CURRENT EXPENSES 132,728 132,728
C. EQUIPMENT PURCHASES
D. MOTOR VEHICLE PURCHASES
TOTAL (A+B+C+D) 132,728
26,251 132,728
'budget Prepared By.
SOURCES OF FUNDING Lieutenant Sandor Fin 808-961-2254
(a) Budget Request 132,728 Name(Please type or print) FEB 1211
(b)HPD Match 26,251 � r .l�- &i ,As4
Signature of Authoriz OEfcia
F 141414 , 1Pliji° 0 r DepuW Wei Date
Chief Paul K.Ferreira
(d) Name and Title(Please type or print)
For State Agency Use Only
TOTAL REVENUE 158,979
Signature of Reviewer Date
Form SPO-H-205 (Effectivel 0101198)
BUDGET JUSTIFICATION _
PERSONNEL-SALARIES AND WAGES
Applicant/Provider. Hawaii Police Department
RFP No.: AG-CPIAD-VOCA-VA-2018 RFP Period:July 1.2020 to June 30,2021 Date Prepared: ,2/7/2020
Contract No.(As Applicable):
FULL TIME ANNUAL SALARY %OF TIME TOTAL SALARY
POStTLON POSITION TITLE EQUIVALENT TO INCLUDING BUDGETED BUDGETED TO BUDGETED
NO. ORGANIZATION SALARY INCREASE THE CONTRACT TO THE CONTRACT
A _ B AxB
1 Captain-Criminal Investigation Division Area 1 1 130,080 2.0000% 2,602
2 Lieutenant-Juvenile Aid Section Area 1 1 104,820 5.0000% 5,241
3 lieutenant-Juvenile Aid Section Area 2 1 119,352 1.0000% 1,194
4 HPD-Accountant III 1 52,956 0.5000% 265
5 HPD-Police Operations Investagation Clerk 1 54,432 0.5000% 272
6 HPD-Detectives-Areas 1&2(SANE related) 1 93,600 2.4038% 2250
7 HPD-Detectives-Areas 1&2(CJC related) 1 93,600 10.0000% 9,360
TOTAL: "r opi•, raitil i :;i g4s igrNE64:..•.t.p•:t �t ti�t ii:t: :n;...;;:tialii:fiWiii:. .i
etE:yij=
21.184
JUSTIFICATION/COMMENTS:
Form SPO-H-208A(Effective 10/01/98)
BUDGET JUSTIFICATION .
PERSONNEL: PAYROLL TAXES,ASSESSMENTS,AND FRINGE BENEFITS
s ,
Appicant1Provider Hawaii Police p,*artment
REP No: AG-CPJAD-VOCA-VA-2018 R Period: July1.2020 to June 30,2021 Date Prepared:
Contract No:
tA3 Appl,cab,e).
BASIS OF V.
ASSESSMENTS OR • OF HPD YWCA
TYPE FRINGE BENEFITS . SALARY TOTAL TOTAL
, e :..--,..,..„-----,,....,....,................., ,
4,•iR'-.?M.a.!1:ii,..1:1:411',AM1440.,0iit.:,,,;Z:Wii:ga4:.,. .,.;,',.,.:q,,,,,,,;+,:i,i,,,,,,,-.,0--,,,,,',,,,..:44,;.,q;:A..i.,,,,,,,-,,,, ..,„ ,i,: :•,.,:-0,,,,,ii•,,.-.,-.?; ,,,;:a:,,,,,..p,..:,,,,,,,,,,,,,,,,,,,,,,,,,,"..-
PAYROLL TAXES&ASSESSMENTS AND FRINGENI:ig.rt•Villtit itttf:Mt4-0.1:rkitWgnPtlPigrn4;:giiigVjr,AazMt::;Rg,R=W.A4 .
- -- '-'- - -.---- -'•--,,,,,,,--- : —,....,,,,,,„,„,„:„,;., .„,..,,,,,,,7,,,,:,,,,,•,, , „,;,,,,,..._, ,„„ ,..„,,,.. ,., , ,
__ Social Security 521.184 , 1.4500% . $ 307
Unemilo ment Insurance Federal _ $21184 As requiree_byjaw _
Unemployment Insurance(Stale.-L, , $21,184 _ 0.740Wit $ _187
__O./otter's Compensation $21184 0.9250% ..,,$ 19 _.
Temporary Disability Insurance $21,18,4 , .57 % , $
SUBTOTAL: $ 778 $
FRINGE BENEFITS: iiiii3Ogila OPriftitig.'1,1,.',;14iFeliaiiial0:141i.W.tiaifilifillitigtigliiMitit0•44.,J.V.,;•,,,,!NPtii,",,,-ii.Niti4,i,,,,,,,i:,t,t.:<,:i.,,t,p.• •:,.:t:-:,:.:,,&:,,.;,
• , ,.,.• - -.,,,,,,„„„,..,,,,s4„.„„,,,,..,..,.„.,r„,„,,..,,,...„,,,,,,„,,,„:„..„„,,,,,,,,,„,„,,..,,,„,„,,,.,,„,.:„,„;,,......,,,..,;,„,,,,„„,.,,„.:,„,„,..,....,.,,,.:„.,,,,,.;.„,,.,...,...,, ,,,
Captain Area I CID130080 06600% $ 859 $
•
Lieutenant Area 1 Area 2 JAS 224172 ,x.,, 0.9760% $ 2,188 S -
,_ Detectives Areal and Area 2 JAS93600 4,3418%. $ 4,064
SUBTOTAL: gtikiiiiiiitelltid"Mittli.O.WeigigarApping,,V,RiONgiViiiiiiiiiataitiiiiiWie $ 2,111 $ -
TOTAL :01:1p10444,44topriloiado.,,. .itlii,t443k•yA.;*:igt,-,M:qit,.O.:t.,P..4:!;.V.;:'ot,o,itht.,i'P'nzl:IMT',T:''IT'i'a $ 4 289 $
„,.. ,. ..„.-, ......,.„„: , - _ -,,,,
JUSTIFICATION/COMMENTS:
For fringe benefits,the total is$7,111 but the Hawaii Police Department is using only$4289 as match.
, --
Form SPO-14-206B(Effective 10101198)
BUDGET JUSTIFICATION
CONTRACTUAL SERVICES-SUBCONTRACTS
AppticantiProvider. Hawaii Police Department
RFP No.: AG-CPJAD-VOCA-VA-2018 RFP Period:July 1,2020 to June 30,2021 Date Prepared: 2/7/2020
Contract No.
(As Apptxaote}
SERVICES
NAME OF BUSINESS OR INDIVIDUAL TOTAL BUDGETED PROVIDED JUSTIFICATION/COMMENTS
YWCA SANE Nurse on Contract 32,898 Perform SAFE Examination on victims 70 exams at$450 per exam plus$19.97 GE Tax
YWCA SANE Nurse on Contract 5,250 Peer Review-Charts 70 hours at$75/hr. _
YWCA SANE Nurse on Contract 1,200 Peer Review-Meeting 4 hours a quarter at$75/hr for 4 Nurses
YWCA SANE Nurse on Contract 3,600 Medical Consultation&Outreach 4 hours a month at$75/hr
YWCA SANE Nurses On-Call Pay 21,000 On-Call Pay for Nurses 8400 hours at$2.50/hr
YWCA SANE Nurse on Contract 9,399 Strangulation&DV Cases 20 cases at$450 per case plus$19.97 GE Tax
YWCA-Training 6.000 Strangulation&DV Cases Training HPD/YWCA Staff
YWCA-Payroll Taxes 4,029 FICA,Unemployment,Worker's Comp,TDI YWCA Staff
YWCA-Fringe Benefits 6.868 Retirement,Health Insurance YWCA Staff
Membership Dues 900 SDFI Subscription Portal Use Secure Digital Forensic Imaging
Indirect cost rate @ 10%de minimus/indirect
YWCA Administrative Cost 12,066 Administrative Support
administrative costs include insurance costs.IT
Services fees,payroll and accounting fees,general
maintenance of facilities where program is housed,
financial audit fees and costs.
YWCA-Program Director 19,500 Salaries YWCA Staff
YWCA-Accounting Manager 6.770 Salaries YWCA Staff
YWCA-Finance Assistant 1,456 Salaries YWCA Staff
YWCA-Intervention Specialist 1,792 Salaries YWCA Staff
TOTAL: 132,728 a.sit '.�':i E�}Ejts€{ �.,'v� i i18:,,:ss�•.:~;.fit.t.h;•i •• r,,�1�.�ii,k.'{s'cr...:,::i?i.si�.:i:?it t�.?�::gh.•.,��,•••ri•�Ef^�??t:sesi�tii te�,ti!Et:itit3•:
;7^
%
a
Farm SPO-H-206F(Effective 10/81188)
i 1
CONTRACT NO. 18-V2-15
Exhibit A
Indirect Costs Form
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
INDIRECT COSTS COMPUTATION WORKSHEET
Please indicate the basis of the indirect cost rate(select one):
❑ Federally-negotiated indirect cost rate(current and approved). Please provide a copy of the
agreement to CPJAD.
O 10%De Minimis Rate. (Note: If Grantee has never received a Federally-negotiated indirect cost
rate and Grantee has received less than$35 million in direct federal funding for the fiscal year
requested, Grantee may elect to use the 10% De Minimis Rate.)
Please indicate the cost base used to calculate indirect costs(select one)and fill in the table below, as
appropriate:
O Modified Total Direct Costs(MTDC); "MTDC means all direct salaries and wages, applicable
fringe benefits, materials and supplies,services,travel,and subawards and subcontracts up to the
first$25,000 of each subaward or subcontract(regardless of the period of performance of the
subawards and subcontracts under the award). MTDC excludes equipment,capital expenditures,
charges for patient care,rental costs,tuition remission,scholarships and fellowships, participant
support costs and the portion of each subaward and subcontract in excess of$25,000. Other
items may only be excluded when necessary to avoid a serious inequity in the distribution of
indirect costs,and with the approval of the cognizant agency for indirect costs." (Emphasis
added.) 2 C.F.R. §220.68
❑ Direct Salaries and Wages: Includes only the costs of direct salaries and wages incurred by the
organization.
❑ Direct Salaries and Wages plus Fringe Benefits: Includes the costs of direct salaries and wages
and the direct fringe benefits incurred by the organization.
Direct Salaries and Wages(list by position title) Cost
YWCA PROGRAM DIRECTOR 19,500.00
YWCA ACCOUNTING MANAGER 6,770.00
YWCA FINANCE ASSISTANT 1,456.00
YWCA INTERVENTION SPECIALIST 1,79200
Subtotal Direct Salaries and Wages $ 29,518
Payroll Taxes/Fringe Benefits(list by position title) Cost
RETIREMENT-ALL STAFF $ 1,476
AG CPJAD#40 Indirect Cost Computation 1
HEALTH INSURANCE-ALL STAFF $ 5,392
PAYROLL TAXES $ 4,029
Subtotal Payroll Tax and Fringe Benefits $ 10,897
-
ServicesCost
SANE Nurse on Contract-SAFE Examinations $ 16,449
SANE Nurse on Contract-Peer Review $ 5,250
SANE Nurse on Contract-Medical Consultation&Outreach $ 3,600
YWCA SANE Nurses On-Call Pay $ 4,538
Subtotal Services $ 29,837
Materials and Supplies* (Itemize materials and supplies and related costs such as printing,
Cost
paper,binders,etc.)
,
Subtotal Materials and Supplies $ -
ground transportation,etc.) Cost
Travel(Itemize airfare,per diem,
,
Subrecipients(partners) up to$25,000 per partner
Cost
2
AG CPJAD#40 Indirect Cost Computation
Name&Scope of Subrecipient Total Contract Amount Amount Applied
Subtotal Subrecipients $ -
Subtotal Direct Costs $ 70,252
Your Agency's Indirect Cost Rate(negotiated or 10%De Minimis) 10.00%
TOTAL.Indirect Costs $ 7,025
*For the purposes of indirect costs,the Federal definition of equipment is utilized. The Federal definition defines equipment
as tangible personal property having: 1)a useful life of more than one year;and 2)a per unit acquisition cost of$5,000 or
greater is being utilized. All other items should be listed as supplies.
Please return the completed form to the Grant Specialist Memory Tanuvasa,within seven(7)working days of
receipt.
AG_CPJAD#40 Indirect Cost Computation 3
•
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
INDIRECT COSTS COMPUTATION WORKSHEET
Please indicate the basis of the indirect cost rate(select one):
❑ Federally-negotiated indirect cost rate (current and approved). Please provide a copy of the
agreement to CPJAD.
O 10%De Minimis Rate. (Note: If Grantee has never received a Federally-negotiated indirect cost
rate and Grantee has received less than$35 million in direct federal funding for the fiscal year
requested, Grantee may elect to use the 10%De Minimis Rate.)
Please indicate the cost base used to calculate indirect costs(select one) and fill in the table below, as
appropriate:
0 Modified Total Direct Costs(MTDC): "MTDC means all direct salaries and wages, applicable
fringe benefits, materials and supplies, services,travel,and subawards and subcontracts up to the
first$25,000 of each subaward or subcontract(regardless of the period of performance of the
subawards and subcontracts under the award). MTDC excludes equipment,capital expenditures,
charges for patient care,rental costs,tuition remission, scholarships and fellowships, participant
support costs and the portion of each subaward and subcontract in excess of$25,000. Other
items may only be excluded when necessary to avoid a serious inequity in the distribution of
indirect costs,and with the approval of the cognizant agency for indirect costs." (Emphasis
added.) 2 C.F.R. §220.68
❑ Direct Salaries and Wages: Includes only the costs of direct salaries and wages incurred by the
organization.
❑ Direct Salaries and Wages plus Fringe Benefits: Includes the costs of direct salaries and wages
and the direct fringe benefits incurred by the organization.
Direct Salaries and Wages(list by position title) Cost
YWCA PROGRAM DIRECTOR 19,500.00
YWCA ACCOUNTING MANAGER 6,770.00
YWCA FINANCE ASSISTANT 1,456.00
YWCA INTERVENTION SPECIALIST 1,792.00
Subtotal Direct Salaries and Wages $ 29,518
Payroll Taxes/Fringe Benefits(list by position title) Cost
RETIREMENT-ALL STAFF $ 1,476
AG CPJAD#40 indirect Cost Computation 1
HEALTH INSURANCE -ALL STAFF $ 5,392
PAYROLL TAXES $ 4,029
Subtotal Payroll Tax and Fringe Benefits $ 10,897
Services Cost
SANE Nurse on Contract-SAFE Examinations $ 32,898
SANE Nurse on Contract- Peer Reviews(Charts Meetings) $ 6,450
SANE Nurse on Contract- Medical Consultation&Outreach $ 3,600
YWCA SANE Nurses On-Call Pay $ 21,000
SANE Nurses on Contract-Strangulation&DV Cases $ 9,399
Subtotal Services $ 73,347
Materials and Supplies* (Itemize materials and supplies and related costs such as printing, Cost
paper,binders,etc.)
Membership Dues $ 900
Training $ 6,000
Subtotal Materials and Supplies $ 6,900
Travel(Itemize airfare,per diem,ground transportation,etc.) Cost
i
Subrecipients(partners) up to$25,000 per partner Cost
AG_CPJAD#40 Indirect Cost Computation 2
• t
Name&Scope of Subrecipient Total Contract Amount Amount Applied
Subtotal Subrecipients $ -
Subtotal Direct Costs $ 120,662
Your Agency's Indirect Cost Rate(negotiated or 10%De Minimis) 10.00%
TOTAL Indirect Costs $ 12,066
*For the purposes of indirect costs,the Federal definition of equipment is utilized. The Federal definition defines equipment
as tangible personal property having: 1)a useful life of more than one year;and 2)a per unit acquisition cost of$5,000 or
greater is being utilized. All other items should be listed as supplies.
•
•
Please return the completed form to the Grant Specialist Memory Tanuvasa,within seven(7)working days of
receipt.
AG_CPJAD#40 Indirect Cost Computation 3
CONTRACT NO. 1 8-V2-1 5
Exhibit A
Part IV. Certifications
I. Acceptance of Conditions
2. Acceptance of VOCA Special Conditions
3. Certification of Non-Supplanting
4. Certification of Lobbying
5. Certification of Non-Discrimination
6. Certification of Non-Discrimination Complaint Procedures
7. Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusions Lowe Tier Covered Transactions (Sub-
Recipient)
8. Certification Form Compliance with Equal Employment Opportunity
Plan (EEOP) Requirements
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
ACCEPTANCE OF CONDITIONS
The undersigned agrees, on behalf of the applicant agency,that:
1. This project,upon approval, shall constitute an official part of Hawaii's Victims of Crime
Act Victim Assistance Formula Grant Program established under the Victims of Crime
Act of 1984, Public Law 98-473,as amended, and codified at 42 U.S.C. 10601,et seq.
2. Any grant awarded pursuant to this application shall be subject to and will be
administered in conformity with :
(a) general conditions applicable to administration of grants under the Victims of
Crime Act Victim Assistance Formula Grant Program established under the
Victims of Crime Act of 1984, Public Law 98-473, as amended, as applicable;
(b) conditions applicable to the fiscal administration of grants under the Victims of
Crime Act Victim Assistance Formula Grant Program established under the
Victims of Crime Act of 1984,Public Law 98-473, as amended, as applicable;
(c) any special conditions contained in the grant award; and
(d) general and fiscal regulations of the Crime Prevention and Justice Assistance
Division.
3. Any grant received as a result of this application may be terminated,or fund payment
may be discontinued, by the Crime Prevention and Justice Assistance Division when it
finds a substantial failure to comply with the foregoing provisions, the application
obligations or for non-availability of funds.
SUBMITTED BY:
Name Paul : ;p: Title Police Chief
Signatur Date MAR 9 d 7026
AG/CPJAD# 14 VOCA (7/2010)
{ I
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
ACCEPTANCE OF VOCA SPECIAL CONDITIONS
The undersigned Grantee understands and agrees, on behalf of its agency that:
1. Requirements of the Award; Remedies for Non-Compliance or for Materially False
Statements
The conditions of this award are material requirements of the award. Compliance with
any certifications or assurances submitted by or on behalf of the Grantee that relate to
conduct during the period of performance also is a material requirement of this award.
Failure to comply with any one or more of these award requirements—whether a
condition set out in full below, a condition incorporated by reference below, or a
certification or assurance related to conduct during the award period—may result in
CPJAD taking appropriate action with respect to the Grantee and the award. Among
other things, CPJAD may withhold award funds,disallow costs, or suspend or terminate
the award. The Department of Justice and CPJAD also may take other legal action as
appropriate.
Any materially false, fictitious, or fraudulent statement to the state and/or federal
government related to this award (or concealment or omission of a material fact)may be
the subject of criminal prosecution(including under 18 U.S.C. 1001 and/or 1621,
and/or34 U.S.C. 10272 ), and also may lead to imposition of civil penalties and
administrative remedies for false claims or otherwise(including under 31 U.S.C. 3729-
3730 and 3801-3812).
Should any provision of a requirement of this award be held to be invalid or
unenforceable by its terms,that provision shall first be applied with a limited construction
so as to give it the maximum effect permitted by law. Should it be held, instead,that the
provision is utterly invalid or unenforceable, such provision shall be deemed severable
from this award.
2. Applicability of Part 200 Uniform Requirements
Grantee agrees to comply with the financial and administrative requirements set forth in 2
C.F.R. Part 200 and the current edition of the Department of Justice(DOJ)Grants
Financial Guide.
Grantee understands and agrees that CPJAD may withhold award funds, or may impose
other related requirements, if the Grantee does not satisfactorily and promptly address
outstanding issues from audits required by the Part 200 Uniform Requirements (or by the
AG/CP.JAD#26 FY 2018 VOCA Special Conditions(revised 2/2019) 1
terms of this award), or other outstanding issues that arise in connection with audits,
investigations,or reviews of CPJAD awards.
3. Reporting Requirements and Performance Metrics
The Subgrant Award Report (SAR)required by OVC shall be submitted to CPJAD 14
days following the execution of the contract. County prosecutors shall also submit a
report for each funded non-profit agency within 14 days after the non-profit agency's
contract is executed with county,but no later than 90 days following the execution of
county's contract with CPJAD.
Grantee agrees to submit(and, as necessary, require sub-recipients to submit)
performance measure reports (PMT)on the performance metrics identified by OVC. This
information on the activities supported by the award funding will assist in assessing the
effects that VOCA Victim Assistance funds have had on services to crime victims within
the jurisdiction. The Grantee agrees to submit the reports quarterly. The reporting periods
and due dates are:
October 1 —December 31 due January 15
January 1 -March 31 due April 15
April 1 —June 30 due July 15
July 1 September 30 due October 15
The fourth quarter will include the VOCA Grantee Report narrative questions for the
period of October 1 to September 30. Grantees shall submit a report for each funded
agency.
4. Reporting Potential Fraud,Waste,and Abuse,and Similar Misconduct
Grantee shall promptly refer to the DOJ OIG any credible evidence that a principal,
employee, agent,contractor, subgrantee, subcontractor,or other person has either 1)
submitted a false claim for grant funds under the False Claims Act; or 2)committed a
criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery,
gratuity, or similar misconduct involving grant funds. Potential fraud, waste, abuse, or
misconduct should be reported to the OIG by:
Mail: Office of the Inspector General
U.S. Department of Justice
Investigations Division
950 Pennsylvania Avenue,N.W.
Room 4706
Washington, DC 20530
E-mail: oig.hotline�?a,usdol.gov
Hotline: (contact information in English and Spanish): (800) 869-4499, or
Hotline fax: (202) 616-9881
AG/CPJAD#26 FY 2018 VOCA Special Conditions(revised 2/2019) 2
a 1
t •
Additional information is available from the DOJ OIG website at
https://www.usdoj.gov/oig
5. Training(s)/Conference(s) Compliance
Grantee agrees to comply with all applicable laws,regulations,policies,and guidance
(including specific cost limits,prior approval and reporting requirements, where
applicable)governing the use of federal funds for expenses related to conferences,
meetings,trainings, and other events. Information on pertinent laws,regulations,
policies, and guidance is available in the DOJ Grants Financial Guide Conference Cost
Chapter.
Grantee understands and agrees that any training or training materials developed or
delivered with funding provided under this award must adhere to the OJP Training
Guiding Principles for Grantees and Sub-grantees,available at
https://www.ojp.usdoi.gov/funding/ojptrainingguidingprinciples.htm
6. Federal Leadership on Reducing Text Messaging While Driving
Pursuant to Executive Order 13513,"Federal Leadership on Reducing Text Messaging
While Driving,"74 Fed. Reg. 51225 (October 1,2009), the CPJAD encourages grantees
and sub-grantees to adopt and enforce policies banning employees from text messaging
while driving any vehicle during the course of performing work funded by this grant, and
to establish workplace safety policies and conduct education, awareness, and other
outreach to decrease crashes caused by distracted drivers.
7. Duplicate Award of Federal Funds
Grantee agrees that if it currently has an open award of federal funds or if it receives an
award of federal funds other than this CPJAD award, and those award funds have been,
are being, or are to be used, in whole or in part,for one or more of the identical cost items
for which funds are being provided under this CPJAD award, the grantee will promptly
notify, in writing, the assigned Criminal Justice Planning Specialist for this CPJAD
award, and, if so requested by CPJAD, seek a budget or project narrative modification to
eliminate any inappropriate duplication of funding.
8. Restrictions and Certifications Regarding Non-Disclosure Agreements and Related
Matters
No Grantee or subgrantee under this award,or entity that receives a contract or
subcontract with any funds under this award,may require any employee or contractor to
sign an internal confidentiality agreement or statement that prohibits or otherwise
restricts, or purports to prohibit or restrict, the reporting(in accordance with law)of
waste, fraud, or abuse to an investigative or law enforcement representative of a federal
department or agency authorized to receive such information.
AG/CPJAD#26 FY 2018 VOCA Special Conditions(revised 2/2019) 3
9. Prohibited Conduct Related to Trafficking in Persons
Grantee, and any subgrantee at any tier,must comply with all applicable requirements
(including requirements to report allegations)pertaining to prohibited conduct related to
the trafficking of persons,whether on the part of Grantees,subgrantees, or individuals
defined(for purposes of this condition)as"employees"of the Grantee or of any
subgrantee.
The details of the Grantee's obligations related to prohibited conduct related to
trafficking in persons are posted on the OJP web site at
https:llojp.gov/funding/Explore/ProhibitedConduct-Traif cking.htm (Award condition:
Prohibited conduct by grantees and subgrantees related to trafficking in persons
(including reporting requirements and OJP authority to terminate award)), and are
incorporated by reference here.
10. General Appropriations-Law Restrictions
Grantee, and any subgrantee at any tier, must comply with all applicable restrictions on
the use of federal funds set out in federal appropriations statutes. Pertinent restrictions,
including from various"general provisions" in the Consolidated Appropriations Act,
2017, are set out at https://ojp.gov/funding/Explore/FY 17AppropriationsRestrictions.htm
and are incorporated by reference here.
Should a question arise as to whether a particular use of federal funds by a Grantee or
subgrantee would or might fall within the scope of an appropriations-law restriction,the
grantee is to contact CPJAD for guidance,and may not proceed without the express prior
written approval of CPJAD.
11. DOJ Regulations Pertaining to Civil Rights and Nondiscrimination
28 C.F.R. Part 38
Grantee, and any subgrantee at any tier,must comply with all applicable requirements of
28 C.F.R. Part 38,specifically including any applicable requirements regarding written
notice to program beneficiaries and prospective program beneficiaries. Part 38 of 28
C.F.R.,a DOJ regulation, was amended effective May 4, 2016.
Among other things, 28 C.F.R. Part 38 includes rules that prohibit specific forms of
discrimination on the basis of religion,a religious belief, a refusal to hold a religious
belief,or refusal to attend or participate in a religious practice. Part 38 also sets out rules
and requirements that pertain to Grantee and subgrantee organizations that engage in or
conduct explicitly religious activities,as well as rules and requirements that pertain to
Grantees and subgrantees that are faith-based or religious organizations.
AG/CPJAD 426 FY 2018 VOCA Special Conditions(revised 2/2019) 4
The text of the regulation, now entitled"Partnerships with Faith-Based and Other
Neighborhood Organizations,"is available via the Electronic Code of Federal
Regulations (currently accessible at https://www.ecfr.gov/cgi-bin/ECFR?page=browse),
by browsing to Title 28-Judicial Administration, Chapter 1, Part 38, under e-CFR
"current"data.
28 C.F.R. Part 54
Grantee, and any subrecipient("subgrantee") at any tier,must comply with all applicable
requirements of 28 C.F.R. Part 54,which relates to nondiscrimination on the basis of sex
in certain"education programs."
12. 41 U.S.C.4712 (Including Prohibitions on Reprisal; Notice to Employees)
Grantee must comply with,and is subject to, all applicable provisions of 41 U.S.C. 4712,
including all applicable provisions that prohibit, under specified circumstances,
discrimination against an employee as reprisal for the employee's disclosure of
information related to gross mismanagement of a federal grant,a gross waste of federal
funds, an abuse of authority relating to a federal grant, a substantial and specific danger
to public health or safety,or a violation of law, rule,or regulation related to a federal
grant.
Grantee also must inform its employees,in writing(and in the predominant native
language of the workforce),of employee rights and remedies under 41 U.S.C. 4712.
13. "Lobbying" Restrictions
In general, as a matter of federal law, federal funds may not be used by the Grantee, or
any subrecipient("subgrantee")at any tier,either directly or indirectly, to support or
oppose the enactment,repeal,modification, or adoption of any law, regulation, or policy,
at any level of government. See 18 U.S.C. 1913. (There may be exceptions if an
applicable federal statute specifically authorizes certain activities that otherwise would be
barred by law.)
Another federal law generally prohibits federal funds awarded from being used by the
Grantee, or any subrecipient at any tier,to pay any person to influence(or attempt to
influence) a federal agency,a Member of Congress, or Congress(or an official or
employee of any of them) with respect to the awarding of a federal grant or cooperative
agreement,subgrant, contract, subcontract, or loan,or with respect to actions such as
renewing, extending, or modifying any such award. See 31 U.S.C. 1352. Certain
exceptions to this law apply, including an exception that applies to Indian tribes and tribal
organizations.
Should any question arise as to whether a particular use of federal funds by a Grantee (or
subrecipient)would or might fall within the scope of these prohibitions,the Grantee is to
AG/CPJAD#26 FY 2018 VOCA Special Conditions(revised 2/2019) 5
contact CPJAD for guidance,and may not proceed without the express prior written
approval of CPJAD.
SUBMITTED BY:
Signature: - Date:
QC) MAR 2 4 2920
Name: Paul K. Ferreira Title: Police Chief
Agency: Hawaii Police Department
AG/CPJAD#26 FY 2018 VOCA Special Conditions(revised 2/2019) 6
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION OF NON-SUPPLANTING
I certify that federal funds will not be used to supplant State, local or other non-federal funds that
would,in the absence of such federal aid,be made available for law enforcement,criminal justice,
and victim compensation and assistance activities.
SUBMITTED BY:
Signature: Date: MAR 4 ZOZO
Name: Paul K Ferreria Title: Police Chief
Agency: Hawaii Police Department
AG/CPJAD#3 06/02
•
- v
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION REGARDING LOBBYING
Each person shall file the most current edition ofthis certification and disclosure form,if applicable,
with each submission that initiates agency consideration of such person for an award of a Federal
contract,grant,or cooperative agreement of$100,000 or more;or Federal loan of$150,000 or more.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352,title 31,U.S.Code. Any person who fails to
file the required certification shall be subject to a civil penalty of not less than$10,000 and not more
than$100,000 for each such failure.
The undersigned certifies, to the best of his or her knowledge and belief,that:
(1) No Federal appropriated funds have been paid or will be paid to any person for influencing
or attempting to influence an officer or employee of any Federal agency, a Member of
Congress,an officer or employee of Congress,or an employee of a Member of Congress in
connection with the awarding of any Federal contract,the making of any Federal grant,the
making of any Federal loan, the entering into of any cooperative agreement, and the
extension,continuation,renewal,amendment,or modification of any Federal contract,grant,
loan or cooperative agreement.
(2) If any non-Federal funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any Federal agency, a Member of
Congress,an officer or employee of Congress,or an employee of a Member of Congress in
connection with this Federal contract,grant,loan,or cooperative agreement,the undersigned
shall initial here and complete and submit Standard Form # LLL, A Disclosure of
Lobbying Activities, in accordance with its instructions.
(3) Recipient understands and agrees that it cannot use any Federal funds, either directly or
indirectly, in support of the enactment, repeal, modification, or adoption of any law,
regulation or policy,at any level of government,without the express prior written approval
of the U.S. Department of Justice, Office of Justice Programs.
(4) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers and that all subrecipients shall certify and disclose
accordingly.
SUBMITTED
ni
Signature.. Date: MAR 2 4 2020
Name: Paul K. Ferreira Project No: 18-V2-15
Title: Police Chief
Hawaii Police Department
349 Kapiolani Street,Hilo HI 96720 OVC
Name and Address of Organization Name of OJP Agency
AG/CPJAD#22 Rev.01/2017
p
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION OF NON-DISCRIMINATION
I certify that the applicant agency will comply with and will insure compliance by its subgrantees and
contractors with the non-discrimination requirements of:
• The Omnibus Crime Control and Safe Streets Act of 1968, as amended, which prohibits
discrimination on the basis of race, color, national origin, religion, or sex, in Office of Justice
Programs, Office of Community Oriented Policing Services, and Office on Violence Against Women
funded programs or activities.(42 U.S.C. §3789d and 28 C.F.R. §42.201 et seq.)
• Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race, color or
national origin in Office of Justice Programs, Office of Community Oriented Policing Services, and
Office on Violence Against Women funded programs or activities. (42 U.S.C. §2000d and 28 C.F.R.
§42.101 et leap
• Section 504 of the Rehabilitation Act, which prohibits discrimination on the basis of disability in
Office of Justice Programs,Office of Community Oriented Policing Services, and Office on Violence
Against Women funded programs or activities.(29 U.S.C. §794 and 28 C.F.R. §42.501 et seq.)
• Section 1407 of the Victims of Crime Act (VOCA), which prohibits discrimination on the basis of
race, color, national origin, religion, sex, or disability in VOCA funded programs or activities. (42
U.S.C. §10604)
• Title II of the Americans with Disabilities Act of 1990, as it relates to discrimination on the basis of
disability in Office of Justice Programs,Office of Community Oriented Policing Services, and Office
on Violence Against Women funded programs or activities.(42 U.S.C. §12132 and 28 C.F.R.Pt. 35)
• Title IX of the Education Amendments of 1972, as it relates to discrimination on the basis of sex in
Office of Justice Programs,Office of Community Oriented Policing Services, and Office on Violence
Against Women funded training or educational programs.(20 U.S.C. §1681 and 28 C.F.R.Pt. 54)
• The Age Discrimination Act of 1975 as it relates to services discrimination on the basis of age in
Office of Justice Programs, Office of Community Oriented Policing Services,and Office on Violence
Against Women funded programs or activities.(42 U.S.C. §6102 and 28 C.F.R. §42.700 et seq.)
• Executive Order No. 13166 prohibiting discrimination of Limited English Proficient Persons.
• Executive Order No. 13279 and 28 C.F.R. pt. 38 regarding equal protection of the laws for faith-
based organizations.
• The Violence Against Women Reauthorization Act of 2013, Pub. L. No. 113-4, 127 Stat. 54 §
3(b)(2013) which prohibits excluding, denying benefits to, or discriminating against any person on
the basis of actual or perceived race, color, religion, national origin, sex, gender identity, sexual
orientation, or disability in any program or activity funded in whole or in part with funds made
available through VAWA or the Office on Violence Against Women.(42 U.S.C. § 13925(b)(13)).
No person shall, on the grounds of race, color, religion, national origin, sex, or disability, be excluded
from participation in, be denied the benefits of, be subjected to discrimination under, or be denied
employment in connection with any program or activity funded in whole or in part with funds made
available under this title from the U.S. Department of Justice through the Department of the Attorney
General, Crime Prevention and Justice Assistance Division. Noncompliance with the discrimination
regulations may result in the suspension or termination of funding.
SUBMITTED B
Signature: Date: MAR 2 4 MO
Name: Paul K Ferreira Title: Police Chief
Agency: Hawaii Police Department.
AG/CPJAD#15(revised 7/2015)
17 V
DEPARTMENT OF THE ATTORNEY GENERAL
Crime Prevention and Justice Assistance Division
CERTIFICATION OF NON-DISCRIMINATION COMPLAINT PROCEDURES
The U.S. Department of Justice,Office of Justice Programs(OJP),Office for Civil Rights(OCR)
has jurisdiction to investigate complaints of discrimination against recipients of funding from
OJP (which includes component agencies such as the Bureau of Justice Assistance,the Office for
Victims of Crime,and the National Institute of Justice), Office on Violence Against Women, and
the COPS Office. OCR has indicated that recipients and subrecipients of federal funding should
have non-discrimination complaint procedures. Therefore,
I certify that the Hawaii Police Department (name of agency)
has non-discrimination complaint procedures which include:
(1) a coordinator who is responsible for overseeing the complaint process. The agency's
coordinator is:
Pawl K. Ferreira Chief Of Police (808) 961-2243
Name Title Phone
(2) a procedure to ensure that beneficiaries or employees of funded subrecipients are aware
that they may complain of discrimination directly to a subrecipient, to the Department of
the Attorney General,or to the Office for Civil Rights.
(3) a procedure to investigate the complaint. (The procedure may be an internal investigation
or forwarding the complaint to the Department of the Attorney General,the OCR, or
another appropriate external agency.)
(4) a procedure to notify the Department of the Attorney General,Crime Prevention and
Justice Assistance Division of the complaint. (The Department will forward the
complaint information to OCR and may conduct an investigation of the complaint.)
(5) a procedure to notify the Department of the Attorney General of the findings of the
investigation.
SUBMITTED BY:
MAR 2 4 2020
Signature: Date:
Name: _Paul K. Ferreira Title: Police Chief
(Head of Agency or Designee)
AG/CPJAD#30 6/2010
q Y
11
U.S.DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary Exclusion
Lower Tier Covered Transactions
(Sub-Recipient)
This certification is required by the regulations implementing Executive Order 12549, Debarment and
Suspension,28 CFR Part 67, Section 67.510,Participants'responsibilities.The regulations were published as Part VII of
the May 26, 1988 Federal Register(pages 19160-19211).
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE)
(1) The prospective lower tier participant certifies,by submission of this proposal,that neither it nor its principals are
presently debarred,suspended, proposed for debarment,declared ineligible,or voluntarily excluded from
participation in this transaction by any Federal department of agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification,such
prospective participant shall attach an explanation to this proposal.
Paul K. Ferreira, Police Chief
. Name and Title of Authorized Representative
MAR 2 4 2020
Signature Date
Hawaii Police Department
Name of Organization
349 Kapiolani Street
Address of Organization
Hilo, HI 96720
OJP FORM 406111 (REV.2/89)Previous editions are obsolete
t
e, t<.4
CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP)Requirements
Please read care,fully the Instructions(see below)and then complete Section A or Section B or Section C,not all three.If recipient
completes Section A or C and sub grants a single award over$500,000,in addition,please complete Section D.
Recipient's Name:Hawaii Police Department
Address:349 Kaplolanl Street,Hilo H196720
Is agency a;a Direct or o Sub recipient of OJP,OVW or COPS funding? Law Enforcement Agency?rig Yes o No
DUNS Number:613154355 Vendor Number(only if direct recipient)
Name and Title of Contact Person:Paul K.Ferreira,Police Chief
Tele'hone Number:808-326-4646 E-Mail Address:paut.ferreira@hawaiicounty.gov
Section A—Declaration Claiming Complete Exemption from the EEOP Requirement
Please check all the following boxes that apply.
o Less than fifty employees. o Indian Tribe a Medical Institution.
a Nonprofit Organization o Educational Institution a Receiving a single award(s)less than$25,000.
I, [responsible
official], certify that
[recipient]is not required to prepare an EEOP for the reason(s)checked above,pursuant to 28 C.F.R§42.302.
I further certify that [recipient]
will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the delivery of
services.
If recipient sub grants a single award over$500,000,in addition,please complete Section D
Print or T ,Name and Title Si: ature Date
Section B—Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying
That an EEOP Is on File for Review
If a recipient agency has fifty or more employees and is receiving a single award or,subaward,of$25,000 or more,but less than$500,000,then
the recipient agency does not have to submit an EEOP to the OCR for review as long as it certifies the following(42 C F.R.§42.305):
I, Paul K.Ferreira [responsible
official], certify that Hawaii Police Department
[recipient],which has fifty or more employees and is receiving a single award or subaward for$25,000 or more,but less
than$500,000,has formulated an EEOP in accordance with 28 CFR pt.42,subpt.E. I further certify that within the last
twenty-four months,the proper authority has formulated and signed into effect the EEOP and,as required by applicable
federal law,it is available for review by the public,employees,the appropriate state planning agency,and the Office for
Civil Rights,Office of Justice Programs,U.S.Department of Justice. The EEOP is on file at the following office:
Hawaii Police Department
[Organization],
349 Kapiolaru Street.Hilo HI 96720
[address]. MAR 2 4 2020
Paul K.Ferreira.Police Chief
Print or Type Name and Title Signature Date
Section C--Declaration Stating that an EEOP Short Form Has Been Submitted to the Office for Civil
Rights for Review
Ifa recipient agency has fifty or more employees and is receiving a single award,or subaward,of S500,000 or more,then the recipient agency
must send an EEOP Short Form to the OCR for review.
1 [responsible
official], certify that
[recipient],which has fifty or more employees and is receiving a single award of$500,000 or more,has formulated an
EEOP in accordance with 28 CFR pt. 42,subpt. E, and sent it for review on •
[date] to the Office for Civil Rights,Office of Justice Programs,U.S.Department of Justice.
If recipient sub-grants a single award over$500,000,in addition,please complete Section D
Print or Type Name and Title Signature Date
v' � . .