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t <br /> CERTIFICATION FORM <br /> Recipient Name and Address . Indian River County Board of County Commissioners, 1801276' Street, Vero Beach, FL 32960 <br /> Grant Title : Indian River County Drug Testing Program Grant Number: 20144AGG2114 Award Amount: $ 103575 . 00 <br /> Contact Person Name and Title : Colleen Peterson, Human Resources Mgr. phone Number: _ (72) 226- 1377 <br /> Federal regulations require recipients of financial assistance from the Office of Justice Programs (OJP ) , its component agencies, and the <br /> Office of Community Oriented Policing Services (COPS ) to prepare , maintain on file , submit to OJP for review., and implement an Equal <br /> Employment Opportunity Plan (EEOP ) in accordance with 28 C .F .R § § 42 .301 -308 . The regulations exempt som, e.frr4pients from all <br /> of <br /> the EEOP requirements . Other recipients , according to the regulations , must prepare , maintain on file and impl *it <br /> afi EEOP , but they <br /> do not need to submit the EEOP to OJP for review . Recipients that claim a complete exemption from the EEOP requirement must <br /> complete Section A below . Recipients that claim the limited exemption from the submission requirement, must complete Section B <br /> below . A recipient should complete either Section A or Section B , not both . If a recipient receives multiple OJP or COPS <br /> grants, <br /> please complete a form for each grant, ensuring that any EEOP recipient certifies as completed and on file (if applicable) has <br />been � < 0ya > <br /> prepared within two years of the latest grant. Please send the completed form(s) to the Office for Civil Rights , Office of Justice <br /> Pro a Tis z '� <br /> U . S . Department of Justice 810 7'h, Street N .W . Washington, D . C . 20531 . For assistance in completing this form lease <br /> call 202 07 ° A ; <br /> p � � <br /> P g , P ( � �, � � <br /> 0690 or TTY (202) 307-2027 . m $ � 0a <br /> Section A- Declaration Claiming Complete Exemption from the EEOP Requirement. please check all the boxes t 16 � � € > <br /> apply a <br /> NTg <br /> ❑ Recipient has less than 50 employees , ❑ Recipient is an Indian tribe , _ > <br /> ❑ Recipient is a non -profit organization, ❑ Recipient is an educational institution, or ;I <br /> ❑ Recipient is a medical institution, ❑ Recipient is receiving an award less than $ 25 ,000 <br /> I, [responsible official] , certify that a <br /> [recipient] is not required to M <br /> prepare an EEOP for the reason(s) checked above , pursuant to 28 C .F .R §42 . 302 . I further certify that <br /> [recipient] will comply with applicable Federal civil rights <br /> laws that prohibit discrimination in employment and in the delivery of services . <br /> Print or type Name and Title Signature Date <br /> Section B- Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an <br /> EEOP Is on File for Review . <br /> If a recipient agency has 50 or more employees and is receiving a single award or subaward for $ 25 ,000 or more , but less <br /> than $ 500 ,000 , <br /> then the recipient agency does not have to submit an EEOP to OJP for review as long as it certifies the following (42 C <br />. F .R. § 42 . 305 ) : <br /> I Colleen Peterson [responsible official] , certify that <br /> the Indian River County BCC [recipient] ,which has 50 or more <br /> employees and is receiving a single award or subaward for $25 , 000 or more , but less than $500,000, has formulated an <br /> EEOP in accordance with 28 CFR §42 . 301 , et seq. , subpart E. I further certify that the EEOP has been formulated and <br /> signed into effect within the past two years by the proper authority and that it is available for review. The EEOP is on <br /> file in <br /> the office of: Indian River County Board of County Commissioners [organization] , <br /> at 1801 27 Street, Vero Beach, FL 32960 [address] ,for review by the public and <br /> employees or for review or audit by officials of the relevant state planning agency or the Office for Civil Rights , Office of <br /> Justice Programs, U . S . Department of Justice, as required by elevant laws and regulations . <br /> Colleen Peterson, Human Resources Manager ltd d <br /> Print or type Name and Title Signature Date <br /> OMB Approval No. 11214140 Expiration Date: 12/31 /12 <br />