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OFFICE OF THE FLORIDA ATTORNEY GENERAL <br />VOCA 2016-2017 <br />Organization) Indian River County Sheriffs Office Grant No.: VOCA-2016-Indian River County Sheri -00470 <br />EEOP Certification Form <br />Compliance Lh the E ual Em to miq p y ent Opportunity Plan (EEOP) Requirements <br />Carefully read <br />the instructions below and then complete the applicable section for your agency <br />Recipient's Name: Indian River County DUNS Number: 039894332 <br />Sheriffs Office <br />Address: 4055 41 st Avenue <br />, Vero Beach, (Florida, 32960-1802 <br />Grant Title: VI CA 2016 Grant Number: VOCA-2016-Indian River County <br />Sheri -00470 <br />Requested Award Amount: $90,555.60 <br />Name and Title of Contract Person: Mr Deryl Loar Sheriff <br />Telephone NuImber: (772) 978-6404 E -Mail Address: dloar@iresheriff org <br />Section A - Declaration Claiming Complete Exemption from the EEOP Requirement <br />Please icheck all the following boxes that apply- <br />Recipient <br />pply <br />Recipient has less than fifty employees <br />Recipient is a nonprofit organization. <br />Recipient is an Indian tribe. <br />Recipient is an educational institution <br />Recipient is a medical institution. <br />Recipient is receiving an award less than <br />$25,000 <br />I, [responsible official], <br />certify that [recipient] is <br />not required to prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R § 42.302 <br />1 furtherlcertify that [recipient] <br />will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the <br />delivery 'of services <br />Section B - Declaration Claiming Exemption from the EEOP Submission Requirement and <br />Certifying that an EEOP is on File for Review <br />If a recipient agency has fifty or more employees and is receiving a single award or subaward of <br />$25, 000!or more, but less than $500, 000, then the recipient agency does not have to submit an EEOP <br />to the OCR for review as long a's it certifies the following (42 C.F R § 42 305) <br />I,i Deryl Loa r [responsible official], <br />certify that Indian River County Sheriffs Office [recipient], <br />which has fifty or more employees and is receiving a single award or subaward for $25,000 or <br />more, but less than $500,000, has formulated an EEOP in accordance with 28 CFR pt. 42, subpt. <br />E. I further certify that within the last twenty-four months, the proper authority has formulated and <br />02/23/2016 <br />Page 17 of 42 <br />106 <br />