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OFFICE OF THE FLORIDA ATTORNEY GENERAL <br />VOCA 2017-2018 <br />Organization: Indian River County Sheriffs Office <br />Grant No.: VOCA-2017-Indian River County Sheri -00510 <br />EEOP Certification Form <br />Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements <br />Carefully read the instructions below and then complete the applicable section for your agency. <br />Recipient's Name: Indian River County <br />Sheriffs Office <br />Address: 4055 41st Avenue, Vero Beach, Florida, 32960-1802 <br />Grant Title: VOCA 2017 <br />Requested Award Amount: $89,639.56 <br />Name and Title of Contract Person: Mr. Deryl Loar Sheriff <br />Telephone Number: (772) 978-6404 <br />DUNS Number: 039894332 <br />Grant Number: VOCA-2017-Indian River County <br />Sheri -00510 <br />E -Mail Address: dloar@iresheriff.org <br />Section A - Declaration Claiming Complete Exemption from the EEOP Requirement <br />Please check all the following boxes that apply: <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 />1, (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 further certify that [recipient] <br />will comply with applicable federal civil rights laws that prohibit discrimination in employment and in the <br />delivery of services. <br />V 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 as it certifies the following (42 C.F.R. § 42.305)- <br />02/24/2017 <br />I, Dervl Loar [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 />Page 17 of 44 <br />P165 <br />