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C> <br />with federal equitable sharing funds. The recipient agency shall establish a separate revenue account or accounting code for <br />state, local, Department of Justice, and the Department of the Treasury forfeiture funds. Interest income generated must be <br />deposited in the appropriate federal forfeiture fund account. <br />The panics agree that such accounting will be subject to the standard accounting requirements and practices employed for other <br />such public monies as supplemented by requirements set forth in the current edition of the Department of Justice's A Guide to <br />Equitable Sharing of Federally Forfeited Propern- for State and Local Law Enforcement Agencies (Justice Guide), and the <br />Department of the Treasury's Guide to Equitable Sharing for Foreign Countries and Federal, State. and Local Lair <br />Enforcement Agencies (Treasun, Guide). The accounting of shared funds must be submitted in the format shown on the Annual <br />Certification Report contained in both the Justice and Treason• Guides. <br />The misuse or misapplication of shared resources or the supplantation of existing resources with shared assets is prohibited. <br />Failure to comply with any provision of this agreement shall subject the recipient agency to the sanctions stipulated in the current <br />edition of the Justice or Treasury Guides, depending on the source of the funds or property. <br />6. Federal Annual Certification Report. The recipient agency shall submit an Annual Certification Report to the Department <br />of Justice and the Department of the Treasury (at the addresses shown in item 1) and a copy to the U.S. Attorney in the district <br />in which the recipient agency is located. The certification must be submitted in accordance with the instructions received from the <br />respective departments or as outlined in the Justice or Treasun, Guides. Receipt of the certification report is a prerequisite to <br />receiving any equitably -shared cash, property, or proceeds. <br />7. Audit Report. Audits will be conducted as provided by the Single Audit Act Amendments of 1996 and OMB Circular <br />A-133. The Department of Justice and the Department of the Treasury reserve the right to conduct periodic random audits. <br />During the past 3 years, has your agency been found in violation of, or entered into a settlement agreement pursuant <br />to, any nondiscrimination law in federal or state court, or before an administrative agency? <br />OYes ® No (If you answered yes, attach relevant information. See instructions.) <br />Are there pending in a federal or state court, or before anyfederal orstate administrative agency, proceedings against <br />your agency alleging discrimination? <br />OYes ®No (If you answered yes, attach relevant information. See instructions.) <br />The undersigned certify that the recipient agency is in compliance with the nondiscrimination requirements of the <br />following laws and their Department of Justice implementing regulations: Title VI of the Civil Rights Act of 1964 <br />(42 U.S.C. § 2000d etseq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 etseq.), Section 504 of the <br />Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 etseq.). which <br />prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or <br />activity, or on the basis of sex in any federally assisted education program or activity. <br />Under penalty of perjury, the undersigned officials certify that the recipient state or local law enforcement agency is in <br />compliance with the provisions of the Justice andlor Treasun, Guides and the National Code of Professional Conduct <br />for Asset Forfeiture. <br />ROY RAYMOND �► ``1 o I <br />Name (Prim or Type) Date <br />Law Enforcement Agency Head or Authorized Representative <br />— <br />(Signal ) <br />CAROLINE GINN 2-13-249_1— <br />Name (Print or Type) Wic <br />Governing Body Head or Authorized Represematrve <br />(Signature) <br />g,AFItIVE _ — CHAIRMAN <br />Title (Print or Type) Title (Print or Type) <br />Thos form is subject to the Freedom of information Act and may be rete—d to requests under 5 U.S.C. 6 552. <br />