07/07/2015 (3) - Laserfiche WebLink

Home Browse Search

reviewing instructions. searching existing data sources, gathering and maintaining the data needed. and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348- 0046), Washington, DC 20503. Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352. Not Applicable SECTION 17: CERTIFICATION OF REVIEW AND REPRESENTATION OF COMPLIANCE WITH REQUIREMENTS 1) Federal Civil Rights and Grant Reviews: Please be advised that an application may not be funded and,if awarded, a hold may be placed on the award if it is deemed that the applicant is not in compliance with federal civil rights laws,and/or is not cooperating with an ongoing federal civil rights investigation,and/or is not cooperating with a Department of Justice grant review or audit. 2)Certification of Review of 28 C.F.R.Part 23/Criminal Intelligence Systems: Please review the COPS Application Guide:Legal Requirements Section for additional information. Please check one of the following,as applicable to your agency's intended use of this grant: * No, my agency will not use these COPS grant funds(if awarded)to operate an interjurisdictional criminal intelligence system. Yes,my agency will use these COPS grant funds(if awarded)to operate an interjurisdictional criminal intelligence system. By signing below,we assure that our agency will comply with the requirements of 28 C.F.R. Part 23. 3)Certification of Review and Representation of Compliance with Requirements: The signatures of the Law Enforcement Executive/Agency Executive,Government Executive/Financial Official,and the Person Submitting this Application on the Reviews and Certifications represent to the COPS Office that: a)the signatories have been legally and officially authorized by the appropriate governing body to submit this application and act on behalf of the grant applicant entity; b)the applicant will comply with all legal, administrative,and programmatic requirements that govern the applicant for acceptance and use of federal funds as outlined in the applicable COPS Application Guide;the COPS Grant Owner's Manual,Assurances, Certifications and all other applicable program regulations, laws,orders,and circulars; c)the applicant understands that false statements or claims made in connection with COPS programs may result in fines, imprisonment,debarment from participating in federal grants,cooperative agreements, or contracts, and/or any other remedy available by law to the federal government; d)the information provided in this application,including any amendments,shall be treated as material representations of fact upon which reliance will be placed when the Department of Justice determines to award the covered grant; e)the applicant understands that as a general rule COPS funding may not be used for the same item or service funded through another funding source;and f)the applicant and any required or identified official partner(s)listed in Section 12 are partners in this grant project and mutually agreed to this partnership prior to this grant application. The signatures of the Law Enforcement Executive/Agency Executive and the Government Executive/Financial Official on this application must be the same as those identified in Section 4 of this application. Applications with missing, incomplete, or inaccurate signatories or responses may not be considered for funding. Signature of Law Enforcement Executive/Agency Executive(For your electronic signature,please type in your name) Deryl Loar Deryl Loar Date: 06/11/2015 Signature of Government Executive/Financial Official(For your electronic signature, please type in your name) Kelly Goodwin Kelly Goodwin Date: 103