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CERTIFICATION FORM
<br /> Recipient Name and Address : Indian River County Board of Commissioners , 1801 27th Street, Vero Beach , FL 32960
<br /> Grant Title : Indian River Drug Testing Program Grant Number : 2010-JAGC - 1125 Award Amount : $ 25 , 979 . 20
<br /> Contact Person Name and Title : Diane Bernardo , Finance Director Phone Number : ( 772) 567 -8000 x1205
<br /> Federal regulations require recipients of financial assistance from the Office of Justice Programs (OJP) , its
<br /> component
<br /> agencies , and the Office of Community Oriented Policing Services (COPS ) to prepare , maintain on file , submit to OJP for
<br /> review, and implement an Equal Employment Opportunity Plan (ESOP) in accordance with 28 C . F .R § § 42 . 301 -308 . The
<br /> regulations exempt some recipients from all of the EEOP requirements . Other recipients , according to the regulations ,
<br /> must prepare , maintain on file and implement an ESOP , but they do not need to submit the EEOP to OJP
<br /> for review .
<br /> Recipients that claim a complete exemption from the EEOP requirement must complete Section A below . Recipients that
<br /> claim the limited exemption from the submission requirement, must complete Section B below . A recipient
<br /> should
<br /> complete either Section A or Section B , not both . If a recipient receives multiple OJP or COPS grants , please complete
<br /> a
<br /> form for each grant, ensuring that any EEOP recipient certifies as completed and on file ( if applicable) has been prepared
<br /> within two years of the latest grant. Please the completed form ( s) to the Office for Civil Rights
<br />, Office of Justice
<br /> Programs , U . S . Department of Justice , 810 7"' Street, N . W . , Washington, D . C . 20531 . For assistance in completing
<br /> this
<br /> form , please call (202 ) 307 -0690 or TTY ( 202 ) 307 -2027 .
<br /> Section A - Declaration Claiming Complete Exemption from the EEOP Requirement . Please check all the boxes that apply
<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
<br /> ❑ Recipient is a medical institution, ❑ Recipient is receiving an award less than $25 , 000
<br /> 1, Diane Bernardo, Finance Director { responsible official } , certify that Indian River County Board of County Commissioners
<br /> ( recipient) is not required to prepare an EEOP for the reason(s) checked above, pursuant to 28 C .F .R § 42 . 302 . 1 further
<br /> certify
<br /> that Indian River County Board of County Commissioners _ { recipient } will comply with applicable Federal civil rights
<br /> laws
<br /> 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 EEOP is on
<br /> 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
<br /> more, but less than
<br /> $5007000, then the recipient agency does not have to submit an ESOP to OJP for review as long as it certifies the following
<br /> (42 C. F. R
<br /> ,¢42. 305) :
<br /> I , Diane Bernardo, Finance Director { responsible official } , certify that the Indian River County
<br /> Board of
<br /> County Commissioners { recipient } , which has 50 or more employees and is receiving a single award
<br /> or subaward for
<br /> $ 25 , 000 or more , but less that $ 500 , 000 , has formulated an EEOP in accordance with 28 C . F . R § 42
<br /> . 301 , et seq . , subpart
<br /> E . I further certify that the EEOP has been formulated and signed into effect within the past two
<br /> years by the proper
<br /> authority and that it is available for review . The EEOP is on file in the office of: Indian River
<br /> Board of County
<br /> Commissioners { organization } , at 1801 27th Avenue Vero Beach Florida 32960 { address ) , for review by the
<br /> public
<br /> and employees or for review or audit by officials of the relevant state planning agency or the Office for
<br /> Civil Rights ,
<br /> Office of Justice Programs , U . S . Department of Justice , as required by relevant laws and regulations .
<br /> Diane Bernardo 1 G n. & r W �d 11 1)
<br /> Print or type Name and Title Signature Date
<br /> OMB Approval No . 1121 -0140 Expiration Date : 01 /31 /06 H :\Paul\lntemet Forms E . E . O . P . form . doe
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