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CERTIFICATION FORM
<br /> Recipient Name and Address : Indian River County Board of County Commissioners
<br /> Grant Title : Indian River County Planning Grant Number: 2009-JAGC-917Award Amount : $3 , 900
<br /> Contact Person Name and Title : Sandra L . Bowden , Chairperson Phone Number: (772 ) 567-8000 x1447
<br /> Federal regulations require recipients of financial assistance from the Office of Justice Programs (OJP), its component agencies , and the
<br /> Office of Community Oriented Policing Services ( COPS) to prepare, maintain on file , submit to OJP for review, and implement an Equal
<br /> Employment Opportunity Plan (EEOP ) in accordance with 28 C . F .R § § 42 . 301 -. 308 . The regulations exempt some recipients from all
<br /> of
<br /> the EEOP requirements. Other recipients, according to the regulations, must prepare , maintain on file and implement an EEO P , but they
<br /> do not need to submit the EEOP to OJP for review. Recipients that claim a complete exemption from the EEOP requirement must
<br /> complete Section A below . Recipients that claim the limited exemption from the submission requirement, must complete Section B
<br /> below . A recipient should complete either Section A or Section B, not both . If a recipient receives multiple OJP or COPS grants ,
<br /> please complete a form for each grant, ensuring that any EEOP recipient certifies as completed and on file ( if applicable) has been
<br /> prepared within two years of the latest grant. Please send the completed form (s) to the Office for Civil Rights, Office of Justice Programs,
<br /> U . S . Department of Justice , 810 Vh Street, N . W . , Washington , D .C . 20531 . For assistance in completing this form, please call (
<br />202 ) 307 -
<br /> 0690 or TTY (202 ) 307 -2027 .
<br /> Section A- Declaration Claiming Complete Exemption from the EEOP Requirement. Please check all the boxes that
<br /> app ly.
<br /> ❑ Recipient has less than 50 employees, ❑ Recipient is an Indian tribe ,
<br /> El Recipient is a non-profit organization, ❑ Recipient is an educational institution , or
<br /> ❑ Recipient is a medical institution , 0 Recipient is receiving an award less than $ 25 , 000
<br /> I, Sandra L. Bowden [responsible official ] , certify that
<br /> Indian River County Board of County Commissioners [recipient] is not required to
<br /> prepare an EEOP for the reason(s) checked above, pursuant to 28 C .F .R. §42 . 302 . I further certify that Indian River
<br /> Board of County Commissioners [recipient] will comp with applicable Federal civil rights
<br /> laws that prohibit discrimination in employment and in the deliver);. ervice .
<br /> Sandra L . Bowden , Chairperson July 15 , 2008
<br /> Print or type Name and Title
<br /> Si ature Date
<br /> Section B- Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an
<br /> EEOP Is on 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 more , but less than
<br /> $ 500 , 000 ,
<br /> then the recipient agency does not have to submit an EEOP to OJP for review as long as it certifies the following (42 C .F . R, §
<br /> 42 . 305 ) :
<br /> 19 [responsible official] , certify that
<br /> the [recipiertt] , which has 50 or more
<br /> employees and is receiving a single award or subaward for $25 ,000 or more, but less than $ 500, 000, has formulated an
<br /> EEOP in accordance with 28 CFR § 42 . 301 , et seq. , subpart E . I further certify that the EEOP has been formulated and
<br /> signed into effect within the past two years by the proper authority and that it is available for review. The EEOP is on file
<br /> in
<br /> the office of. [organization] ,
<br /> at [address] , for review by the public and
<br /> employees or for review or audit by officials of the relevant state planning agency or the Office for Civil Rights, Office of
<br /> Justice Programs, U. S . Department of Justice, as required by relevant laws and regulations .
<br /> Print or type Name and Title Signature Date
<br /> OMB Approval No. 1121 -0140 Expiration Date : 01 /31 /06
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