Okaloosa County BOCC — January 19, 2016 — Assurances Chairman signature needed

1-800-518-4726 WORKSPACE FORM SUPPORT@GRANTS.GOV This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the “Check For Errors” button. In-progress and completed forms can be uploaded at any time to Grants.gov using the Workspace feature. When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov Applicants tab. OPPORTUNITY & PACKAGE DETAILS: Opportunity Number: OVW-2016-9003 Opportunity Title: OVW FY 2016 Justice for Families Program Opportunity Package ID: PKG00219779 CFDA Number: 16.021 CFDA Description: Justice Systems Response to Families Competition ID: OVW-2016-9003 Competition Title: OVW-2016-9003 Opening Date: 11/24/2015 Closing Date: 01/21/2016 Agency: Office on Violence Against Women Contact Information: Carrie Mitchell E-mail: OVW.JFF@usdoj.gov Phone: 202-307-6026 APPLICANT & WORKSPACE DETAILS: Workspace ID: WS00002018 Application Filing Name: Okaloosa County Board of County Commissioners DUNS: 6132776490000 Organization: OKALOOSA, COUNTY OF Form Name: Assurances for Non-Construction Programs (SF-424B) Form Version: 1.1 Requirement: Mandatory Upload Count: 0 Download Date: 01/06/2016 Form State: No Errors FORM ACTIONS:  OMB Number: 4040-0007 Expiration Date: 06/30/2014 ASSURANCES - NON-CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for 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 (0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance Act of 1973, as amended (29 U.S.C. §794), which and the institutional, managerial and financial capability prohibits dis