READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — September 1, 2015 — OCSO Edward Byrne Grant Application FY 2015 — reading text
Part 10 of 12. These parts divide the reading text for browsing; they are not the source document's page numbers.
OCSO Edward Byrne Grant Application FY 2015 — extracted reading text
Machine-extracted OCR text · Review label: Known limitations
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
provide FDLE all documentation necessary to complete monitoring of the award.
Further, the recipient agrees to abide by reasonable deadlines set by FDLE for providing
requested documents. Failure to cooperate with FDLE grant monitoring activities may result in
sanctions affecting the recipient's award , including, but not limited to: withholding and/or other
restrictions on the recipient's access to funds referral to the Office of the Inspector General for
audit review, designation of the recipient as a FDLE High Risk grantee, or termination of an
award(s).
75. Unmanned Aerial Vehicles
The recipient agrees that awarded funds may not be expended on unmanned aircraft, unmanned
aircraft systems, or aerial vehicles (US, UAS , or UAV) unless the BJA Director certifies that
extraordinary and exigent circumstances exist, making them essential to the maintenance of public
safety and good order. Additionally, any funding approved for this purpose would be subject to
additional reporting , which would be stipulated by FDLE post award .
SFY2015 JAG Standard Conditions Page 23 of 23
Rev. 09/2014
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County-wide
In witness whereof, the parties affirm they each have read and agree to the conditions set
forth in this agreement, have read and understand the agreement in its entirety and have
executed this agreement by their duty authorized officers on the date, month and year set
out below.
Corrections on this page, including Strikeovers,
whiteout, etc. are not acceptable.
State of Florida
Department of Law Enforcement
Office of Criminal Justice Grants
Signature :
Typed Name and Title :
Date :
Subgrant Recipient
Authorizing Offlclal of Governmental Unit
(Commission Chairman, Mayor, or Designated Representative)
Typed Name of Subgrant Recipient: Okaloosa County Board of County Commissioners
Signature :
Typed Name and Title: Nathan Boyles , Chairman
Date :
Implementing Agency
Official, Administrator or Designated Representative
Okaloosa County Sheriff's Office
Signature :
Typed Name and Title: _ _L_a_r--'-ry--+---:::;.,,,._---"- - -- - - - - - -- - - - -
Date : f/.;J'-3 /15
Application Ref# 2016-JAGC-2662 Section #6 Page 1 of 1
Contract -JAGC-OKAL- - -
Rule Reference 11 D-9.006 OCJG-005 (rev. October 2005)
CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements
Please read care/i dly the Instructions (see below) and then complete Section A or Section B or Section C. not all three.
Recipient's Name: Okaloosa Board of Coun ty Commissioners I DUNS Number: 613277649
Address: 302 North Wilson Street, Suite 302, Crestview, Florida 32536
Grant Title: Officer Safe ty Enhance ment I Grant Number: 20 16-JAGC-2662 I Award Amount: s12,800
Name and Titl e of Contact Person : Al McDonou11:h
Telephone Number: (850) 65 1-74 10 I E-M aiI Address: amcdonough@sheriff-oka loosa.org
Section A- Declaration Claiming Complete Exemption from the EEOP Requirement
Please check all the f ollowing boxes that apply:
o Recip ient has less th an fitly e mployees. o Rec ipient is an Ind ian tribe. o Recipi ent is a medi ca l instituti on.
o Rec ipient is a nonprofi t o rga ni zation. o Rec ipient is an educationa l inst itution. o Recipie nt is rece iving an award less than $25 ,000.
I, [responsible official] ,
ce rtify that [recipient] is
not required to prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R § 42.302.
I furth er certi fy that [recipient]
will comply with applica ble fed eral civil ri ghts Jaws that prohibit di scrimination in employment and in the deli ve ry of
services.
Print or Type Name and Title Signature Date
Section B- Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying
That an EEOP Is on File for Review
If a recipient agency has.fifty or more employees and is receiving a single award or subaward of $25, 000 or more. but less than $500,000, then rhe
recipient agency does not lta ve to submir an EEOP ro the OCR/o r review as long as it certifies the.following (42 C. F.R. § 42. 305):
I, Nathan D. Boyles [responsible official] ,
certify that Okaloosa Coun!}'. Board of Countr Comm issioners [recipient] ,
whi ch has fifty or more employees and is rece iving a single awa rd or subawa rd fo r $25 .000 or more, but le s th an
$500,000, has formul ated an EEOP in accord ance with 28 CF R pt. 42, subpt. E. I further certify that within the last
twe nty-fo ur months, the proper authority has fo rmul ated and signed into effect the EEOP and, as required by app licable
fede ral law, it is availabl e fo r review by the public, empl oyees, the appropri ate state pl ann ing age ncy, and the Office for
Civi l Rights, Office of Justice Programs, U.S . Departm ent of Justice. The EEO P is on fil e at the fo llowing offi ce:
Okaloosa Cou n!}'. Human Resources [organization] ,
601 -B Pearl Street, Crestview, Florida 32536 [address].
Nath an 0 . Boyles, Chairman
Print or 7)1pe Name and Title Signature Date
Section C-Declaration Stating that an EEOP Utilization Report Has Been Submitted to the Office for
Civil Rights for Review
If a recipienr agency has fifty or 111ore employees a11d is receiving a single award or subaward of$500,(JOO or more, then the recipient agency must
send an EEOP Utilization Rep ort to the OCR/or review.
I, [responsible official] ,
ce rtify th at [recipient] ,
whi ch has fifty or more employees and is receiving a single award of $500,000 or more, has formul ated an EEOP in
accordance with 28 CFR pt. 42, subpt. E, and sent it for revi ew on [date] to the
Office fo r Civil Ri ghts, Office of Justice Programs, U.S. Department of Justi ce.
Print or Type Name and Title Signature Date
OMB Approva l No. 11 2 1-0340 Ex piration Date: 05/3 111 4
CERTIFICATION FORM
Compliance with the Equal Employment Opportunity Plan (EEOP) Requirements
Please l'ead canji1lly the Instructions (.~ee below) and then complete Section A lll" Section B lll" Section C, 11ot all three.
DIJ NS Number: 00 .3 25 00
ward Amount: oo.oo
Section B-Jleclaration Claiming Exemption from the EEOP Submission Requirement and Certifying
That an EEOP Is on File for R.eYiew
!fa recipient agency has Jiffy or more employees and is receiving a single award or subaivard o/'$25,000 or more, but less Lhan $500,000, then /he
recipiel/t agency does no/ have lo suhmit a11 EEOT' to the OCR.for rel'ie11' as long as it certifies th e.following (42 C.F. R. § 42.305):
I, .................................................................................................................................................................................................................... [responsible o.fficial] ,
certify that [recipient] ,
which has fifty or more employees and is receiving a single award or subaward for $25,000 or more, but less than
$500,000, has f01mulated an EEOP in accordance v..~Lh 28 CFR pt. 42, subpt. E. T further certify that within the last
twenty-four months, the proper authority has fonnulated and signed into effect the EEOP aud, as required by applicable
federal law, it is available for review by the public, employees, the appropriate state planning agency, and the Office for
Civil Rights, Office of Justice Programs, U.S. Dep<trtment of Justice. The EEOP is on file at the following office:
- - - - - - - - - - - - - - - - - - - -- - - - - ------------[organization],
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [address].
Print or Type Name and Tirle Siguature Date
OMB Approval No. 1111-0340 Expimli on Dale: 05/31/14
CERTIFICATION AS TO BULLETPROOF VEST PURCHASE REQUIREMENTS
Florida Department of Law Enforcement
Edward Byrne Memorial Justice Assistance Grant Program
Certification as to Bulletproof Vest Purchase Requirements
On behalf of the implementing agency, I certify the following :
I have personally read and reviewed the section of the JAG Instructions related to
bulletproof vest purchases. I certify that our agency currently has a written
"mandatory wear" policy in effect.
I acknowledge that a false statement in this certification may be subject to criminal
prosecution , including under 18 U.S.C . § 1001 . I also acknowledge that Office of
Justice Program grants passed through FDLE, including certifications provided in
connection with such grants, are subject to review by the Office of Justice Programs,
the Department of Justice's Office of the Inspector General, and/or FDLE .
I have authority to make this certification on behalf of the implementing agency.
Date
Larry R. Ashley
Typed Name of Implementing Agency Chief Official
Sheriff. Okaloosa County, Florida
Title of Implementing Agency Chief Official
Okaloosa County Sheriff's Office
Name Implementing Agency
FDLE~ JAG Grant Application Package Certification as to Bulletproof Vest Purchase Requirements
