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Fort Walton Beach Resolution — 2012 -2 -FDLE Grant--Video Equipment — reading text
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checked above, pursuant to 28 C.F. R § 42. 302. I further certify that
the City of Fort Walton Beach [ reclpie 11 will comply with applicable Federal civil rights
laws that prohibit discrimination in employment and in the delivery of se ieei,
Sylvia Hanks, Administrative
Print or type Name and Title
Services Director %
Sig [ r Date
tYL
Section B- Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an
EEOP Is on File for Review.
If. recipient agency has 50 or more employees and is receiving a single award or subaward for $ 25, 000 or more, but loss than $ 500, 000,
then the recipient agency does not have to submit an F.EOP to OJP for review as long as it certifies the fallowing ( 42 C. P. R. § 42 305):
1, ] responsible official], certify that
the [ recipient], which has 50 or more
employees and is receiving a single award or subaward for $ 25, 000 or more, but less than $ 500,000, has formulated an
EEOP in accordance with 28 CPR § 42. 301, at seq., subpart E. I further certify that the EEOP has been formulated and
signed into effect within the past Divot years by the proper authority and that it is available for review. The EEOP is on file in
the office of: organization],
at laddress], for review by the public and
employees or for review or audit by officials of the relevant state planning agency or the Office for Civil Rights, Office of
Justice Programs, U. S. Department of Justice, as required by relevant laws and regulations.
Print or type Name and Title Signature Date
OMe ApPmval No. 1121 -0140 Expiration Date 12 /31/ 12
Application for Funding Assistance
Florida Department of Law Enforcement
Justice Assistance Grant - County -wide
1 11
f. aY y+yEi.'
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.
unrice or Gnrnutal justice brants ' f air"-
Signature:
Typed Name and Title: `-%'# i!} t (, 1.11{/, P,lW,k bSNr,' F /6; YS6A Adc%141ff; 8+; i
Date:
Typed Name of Subgraannt RRe cipieent: City of Fort Walton Beach
Signature: / fN. C. -/ dlle1=
Typed Name and Title: Mike Anderson,
Date:
w. r
Fort Walton Beach Police Department
Typed Name of Implementing Agency:
Signature:
Typed Name and Title: red Litschauer, //Chief of Police
Date: 07 ih 1261
Application Ref # 2012JAGC -1629 Section # 6 Page 1 of t
Contract - JAGC- OKAL - --
Rule Reference 1113- 9. 006 OCJG -005 ( rev. Apul 2005)
