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Fort Walton Beach Resolution — 2009-26-Justice Grant-Elec Surveillance — reading text
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Recipient is a medical institution, o Recipient is receiving an award less than $ 25, 000
I, Mike Anderson, Mayor [ responsible certify that
official],
the City of Fort Walton Beach [ recipient] is not required to
prepare an EEOP for the reason( s) checked above, pursuant to 28 C. F. R 942. 302. I further certify that
the City of Fort Walton Beach [ recipient] will omply with applicable Fe
laws that prohibit discrimination in employment and in the delivery 0 se ices.
Mike Anderson, Mayor ~?
Print or type Name and Title Signature
Section B- Declaration Claiming Exemption from the EEOP Submission Reauirement and Certifying That an
EEOP Is on File for Review.
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 $ 500, 000,
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. ~ 42. 305):
I, [ 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 CFR 942. 301, et seq., subpart E. I further certify that the EEOP has been formulated and
signed into effect within the past two years by the proper authority and that it is available for review. The EEOP is on file in
the office of: [ organization],
at [ address], 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
OMB Approval No. 1121- 0140 Expiration Date: 01/31/06
