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Fort Walton Beach Resolution — 2013-35--FDLE — reading text

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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. Department of Justice. The EEOP is on file at the following[ ganiaution], o addre_ Ss]. Date Name and Tide Snmwe ig Pr' irrr or "" Section C— Declaration Stating that an EEOP Short Form Has Been Submitted to the Office for Civil Rights for Review hfa recipient aSrn , hasffN or more employees and o receiving a single award or.submraid afS500,000 a, more, then the recipient agency mast send an ESOP Shorn Fonn to the OCR for review. responsible official], 1, [ recipient], certify that which has fr ty or more employees and is receiving a single award of $500,000 or more, has formulated[ edaat ] to the accordance with 28 CPR pt. 42, subpt. E, and sent it for review on Office for Civil Rights, Office of Justice Programs, U. S. Department of Justice. Dare Signature Prior or Type Name and Tile ova Control Nu, 1121 - 0340 Expiration Date: 05: 31/ 201 4 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. Stall of Florida Department of Law office of Criminal Justice Grants Signature: V. Typed Name and Title: Petrina T. Herring, Administrator Date: 1 l 2112J73 Subgrard Recipterd Augwrhing Offldel of Grwemmarttel Unit Cormniasion Chairman, Mayor, or Designated RepresantaSxe) Typed Name of Subbg'r'ant RRecipignt City of Fort Walton Beach Signature: r 4 /" A Mayor Mike Anderson Typed Name and Title: Date: September 19 2013 Implementing Agency 011lclal, Administator or Designated Repreatemathrs Typed Name of Implementing envy. F t Walton Beach Police Department Signature: Typed Name and Title: Chief Ted Litschaner Date: September 19, 2013 Application Ref # 2014 -JAGC -2278 Section # 6 Page 1 of 1 Contract 2014- JAGC- OKAL -2 -E5- Rule Reference 11D 9 .006 OCJG005 ( rev. October 2005)

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