READ ALONGSIDE THE SOURCE
Fort Walton Beach Resolution — 2013-35--FDLE — reading text
Part 11 of 11. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — fwb-32497-original.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
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.
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)
