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<br />CERTIFICATION FORM
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<br />Recipient Name and Address: City of Sunny Isles Beach
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<br />Grant Title: Interview Surveillance System
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<br />Grant Number: 2010-JAGD-947 Award Amount: $6,521.00
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<br />Contact Person Name and Title: Priscilla Walker
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<br />Phone Number: (305) 792-1795
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<br />Federal regulations require recipients of financial assistance from the Office of Justice Programs (OJP), its component agencies, and the
<br />Office of Community Oriented Policing Services (COPS) to prepare, maintain on file, submit to OJP for review, and implement an Equal
<br />Employment Opportunity Plan (EEOP) in accordance with 28 C.F.R ~~ 42.301-.308. The regulations exempt some recipients from all of
<br />the EEOP requirements. Other recipients, according to the regulations, must prepare, maintain on file and implement an EEOP, but they
<br />do not need to submit the EEO P to OJP for review. Recipients that claim a complete exemption from the EEOP requirement must
<br />complete Section A below. Recipients that claim the limited exemption from the submission requirement, must complete Section B
<br />below. A recipient should complete either Section A or Section B, not both. If a recipient receives multiple OJP or COPS grants,
<br />please complete a form for each grant, ensuring that any EEOP recipient certifies as completed and on file (if applicable) has been
<br />prepared within two years of the latest grant. Please send the completed form(s) to the Office for Civil Rights, Office of Justice Programs,
<br />U.S. Department of Justice, 810 7th Street, N. W., Washington, D.C. 20531. For assistance in completing this form, please call (202)307-
<br />0690 or TTY (202) 307-2027.
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<br />Section A- Declaration Claiming Complete Exemption from the EEOP Requirement. Please check al/ the boxes that
<br />apply.
<br />
<br />o
<br />o
<br />o
<br />
<br />Recipient has less than 50 employees,
<br />Recipient is a non-profit organization,
<br />Recipient is a medical institution,
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<br />o Recipient is an Indian tribe,
<br />o Recipient is an educational institution, or
<br />o Recipient is receiving an award less than $25,000
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<br />I, Priscilla Walker [responsible official], certify that
<br />The City of Sunny Isles Beach [recipient] is not required to
<br />prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R 942.302. I further certify that
<br />The City of Sunny Isles Beach [recipient] will comply with applicable Federal civil rights
<br />laws that prohibit discrimination in employment and in the deli~ervi~ I A ")
<br />Priscilla Walker, Assistant to City Manager ~~~\.-{J~ ~
<br />Print or type Name and Title Signature Date
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<br />Section B- Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an
<br />EEOP Is on File for Review.
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<br />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,
<br />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):
<br />
<br />I, [responsible official], certify that
<br />the [recipient],which has 50 or more
<br />employees and is receiving a single award or subaward for $25,000 or more, but less than $500,000, has formulated an
<br />EEOP in accordance with 28 CFR 942.301, et seq., subpart E. I further certify that the EEOP has been formulated and
<br />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
<br />the office of: [organization],
<br />at [address],for review by the public and
<br />employees or for review or audit by officials of the relevant state planning agency or the Office for Civil Rights, Office of
<br />Justice Programs, U. S. Department of Justice, as required by relevant laws and regulations.
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<br />Print or type Name and Title
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<br />Signature
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<br />Date
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<br />OMB Approval No. 1121-0140
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<br />Expiration Date: 01131/06
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