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<br />,~ <br /> <br />CJD Gr~ <br /> <br />II.pplication - Page 15 <br /> <br />o <br /> <br />If Your oraanizatlon Is a TVDe I, II or III Entitv. select one of the followina: <br /> <br />o <br /> <br />[gJ <br /> <br />o <br /> <br />I certify this organization Is a Type I Entity, This entity will comply with the prohibitions against discrimination in <br />any program or activity (28 CFR i 42.203), Is not required to maintain an Equal Employment Opportunity Plan, <br />but will comply with equal employment opportunity program guidelines of the Department of Health and Human <br />Services (28 CFR i 42.302). <br />I certify this organization Is a Type II Entity that employs less than 50 people. This entity will comply with the <br />prohibitions against discrimination in any program or activity (28 CFR 6 42.302), but is not required to maintain <br />an Equal Employment Opportunity Plan (28 CFR i 42.301 at .aq). <br />I certify this organization is a Type II Entity that employs 50 or more people. This antity will comply with <br />prohibitions against discrimination In any program or activity (28 CFR i 42.302), an has formulate an Equal <br />Empioyment Opportunity Pian (28 CFR i 42.30 at seq). that Is on file In the office of Finance Director. <br />I certify this organization Is a Type III Entity. This entity will comply with the prohibitions against discrimination <br />In any program or activity (28 CFR i 42.302). and has tormulated an Equal Employment Opportunity Plan (28 <br />CFR i 42.301 at seq), that will be submitted to the Office for Civil Rights, Office of Justice Programs. <br />Department of Justice. for approval upon award of a grant. <br /> <br />Debarment Certification (SELECT THE APPROPRIATE CHOICE) <br />If this aDDlicatlon is in excess of $25.000. I certlfv that: <br /> <br />cg] By submission of this proposal, that neither the applicant agency nor its principals are presenUy debarred, <br />suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation In this <br />transaction by any federal department or agency: or, <br />o I am unable to certify the above statement and have attached an explanation to the application. <br /> <br />Applicants must complete, sign and submit this form it to CJO before they will receive state andlor federal <br />funds. Recipients of state andlor federal funds must fully understand and comply with the requirements <br />listed for Federal and State Assurances on pages 1 and 2 of this document. Failure to comply may result In <br />the withholding of funds, termination of the award, or other sanctions. <br /> <br />City of Paris, Paris, Texas <br />Applicant's Organization <br /> <br />Violent Crimes Against Women Unit <br />Project Title <br /> <br /> <br />11126102 <br />Date <br /> <br />Michael E. Malone, City Manager <br />Printed Naf"e and Title of Authorized Official <br /> <br />Issua D.t.: Octobar 2002 <br />