02-B Violent Crime Grant Amend - Laserfiche WebLink

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............................. CJD Gr~ Application - Page 15 If your orqanization is a Type Iv II or III Entity, select one of the followinR: ] I certify this organization is a Type I Entity. This entity will comply with the prohibitions against discrimination in any program or act[vify (28 CFR § 42.203), is not required to maintain an Equal Employment Opportunity Plan, but will comply with equal employment opportunity program guidelines of the Department of Health and Human Services (28 CFR § 42.302). ] I certify this organization is a Type II Entity that empl~)ys less than 50 people. This entity will comply with the prohibitions against discrimination in any program or activity (28 CFR § 42.302), but is not required to maintain an Equal Employment Opportunity Plan (28 CFR § 42.301 etseq). ] I certify this organization is a Type II Entity that employs 50 or more people. This entity will comply with prohibitions against discrimination in any program or activity (28 CFR § 42.302), an has formulate an Equal Employment Opportunity Plan (28 CFR § 42.30 et seq), that is on file in the office of Finance Director. ] I certify this organization is a Type III Entity. This entity will comply with the prohibitions against discrimination in any program or activity (28 CFR § 42.302), and has formulated an Equal Employment Opportunity Plan (28 CFR § 42.301 et seq), that will be submitted to the Office for Civil Rights, Office of Justice Programs, Department of Justice, for approval upon award of a grant. Debarment Certification {SELECTTHEAPPROPRIATECHOICE) If this application is in excess of ~25,000, I certify that: ] By submission of this proposal, that neither the applicant agency nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency; or, ] I am unable to certify the above statement and have attached an explanation to the application. Applicants must complete, sign and submit this form it to CJD before they will receive state and/or federal funds, Recipients of state and/or federal funds must fully understand and comply with the requirements listed for Federal and State Assurances on pages 1 and 2 of this document. Failure to comply may result in the withholding of funds, termination of the award, or other sanctions. City of Paris, Paris~ Texas Violent Crimes A~ainst Women Unit Applicant's Organization Project Title Michael E, r v 1 alone, City Mana~ler ~~-~~ '11/26 102 Printed Na~me and Title of Authorized Official Signature of the Authorized Official ~ Date Issue Date: October 2002