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U.S. DEPARTMENT OF JUSTICE Approved: OMB No. 1121-0329 <br />OFFICE OF JUSTICE PROGRAMS Expires 12/31/2023 <br />26. Is the applicant entity aware of the differences between subawards under <br />federal awards and procurement contracts under federal awards, including <br />the different roles and responsibilities associated with each? <br />27. Does the applicant entity have written policies and procedures designed <br />to prevent the applicant entity from making a subaward under a federal <br />award to any entity or individual is suspended or debarred from such <br />subawards? <br />❑ Yes ❑ No ❑ Not Sure <br />O N/A - Applicant does not make <br />subawards under any OJP <br />awards <br />❑ Yes ❑ No ❑ Not Sure <br />O N/A - Applicant does not make <br />subawards under any OJP <br />awards <br />DESIGNATION AS 'HIGH -RISK' BY OTHER FEDERAL AGENCIES <br />28. Is the applicant entity designated "high risk" by a federal grant -making <br />agency outside of DOJ? (High risk includes any status under which a federal <br />awarding agency provides additional oversight due to the applicant's past <br />performance, or other programmatic or financial concerns with the applicant.) <br />If "Yes", provide the following: <br />(a) Name(s) of the federal awarding agency: <br />(b) Date(s) the agency notified the applicant entity of the "high risk" designation: <br />(c) Contact information for the "high risk" point of contact at the federal agency: <br />Name: <br />Phone: <br />Email: <br />(d) Reason for "high risk" status, as set out by the federal agency: <br />❑ Yes 0 No ❑ Not Sure <br />CERTIFICATION ON BEHALF OF THE APPLICANT ENTITY <br />(Must be made by the chief executive, executive director, chief financial officer, designated authorized <br />representative ("AOR"), or other official with the requisite knowledge and authority) <br />On behalf of the applicant entity, I certify to the U.S. Department of Justice that the information provided above is <br />complete and correct to the best of my knowledge. I have the requisite authority and information to make this <br />certification on behalf of the applicant entity. <br />Name: <br />Susy Haugen <br />Date: 6/30/2021 <br />• <br />Title: ❑ Executive Director <br />❑ Other: <br />0 Chief Financial Officer ❑ Chairman <br />Phone: 425-257-8612 <br />Page 4 of 4 <br />