Laserfiche WebLink
0U.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 ❑ Yes ❑ No ❑ Not Sure <br /> federal awards and procurement contracts under federal awards, including <br /> the different roles and responsibilities associated with each? ® N/A-Applicant does not make <br /> subawards under any OJP <br /> awards <br /> 27. Does the applicant entity have written policies and procedures designed 0 Yes ❑ No ❑ Not Sure <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 ® N/A-Applicant does not make <br /> subawards? 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 ❑ Yes ® No ❑ Not Sure <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 /> 1161111* <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 /> 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: Susy Ha.ugen 1 Date: 6/30/2021 <br /> Title: ❑Executive Director ®Chief Financial Officer ❑Chairman <br /> ❑Other: <br /> Phone: :257-86,..12 <br /> Page 4 of 4 <br />