WA ST Dept of Commerce 10/15/2021

STATE OF WASHINGTON JUSTICE ASSISTANCE GRANT DEPARTMENT OF COMMERCE FORM 10 EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP)CERTIFICATION Recipient Name and Address: Grant Title: FFY'19 Justice Assistance Grant— Washington State Grant Number: 2019-DJ-BX-0035 Subaward No.: Federal regulations require recipients of financial assistance from the Office of Justice Programs (OJP), its compone... agencies, and the Office of Community Oriented Policing Services (COPS) to prepare, maintain on file, submit to OJP for review, and implement an Equal Employment Opportunity Plan (EEOP) in accordance with 28 CFR Sections 42.301-.308. The regulations exempt some recipients from all of the EEOP requirements. Other recipients, according to the regulations, must prepare, maintain on file, and implement an EEOP, but they do not need to submit the EEOP to OJP for review. Recipients that claim a complete exemption from the EEOP requirement must complete Section B below. Recipients that claim the limited exemption from the submission requirement must complete Section C below. Recipients should complete Section A, B or Section C, not multiple sections. If a recipient receives multiple federal grants, please complete a form for each grant, Do Not Use Another Grant's Certificate when completing this application package. Section A—Declaration of Compliance with the EEOP Requirement I, [individual with primary functional responsibility for equal opportunity/civil rights compliance for the jurisdiction],certify that [recipient] has prepared an EEOP and if appropriate submitted to the Office of Civil Rights,US Department of Justice a copy,pursuant to 28 CFR. Print Name of Individual with Signature Date Primary Functional Responsibility Sect n B-Declaration of Claimin omplete Exemption from the EEOP Requirement.Please check all boxes that apply. ❑Recip' t has less than 50 ployees ❑Recipient is an Indian Tribe ❑Recipient is a non-profit organization ❑Recipien 's an educati al institution ❑Recipient is a medical institution 0 Recipient's award is less than$25.000 I, [individual with primary functional responsibility for equal opportunity/civil rights compliance forth ' 'sdiction],certify that [recipient] is t requ d to prepare an EEOP for the reason(s) checked above, pursuant to 28 CFR Sections 42.302. I further certify that [recipient jurisdiction] will comply with the applicable Federal civil rights laws that pro it discrimination employment and in the delivery of services. Print Name of Individual Signature Date '-ction C-Declaration Claiming emItion from the EEOP Submission Requirement and Certifying that an EEOP Is on File for Re iew. If are ipient agency has 50 or ore employees and is receiving a single award or subaward for$25,000 or more,but less than $500,014,then the recipient gency does not have to submit an EEOP for review to the Department of Justice as long as it certifies the follo g(42 CFR Se.ion 42.305): I, [individual with primary functional responsibility for equal opportunity/civ compliance for the jurisdiction],certify that [recipient jurisdiction], which has 50 or • employees and is receiving a single award or subaward for$25,000 or more,but less than$500,000,has formulated an EEOP in accor.., ce with 28 CFR Section 42.301,et.seq., subpart E.I further certify that the EEOP has been formulated and signed into effect with' the ,ast two years by the proper authority and that it is available for review.The EEOP is on file in the office of [org. ization],at [address],for review by the public and employees 'r for review• audit by officials of the relevant state planning agency or the Office for Civil Rights,Office of Justice Program U.S.Department•f Justice,as required by relevant laws and regulations. Pr' t Name of Individual wit' Signature Date P imary Functional Responsibi 'ty 25