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Uniform Administrative Requirements, Costs Principles, and Audit Requirements for Federal Awards. The Department of Justice <br /> and the Department of the Treasury reserve the right to conduct periodic random audits or reviews. <br /> 7. Freedom of Information Act. Information provided in this Document is subject to the FOIA requirements of the Department <br /> of Justice and the Department of the Treasury. <br /> During the past fiscal year: (1) has any court or administrative agency issued any finding, <br /> judgment, or determination that the Agency discriminated against any person or group in <br /> violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into <br /> any settlement agreement with respect to any complaint filed with a court or administrative <br /> agency alleging that the Agency discriminated against any person or group in violation of any of <br /> the federal civil rights statutes listed above? <br /> ❑ Yes ® No <br /> Agency Head <br /> Name:Templeman, Dan <br /> Title: Chief of Police <br /> Email: DTempleman@everettwa.gov <br /> Signature: 0_,1 d-t� Date: Z 'G - /y <br /> To the best of my knowledge and belief,the information provided on this form is true and accurate and has been reviewed and authorized by the Law <br /> Enforcement Agency Head whose name appears above. Entry of the Agency Head name above indicates his/her acceptance of and agreement to abide <br /> by the policies and procedures set forth in the Guide to Equitable Sharing for State and Local Law Enforcement Agencies,including ensuring <br /> permissibility of expenditures and following all required procurement policies and procedures.Entry of the Agency Head name above also indicates <br /> his/her acceptance of and agreement to abide by requirements set forth in this Equitable Sharing Agreement,and any policies or procedures issued by <br /> the Department of Justice or the Department of the Treasury related to the Asset Forfeiture or Equitable Sharing programs.The Law Enforcement Head <br /> also certifies that no items on the Prohibited list,as detailed in"Recommendations Pursuant to Executive Order 13688",were purchased with equitable <br /> sharing funds on or after October 1,2015. <br /> Governing Body Head <br /> Name: Frankin, Cassie <br /> Title: Mayor <br /> Email: CFranklin@everettwa.gov <br /> Th <br /> Signature: Date: /IZ/Z0i� <br /> To the best of my knowledge and belief,the agency's current fiscal year budget reported on this form is true and accurate and the Governing Body Head <br /> whose name appears above certifies that the agency's budget has not been supplanted as a result of receiving equitable sharing funds.Entry of the <br /> Governing Body Head name above indicates his/her acceptance of and agreement to abide by the policies and procedures set forth in the Guide to <br /> Equitable Sharing for State and Local Law Enforcement Agencies,this Equitable Sharing Agreement,and any policies or procedures issued by the <br /> Department of Justice or the Department of the Treasury related to the Asset Forfeiture or Equitable Sharing Programs. <br /> Er I certify that I am authorized to submit this form on behalf of the Agency Head and the Governing Body Head. <br /> : <br /> AP ROYED pAS' ULTO FORM /j/��/{ <br /> C�AT STId& <br /> AMES D.ILES, ney City j/Clerk <br /> Date Printed:02/02/2018 Page 4 of 4 February 2016 <br /> Version 3.2 <br />