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<br />CJD Application Kit <br /> <br />COMPREHENSIVE CERTIFICATION <br /> <br />(Fhis form must be re-submitted each year.) <br /> <br />(page 2 of2) <br /> <br />Please read careful Iv : initial in aDDrODriate SDaces. <br /> <br />AUDIT CERTIFICATION - ANNuAL REpORTING REQUIREMENT <br /> <br />Federal <br /> <br />If this applicotion isfor federaljiuuls, I certifY (initial the appropriate choice): <br />_ The applicant agency currently expends combined federal funding of $300,000 or more and, therefore, is required to submit an annual single audit by an <br />independent auditor made in accordance with the Single Audit Act Amendments of1996 and OMB Circular A-l33. <br />_ The applicant agency currently expends combined federal funding ofless than $300,000 and therefore is exempt from the Single Audit Act and cannot <br />charge audit costs to a cm grant. I understand, however, that cm may require a limited scope audit as defined in OMB Circular A-l33. <br /> <br />State <br /> <br />If 1!'urlicotion is for state funds, I certify (mitial the appropriate choice): <br />-L The applicant agency currently expends combined state funding of $300,000 or more and, therefore is required to submit an annual single audit by an <br />independent auditor made in accordance with the Uniform Grant Management Standards (UGMS). <br />_ The applicant agency currently expends combined state funding ofless than $300,000 and therefore is exempt from the Single Audit Act and cannot <br />charge audit costs to a cm grant. I understand, however, that cm may require a limited scope audit as defmed in OMB Circular A-l33, adopted by reference in <br />Texas Administrative Code section 3.19 (see also UGMS State Single Audit). <br /> <br />EQUAL OPPORTUNITY PLAN (EEOP) CERTIFICATION - ANNuAL REPORTING REQUIREMENT <br /> <br />Defmitions: <br /> <br />Tvpe I Entitv <br /> <br />Educationallmedical/non-profit institution/Native American Tribe certification required (initial below); EEOP NOT required; <br /> <br />Type II Entitv <br /> <br />All other recipients receiving more than $25,000, but not more than $500,000 - certification required (initial below); organizations must maintain EEOP on <br />file for possible audit if the organization has more than 50 employees; and <br /> <br />Tvpe III Entitv <br /> <br />For-profit entities and state and local governments receiving $500,000 or more - certification required (initial below); the organization must submit an <br />EEOP to Office for Civil Rights (OCR) for approval. <br /> <br />Ifvour or!!.anization is a Type 1. II, or III entity, please initial one of the followin!!.: <br /> <br />_ I certifY this organization is a Tvpe I Entity. This entity will comply with the prohibitions against discrimination in any program or activity (28 CFR ~ <br />42.203), is not required to maintain an Equal Employment Opportunity Plan, but will comply with equal employment opportunity program guidelines of the <br />Department of Health and Human Services (28 CFR 42.302). <br /> <br />_ I certifY this organization is a Type II Entity that emploVllless than 50 people. This entity will comply with the prohibitions against discrimination in <br />any program or activity (28 CFR ~ 42.203), but is not required to maintain an Equal Employment Opportunity Plan (28 CFR 42.301 et seq.). <br /> <br />_ I certifY this organization is a Type II Entity that emploVll50 or more peoPle. This entity will comply with the prohibitions against discrimination in <br />any program or activity (28 CFR ~ 42.203), and has formulated an equal employment opportunity program (28 CFR 42.301 et seq.), that is on file in the office of <br />./ . <br /> <br />~ 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 ~ <br />42.203), and has formulated an equal employment opportunity program (28 CFR 42.301 et seq.), that will be submitted to the Office for Civil Rights, Office of <br />Justice Programs, Department of Justice, for approval upon award of a grant. <br /> <br />DEBARMENT CERTIFICATION - ANNuAL REPORTING REQUIREMENT <br /> <br />If this application is for federalfunds in excess of$25,OOO, I certify that (initial the appropriate choice): <br /> <br />_ By submission of this proposal, that neither the applicant agency nor its principals are presently debarred, suspended, proposed for debarment, declared <br />ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. If I am unable to certifY: <br /> <br />_ I am unable to certifY the above statement and have attached an explanation to this application. <br /> <br />City of San Marcos <br />A.pplicant's Organization <br /> <br />ALERRT Project <br /> <br />Project Title <br /> <br />Dan O'Leary, Interim City Manager <br /> <br /> <br />7 / 1 0/ 0 2 <br /> <br />Printed Name and Title of Authorized Official <br /> <br />Date <br /> <br />Texas Narcotics Control Program (TNCP) - Page 32 <br />