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CERTIFICATION FORM
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<br /> Recipient Name and Address: Hawaii Police Department 349 Kapiolani Street xi1 o HT 9h7~n
<br /> Grant Title: Hawaii Anti-Trafficking.~.'ask Fcr~rantNumber: AwazdAmount: 515.000
<br /> Contact Person Name and Title: raYYO WPIIPY, ra~a;r, PhoneNtimber:(gOg)961-2251
<br /> Federal regulations require recipients of financial assistance from the Office of Justice Programs (07P), its component agencies, and the
<br /> Office of Community Oriented Policing Services (COPS) to prepare, maintain on 51e, submit to OJP for review, and implement an Equal
<br /> Employment Opportunity Plan (EEOP) in accordance with 28 C.F.R 42.301-.308. The regulations exempt some recipients from all of
<br /> the EEOP requirements. Other recipients, according to the regulations, must prepare, maintain on file and implement an EEOP, but thcy
<br /> do not need to submit the EEOP to OJP for review. Recipients that claim a complete exemption from the EEOP requirement must
<br /> complete Section A below. Recipients that claim the limited exemption from the submission requirement, must complete Section B
<br /> below. A recipient should complete either Section A or Section B, not both. If a recipient receives multiple OJP or COPS grants,
<br /> please complete a form for each grant, ensuring that any EEOP recipient ceRihes as completed and on file (if applicable) has been
<br /> prepared within two years of the latest grant. Please send the completed form(s) to the Office for Civil Rights, Office of Justice Programs,
<br /> U.S. Department of Justice, 810 7'^ Street, N.W., Washington, D.C. 20531. For assistance in completing this form, please call (202)307-
<br /> 0690 or TTY (202) 307-2027.
<br /> Section A- Declaration Claiming Complete Exemption from the EEOP Requirement Please check alt the boxes that
<br /> apply.
<br /> ? Recipient has less than 50 employees, ? Recipient is an Indian tube,
<br /> ? Recipient is anon-profit organization, ? Recipient is an educational institution, or
<br /> ? Recipient is a medical instimtion, ? Recipient is receiving an award Tess than 525,000
<br /> I [responsible official], certify that
<br /> [recipient] is not required to
<br /> prepare an EEOP for the reason(s) checked above, pursuant to 28 C.F.R §42.302. I further certify that
<br /> [recipient] will comply with applicable Federal civil rights
<br /> laws that prohibit discrimination in employment and in the delivery of services.
<br /> Print or type Name and Title Signature Date
<br /> Section B-Declaration Claiming Exemption from the EEOP Submission Requirement and Certifying That an
<br /> EEOP Is on File for Review.
<br /> If a recipient agenry has 50 or more employees and is receiving a single award or subaward for $25,000 or more, but less than 5500,000,
<br /> [hen the recipient agency does not have to submit an EEOP to OJP for review as long as it certifies the following (42 CF.R. § 42.305):
<br /> I, raw PnrP x m J, [responsible official], certify that
<br /> the H P r • n + + [recipient],whichhos 50 or more
<br /> employees and is receiving a single awazd or subawazd for $25,000 or more, but less than $500,000, has formulated an
<br /> EEOP in accordance with 28 CFR §42.301, et seq., subpart E. I further certify that the ESOP has been formulated and
<br /> signed into effect within the past two yeazs by the proper authority and that it is available for review. The EEOP is on file in
<br /> the office of: Hawaii Pol' ce p~gartmenr [organization],
<br /> at 349 Kaoiolani street~xilo, AT 9S72n [address],forreviewbythepublicand
<br /> employees or for review or audit by officials of the relevant state planning agency or the Office for Civil Rights, Office of
<br /> Justice Programs, U. S. Department of Justice, as required by relev and regulations.
<br /> JUL 2 3 2DD7
<br /> Lawrence K Mahuna Police rhi Pf ism'
<br /> Print or type Name and Title tgnature Date
<br /> OMB Approval No. 1121-0140 Expiratim Da[e:01/31/06
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