Laserfiche WebLink
Under penalty or" perjury, the undersigned officials certify that they have read anc understand their obligations under the <br />Equitable Sharing Agreement and that the inr`ormation submitted in conjunction with this Document is an accurate <br />accounting of funds received and spent by the >ygency under the Jusrrce and/or Treasur)~ Guides during the reporting period <br />and that the recipient Agency is in compliance with the I~ational Code of Professional Conduct for Asset Forfeiture. <br />The undersigned certify than. the recipient agency is in compliance with the nondiscrimination requirements of the following <br />laws and their Department of Justice implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. ~ 20004 et <br />seq.), Title U' of the Education Amendments of 1972 (20 U.S.C. ~; 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 <br />(25 U.S.C. ~. 794), and the Age Discrimination Act of 1975 (42 U.S.C. ~, 6101 et seq.); which prohibit discrimination on the <br />basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of se>: ire any <br />federally assisted education program or activity. <br />During the past fiscaE year, has the wgency been part of any proceedings <br />alleging discrimination by the Hgenc}r? ~ lies O No <br />If you answered yes, complete Table H. Please disclose ('l } al[ proceedings <br />pending before any court or administrative agency, (2} any nondiscrimination <br />Paws the ,4gency has been found in violation of, and (3} any settlement <br />agreements the Agenc}~ has entered into during the tact fiscal year. <br />Agency ;dead <br />Signature: `' ~ %' ~ (,~~~,v /~~`~ <br />Name: V,~ayna.J~TOZnialc <br />Title: Chief of Police <br />Date: ~~ ~, /~ ~' <br />Flnai ~~tStF'uctfortS: <br />G©verning Body Head <br />Signature: ~ ~~! <br />Name: Thomas E. O'Grady <br />Title: Mayor h <br />Date: ~ °~ ~' J/C/ <br />f <br />Step '~ : Click button to salve in PDF fore~at f©~ your recorefs <br />Step ~: Click button to sage in ~ME_ forl~at <br />Step 3: E-r~nai[ the XIVIL fife as attachment to aca.submit@useio~.glov <br />Step 4: Fax a signed copy of TFiES P.~GE ®IrBL~` to (2Q2) 6~ S-'i 3~~ <br />Note: The Agency will not be in compliance until the a-mail and the fax of this page are received. <br />FOR AGENCI' U5E ONLY <br />Entered by <br />Entered on <br />Fl' End: 12/31/2008 <br />NCIC: OH0183400 Agency: North Olmsted Police Phone:440-777-3535 <br />State:OH Contact: Jamie Gallagher <br />E-mail: gallagherj@north-olmsted.com <br />Page 5 of 5 <br />January 2009 <br />Version 1.4 <br />