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,�QUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP) CERTIFICATION INSTRUCTIONS <br /> + Circle the grant program that the grant is fiinded under. <br /> • Enter the grani nuinber and amount, the name of the grantee/organization, the address, contact person and <br /> contact information on the lines provided. (The contact person should be someone who is familiar with the <br /> grant and able to answer questions regarding the EEOP.) <br /> COMPLETE ONLY ONE OF THE FOLLOWING SECTIONS, SECTION A OR B <br /> • SECTION A: Some grantees are not required to develop an EEOP. If one or more of the checkboxes in <br /> Section A apply to your organization, then your organization is exempt from the EEOP requirement and IS <br /> NOT required to develop an EEOP. If this is the case, please print the name of the individual authorized to <br /> certify to this fact, check the box(es) that apply to your organization and sign the certification. <br /> OR <br /> • SECTION B: If your organization is a covered entity type (state or local unit of government, or for-profit <br /> entity), has 50 or more employees and receives a single grant of$25,000 or more, your organization is required <br /> to have an EEOP on file that is current and that can be reviewed by outside individuals. <br /> ■ Print the name of the responsible individual who is certifying that an EEOP is required and on file, the <br /> name of the entity and the location/address of the office where the EEOP is on file. <br /> ■ Sign the certification. <br /> ■ If an entity receives a single grant of$500,000 or more, or, over a period of 18 months, receives several <br /> grants totaling $1,000,000 or more, the entity must submit a copy of the EEOP to the Authority. The <br /> � Authority will then forward the EEOP to the federal Office of Civil Rights for review and approval. <br /> CIVIL RIGHTS COMPLIANCE CERTIFICATION INSTRUCTIONS <br /> • Circle the grant program that the grant is funded under. <br /> • Enter the name of the grantee/organization, the address, contact person and contact information on the lines <br /> provided. (The contact person should be someone who is familiar with the grant and able to answer questions <br /> regarding civil rights compliance.) <br /> • CERTIFICATION STATEMENT: The entity needs to certify that it is in compliance with all local, state and <br /> federal civil rights laws, regulations and guidelines as listed in the Interagency Agreement. The entity also <br /> needs to certify if it has or has not had any findings of discrimination within the past 5 years. <br /> ■ Print the name of the responsible official who is certifying to compliance and the name of the entity. <br /> ■ If your organization has had no findings of discrimination within the past 5 years, please check the first <br /> box. If your organization has had any findings of discrimination within the past 5 years, please check the <br /> second box. Attach a copy of all findings made within the past 5 years that have not already been submitted <br /> to the Authority. If your organization has already submitted all current findings to the Authority, <br /> check the box indicating that; there is no need to resubmit them to the Authority. <br /> ■ Sign the certification. <br /> Instrucuons for EEOP&CR Certificauon 09.04 rev <br />