HomeMy WebLinkAboutREVIEW AND REPRESCOPS Hiring Recovery Program (CHI -W) rage r of
Attachment to SF -424
Section 11: CERTIFICATION OF REVIEW AND REPREQ-
The signatures of the Law Enforcement Executive/Program Official and Government Executive/Financial Official, and
the Certification of Review and Representation of Compliance with Requirements:
1. Assures the COPS Office that the applicant will comply with all legal, administrative, and programmatic requir,
acceptance and use of federal funds as outlined in the applicable COPS Application Guide; AND
2. Attests to the accuracy of the information submitted with this application (including the Budget Detail WorkshE
The signatures on this application must be made by the actual executives named on this application unless there is a
for a delegated signature. If your jurisdiction has such an official document, it must be attached to this application. Ap
inaccurate signatures or responses may not be considered for funding.
Signatures shall be treated as a material representation of fact upon which reliance will be placed when the Departmt
covered grant.
Please be advised that a hold may be placed on this application if it is deemed that the applicant agency is not in con
and/or is not cooperating with an ongoing federal civil rights investigation, and/or is not cooperating with a COPS Offi,
a current grant award.
Person Submitting this Application
[174By clicking this box and typing my name below, 1 certify that i have been legally and ofcially authorized by the aF
this application and act on behalf of the grant applicant entity. 1 certify that I have read, understand, and agree, if awa
grant compliance terms and conditions as outlined in the COPS Application Guide, the COPS Grant Owner's Manual
other applicable program regulations, laws, orders, or circulars. In addition, I certify that the information provided on t,
true and accurate to the best of my knowledge. I understand that false statements or claims made in connection with
imprisonment, debarment from participating in federal grants, cooperative agreements, or contracts, and/or any other
federal government.
"Please type your name here in place ofiyour signature: Maria Gonzalez
Law Enforcement Executive
Fl✓ By clicking this box and typing my name below, i certify that I have been legally and officially authorized by the ag
this application and act on behalf of the grant applicant entity. I certify that I have read, understand, and agree, if awa
grant compliance terms and conditions as outlined in the COPS Application Guide, the COPS Grant Owner's Manual
other applicable program regulations, laws, orders, or circulars. in addition, f certify that the information provided an t
true and accurate to the best of my knowledge. I understand that false statements or claims made in connection with
imprisonment, debarment from participating in federal grants, cooperative agreements, or contracts, and/or any other
federal govemment.
https://www. cops. usdoj .gov/chrp/Section 1 l .aspx
COPS Hiring Recovery Program (C:HKP)
*Please type your name here in place of your signature: John F. Timoney
Government Executive Application
rage /- 010
[� By clicking this box and typing my name below, i certify that I have been legally and officially authorized by the ap
this application and act on behalf of the grant applicant entity. 1 certify that I have read, understand, and agree, if awa
grant compliance terms and conditions as outlined in the COPS Application Guide, the COPS Grant Owner's Manual.
other applicable program regulations, laws, orders, or circulars. In addition, t certify that the information provided on t
true and accurate to the best of my knowledge. i understand that false statements or claims made in connection with
imprisonment, debarment from participating in federal grants, cooperative agreements, or contracts, and/or any other
federal government.
*Please type your name here in place of your signature: Pedro G. Hernandez
COPS ONLINE NOTE: The only electronic signature submitted online with this application will be the individual regist
password that was entered during the COPS Online login process. However, the signatures of both the Law Enforcer
the Government Executive/Financial Official, as well as any applicable program partners' signatures, are REQUIRED
application. Original, signed hard copies of the Certification of Review and Representation of Compliance with Requir
Certifications must be kept in the agency's files and furnished upon request.
✓' By clicking this box, I have read and understand this requirement.
Warning: Once you submit your application you will be unable to change any of your application information
reviewed all of your information before submitting your application to the COPS Office.
Previous Submit Application
- Reminder:
To save your data, click the "Save" or "Next" button. If you don't do this before returning to the previous page, your
Paperwork Reduction Act Notice
The public reporting burden for this collection of information is estimated to be up to two hour per response, dependir
applied for, which includes time for reviewing instructions. Send comments regarding this burden estimate or any oth,
information, including suggestions for reducing this burden, to the Office of Community Oriented Policing Services, U
Vermont Avenue, N.W., Washington, DC 20530; and to the Public Use Reports Project, Office of Information and Ret
and Budget, Washington, DC 20503.
You are not required to respond to this collection of infprmation unless it displays a valid OMB control number. The 0
is 1103-0097 and the expiration date is 05131(2011.
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W RECOVERYGO7
https://www,cops,usdoj.gov/clirp/SectionI Laspx
CUPS Hiring Recovery Program (UH") rage o ui
HeIpful Hins I CHRP Home Application Guide 424 Instructions ( CHRP Application (PDF) I Nonsupplantina FAQ
Retention FAQ's I Program and Financial Requirements
https://www.cops.usdoj.gov/chrp/SectionI I .aspx