Standard Application Forms ORI #: 

SECTION 15: ASSURANCES 

Several provisions of federal law and policy apply to all grant programs. We (the Office of Community Oriented Policing Services) need to 
secure your assurance that the applicant will comply with these provisions. If you would like further information about any of these 
assurances, please contact your states COPS Grant Program Specialist at (800) 421-6770. 

By the applicants authorized representatives signature, the applicant assures that it will comply with all legal and administrative 
requirements that govern the applicant for acceptance and use of federal grant funds. In particular, the applicant assures us that: 

1. 
It has been legally and officially authorized by the appropriate 
governing body (for example, mayor or city council) to apply for this 
grant and that the persons signing the application and these 
assurances on its behalf are authorized to do so and to act on its 
behalf with respect to any issues that may arise during processing of 
this application. 
2. 
It will comply with the provisions of federal law, which limit 
certain political activities of grantee employees whose principal 
employment is in connection with an activity financed in whole or in 
part with this grant. These restrictions are set forth in 5 U.S.C.  1501, 
et seq. 
3. 
It will comply with the minimum wage and maximum hours 
provisions of the Federal Fair Labor Standards Act, if applicable. 
4. 
It will establish safeguards, if it has not done so already, to prohibit 
employees from using their positions for a purpose that is, or gives 
the appearance of being, motivated by a desire for private gain for 
themselves or others, particularly those with whom they have family, 
business or other ties. 
5. 
It will give the Department of Justice or the Comptroller General 
access to and the right to examine records and documents related to 
the grant. 
6. 
It will comply with all requirements imposed by the Department 
of Justice as a condition or administrative requirement of the grant, 
including but not limited to: the requirements of 28 CFR Part 66 and 
28 CFR Part 70 (governing administrative requirements for grants and 
cooperative agreements); 2 CFR Part 225 (OMB Circular A-87), 2 CFR 
220 (OMB Circular A-21), 2 CFR Part 230 (OMB Circular A-122) and 48 
CFR Part 31.000, et seq. (FAR 31.2) (governing cost priniciples); OMB 
Circular A-133 (governing audits) and other applicable OMB circulars; the 
applicable provisions of the Omnibus Crime Control and Safe Streets Act 
of 1968, as amended; 28 CFR Part 38.1; the current edition of the COPS 
Grant Monitoring Standards and Guidelines; the applicable COPS Grant 
Owners Manuals; and with all other applicable program requirements, 
laws, orders, regulations, or circulars. 
7. 
If applicable, it will, to the extent practicable and consistent with 
applicable law, seek, recruit and hire qualified members of racial and 
ethnic minority groups and qualified women in order to further 
effective law enforcement by increasing their ranks within the sworn 
positions in the agency. 
8. 
It will not, on the ground of race, color, religion, national origin, 
gender, disability or age, unlawfully exclude any person from 


participation in, deny the benefits of or employment to any person, 
or subject any person to discrimination in connection with any 
programs or activities funded in whole or in part with federal funds. 
These civil rights requirements are found in the non-discrimination 
provisions of the Omnibus Crime Control and Safe Streets Act 
of 1968, as amended (42 U.S.C.  3789(d)); Title VI of the Civil 
Rights Act of 1964, as amended (42 U.S.C.  2000d); the Indian 
Civil Rights Act (25 U.S.C.  1301-1303); Section 504 of the 
Rehabilitation Act of 1973, as amended (29 U.S.C.  794); Title II, 
Subtitle A of the Americans with Disabilities Act (ADA) (42 

U.S.C. 
 12101, et seq.); the Age Discrimination Act of 1975 (42 
U.S.C. 
 6101, et seq.); and Department of Justice Non-
Discrimination Regulations contained in Title 28, Parts 35 and 42 
(subparts C, D, E and G) of the Code of Federal Regulations. 
A. 
In the event that any court or administrative agency makes a 
finding of discrimination on grounds of race, color, religion, 
national origin, gender, disability or age against the applicant after 
a due process hearing, it agrees to forward a copy of the finding 
to the Office of Civil Rights, Office of Justice Programs, 810 7th 
Street, NW, Washington, D.C. 20531. 
B. 
Grantees that have 50 or more employees and grants over 
$500,000 (or over $1,000,000 in grants over an eighteen-month 
period), must submit an acceptable Equal Employment 
Opportunity Plan (EEOP) or EEOP short form (if grantee is 
required to submit an EEOP under 28 CFR 42.302), that is 
approved by the Office of Justice Programs, Office for Civil 
Rights within 60 days of the award start date. For grants under 
$500,000, but over $25,000, or for grantees with fewer than 50 
employees, the grantee must submit an EEOP Certification. 
(Grantees of less than $25,000 are not subject to the EEOP 
requirement.) 


9. 
Pursuant to Department of Justice guidelines (June 18, 2002 
Federal Register (Volume 67, Number 117, pages 41455-41472)), 
under Title VI of the Civil Rights Act of 1964, it will ensure 
meaningful access to its programs and activities by persons with 
limited English proficiency. 
10. 
It will ensure that any facilities under its ownership, lease or 
supervision which shall be utilized in the accomplishment of the 
project are not listed on the Environmental Protection Agencys 
(EPA) list of Violating Facilities and that it will notify us if 
advised by the EPA that a facility to be used in this grant is under 
consideration for such listing by the EPA. 



Standard Application Forms 

11. 
If the applicants state has established a review and comment 
procedure under Executive Order 12372 and has selected this 
program for review, it has made this application available for 
review by the state Single Point of Contact. 
12. 
It will submit all surveys, interview protocols, and other 
information collections to the COPS Office for submission to the 
Office of Management and Budget for clearance under the 
Paperwork Reduction Act of 1995 if required. 
13. 
It will comply with the Human Subjects Research Risk 
Protections requirements of 28 CFR Part 46 if any part of the 
funded project contains non-exempt research or statistical activities 
which involve human subjects and also with 28 CFR Part 22, 
requiring the safeguarding of individually identifiable information 
collected from research participants. 
14. 
Pursuant to Executive Order 13043, it will enforce on-the-job 
seat belt policies and programs for employees when operating 
agency-owned, rented or personally-owned vehicles. 


15. 
It will not use COPS funds to supplant (replace) state, local, or 
Bureau of Indian Affairs funds that otherwise would be made 
available for the purposes of this grant, as applicable. 
16. 
If the awarded grant contains a retention requirement, it 
will retain the increased officer staffing level and/or the 
increased officer redeployment level, as applicable, with state 
or local funds for a minimum of one full local budget cycle 
following expiration of the grant period. 
17. 
It will not use any federal funding directly or indirectly 
to influence in any manner a Member of Congress, a 
jurisdiction, or an official of any government, to favor, 
adopt, or oppose, by vote or otherwise, any legislation, law 
ratification, policy or appropriation whether before or after 
the introduction of any bill, measure, or resolution 
proposing such legislation, law, ratification, policy or 
appropriation as set forth in the Anti-Lobby Act, 18 U.S.C. 
1913. 


False statements or claims made in connection with COPS grants (including cooperative agreements) may result in fines,
imprisonment, disbarment from participating in federal grants or contracts, and/or any other remedy available by law.
I certify that the assurances provided are true and accurate to the best of my knowledge.
Elections or other selections of new officials will not relieve the grantee entity of its obligations under this grant.


Signature of Law Enforcement Executive (or Official with 
Programmatic Authority, as applicable) 

Signature of Government Executive 
(or Official with Financial Authority, as applicable) 


Date 

Date