ATTACHMENTS: Current CCR Registration Verification. Federal Civil Rights Compliance Checklist
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1 ATTACHMENTS: Current CCR Registration Verification Federal Civil Rights Compliance Checklist
2 CCR Search Results Pagel of3 CCR Search Results t to be used as certifications and representations. See ORCA for official certification. Registration Status: Active in CCR; Registration valid until 07/12/2011. DUNS: DUNS PLUS4: CAGE/NCAGE: 3MPT5 Legal Business Name: CHARLES COUNTY GOVERNMENT (INC) Doing Business As (DBA): COUNTY CMMSSONERS CHARLES CNTY Division Name: DEPARTMENT OF FISCAL SERVICES Division Number: Company URL: Physical Street Address 1: CHARLES CNTY GOV BLDG Physical Street Address 2: Physical City: LA PLATA Physical State: MD Physical Physical Zip/Postal Code: Physical Country: USA Mailing Name: CHARLES COUNTY GOVERNMENT Mailing Street Address 1: P.O. BOX 1630 Mailing Street Address 2: Mailing City: LA PLATA Mailing State: MD Mailing Mailing Zip/Postal Code: Mailing Country: USA Business Start Date: 01/01/1658 Delinquent Federal Debt: CORPORATE INFORMATION Type of Organization U.S. Government Entity Business Types/Grants 12 - U.S. Local Government C6- Municipality C7- County KM - Planning Commission V2- Grants DISASTER RESPONSE INFORMATION Bonding Levels /28/2010
3 CCR Search Results Page 2 of 3 Construction Bonding Level, Per Contract (dollars): Construction Bonding Level, Aggregate (dollars): Service Bonding Level, Per Contract (dollars): Service Bonding Level, Aggregate (dollars): Geographic Areas Served geographic areas specified GOODS / SERVICES rth American Industry Classification System (NAICS) Water Supply and Irrigation Systems Sewage Treatment Facilities Water and Sewer Line and Related Structures Construction Highway, Street, and Bridge Construction Solid Waste Landfill Remediation Services Golf Courses and Country Clubs Fitness and Recreational Sports Centers Legislative Bodies Other General Government Support Police Protection Correctional Institutions Administration of Housing Programs Product Service Codes (PSC) Federal Supply Classification (FSC) SMALL BUSINESS TYPES SDB, BA and HubZone certifications come from the Small Business Administration and are not editable by CCR vendors. Business Types Expiration Date rth American Industry Classification System (NAICS) The small business size status is derived from the receipts, number of employees, assets, barrels of oil, and/or megawatt hours entered by the vendor during the registration process. Description Small Business NAICS Code Water Supply and Irrigation Systems Sewage Treatment Facilities Water and Sewer Line and Related Structures Construction Highway, Street, and Bridge Construction Solid Waste Landfill Remediation Services Golf Courses and Country Clubs Fitness and Recreational Sports Centers Legislative Bodies Emerging Small Business https :/ /www. bpn. gov /CCRSearch/detail.aspx /28/2010
4 CCR Search Results Other General Government Support Police Protection Correctional Institutions Administration of Housing Programs Page 3 of3 CCR POINTS OF CONTACT Government Business Primary POC Name: JACQUELINE GARLAND Address Line 1: 200 BALTIMORE STREET City: LA PLATA State: MD Zip/Postal Code: country: USA u.s. Phone: n-u.s. Phone: Fax: Government Business Alternate POC Name: DEBRA POSEY Address Line 1: 200 BALTIMORE STREET City: LA PLATA State: MD Zip/Postal Code: Country: USA U.S. Phone: n-u.s. Phone: Fax: Past Performance Primary POC Name: Address Line 1: City: State: Zip/Postal Code: Country: U.S. Phone: n-u.s. Phone: Fax: Past Performance Alternate POC Name: Address Line 1: City: State: Zip/Postal Code: Country: U.S. Phone: n-u.s. Phone: Fax: Electronic Business Primary POC Name: JACQUELINE GARLAND Address Line 1: P.O. BOX 1630 City: LA PLATA State: MD Zip/Postal Code: Country: USA u.s. Phone: n-u.s. Phone: Fax: Electronic Business Alternate POC Name: JACQUELINE GARLAND Address Line 1: P.O. BOX 1630 City: LA PLATA State: MD Zip/Postal Code: Country: USA U.S. Phone: n-u.s. Phone: Fax: /28/2010
5 Federal Civil Rights Compliance Checklist (Anti-Discrimination) Name of your Organization: Charles County Sheriffs Office Date: October 28, 2010 This checklist must be completed and submitted with the hard copy of your grant application to the Governor's Office of Crime Control & Prevention (GOCCP). Any response that requires additional space may be submitted on a separate piece of paper and attached to this form. The following chart is provided as a guideline of the criteria and requirements that must be metto be in compliance with the Office of Civil Rights. Equal Employment Opportunity Plan (EEOP) CRITERIA CHART: Entity Type Number of Employees Federal Funding Amount EEOP Certification req'd required to OCR to OCR Certified Assurances Required Send Findings to OCRReq. Education, n-profit NIA Does not matter NO -Certify Entity Type State/Local Gov't& For-Profits N/A Less than 25,000 NO -Certify Less than $25K State/Local Gov't& For-Profits Less than 50 Does not matter NO -Certify Less than 50 State/Local Gov't& For-Profits 50 or more Between 25,000 & 499,000 Only -Cerify on-site EEOP is for review available on-site forreview State/Local Gov't& For-Profits 50 or more or more 500,000 NO Certification Form: If your entity falls under the following criteria, it is mandatory to file a Federal Certification Form with OCR. a) an educational entity, or b) a non-profit, or c) an Indian tribe, or d) a medical entity, or e) a State or Local Unit of Government, or For-Profit, receiving a total ofless than $25,000 in federal funds, or f) a State or Local Unit of Government, or For-Profit, having less than fifty (50) employees, or g) a State or Local Unit of Government, or For-Profit, having more than fifty (50) employees and receiving between $25,000 and $499,999 in total federal funding If your entity meets any of the above criteria, have they submitted a Certification Form to the OCR? -' Yes Date submitted: June 16,
6 Why not: projected Date: Federal link for this form is: Mail the completed original form to the: Office of Civil Rights, Office of Justice Programs, U.S. Department ofjustice, 810 7th Street, N.W., Washington, D. C *Do NOT mail to GOCCP EEOP Criteria to maintain on your premises (physical submission not required): If your entity is a State or Local Unit of Government, or a For-Profit entity, that has fifty (50) or more employees, and receives between $25,000 and $499,999 in federal grants funds, it is mandatory that your entity maintain an EEOP on your premises for review, If your entity falls under these qualifications, do you have an EEOP on file at your location for review?./ Yes Date submitted: 07/16/2009 Copy on Premises: or N Whynot: Projected date of submission: EEOP Criteria for physical submission to OCR required: If your entity is a State or Local Unit of Government, or a For-Profit entity, that has fifty (50) or more employees, and receives $500,000 or more in federal grants funds, it is mandatory that your entity physically submits an EEOP to the Office of Civil Rights (OCR). If your entity falls under these qualifications, have you submitted an EEOP to the OCR? Yes Date submitted: Copy on Premises: Y or N (circle) Why not: Projected date of submission: Federal links for the EEOP and how to file: }> / usdoj.gov/about/ocrleeop.htrn }> _ CFR _ pdf }> htto:// eeop.htm }> Disability: If your entity is a State or Local Unit of Government, or a For-Profit entity that has fifty (50) or more employees, and receives $500,000 or more in federal grants funds, has the entity taken the following steps: I. Adopted grievance procedures that incorporate due process standards and provide for the prompt and equitable resolution of complaints alleging a violation of the Department of Justice (DOJ) regulations. implementing Section 504 of the Rehabilitation Act of 1973, found at 28 C.P.R. Part 42, Subpart G, which prohibit discrimination on the basis of a disability in employment practices and the delivery of services? orn 2. Designated a person to coordinate compliance with the prohibitions against disability discrimination as
7 required under Section 504, noted above? orn 3. tified participants, beneficiaries, employees, applicants, and others, that the sub-recipient does not discriminate on the basis of disability? orn Federal links for Disability information: )> http~/ )> Religion: N /A Faith-Based Organizations (FBO) must not use federal funding to advance inherently religious activities and may not discriminate against beneficiaries of services provided based on religion or religious belief. I. If any religious activity is part of your program: a) Are the activities available to program participants and beneficiaries on a voluntary basis, regardless of their religious belief? YorN (circle) b) Are religious activities kept separate in time or place from federally funded programs? Y or N (circle) c) Does your entity ensure that federal funds are not used to conduct inherently religious activities, such as prayer, religious instruction, or proselytization? YorN (circle) Limited English Proficiency (LEP): A Limited English Proficient (LEP) person has a first language other than English and a limited ability to read, write, speak, or understand English. Entities are required to have, or prepare, a plan to provide meaningful access to your program services and activities to Limited English Proficient (LEP) persons. Meaningful access may be oral interpretation, written translation, or both (e.g. bilingual staff, language link line, etc.). I. Does your entity have written procedures in place for encounters with LEP individuals? or N a) If yes, is a copy available of the written procedure on the premises? or N Our Agency Operating Manual {A OM) provides procedures for Interoreter/Translator services. We also have a number of bi-lingual officers. Our AOM also has written information on how to get contact information for the International Visitors Information Service OVIS) via the agency Communications Section or CAD System. 2. If no, has your entity begun to plan a LEP procedure? Y or N a) If no, why not:
8 b) If yes, briefly describe steps being taken: Federal LEP Tips: )> Assessment of LEP populations and language needs )> Enlist the cooperation/partnership of community and ethnic organizations (encouraged) } Publication of a written language assistance plan } Provision of appropriate staff training about the plan } Public outreach and notice ofthe availability oflanguage assistance; and )> Periodic self-assessment and self monitoring Websites available to assist with LEP are: )> Regulation: _ vi.html, } LEP Guidance: and or / guidance/ guidance_ index.html } Resources, references, and some OCR approved LEP plans: )> Top Tips: _Conference_ Materials/TopTips.pdf Certified Assurances: When entities apply for federal funds from the GOCCP a copy of the Certified Assurances will print out and are required to be signed by the Authorized Official. Certified Assurance numbers 6, 8, and 11, focus on the OCR legal requirements. 1. Have the Certified Assurances been read, and reviewed in their entirety, confirming your entities compliance 1 and signed by the Authorized Official? orn If no explain why: Additional Compliance: I. If your entity operates an educational program or activity, has the entity taken the following actions: N/A a) Adopted grievance procedures that provide for the prompt and equitable resolution of complaints alleging a violation of the Department of Justice (DOJ) regulations implementing Title IX of the Education Amendments of 1972, which prohibit discrimination on the basis of sex? Yes or (circle) b) Designated a person to coordinate compliance with the prohibitions against sex discrimination
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