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~~~' <br />~:~... <br />,~~. <br />U S„ Department of Justice <br />Office of Community Oriented Policing Services <br />Grantsitdminutration l)ivisioa Washington; l) C 20530 <br />Supplemental Sisnature Foim: <br />Notice of Grant Requirements <br />This Supplemental Signature Form must be signed and returned with your application <br />We certify that the information provided in the Technology application is true and accurate to the <br />best of our knowledge To ensure compliance with the nonsupplanting requirement of the COPS <br />statute, we cert~ that the agency has not already allocated state, local, or Bureau of Indian A}jairs <br />funds to implement this project We also understand that any false statements or claims made in <br />con»ection with COPS grants may resrtlt in )rues, imprisonment, debarment from participating in <br />federal grants or contracts, and/or any other remedy available bylaw fo the federal government <br />In addition to the above certifications, you must indicate whether your agency will participate in an <br />open-competitive bidding process or throug~r a sole source justification (SS.n. Please check one of the <br />following lines that applies to your procurement process for this grant <br />_ the agency will be conducting an open-competitive bid process for the <br />items listed in the Budget Detail Worksheet <br />__~~ Fhe agency will be using a sole sourcejustification <br />{Please complete the Sole Source.lustifrcation Sheet if applicable). <br />Enfotrement Executive Signature <br />ange County Emergency <br />Management <br />Agency Name <br />Sl2s'os_ <br />Date <br />ovenunent xecutiv Signature <br />County of Orange <br />Agency Name <br />Date <br />t Please be advised that a hold may be placed on this application fit is deaned that the applicant agency is not in <br />compliance with federal civil rights laws and/o>• is not cooperating with an ongoing federal civil »ghts im estigatton <br />