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Uniform Administrative Requirements, Costs Principles, and Audit Requirements for Federal Awards. The Department of Justice <br />and the Department of the Treasury reserve the right to conduct periodic random audits or reviews. <br />7. Freedom of Information Act. Information provided in this Document is subject to the FOIA requirements of the Department <br />of Justice and the Department of the Treasury. <br />During the past fiscal year: (1) has any court or administrative agency issued any finding, <br />judgment, or determination that the Agency discriminated against any person or group in <br />violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into <br />any settlement agreement with respect to any complaint filed with a court or administrative <br />agency alleging that the Agency discriminated against any person or group in violation of any of <br />the federal civil rights statutes listed above? <br />❑ Yes No <br />Agency Head <br />Name: Dana, Gene <br />Title: Sheriff <br />Email: gene.dana@co.kittitas.wa.us <br />Signature: Submitted Electronically Date: 01/04/2018 <br />To the best of my knowledge and belief, the information provided on this form is true and accurate and has been reviewed and authorized by the Law <br />Enforcement Agency Head whose name appears above. Entry of the Agency Head name above indicates his/her acceptance of and agreement to abide <br />by the policies and procedures set forth in the Guide to Equitable Sharing for State and Local Law Enforcement Agencies, including ensuring <br />permissibility of expenditures and following all required procurement policies and procedures. Entry of the Agency Head name above also indicates <br />his/her acceptance of and agreement to abide by requirements set forth in this Equitable Sharing Agreement, and any policies or procedures issued by <br />the Department of Justice or the Department of the Treasury related to the Asset Forfeiture or Equitable Sharing programs. The Law Enforcement Head <br />also certifies that no items on the Prohibited list, as detailed in "Recommendations Pursuant to Executive Order 13688", were purchased with equitable <br />sharing funds on or after October 1, 2015. <br />Governing Body Head <br />Name: Osiadacz, Laura <br />Title: Chairman <br />Email: Laura.Osiadacz@co.kittitas.wa.us <br />Signature: Submitted Electronically <br />Date: 01/04/2018 <br />To the best of my knowledge and belief, the agency's current fiscal year budget reported on this form is true and accurate and the Governing Body Head <br />whose name appears above certifies that the agency's budget has not been supplanted as a result of receiving equitable sharing funds. Entry of the <br />Governing Body Head name above indicates his/her acceptance of and agreement to abide by the policies and procedures set forth in the Guide to <br />Equitable Sharing for State and Local Law Enforcement Agencies, this Equitable Sharing Agreement, and any policies or procedures issued by the <br />Department of Justice or the Department of the Treasury related to the Asset Forfeiture or Equitable Sharing Programs. <br />El I certify that I am authorized to submit this form on behalf of the Agency Head and the Governing Body Head. <br />Submitted Electronically on 01/04/2018 <br />Date Printed .*01 /04/201 E Page 4 of 4 February 2016 <br />Version 3.2 <br />