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4985
WASHINGTON STATE DEPARTMENT OF TRANSPORTATION
Non-Discrimination Agreement
Public Works
LEG 12-1
1/4/2011
On-going
1/1/2013
Comments Review date for monitoring purposes only
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PUBL/C i+D�ORIICS & UT/L/T/ES
Director's �ce
December 5, 2011
Mr George Laue
Human Resources Consultant/Title VI Coordinator
Washington State Department of Transportat�on
2714 N Mayfair Street
Spokane, WA 99207-2050
Dear Mr �aue
� Te! 360-473-'S315
� iar 360
f 100 Oysber 8ay Ave N
� BretnertOn, WA 98312
f
Thank you for your assistance regarding Bremerton's Non-Discrimination Agreement
(tVDA) update Attached is our agency's Title VI Program NDA annual accomplishment
and update report through December 31, 2010
If you have any questions, please direct them to Mr Larry Matel, the City of Bremerton's
Title VI Coordmator or myself at (360) 473-5315
Sincerely,
�� �r
Vincent Akhim�e, CPM, P E
Director, Pubiic Works � Utilities Department
Enc
cc
Patty Lent, Mayor
Larry Matei, Managmg Engineer (Transportation)
Non-Discriminafion Agreement
Annual Report
Populafion Under 100,000
VVashington State Department of Transportation
Citv of Bremerton
(Name of Reap�ent)
January 1, 2010 to December 31, 2010
(Repo�ting penod)
As stipulated in this agency's Title VI Program Non-Discnmination Agreement, WSDOT"s approval
letter to that agreement, and WSDOT's Highways and Local Programs Local Agency Gwdelines
Manual (Chapter 28), the annual accomplishment and update report for the reporting penod reflected
above is hereby submitted
Current Chief Executive Officer
Name Pa Lent �
Title Ma or
Planrnng or Public Works Director
Name Vincent Akh�mie, CPM, P E
Title Public Works 8� Utilities Department Director
Title VI Coordmator
Name Lar Matet�
Title Manaqinq Enqmeer (Transportation)
SUBMITTED
�.. �----�
Signature
Vmcent Akhimie
Typed/Pnnted Name
Director of Public Works 8� Utdities Denartment
Title
January 4, 2011
Date
OEO NDA Annual Report Form (Dec 1 2010)
ANNUAL UPDATE AND ACCOMPLISHMENT REPORT
For agencies under 100,000
C�tv of Bremerton
(Name of Recipient}
December 21, 2010
(Report Submission Date)
2008, 2009, and 2010
(Reporting Period)
Reference WSDOT's Local Aqencv Guidelines Manual, Chapter 28
1 Report any changes in the organizational structure since the last reporting period
(Example New Title VI Coordinator, new planning or public works directors, etc)
• Report should identify the changes in the raciaUgender composition of those persons
involved m the transportation decision makmg, including planrnng and advisory staff
• If no changes have been made, please indicate that accordingiy
The City of Bremerton hired a new Public Works Department Director named Vincent
Akh�mie (P E) on July 22, 2010 Mr Akhimie �s of African Amencan descent
2 Using the most current data available (through Census or Washington State Office of Financial
Management), describe the demographics within your �unsd�ction
a Describe any required Title VI activities and/or studies conducted that provided data relatwe
to minonty persons, neighborhoods, �ncome leveis, physicai environment, and travel habits
b How was the information utdized or Titfe VI provisions and needs applied in each study or
activity�
Please see the 2011-2015 CONSOLIDATED PLAN
CITY OF BREflflERTON AND KITSAP COUNTY CONSORTIUM which can be
viewed at the following internet address
http //www ci bremerton wa us/forms/communitydev/federalgrants/2011/2011_2015Consolidated
Plan pdf
OEO Annual Report Form (rewsed December 2009)
Annual Update and Accomplisnment Report
Populat�on Under 100 000
3 List any Pubiic outreach act�v�t�es dunng the reportmg penod such as pubiic announcements
and/or commurncations for meet►ngs heanngs pro�ect not�ces Include the foilowmg
Please see prev�ously referenced 2011-2015 Consol�dated Plan
a How were special fanguage needs assessed� L�st the spec�ai language needs
assessments conducted
Please see previously referenced 2011-2015 Consoiidated Plan
b What outreach efforts did you utdize to ensure that minonty, women low-income, and LEP
population groups were provided equal opporturnty to participate m those outreach act�v�t�es
(Examples provided materials in other languages met with local sociaf services agencies
advertised m a mmonty publ�caUon)
Please see previousty referenced 2011-2015 Consolidated Plan
c L�st the special language services provided — note the profess�onat language serv�ce
provided including the name of the service date prov�ded number of persans served and
any other relevant information
Please see previously referenced 2011-2015 Consolidated Plan
d List any costs mcurred for translations and mterpreters for each activity
NiA
4 List all the transportation related contracts (Federal and others) that were executed dur�ng the
repo�tmg penod (Please mclude construcUOn, consuitant agreements for pianrnng design,
engineenng env�ronmental, research ma�ntenance, etc )
Include dollar value of each
1. Wheaton Way/Schley Canyon Siope Repair -$230,000
2 Paciflc Avenue — Burwell to 6'" Street - 5630,000
3 11`" and YNanen Avenue intersectfon Improvements - 5800�000 (Right of Way
acquisitfon only compieted to date)
• Other than advertising in your locai legai publicat�on what outreach was made to
DMWBE firms that a contractmg oppo�turnty existed withm your agency�
No DBE goal
Identify the DMWBE contracts that were awarded and their dollar amount
NIA
• Is there a Title VI Non-Discnmination statement mcluded m ail contracts and pubiic
notices�
Yes
• How did your orgarnzation ensure that minor�ty women and disadvantaged firms were
provided equal opporturnty to participate in the contractmg arena�
The Not�ce of Invding b�ds stipulate these reqmrements
OEO Annual RepoA Form (12/09)
Annual Update and Accomplishment Report
Populat�on Under 100 000
Summanze any transpo�tation pro�ects that ident�fy potentiai �mpacts to minonty ancl/or low-
income Env�ronmental Justice (EJ) populations (� e impacts such as displacements mcreased
noise bisecting neighborhoods et al) Note the foitowing
• How impacts were mirnmized/m�t�gated
Bremerton's transportadon infrastructure improvement pro�eets during the 2009 to 2012
penod are targeted at rehabfiitaUng exEsting central city transportatlon infrastructurs.
S�gndicant attention is being ghrsn to the rebmlding of c�ty sidewaiks and p�destrian and
bicycle faciliUes to serve the residents of the ar+� The 2d11-Z015 Consolidated Pian
provides the background on the population served These transpartatio� projects seek
neighborhood input through open public meetings in locations conven�errt to the
nelghborhood. Comments from the community are sol�c�ted by the Breme�ton C�ty
Cou�cil and incorporated mto project desfgn where fea�ible.
Also inciude a statement if applicable on pro�ects that spec�ficalfy benefit commurnty
cohesion such as adding s�dewalks improving access to praperUes that �mprove access for
EJ populations
Dunng 2009 and 2010 Bremerton has compteted �ts Pacfic Avenue Bu�well to 6"' Street
redevelopment pro�ect to rehabilitate fts main downtomm street and sidewalk infrastructure
to serve the downtown and nearby central cdy neighbofioads
6 if Right of Way has been acquired for a transportatwn pro�eci, please descnbe
The 11"' and Warren Avenue Intersect�on Improver�nt pro�e�t extends the left and right
hand tum lanes for southbound traffic on Warren Avenue. Inciuded with th� widentng are
a bicycie tane and wider sidewalk (8') for pedestnans. Acquisition included four
residences� two of which were already vacant
• Identify the number of mmonty low-incame elderty artd disab{ed persons affected
Two low-fncome resfdents were displacect One resfdenUproperty owner for whom the
Crty's acquisition haked toreclosure proceedings proceeding agafnst the proparty
• The efforts that were made to address Lim�ted Englrsh Proficiency issues (mcludmg use and
cost of translators outreach efforts for each reported actrvity)
N/A
• Describe any concerns raised by minorities and wamen regar��ng appraisals negotrations
relocation assistance, and payments What actrons were taken to resolve those ►ssues�
N/A
OEO Annual Report Farm (1Z09)
Annuai Update and Accomplishment Report
Populatian Under 100 000
List and descnbe any Title VI related complamts as a resuiE of transportation activ�ties and
pro�ects Include
None that we are aware of
• What was the ailegaUon or eoncern�
• Procedures used
• Actron taken
• Resafut�on
OEO A�nuai Report Form (t?J09)
Non-Discnmination Agreement
Annual Report
Population Under 100 000
1 Report any changes �n the organizat�onal structure smce the last report�ng period
(Example New Title VI Coordmator, new planning or pubiic works directors, etc)
a Report should identify the changes m the raaaUgender compos�tion of those persons
�nvolved m the transportation decision making, mcludmg planrnng and advisory staff
b If no changes have been made, please indicate that accordingly
2 Using the most current data avadable (through Census or Washington State Office of Financial
Managementj, descnbe the demographics within your�unsdiction
a Descnbe any reqwred T�tle VI activities andlor studies conducted that prov�ded data relative
to minoMy persons, neighborhoods, income levels, physical environment, and travei habits
b How was the informat�on utdized or Title VI provisions and needs applied in each study or
activ�ty�
3 List any Public outreach act�vities dunng the reporting period such as, public announcements
and/or communicat�ons for meetmgs, heanngs pro�ect notices include the foilowmg
a How were spec�al language needs assessed? List the special language needs
assessments conducted
b What outreach efforts did you utdize to ensure that mmority women low-income, and LEP
population groups were provided equal opportunity to participate in those outreach activit�es
(Examples provided materials m other languages, met with local social services agencies,
advertised in a minonty pubiicat�on)
c List the special language services prowded — note the professionai language service
provided mcluding the name of the serv�ce, date provided, number of persons served, and
any other relevant information
d L�st any costs mcurred for translat�ons and mterpreters for each activity
OEO NDA Annual Report Form (Dec 1 2010)
2
Non-Discnmmahon Agreement
Annual Report
Populahon Under 100,000
4 L�st all the transportat�on related cantracts (Federal and o4hers) t�at �re executed dunng the
repordng penad (Please include construction� consultant agreemenfs for planrnng des�gn,
engineenng environmentai research maintenartce, etc )
a Indude doliar value of each
b Other than adverhsmg m your tocal legal publ�Uon, what ov�a�h aras made to DMWBE
firms that a contracting opportun�ty existed withm you� agerac�
c Identify the DMWBE contrads that were awrarded and the'r doli�rr amount
d Is there a Title VI Non-D�scnmmation statement �n�luded �n all oontracts and pubiac notices�
e How did your organ¢ahon ensure that minanty, v�romen, and d�dvantaged firms wrere
provided equal opparturnty to particopate m the cont�c�ng arena�
5 Summanze any transportation pra�ects that idenMy potential impacts fo minonty and/or low-
�ncome Enwronmentai Just�ce (EJ) populat�ons (i e,�mpacts such � d�spfacements, mcreased
noise, b�secting neightzofioods, et al) Note the foi@owmg
a How impacts wrere minim►zedlm�hgated
b Also include a statement, �f applECable, an projeds that spec�ficatly t�enefit community
cohes�on such as addmg s�de�araiks, �mprav�rtg �cess to pro�es that �mprove access for
EJ populahons
OEO NDA Mnual Report Form (Dec t 2m1 f}}
3
Non-Discnminat�on Agreement
Annual Report
PopulaUon Under 100,000
6 If Right of Way has been acquired for a transportat�on pro�ect, please descnbe
a Identify the number of minonty low-income, elderty and d�sabled persons affected
b The efforts that were made to address Lim�ted English Proficiency issues (inciudmg use and
cost of transiators, outreach efforts for each reparted acfiv�ty)
c Descnbe any concerns raised by minonties and women regardmg appraisals, negotiat�ons
relocation assistance, and payments What actions were taken to resolve those issues�
7 List and descnbe any Title VI related complaints, as a result of transportation activ�ties and
pro�ects include
a What was the aliegation or concem�
b Procedures used
c Action taken
d Resolution
OEO NDA Annual Report Fortn (Dec 1 2010)
4
2011
City of Bremerton
Organization Chart
Mayor
Patty Lent
Managing Engineer (Transportation)
Larry Ilflatel *
In his day-to-day �ob, Larry Matel reports directiy to Vincent Akhimie,
who reports directiy to the Mayor
Non-Discrimination Agreement
Population Under 100,000
Yiiashington State Depar�r�tent of Transportation and
Citv of Bremer�on
(Name of Reap�►4)
Policy Statemen#
hereinafter referred to as the LLRecipient° assures that no person shall on the grounds of race,
color, national ongin, or sex, as provAded by T�tle VI of 4he CnnO nghts Ad of 1964, and the Civd
Rights Restorahon Achon of 1987 {P L 100 259) be exd�ed from part�apat�on m, be derned
the benefits of. or bE otherwise sub�ected to discnmmat�on under any prc�gram or activrty The
Rec�peent further assures every effort wnll be made to ensure non-d�scnmination �n all of �ts
programs and actN�t�es, whether those prc�grams and acmvr�es are fec9erally funded or not
The Civd Rights Restoratvon Act of 1987, broadened ti�e sco� of Title VI coverage by
expandmg the definrtion of terms °pr�rams or actmUes° �o indu�e all programs or ac�nr�ties of
Federal A�d rec�pients, sub-recipients, and contracto�Jconstaftarrts, whether such programs and
activ�6es are federaliy assisted or nat (Public Law 100259 [S 557] March 22, 1988 )
In the everrt the Rec�poent distnbutes federal aid funds to a sub-necop�ent, the Recipient will
include Titie VI language m all wntten agreements and well r�nort�tor fo� compliance
The Recip�ent's Manag�ng Engineenng (Transportanon), Larry Matel, is responsibie for in�tiating
and mon�tonng Title VI activr�es, prepanng reports and oth�r responsibd�es as reqwred by 23
Code of Federal Regulations (CFR) 200 and 49 Code of Federal Regulabon 21
69�ayor
Januanr 4. 2011
Date
OEO I�tDA Fosm (2010-11-0t)
Non-Discnm�naUon Agreerroent
Populabon Under 100,0�
Title VI Program
Organization and St�ff'ing
Pursuant to 23 CFR 200, the Recapient has designated a Title VI Coordinator
who is res�mnseble for Attachment 1, which descnbes the hierarchy for the
Rec�p'ent's Title VI Program, mcludinq an orqan�zation's chart dlustrating the
level an� �lacemerrt of Title VI responsibdities
Assurances
49 CFR Part 21.7
The Rea�ient hereby grves assurances
That no person shali on the grounds of race, color, national ongin, or sex, be
exduded ftom partoc�pation in, be denied the benefrts of, or be otherwnse
sub�ec�eri to discnmmation under any program or act�vity conducted by the
reapient regardless of whether those programs and activities are federally
funded or not Activrbes and programs which the Recipient hereby agrees to
carry ouQ m compi�ance vinth Title VI and related statutes include, but are not
hmded to
o List ali ma�or Transportation programs and activities of the Reapient
and Tdle VI responsibdfies for each one of them Include mformation
as Attachment 2 to this Nondiscnmination Agreement
2 That d�nnll promptly take any measures necessary to effectuate ihis
agreemer�t
3 That each Transportation program, activity, and faality (i e, lands change to
roa�ways, park and nde lots, etc ) as defined at 49 CFR 21 23(b) and (e),
an€i the Cnnl Rights Restoration Act of 1987 wdl be (�nnth �egard to a program
or adnnty) conducted, or �nnll be (w�th regard to a facdity) operated in
compliance with the nondiscnmmatory requirements imposed by, or
�rsuant to, this agreement
4 That these assurances are gNen in cons�deration of and for the purpose of
obtaineng any and all federal grants, loans, contracts, property, discounts o�
other federal finanaal assistance extended after the date hereof to the
Reapient by the Washington State Department of Transportat�on (WSDOT)
under the federally-funded program and is bmdmg on it, other recipients,
sub-grantees, contractors, sub-contractors, transferees, successors in
m4erest and other partiapants The person or persons whose signatures
app�ar below are authonzed to sign these assurances on behalf of the
B2ecg�serrt
5 Tha# t�ue Recopoent shall msert the foilowing notification in ali solicitat�ons for
btds f�r r�rork or matenai sub�ect to the Regulations and made �n connection
OEO NDA Form (201Q-11-01)
Non-Oiscnmmation Agreement
Populafion Under 100,000
with all fede�ally-funded programs and, m adapted form all proposais for
negotiated agreements
The Recip�ent, m accordance wrth Trtle VI of the C�v�! Rrghts Act of
1964, 78 Stat 252, 42 U S C 2000d to 2000d-4 and Title 49, Code of
Federal Regulations, Department of Transportat�on, Subt�tle A, O�ce
of the Secretary, Part 21, Nondlscnmmat�on m Federally-Ass�sted
Programs of the Department of Transportation �ssued pursuant to
such Act, hereby not�es ail bidders fhat �t wrll affirmatively ensure that
rn any contract entered �nto pursuant to th�s advertrsement,
drsadvantaged busmess enterpnses as defined at 49 CFR Part 23 wdl
be af�orded full opportunrty to subm�t bids in response to th►s �nvdat�on
and wdl not be d�scnm�nated aga�nst on the grounds of race, color,
nat�ona! orrg�n, or sex rn cons�derat►on for an award
6 That the Recipient shall insert the clauses of Appendix 1 of this Agreement
�n every contract sub�ect to the Act and the Regulations
7 That the Recipient shall insert the clauses of Append�x 2 of this Agreement,
as a covenant runrnng with the land, m any deed from the United States
effectmg a transfer of reai property, structures, or improvements thereon, or
interest therein
8 That the Recipient shall mciude the appropriate clauses set forth in
Appendix 3 of this Agreement, as a covenant running with the land, in any
future deeds, leases, permits, licenses, and similar agreements entered into
by the Recip�ent with other part�es (a) for the subsequent transfe� of real
property acqwred or improved under a federal aid program, and (b) for the
construction or use of or access to space on, over or under real property
acquired, or �mproved under a federal aid program
9 The Recipient agrees that the United States has a nght to seek �udicial
enforcement wnth regard to any matter arismg under the Act, the Regulation,
and this agreement
Implementation Procedures
This agreement shall serve as the RecipienYs Titie VI plan pursuant to 23 CFR
200 and 49 CFR 21
For the purpose of this agreement, "Federal Assistance" shall mclude
1 grants and loans of federal funds,
2 the grant or donation of federal property and interest m prope�ty,
3 the detail of federal personnel,
OEO NDA Form (2010-11-01)
3
Non-Discnminafion Agreement
Populat�on Under 100,000
4 the sale and lease of, and the peRrnssion to use (on other than a causal or
trans�ent basis), federai property or any interest in such property without
consideration or at a nominal consideration, or at a consideration which is
reduced for the purpose of assistmg the recipient, or in recognition of the
public interest to be served by such sale or lease to the recipient, and
5 any federal agreement, arrangement, or other contract which has as one of
�ts purposes, the provision of ass�stance
The Recipient shall.
1 Issue a policy statement, siqned bv the chief execut�ve o�cer of the
Recip�ent, wh�ch expresses �ts commitment to the nondiscrimmation
provisions of Title VI The policy statement shall be circulated throughout
the recipient's orgarnzation and to the generai public Such �nformation shali
be published where appropnate in languages other than English
2 Take affirmatwe action to correct any deficiencies found by WSDOT or the
Urnted States Department of Transportation (USDOT) withm a reasonable
time penod, not to exceed 90 days, in order to implement Title VI
compliance in accordance with this agreement The head of the Recipient
shall be held responsibie for implementing Titfe VI requ�rements
3 Designate a civd nghts coordmator who has a responsible position in the
organization and easy access to the head of the Recipient The civil rights
coordinator shall be responsible for initiating and morntonng Title VI activities
and prepanng reqwred reports
4 The civd nghts coordinator shall adequately implement the civil rights
reqwrements
5 Process complaints of discrimination consistent �nnth the provisions
contained in this agreement Investigations shall be conducted by civd rights
personnel tramed in d�scrimination compiaint mvest�gation Identify each
compiainant by race, color, national ongin or sex, the nature of the
complaint, the date the complamt was filed, the date the investigation was
compieted, the disposition, the date of the disposition, and other pertment
information A copy of the complaint, together with a copy of the rec�p�ent's
report of investigation, will be forwarded to WSDOT's Office of Equal
Opporturnty (OEO) within 10 days of the date the compiaint was received by
the rec�pient
6 Collect statistical data (race, color, national ongin, sex) of participants in,
and benefic�anes of the Transportation programs and activities conducted by
the recipient
OEO NDA Fertn (2010-11-01)
4
Non-DiscnmmaUon Agreement
Population Under 100,000
7 Conduct Title VI reviews of the recipient and sub-recipient contractor/
consuitant program areas and actrvities Revise, where applicable, policies,
procedures, and directives to mclude Titie VI requirements
8 Attend training programs on Title VI and related statues conducted by
WSDOT OEO
9 Prepare a yearly report of Title VI accompiishments for the last year and
goals for the next year This report is due one year from the date of
approval of the Non-Discnmination Agreement and then annually on the
same date This report wdi include the follownng
a) Annual Work Plan
Outline Title VI morntoring and review act�v�t�es planned for the coming
year, state by which each activity wnll be accompiished and target date
for completion
b) Accomplishment Report
List maJor accomplishments made regardmg T�tle VI activities Include
instances where Title VI issues were identfied and discnmination was
prevented Indicate activities and efforts the Titie VI Coordinator and
program area personnel have undertaken in morntonng Title VI Include
a descnption of the scope and concius�on of any special reviews
(intemal or eutemal) conducted by the Titie VI Coordinator L�st any
ma�or problem(s) identified and correction act�on taken Include a
summary and status report on any Title VI complaints filed with the
Recipient
Discr�mination Complaint Procedure
1 Any person who believes that he or she, individually, as a member of any
specific class, or in connection with any disadvantaged business enterpnse,
has been sub�ected to discnmmation prohibited by Title VI of the Civ�l R�ghts
Act of 1964, the Amencan with Disabilities Act of 1990, Section 504 of the
Vocational Rehab�litation Act of 1973, and the Civd Rights Restoration Act of
1987, as amended, may file a complaint w�th the Recipient A complamt
may also be filed by a representat�ve on behalf of such a person All
complaints will be referred to the Rec�p�ent's Title VI Coordinator for review
and action
2 In order to have the complamt consideration under this procedure, the
complainant must file the compliant no later than 180 days after
a) The date of the alleged act of discnmination, or
OEO NDA Form (2010-11-01)
Non-0iscnminaUon Agreement
Populat�on Under 100 000
b) Where there has been a contmwng course of conduct, the date on
which that conduct was discontinued
In e�ther case, the Recipient or his/her designee may extend the time for
filing or waive the time limit �n the interest of �ustice, specifymg m wntmg
the reason for so doing
3 Complaints shall be in writing and shall be signed by the complainant andlor
the complainanYs representative Complaints shail set forth as fully as
possible the facts and circumstances surroundmg the claimed
discnmmation In the event that a person makes a verbal compiaint of
discnm�nat�on to an officer or empioyee of the Recipient, the person shall be
mterviewed by the Title VI Coordinator If necessary, the Title VI
Coordinator �nnll assist the person in reducing the complaint to wmting and
subm�t the written version of the complamt to the person for signature The
complaint shall then be handled according to the RecipienYs mvestigative
procedures
4 Within 10 days, the Titie VI Coordmator wdl acknowledge receipt of the
allegation, inform the complainant of action take or proposed action to
process the allegation, and advise the complamant of other avenues of
redress avadable, such as WSDOT or USDOT
5 The recipient wdl advise WSDOT within 10 days of receipt of the allegations
Generally, the follo�nnng information wdl be included �n every not�fcation to
WSDOT
a) Name, address, and phone number of the complainant
b) Name(s) and address(es) of alleged discrim�natmg official(s)
c) Basis of complaint (i e, race, color, national ongm, or sex)
d) Date of aileged discriminatory act(s)
e) Date of complamt received by the recipient
� A statement of the complamt
g) Other agenc�es (state, local, or federal) where the complaint has been
frled
h) An expianation of the act�ons the recipient has taken or proposed to
resolve the issue raised in the complamt
6 Wdhin 60 days, the T�tle VI Coord�nator wdl conduct an mvestigation of the
allegation and based on the mformation obtained, �nnll render a
recommendation for action in a report of flndings to the head of the
o�o NnA Fom, �ZOia»-o�>
s
Non-DiscnminaUon Agreement
PopulaUon Under 100 ODO
Reapient The complamt should be resolved by informal means whenever
pmssible Such informal attempts and their results will be summarized m the
report of findings
7 tN�#hin 90 days of receipt of the complaint, the head of the Recipient wdl
notify the complainant in wnting of the final decision reached, includmg the
propase�i disposition of the matter The notification wdi advise the
compiainant of his/her appeai nghts with WSDOT, or USDOT, if they are
dissat�sfied Hnth the final decision rendered by the Recipient The Title VI
Coordinator v�nll also provide WSDOT with a copy of this decision and
summary of findmgs upon completion of the mvestigation
8 Contacts for the different Title VI admmistrative �unsdictions are as follows
Eastem Washmqton
Washington State Department of Transportation
Office of Equal Opportunity, T�tle VI Program
2714 North Mayfair Street
Spokane, WA 99207-2090
(509) 324-6018
Westem Washmqton
Washington State Department of Transportation
Office of Equal Opporturnty, Title VI Program
P O Box 47314
Olympia, WA 98504-7314
(360) 705-7089
Federal Highway Admmistration
Washington Division Office
711 Cap�tol Way South, Suite 501
Olympia, WA 98501
{360) 534-9325
OEO NDA Focm (2010-11-01)
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Non-Discnmination Agreement
PopulaUon Under 10Q 000
Sancbons
In the event the Recipient fads or refuses to comply with the terms of thes
agreement, the WSDOT may take any or all of the foilo�nnng actions
Cancei, term�nate, or suspend this agreement m whole or m part.
2 Reftam from extendmg any further assistance to the rec�p�ent under the
program from which the fadure or refusal occurred untd sat�sfadory
assurance of future compliance has been received from the recip�ent
3 Take such other action that may be deemed appropnate under the
circumstances, untd compliance or remedial action has been accomplished
by the rec�p�ent
4 Refer the case to the Department of Justice for appropnate legal
proceedings
WASHINGTOPI STATE
DEPARTASENT OF TRANSPORTATION
Signature
Titie
Date
NAME OF RECIPIENT
OEO NDA Form (201Q-11-0S)
Ch�ef Execu ve icer's Signature
Mavor
Title
Januarv 4 2011
Date
8
Non-Discnmmabon Agreement
Population Under 100,000
1�ppendix 1
Dunng the perFormance of this contrad, the contractor/consultant, for itself, its
assignees, and successors �n interest (heremafter referred to as the
acoa�tractor") agrees as follows
Compiiance unth Regulafions
The contractor shall coPnply wdh the Regulations relat�ve to non-
discnmma�on m federaliy assisted programs of Un�ted States Department
of Transporfation (USDOTj, Tdle 49, Code of Federal Regulations, part 21,
as they may be amended from t�me to time, (hereinafter referred to as the
Regula�ons), which are herein incorporated by reference and made a part
of this contrad
2 Non-discnmmat�on
The contractor, with regard to the worlc performed by �t dunng the contrac�,
shall not discnminate on the grounds of race, color, sex, or national ong�n in
the seledion and retenfion of sub-contractors, inciuding procurement of
matenals and leases of eqwpment The contractor shall not participate
either directly or indiredly m the discnm�natson prohibited by Section 21 5 of
the Regulations, inciudmg employment practices when the contract covers
a program set forth in Ap�ndix B of the Regulations
3 SolicitaUons for Sub-contracts, Inciuding Procurement or Matenals and
Equipment
In all solic�tations erther by competfive b�ddmg or negotiations made by the
contractor for wo�ic to be performed under a sub-contract, including
procurement of matenals or leases of eqwpment, each potential sut}
contractor or supplier shali be notfied by the contractor of the contractor's
obligations under this contracQ and the Regulations relative to non-
d�scnmmaUon on the grounds of race, color, sex, or national ongin
4 Informafion and Reports
The contractor shail provide all infamat�on and reports required by the
Regulat�ons or directnres issued pursuant thereto, and shali permit access
to its books, records, accounts, other sources of information, and its
fac�l�tees as Pnay be determmed by the contracimg agency or the
appropnate federal agency to be perbnent to ascertam compiiance �nnth
such Reguiafions orders, and instruc�ions Where any information reqwred
of a contra�or is in the exclusNe possession of another who fads or refuses
to fumish th�s infoRnation, the contractor shall so certify to WSDOT or the
USDOT as appropnate, and shall set forth what efforts it has made to
obtam the i�ormation
Q�@ IV�A F�tm (2p1E3-t i-01)
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Non-Discnmination Agreement
Population Under 100,000
5 Sanctions for Non-compliance
In the event of the contractor's non-compliance wnth the non-discnmmaUon
provisions of this contract, the contracting agency shall impose such
sanctions as �t or the USDOT may determine to be appropnate, mciudmg
but not lim�ted to
Withholdmg of payments to the contractor under the contract untd the
contractor complies, and/or
Cancellation, termination, or suspension of the cantract, �n whole or in
part
6 Incorporation of Provisions
The contractor shall include the provisions of paragraphs (1) through (5) m
every sub-contract, includmg procurement of matenals and leases of
eqwpment, unless exempt by the Regulations, or d�rectives issued pursuant
thereto The contractor shall take such action with respect to any sub-
contract or procurement as the contractmg agency or USDOT may direct as
a means of enforcing such provis�ons including sanctions for non-
compliance
Provided, however, that m the event a contractor becomes mvoived in, or is
threatened with, I�tigation w�th a sub-contractor or supplier as a result of
such direction, the contractor may request WSDOT enter into such Idigat�on
to protect the interests of the state and, in add�on, the contra�tor may
request the USDOT enter into such litigation to protect the mterests of the
Urnted States
Append�x 2
The following clauses shall be mctuded in any and ail deeds affeding or
recording the transfer of reai property, structures or improvements thereon, or
interest therein from the Urnted States
GRANTING CLAUSE
NOW THEREFORE, Department of Transportation, as author¢ed by law, ar�d
upon the condition that the state of Washington wdl accept t�tle to the lands and
mamtam the pro�ect constructed thereon, in accordance with Titte 23, Urnted
States Code, the Regulations for the Admirnstration of Federal A�d for Highways
and the policies and procedures prescribed by the United States Department of
Transportation and, also m accordance with and m compiiance v+nth ail
requirements imposed by or pursuant to Title 49, Code of Federal Regulations,
Department of Transportation, Subtitle A, the Department of Transportat�on
WSDOT (heremafter referred to as the Regulations) pertaining to and
effectuating the provisions of Title VI of the Civd Rights Act of 1954 (78 Stat
OEO NDA Form (2010-11-01)
10
Non-Discnminahon Agreement
PopulaUon Under 100,000
252 42 USC 2000d to 2000d — 4) does hereby rem�se, release, qwtclaim, and
convey unto the state of Washmgton all the nght, t�tle, and mterest of the
Department of Transportation in and to said land descnbed in Exhibit A attached
hereto and made a part thereof
HABENDUM CLAUSE
TO HAVE AND TO HOLD sa�d lands and mterests therem unto the state of
Washington, and rts sucoessors forever, sub�ect, however, to the covenants,
condfions, restnctions and reservations herem contamed as follows, which w�li
remam m effect for the penod dunng which the real property or structures are
used for a purpase for which the federal financ�al assistance is extended or for
another pur�se involvmg the provisions of s�mdar servoces or benefits and shali
be bmding on the state of Washington, its successors, and assigns
The state of Washington, m cons�derat�on of the conveyance of said lands and
interests in lands, ddes hereby covenant and agree as a covenant runrnng with
the land for �tsetf, ds successors and ass�gns, that (1) no person shall on the
grounds of race, color, sex, or national ongm, be excluded from participation in,
be denied the benefds of, or be othenanse sub�ed to discnmination w�th regard
to any faWlity located wholly or in part on, over, or under such lands hereby
conveyed (,)(and)' (2) that the state of Wash�ngton, shali use the lands and
interests m lands so c�nveyed, in compiiance wdh all reqwrements imposed by
or pursuant to Tdle 49, Code of Federal Regulations, Department of
Transportation, Subt�le A, Office of the Secretary, part 21, Non-discnmmation of
federally assisted prc�grasms of the Department of Transportation — Effectuation
of Tdie VI of the Cnnl R�ghts Act of 1964, and as said Regulat�ons may be
amended (,) and (3) that m the event of breach of any of the above mentioned
non-discnmination co�dfions, the department shall have a nght to reenter sa�d
lands and faGlities on sa�d land, and the above descnbed land and facilities
shall thereon revert to and vest in and become the absolute property of the
Department of Transpor��on and �ts assigns as such interest existed pnor to
this instrucUon
Append�x 3
The following clauses shall be included in all transportation related
deeds, licenses, leases, peRn�ts, or s�melar instruments entered into by
(Recipient} pursuant to the provisions of Assurance 8
The LESSEE, for h�mseif or herseif, his or her heirs, personal representatives,
successors m interest, and ass�gns, as a part of the consideration hereof, does
hereby covenant and agree as a covenarrt running w�th the land that in the event
fac�l�es are constructed, mamQained, or otherwise operated on the said property
descnbed in this lease, for a purpose of wh�ch a Department of Transportation
program or adovity �s eutended or for another purpose mvoiving the provision of
similar services mr benef�ts, the LESSEE shail mamtam and operate such
facddies and services m compliance v�nth all other requsrements imposed
OEO NDA Feum (2010-11-01)
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Non-D�cnmination Agreement
Populabon Unde� 100,000
pursuant to Titie 49, Code of Federai Regu9ations, Department of
Transportation, Subtdle A, OfFce of the Secxetary, part 21, Non-discnmmation in
federally ass�sted programs of the Departmerrt of Transportation — Effectuation
of Title VI of the Civd nghts Act of 1964, as sa�d Regulabons may be amended
That m the event of breach of any of the above non-discnmination covenants,
the STATE shall have the nght to term�nate the lease, and to �eenter and
repossess said land and the fac�I�Ues thereon, and hold the same as if said
lease has never been made or rssued
The followmg shall be included m all deeds, lic�nses, leases, permits, or simdar
agreements entered into by the Washing�on State Department of Transportation
pursuant to the provisions of Assurance 8
The LESSEE, of himself or herself, his or her personai representatives,
successors in mterest, and ass�gns, as a part of the consideration hereof, does
hereby covenant and agree as a covenant running with the land that (1) no
person, on the grounds of race, color, sex, ar national ongm, shall be excluded
from partic�pation in, be derned the �nefits of, or be othervu�se sub�ected to
discnmmation in the use of said fac�ifies, (2) that in the construction of any
improvements on, over, or under such land and fumishmg of services thereon,
no person on the grounds of race, colar, sex, or nationaf ongm shali be excluded
from partiapat�on m, derned the t�nefits or, or otherwnse be sub�ected to
discnmmat�on, (3) that the LESSEE shal! use the premises m compliance with
ail reqwrements imposed by or pursuant to Tdle 49, Code of Federal
Regulations, Department of Transportatoon, SubtiUe A, Office of the Secretary,
part 21, Non-discnmination in federally assisted programs of the Department of
Transportation — Effectuat�on of T�le Vi of the Cn�d Rights Act of 1964, and as
said Regulations may be amended
That �n the event of breach of any of the above non-discnm�nation covenants,
the STATE shall have the nght to terrnmate the lease, and to reenter and
repossess said land and the fac�lfies the�eon, and hold the same as if said
lease had never been made or issued
t Reverter Clause arsd related language to be used orsly �vhen d �s d�rmua�d ihat such a dause � n�essary m order to
ef�ectu�tt 4he �ur{sose of Tdle VI of the Civd R�ghts Act of 1gS4
�O' NDA Fomt (2010-11-01)
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