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CAG-06-061
Appendix 2&72 Non-Discrimination Agreement
Population Under 100,000
Washington State Department of Transportation
and City of Menton Policy Statement
The City of Renton,hereinafter referred to as the"Recipient"assures that no person shall on the grounds of
race,color,national origin,or sex,as provided by Title VI of the Civil Rights Act of 1964,and the Civil Rights
Restoration.Act of 1987(P.L. 140.259)be excluded from participation in,be denied the benefits of,or be
otherwise subjected to discrimination under any program or activity. The Recipient further assures every effort
will be made to ensure non-discrimination in all of its programs and activities,whether those programs and
activities are federally funded or not.
The Civil Rights Restoration Act of 1987,broadened the scope of Title VI coverage by expanding the definition
of terms"programs or activities"to include all programs or activities of Federal Aid recipients,sub-recipients,
and contractors/consultants,whether such programs and activities are federally assisted or not(Public Law
104259[S.557)March 22, 1988.)
In the event the Recipient distributes federal aid funds to a sub-recipient,the Recipient will include Title VI
language in all written agreements and will monitor for compliance.
The Recipient's Gregg Zimmerman is responsible for initiating and monitoring Title VI activities,preparing
reports and other responsibilities as required by 23 Code of Federal Regulation(CFR)200 and 49 Code of
Federal Regulation 21.
lCP
Signature
Gregg Zimmerman,P.E.
Administrator,Planning/Building/Public Works
,3—/ v
Date
Title A Program
Organization and Staffing
Pursuant to 23 CFR 200,the City of Renton has appointed a Title VI Specialist who is responsible for
Attachment 1,which describes the hierarchy for the City of Renton's Title VI Program,including an
organization's chart illustrating the level and placement of Title VI responsibilities.
Assurances
49 CFR Part 21,7
The City of Renton,hereby gives assurances:
1. That no person shall on the grounds of race,color,national origin,and sex,be excluded from participation
in,be denied the benefits of,or be otherwise subjected to discrimination under any program or activity
conducted by the recipient regardless of whether those programs and activities are Federally funded or not.
Activities and programs which the recipient hereby agrees to carry out in compliance with Title VI and
related statutes include but are not limited to:
List all major programs and activities of the recipient and Title VI responsibilities for each one of
them. Include information as Attachment 2 to this Nondiscrimination Agreement.
2. That it will promptly take any measures necessary to effectuate this agreeement.
3. That each program,activity,and facility as defined at 49 CFR 21.23(b)and(e),and the Civil Rights
Restoration Act of 1987 will be(with regard to a program or activity)conducted,or will be(with regard to
a facility)operated in compliance with the nondiscriminatory requirements imposed by,or pursuant to,this
agreement.
4. That these assurances are given in consideration of and for the purpose of obtaining any and all Federal
grants,loans,contrails,property,discounts or other Federal financial assistance extended after the date
hereof to the recipient by the Washington State Department of Transportation(WSDOT)under the
Federally-Funded Program and is binding on it,other recipients,subgrantees,contractors,sub-contractors,
transferees,successors in interest and other participants. The person or persons whose signatures appear
below are authorized to sign these assurances on behalf of the Recipient.
5. That the Recipient shall insert the following notification in all solicitations for bids for work or
material subject to the Regulations and made in connection with all Federally-Funded programs and,in
adapted form all proposals for negotiated agreements.
The Recipient,in accordance with Title i.TI of the Civil Rights Act of 1964,79 Stat.252,42 U.S.C.2("Jd
to 2000d-4 and Title 49,Code of Federal Regulations,Department of Transportation,Subtitle A,Office of
New
the Secretary,Part 21,Nondiscrimination in Federally-assisted programs of the Department of
Transportation issued pursuant to such Act,hereby notifies all bidders that it will affirmatively ensure that
in any contract entered into pursuant to this advertisement,disadvantaged business enterprises as defined at
49 CFR Part 23 will be afforded full opportunity to submit bids in response to this invitation and will not be
discriminated against on the grounds of race,color,national origin,or sex in consideration for an award
6. That the Recipient shall insert the clauses of Appendix 1 of this Agreement in every contract subject to the
Act and the Regulations.
7. That the Recipient shall insert the clauses of Appendix 2 of this Agreement,as a covenant running with the
land,in any deed from the United States effecting a transfer of real property,structures,or improvements
thereon,or interest therein.
8. That the Recipient shall include 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 Recipient with other parties:(a)for the subsequent transfer of real property acquired 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 improved under a Federal Aid Program.
9. The Recipient agrees that the United States has a right to seek judicial enforcement with regard to any
matter arising under the Act,the Regulations,and this agreement.
Implementation Procedures
This agreement shall serve as the recipient's Title Vl plan pursuant to 23 CFR 200 and 49 CFR 21.
For the purpose of this agreement,"Federal Assistance"shall include:
1. grants and loans of Federal fwwds,
2. the grant or donation of Federal property and interest in property,
3. the detail of Federal personnel,
4. the sale and lease of,and the permission to use(on other than a casual or transient basis),Federal 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 assisting 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 its purposes,the provision of
assistance.
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The recipient shall:
1. Issue a policy statement,signed by the head of the recipient,which expresses it's commitment to the
nondiscrimination provisions of Title VI. The policy statement shall be circulated throughout the
recipient's organization and to the general public. Such information shall be published where appropriate
in languages other than English.
2. Take affirmative action to correct any deficiencies found by WSDOT or the United States Department of
Transportation(USDOT)within a reasonable time period,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 responsible
for implementing Title VI requirements.
3. Establish a civil rights unit and designate a coordinator who has a responsible position in the organization
and easy access to the head of the recipient. This unit shall contain a Title VI Specialist,who shall be
responsible for initiating and monitoring Title VI activities and preparing required reports.
4. Adequately staff the civil rights unit to effectively implement the civil rights requirements.
5. Process complaints of discrimination consistent with the provisions contained in this agreement.
Investigations shall be conducted by civil rights personnel trained in discrimination complaint
investigation. Identify each complainant by race,color,national origin or sex,the nature of the complaint,
the date the complaint was filed,the date the investigation was completed,the disposition,the date of the
disposition,and other pertinent information. A copy of the complaint,together with a copy of the
recipient's report of investigation,will be forwarded to WSDOT's Office of Equal Opportunity(OEO)
within 10 days of the date the complaint was received by the recipient.
6. Collect statistical data(race,color,national origin,sex)of participants in,and beneficiaries of the programs
and activities conducted by the recipient.
7. Conduct Title VI reviews of the recipient and sub-recipient contractor/consultant program areas and
activities. Revise where applicable,policies,procedures and directives to include Title VI requirements.
8. Conduct training programs on Title VI and related statutes.
9. Prepare a yearly report of Title VI accomplishments for the last year and goals for the next year.
a) Annual Work Plan
Outline Title VI monitoring and review activities planned for the coming year;state by which each
activity will be accomplished and target date for completion.
b) Accomplishment Report
List major accomplishments made regarding Title VI activities. Include instances where Title VI
issues were identified and discrimination was prevented. Indicate activities and efforts the Title VI
Specialist and program area personnel have undertaken in monitoring Title VI. Include a description
of the scope and conclusions of any special reviews(internal or external)conducted by the Title VI
Specialist. List any major problem(s)identified and corrective action taken.
Include a summary and status report on any Title VI complaints filed with the recipient.
Discrimination 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 enterprise,has been subjected to discrimination prohibited by Title VI of
the Civil Rights Act of 1964,the American with Disabilities Act of 1990,Section 504 of the Vocational
Rehabilitation Act of 1973 and the Civil Rights Restoration Act of 1987,as amended,may file a complaint
with the recipient. A complaint may also be filed by a representative on behalf of such a person. All
complaints will be referred to the recipient's Title VI Specialist for review and action.
2. In order to have the complaint consideration under this procedure,the complainant must file the complaint
no later than 180 days after:
a) The date of alleged act of discrimination;or
b) Where there has been a continuing course of conduct,the date on which that conduct was discontinued.
In either case,the recipient or his/her designee may extend the time for filing or waive the time limit in
the interest of justice,specifying in writing the reason for so doing.
3. Complaints shall be in writing and shall be signed by the complainant and/or the complainant's
representative. Complaints shall set forth as fully as possible the facts and circumstances surrounding the
claimed discrimination. In the event that a person makes a verbal complaint of discrimination to an officer
or employee of the recipient,the person shall be interviewed by the Title VI Specialist. If necessary,the
Title VI Specialist will assist the person in reducing the complaint to writing and submit the written version
of the complaint to the person for signature. The complaint shall then be handled according to
the recipient's investigative procedures.
4. Within 10 days,the Title VI Specialist will acknowledge receipt of the allegation,inform the complainant
of action taken or proposed action to process the allegation,and advise the complainant of other avenues of
redress available,such as WSDOT and USDOT.
5. The recipient will advise WSDOT within 10 days of receipt of the allegations. Generally,the following
information will be included in every notification to WSDOT:
a) Name,address,and phone number of the complainant.
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b) Name(s)and address(es)of alleged discriminating official(s).
c) Basis of complaint(i.e.,race,color,national origin or sex)
d) Date of alleged discriminatory act(s).
e) Date of complaint received by the recipient.
f) A statement of the complaint
g) Other agencies(state,local or Federal)where the complaint has been filed.
h) An explanation of the actions the recipient has taken or proposed to resolve the issue raised in the
complaint.
6. Within 60 days,the Title VI Specialist will conduct an investigation of the allegation and based on the
information obtained,will render a recommendation for action in a report of findings to the head of the
recipient. The complaint should be resolved by informal means whenever possible. Such informal
attempts and their results will be summarized in the report of findings.
7. Within 90 days of receipt of the complaint,the head of the recipient will notify the complainant in writing
of the final decision reached,including the proposed disposition of the matter. The notification will advise
the complainant of his/her appeal rights with WSDOT,or USDOT,if they are dissatisfied with the final
decision rendered by the Recipient. The Title VI Specialist will also provide WSDOT with a copy of this
decision and summary of findings upon completion of the investigation.
8. Contacts for the different Title VI administrative jurisdictions are as follows:
Washington State Department of Transportation
Office of Equal Opportunity,Title VI Program
PO Box 47314
Olympia,WA 98466
(360)705-7098
Federal Highway Administration
Washington Division Office
711 Capitol Way South,Suite 501
Olympia,WA 98501
(360)534-9325
Sanctions
In the event the recipient fails or refuses to comply with the terms of this agreement,the WSDOT may take any
or all of the following actions:
L Cancel,terminate,or suspend this agreement in whole or in part;
2. Refrain from extending any further assistance to the recipient under the program from which the failure or
refusal occurred until satisfactory assurance of future compliance has been received from the recipient.
I Take such other action that may be deemed appropriate under the circumstances,until compliance or
remedial action has been accomplished by the recipient.
4. Refer the case to the Department of Justice for appropriate legal proceedings.
WASHINGTON STATE
DEPARTMENT OF
TRANSPORTATION:
1
Signature
Director of the Office of Equal Opportunih-
Title
7 17-0 0
Date
NAME OF RECIPIENT:
e
Signa
Gregg Zimmerman,P.E.
Administrator,PlanningBuildinglPublic Works
V
Date
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Appendix 1
During the performance of this contract,the contractor/consultant,for itself,its assignees and successors in
interest(hereinafter referred to as the"contractor")agrees as follows:
1. Compliance with Regulations
The contractor shall comply with the Regulations relative to non-discrimination in federally assisted
programs of United States Department of Transportation(USDOT),Title 49,Code of Federal Regulations,
part 21,as they may be amended from time to time,(hereinafter referred to as the Regulations),which are
herein incorporated by reference and made a part of this contract.
2. Non-discrimination
The contractor,with regard to the work performed by it during the contract,shall not discriminate on the
grounds of race,color,sex,or national origin in the selection and retention of sub-contractors,including
procurement of materials and leases of equipment. The contractor shall not participate either directly or
indirectly in the discrimination prohibited by Section 21.5 of the Regulations,including employment
practices when the contract covers a program set forth in Appendix B of the Regulations.
3. Solicitations for Sub-contracts,Including Procurement of Materials and Equipment
In all solicitations either by competitive bidding or negotiations made by the contractor for work to be
performed under a sub-contract,including procurement of materials or leases of equipment,each potential
sub-contractor or supplier shall be notified by the contractor of the contractor's obligations under this
contract and the Regulations relative to non-discrimination on the grounds of race,color,sex,or national
origin.
4. Information and Reports
The contractor shall provide all information and reports required by the Regulations or directives issued
pursuant thereto,and shall permit access to its books,records,accounts,other sources of information,and
its facilities as may be determined by the contracting agency or the appropriate federal agency to be
pertinent to ascertain compliance with such Regulations,orders and instructions. Where any information
required of a contractor is in the exclusive possession of another who fails or refuses to furnish this
information,the contractor shall so certify to WSDOT or the USDOT as appropriate.and shall set forth
what efforts it has made to obtain the information.
5. Sanctions for Non-compliance
In the event of the contractor's non-compliance with the non-discrimination provisions of this contract,the
contracting agency shall impose such contract sanctions as it or the USDOT may determine to be
appropriate,including,but not limited to:
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• Withholding of payments to the contractor under the contract until the contractor complies,and/or;
• Cancellation,termination,or suspension of the contract,in whole or in part
6. Incorporation of Provisions
The contractor shall include the provisions of paragraphs(1)through(5)in every sub-contract,including
procurement of materials and leases of equipment,unless exempt by the Regulations,or directives issued
pursuant thereto. The contractor shall take such action with respect to any sub-contractor or procurement
as the contracting agency or USDOT may direct as a means of enforcing such provisions including
sanctions for non-compliance.
Provided,however,that in the event a contractor becomes involved in,or is threatened with,litigation with
a subcontractor or supplier as a result of such direction,the contractor may request WSDOT enter into
such litigation to protect the interests of the state and,in addition,the contractor may request the USDOT
enter into such litigation to protect the interests of the United States.
Appendix 2
The following clauses shall be included in any and all deeds affecting or recording the transfer of real
property,structures or improvements thereon,or interest therein from the United States.
GRANTING CLAUSE
NOW THEREFORE,Department of Transportation,as authorized by law,and upon the condition that the
state of Washington will accept title to the lands and maintain the project constructed thereon,in
accordance with Title 23,United States Code,the Regulations for the Administration of Federal Aid for
Highways and the policies and procedures prescribed by the United States Department of Transportation
and,also in accordance with and in compliance with all requirements imposed by or pursuant to Title 49,
Code of Federal Regulations,Department of Transportation,Subtitle A,the Department of Transportation
WSDOT(hereinafter referred to as the Regulations)pertaining to and effectuating the provisions of Title
VI of the Civil Rights Act of 1964(78 Stat. 252:42 USC 2000d to 2000d-4)does hereby remise,release,
quitclaim,and convey unto the state of Washington all the right,title,and interest of the Department of
Transportation in and to said land described in Exhibit A attached hereto and made a part thereof.
HABENDUM CLAUSE
TO HAVE AND TO HOLD said lands and interests therein unto the state of Washington,and its
successors forever,subject,however,to the covenants,conditions,restrictions and reservations herein
contained as follows,which will remain in effect for the period during which the real property or structures
are used for a purpose for which the federal financial assistance is extended or for another purpose
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involving the provisions of similar services or benefits and shall be binding on the state of Washington,its
successors,and assigns.
The state of Washington,in consideration of the conveyance of said lands and interests in lands,does
hereby covenant and agree as a covenant running with the land for itself,its successors and assigns,that(1)
no person shall on the grounds of race,color,sex or national origin,be excluded from participation in,be
denied the benefits of,or be otherwise subject to discrimination with regard to any facility located wholly
or in part on,over,or under such lands hereby conveyed(,)(and)*(2)that the state of Washington,shall use
the lands and interests in lands so conveyed,in compliance with all requirements imposed by or pursuant to
Title 49,Code of Federal Regulations,Department of Transportation,Subtitle A,Office of the
Secretary,part 21,Non-discrimination of federally assisted programs of the Department of Transportation-
Effectuation of Title VI of the Civil Rights Act of 1964,and as said Regulations may be amended(,)and
(3)that in the event of breach of any of the above mentioned non-discrimination conditions,the department
shall have a right to reenter said lands and facilities on said land,and the above described land and facilities
shall thereon revert to and vest in and become the absolute property of the Department of Transportation
and its assigns as such interest existed prior to this instruction.
Appendix 3
The following clauses shall be included in all deeds,licenses,leases,permits,or similar instruments entered into
by(Recipient)pursuant to the provisions of Assurance 8.
The LESSEE,for himself or herself,his or her heirs,personal representatives,successors in interest,and
assigns,as a part of the consideration hereof,does hereby covenant and agree as a covenant running with the
land that in the event facilities are constructed,maintained,or otherwise operated on the said property described
in this lease,for a purpose of which a Department of Transportation program or activity is extended or for
another purpose involving the provision of similar services or benefits,the LESSEE shall maintain and operate
such facilities and services in compliance with all other requirements imposed pursuant to Title 49,Code of
Federal Regulations,Department of Transportation,Subtitle A,Office of the Secretary,part 21,
Non-discrimination in federally assisted programs of the Department of Transportation-Effectuation of Title
VI of the Civil Rights Act of 1964,as said Regulations may be amended.
That in the event of breach of any of the above non-discrimination covenants,the STATE shall have the right to
terminate the lease,and to reenter and repossess said land and the facilities thereon,and hold the same as if said
lease has never been made or issued.
r
The following shall be included in all deeds,licenses,leases,permits,or similar agreements entered into by the
Washington State Department of Transportation pursuant to the provisions of Assurance 8.
The LESSEE,or himself or herself,his or her personal representatives,successors in interest,and assigns,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,or national origin,shall be excluded from participation in,be denied
the benefits of,or be otherwise subjected to discrimination in the use of said facilities,(2)that in the
construction of any improvements on,over or under such land and finnishing of services thereon,no person on
the grounds of race,color,sex,and national origin shall be excluded from participation in,denied the benefits
of,or otherwise be subjected to discrimination,(3)that the LESSEE shall use the premises in compliance with
all requirements imposed by or pursuant to Title 49,Code of Federal Regulations,Department of
Transportation,Subtitle A,Office of the Secretary,part 21,Non-discrimination in federally assisted programs
of the Department of Transportation-Effectuation of Title VI of the Civil Rights Act of 1964,and as said
Regulations may be amended.
That in the event of breach of any of the above non-discrimination covenants,the STATE shall have the right to
terminate the lease,and to reenter and repossess said land and the facilities thereon,and hold the same as if said
lease had never been made or issued.
1 Reverter Clause and related language to be used only when it is determined that such a clause is
necessary in order to effectuate the purpose of Title VI of the Civil Rights Act of 1964.
Appendix 28.73 `0, Annual Title VI bj0date Questionnaire
ANNUAL TITLE VI UPDATE ACCOMPLISHMENT REPORT
In responding to this questionnaire, the agency is to only identify changes that
have occurred since they submitted their previous questionnaire or since their Title
VI Plan or Nondiscrimination Agreement was approved. The questionnaire is to be
submitted by the due date each year to the Region Local Programs Engineer for
transmittal to Highways and Local Programs (H&LP) for submittal to WSDOT's
Office of Equal Opportunity (OEO).
I. POLICY STATEMENT
Describe any changes to your approved policy statement that have resulted
from changes in legislation, local ordinances, etc., or a change in Chief
Executive Officer. Submit a copy of the policy statement with the new CEO's
signature.
II. ORGANIZATION, STAFFING, STRUCTURE
a. Organization: Describe any changes in the agency's organization
that modify the Title VI Program reporting relationship of the Title VI
Coordinator to the CEO.
b. Staffing: Provide all changes in descriptions of duties, names, race
and gender of the support staff responsible for Title VI compliance
monitoring.
C. Structure: Provide all changes in supervisory staff (their names, race
and gender) responsible for Title VI compliance for each of the
agency's program areas (e.g., Planning, Design, Construction,
Maintenance, etc.).
III. TITLE VI MONITORING AND REVIEW PROCESS
Describe actions that have been taken to promote internal (within the agency)
and external (sub recipient of the agency's federal funds) compliance with
Title VI. List any Title VI compliance reviews the agency has conducted and
the results and/or conclusion of each review.
IV. COMPLAINTS
Describe each Title VI complaint, if any, its basis (race, gender, etc.), and its
resolution. Provide a copy of the investigative report(s).
V. ACCOMPLISHMENT REPORT FOR EACH PROGRAM AREA
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Appendix 28.73 Annual Title VI Uate Questionnaire
A. Planning
1) How many consultant projects for planning were awarded and
their dollar value?
2) Describe efforts made to utilize minority and female consultants
and subcontractors in federally funded contracts.
3) Describe any studies conducted to provide data relative to
minority persons, neighborhoods, income levels, physical
environments, and travel habits. What assistance did the Title
VI Coordinator provide to ensure that Title VI considerations
were included in the planning stage?
4) Identify the number of planning hearings held. Describe efforts
to ensure citizen participation in the hearings, particularly by
minorities and women. How many minorities and women both
individually and through their organizations were represented,
and their role(s) in the citizen participation effort?
B. Research (Generally not a local agency reporting area)
1) How many research projects are currently underway?
2) List of universities and/or consultants currently conducting
research projects.
a) Universities
b) Consultants
c) Federal
3) Provide a summary of actions taken to encourage universities to
utilize minority and women students to participate on highway
research projects.
4) Provide a summary of actions taken to increase minority and
women consultant firms in obtaining research projects.
5) List any significant actions to be taken during the ensuing year.
C. Location
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Appendix 28.73 *awe Annual Title VI t1fdate Questionnaire
1) Describe complaints filed, if any, resulting from the choice of
highway location decisions, or the procedure used for arriving at
the decisions.
2) Identify the titles, ethnicity and gender of employees, and any
vacancies, in the Location Program area. Describe efforts of
the Title VI Coordinator to increase the representation of
minorities and women if they are under-represented. Describe
efforts to encourage adequate representation of minorities and
women on boards and committees involved in the development
of transportation projects.
3) How many Environmental Impact Statements were reviewed?
Summarize comments provided on the EIS about adverse
impacts on minority, handicapped, elderly, etc., communities.
4) How many consultants currently have contracts involving project
development activities and their dollar value? How many are
minority consultants and their dollar value? Where minorities
and women participation is low, describe efforts to increase
their participation.
5) How many project location public hearings were held? Describe
how these hearings were advertised, including efforts to provide
notification to minorities.
6) Describe efforts to identify minority leaders and encourage them
to provide suggestions and ask questions about the location of
highways.
7) Was there a need to utilize bilingual advertisements,
announcements, notices, etc.?
D. Design
1) How many consultant firms currently have design contracts and
their dollar value? How many of these are held by minority and
women owned firms and their dollar value?
2) Describe efforts to increase minority and female participation in
consultant contracts. Does the agency maintain a list of
minority and woman consultants? If so, how many firms are on
the list? How many are receiving contracts?
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Appendix 28.73 *40 Annual Title VI U` ate Questionnaire
3) How many highway design phase public hearings were held?
Describe minority individuals, groups and organizations that
participated in the hearings, including efforts to involve them.
Provide a summary of concerns and issues raised, if any,
related to minority communities. Describe actions taken by the
Title VI Coordinator to facilitate and/or address these concerns.
4) Identify the Design Program employees by title, ethnicity, and
gender, and identify any vacant positions. Describe efforts to
increase minority and female representation where it is low.
5) Identify Title VI complaints filed, if any, in the Design Program
area. Provide a summary of each with basis, status, actions
proposed and actions taken.
6) Identify any significant Title VI problem areas,
accomplishments, and actions to take during the ensuing year.
E. Right of Way
1) Identify the number of civil rights complaints filed, if any, in each
of the following Right-of-Way functional areas:
a) Appraisals
b) Negotiations
c) Relocation Assistance and Payments
d) Property Management
2) How many appraisers were utilized and how many were
minority and women? What efforts were made by the Title VI
Coordinator to increase minority and women representation if
they were low?
3) Identify the number of negotiations. Does the negotiator's log
reflect any disparity in negotiations with minorities as compared
to non-minorities?
4) Explain concerns, if any, raised by minorities or women about
their options in the negotiation phase.
5) Identify the number of relocations.
6) Describe concerns, if any, raised by minorities or women on
replacement housing, referral housing and advisory services.
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- Appendix 28.73 *400t Annual Title VI t*date Questionnaire
7) Identify the number of contracts awarded for providing
relocation assistance, the opportunities given to minorities and
women to obtain these, and how many they received.
8) Describe special efforts made to comply with Title VI
regulations?
9) Identify Right-of-Way staff by name, job title, race and gender.
F. Construction and Maintenance
1) Describe civil right complaints, if any, the agency received on
their competitive bidding procedures, and the corrective action,
if any was needed, that the agency has taken. Provide a
summary of any concerns raised by MWBE about licensing,
pre-qualifications, lack of sub-contracting opportunities, etc.
2) Summarize the efforts of the Title VI Coordinator to encourage
the use of minority individuals, firms, or agencies for
maintenance agreements or construction contracts.
3) Describe any agency procedures that were reviewed to assure
Title VI compliance in subcontract agreements, first and second
tier, material supply and equipment lease agreements.
4) List any significant accomplishment goals and/or action items to
be taken during the ensuing year.
G. Education and Training
1) Describe efforts made to encourage participation by minorities
and women in National Highway Institute (NHI) educational and
training program(s).
2) Identify the types of NHI programs the agency staff attended,
whether the agency sponsored or co-sponsored the programs,
the number of agency staff that attended, and how many of
these were minorities and women.
3) Identify agency staff responsible for training by job title, ethnicity
and gender.
4) Describe civil rights complaints filed, if any, concerning training
and educational opportunities, and the corrective actions.
Provide a summary of concerns raised, complaints filed, status,
etc.
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Appendix 28.73 ' Annual Title VI Uate Questionnaire
H. Administration
1) Provide a summary list of employees by ethnicity, gender and
title in each of the Title VI program areas.
2) Describe activities undertaken to assure Title VI compliance
with contractors and by contractors. (Title VI requirements are
to be included in all contracts, subcontracts, and consultant
agreements.) Describe reviews made to ensure contractors
and consultants are apprised of Title VI requirements and to
ensure that contractors and/or consultants are adhering to Title
VI requirements.
3) Describe Title VI training, if any, that was provided, and how
many participants attended, their titles, etc. Describe
participation in any other kind of civil rights training (e.g., title
and course content), and provide a list of participants by job title
(e.g. supervisor, manager, etc.)
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