HomeMy WebLinkAbout2022-07-18 Resolution 2022-309_Title VI Non-Discrimination Agreement, Standard AssurancesTHE CITY OF WAUKEE, IOWA
RESOLUTION 2022-309
APPROVING TITLE VI NON-DISCRIMINATION AGREEMENT BETWEEN THE
IOWA DEPARTMENT OF TRANSPORTATION AND THE CITY OF WAUKEE, IOWA
IN THE NAME AND BY THE A UTHORITY OF THE CITY OF WA UKEE, IOWA
WHEREAS, the City of Waukee is a duly organized municipality within Dallas County; AND,
WHEREAS, every application for Federal financial assistance or continuing Federal assistance
that is passed through the Iowa Department of Transportation must provide a statement of
assurance and give reasonable guarantee that the program shall be conducted in compliance with
all requirements imposed by or pursuant to the Non-discrimination in Federally Assisted
Programs of the Department of Transportation — Effectuation of Title VI of the Civil Rights Act
of 1964; AND,
WHEREAS, on July 5, 2016, the Waukee City Council approved a Title VI Non -Discrimination
Agreement and Standard DOT Title VI Assurances (Resolution #16-280); AND,
WHEREAS, the Assurances shall be updated within 30 days each time the head of the agency
changes or every five years, whichever is less; AND,
WHEREAS, the Agreement shall be updated whenever there is a substantive organizational or
policy change that affect how the City complies with Title VI requirements; AND,
WHEREAS, the Iowa Department of Transportation has provided a Title VI Non -
Discrimination Agreement and Standard DOT Title VI Assurances, attached hereto as Exhibit A,
that shall serve as the City of Waukee's Title VI plan.
NOW THEREFORE BE IT RESOLVED by the City Council of Waukee, Iowa on the 18t' of
July, 2022, does hereby approve the Title VI Non -Discrimination Agreement between the Iowa
Department of Transportation and the City of Waukee, Iowa.
l_
Courtney Clarke, Mayor
Attest:
(0� A 6qw�
Rebecca D. Schuett, City Clerk
RESULTS OF VOTE:
AYE
Anna Bergman Pierce
X
R. Charles Bottenberg
X
Chris Crone
X
Larry R. Lyon
X
Ben Sinclair
X
NAY ABSENT ABSTAIN
Agency Information
Name and title of adminstrative head:
Name: Courtney Clarke Title: Mayor, City of Waukee IA
Address: 230 West Hickman Road
City: Waukee
Phone/FAX: 515-978-7904
State:1A ZIP Code: 50263 County: Dallas County
Email: cclarke�c�waukee.org
Name and title of designated Title VI coordinator:
Name: Rebecca D Schuett
Address:230 West Hickman Road
City: Waukee
Title: Waukee City Clerk/Title V1 Coordinator
State:IA ZIP Code: 50263 County: Dallas County
Phone/FAX:515-978-7904/---- Email: bschuett@waukee.org
'if the Title VI coordinator changes, please contact the Iowa DOT Title VI specialist.
Title VI Program
Organization and staffing
Pursuant to 23 C.F.R. § 200, CITY of WAUKEE, IA
has appointed a Title VI coordinator identified above, who is responsible for implementing and
monitoring the local public agency's (LPA's) Title VI program per this agreement, and is the
representative for Issues and actions pertaining to this agreement. The LPA will provide the Iowa
Department of Transportation with a copy of the LPA's organizational chart that illustrates the level
and placement of the Title VI coordinator.
The LPA will notify the Iowa DOT in writing of any changes to the LPA's organization chart, Title VI
coordinator or Title VI coordinator contact information.
11, Assurances required
Pursuant to 49 C.F.R. § 21.7, every application for federal financial assistance or continuing federal
financial assistance must provide a statement of assurance and give reasonable guarantee that the
program is (or, In the case of a new program, will be) conducted In compliance with all requirements
imposed by or pursuant to 49 C.F.R. § 21 (Nondiscrimination in Federally Assisted Programs of the
Department of Transportation — Effectuation of Title VI of the Civil Rights Act of 1964). Fully
executed standard DOT Assurances (including Appendices A, B and C) are attached to this
agreement.
Page 1 of 7
III. Implementation procedures
This agreement shall serve as the LPA's Title VI plan pursuant to 23 C.F.R. § 200 and 49 C.F.R. § 21.
For the purpose of this agreement, "federal assistance' shall include all of the following.
• Grants and loans of federal funds.
• The grant or donation of federal property and/or interest in property.
• The detail of federal personnel.
The sale and lease of, and 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 that is reduced for the purpose of assisting the LPA, or
in recognition of the public interest to be served by such sale or ieaso to the LPA.
Any federal agreement, arrangement or other contract that has as one of its purposes the
provision of assistance.
The LPA shall:
1. Issue a policy statement, signed by the head of the LPA, which expresses its commitment to
the nondiscrimination provisions of Title VI. The policy statement shall be circulated
throughout the LPA's organization and to the public. Such information shall be published
where appropriate in languages other than English.
2. lake affirmative action to correct any deficiencies found by ;he Iowa DOT, Federal Highway
Administration or U.S. Department of Transportation (USDOT) within a reasonable time
period, not to exceed 90 days, to implement Title VI compliance in accordance with this
agreement. The head of the LPA shall be held responsible for implementing Title VI
requirements.
3. Designate a Title VI coordinator who has a responsible position in the organization and easy
access to the head of the LPA. The coordinator shall be responsible for implementing and
monitoring Title VI activities and preparing required reports.
4. Develop and implement a public involvement plan that includes low-income and minority
community outreach and ensures those persons who are limited -English proficient (LEP)
can access services.
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 investigations. Identify each complainant by race, color, national
origin or gender, the nature of the complaint, date the complaint was filed, date the
investigation was completed, disposition, date of disposition, and other pertinent
information. A copy of the complaint, together with a copy of the LPA's report of
investigation, shall be forwarded to the Iowa DOT's civil rights coordinator within 60 days of
the date the complaint was received by the LPA.
6. Collect statistical data (race, color, national origin, age, gender, disability, LEP and income of
populations in service area) of participants in, and beneficiaries of, the programs and
activities conducted by the LPA.
7. Conduct Title VI self -assessment of the LPA's program areas and activities, and of second -
tier sub -recipients, contractor/consultant program areas and activities. Where applicable,
revise policies, procedures and directives to include Title VI requirements. Ensure that
programs, policies, and other activities do not have disproportionate adverse effects on
minority and low-income populations.
8, Conduct training programs on Title VI and related statutes.
9. Prepare a yearly report of Title VI accomplishments and changes to the program covering
the prior year, and identify goals and objectives for the coming year.
o Annual work plan: Outline Title VI monitoring and review activities planned for the
coming year; and indicate a target date for completion.
o 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 coordinator and program
area personnel have undertaken in monitoring Title VI. Include a description of the
scope and conclusions of any special internal and external reviews conducted by
the Title VI coordinator, List any major problem(s) identified and corrective action(s)
taken. Include a summary and status report on any Title VI complaints filed with the
LPA. Include a listing of complaints received against second -tier sub -recipients, if
any, as well as a summary of complaints and actions taken.
10, Include Title VI compliant language in all contracts to second -tier sub -recipients.
Page 2 of 7
IV. Discrimination complaint procedures — allegations of discrimination in federally
assisted programs or activities
The LPA adopts the following discrimination complaint procedures for complaints relating to
federally assisted transportation -related programs or activities.
1. Filing a discrimination complaint: Any person who believes that he or she, or any class of
individuals, or in connection with any disadvantaged business enterprise, has been or is
being subjected to discrimination prohibited by Title VI of the Civil Rights Act of 1964,
42 U.S.C. § 2000d; the Americans with Disabilities Act of 1990, 42 U S.C. §§ 12101 et seq.;
Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. §§ 701 et seq.; and the Civil Rights
Restoration Act of 1987, Pub. L. No. 100-259, 102 Stat. 28, has the right to file a complaint.
Any individual wishing to file a discrimination complaint must be given the option to file the
complaint with the LPA, or directly with the Iowa DOT, FHWA, USDOT and U.S. Department
of Justice . Complaints may be filed with all agencies simultaneously.
No individual or agency shall refuse service, discharge or retaliate in any manner against
any persons because that individual has filed a discrimination complaint, instituted any
proceeding related to a discrimination complaint, testified, or is about to testify, in any
proceeding or investigation related to a discrimination complaint, or has provided
information or assisted in an investigation.
2. Complaint filing time -frame: A discrimination complaint must be riled within 180 calendar
days of one of the following.
(a) The alleged act of discrimination.
(b) Date when the person(s) became aware of the alleged discrimination
(c) Date on which the conduct was discontinued, if there has been a continuing
course of conduct.
The LPA or their 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. Contents of a complaint: A discrimination complaint must be written. The document must
contain the following information.
a) The complainant's name and address, or other means by which the
complainant may be contacted.
b) Identification of individual(s) or organization(s) responsible for the alleged
discrimination.
c) A description of the complainant's allegations, which must include enough
detail to determine if the LPA has jurisdiction over the complaint and if the
complaint was filed timely.
d) Specific prohibited bases of alleged discrimination (i.e., race, color, gender,
etc.)
e) Apparent merit of the complaint.
f) The complainant's signature or signature of his/her authorized
representative.
In the event that a person makes a verbal complaint of discrimination to an officer or
employee of the LPA, the complainant shall be interviewed by the LPA's Title VI coordinator.
If necessary, the Title VI coordinator will assist the complainant in reducing the complaint to
writing and then submit the written version of the complaint to the person for signature.
4. Complaints against the I_PA: Any complaints received against the LPA should immediately
be forwarded to the Iowa DOT for investigation. The LPA shall not investigate any complaint
in which it has been named in the complaint. The contact information for the Iowa DOT's
Title VI program is:
Iowa Department of Transportation
Office of Employee Services — Civil Rights
800 Lincoln Way
Ames, Iowa 50010
515-239-1422
515-817-6502 (fax)
dot,civiInqhts@iowadot.us
Page 3 of 7
Notice of Receipt: All complaints shall be referred to the LPA's Title VI coordinator for review
and action. Within 10 days of receipt of the discrimination complaint, the coordinator shall issue
an initial written Notice of Receipt that:
a) Acknowledges receipt of the discrimination complaint.
b) Advises the complainant of his/her right to seek representation by an attorney or
other individual of his or her choice in the discrimination complaint process.
c) Contains a list of each issue raised in the discrimination complaint.
d) Advises the complainant of the timeframes for processing the discrimination
complaint and providing a determination.
e) Advises the complainant of other avenues of redress of their complaint, including
the Iowa DOT, FHWA, USDOT and USDOJ.
Notification of the Iowa DOT of a complaint: The L.PA shall advise the Iowa DOT within 10
business days of receipt of the complaint. Generally, the following information will be included in
every notification to the Iowa DOT.
a) Name, address and phone number of the complainant.
b) Name(s) and address(es) of alleged discriminating official(s).
c) Basis of complaint (i.e., race, color, national origin, gender).
d) Date of alleged discriminatory act(s).
e) Date of complaint received by the LPA.
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 LPA has taken or proposed to resolve the
issue identified in the complaint.
7. Processing a complaint and time -frame: The total time allowed for processing the
discrimination complaint is 90 calendar days from the date the complaint was filed. There is no
extension available at this level. This time -frame includes 60 calendar days at the LPA level and
30 days for review at the state level, if needed.
If the complainant elects to file a complaint with both the LPA and Iowa DOT, the complainant
shall be informed that the LPA has 90 calendar days to process the discrimination complaint and
the Iowa DOT shall not investigate the complaint until the 90 calendar -day period has expired.
Immediately after issuance of the Notice of Receipt to the complainant (step four), the LPA's Title
VI coordinator shall either begin the fact-finding or investigation of the discrimination complaint,
or arrange to have an investigation conducted.
Based on the information obtained during that investigation, the coordinator shall render a
recommendation for action in a Report of Findings to the head of the LPA.
8. Alternative dispute resolution/mediation process: The complainant must be given an
invitation to participate in mediation to resolve the complaint by informal means. The LPA's Title
VI coordinator shall include an invitation to mediation with the Notice of Receipt, offering the
opportunity to use the alternative dispute resolution/mediation process.
If the complaint selects mediation, it allows disputes to be resolved in a less adversarial manner.
With mediation, a neutral party assists two opposing parties in a dispute come to an agreement
to resolve their issue. The mediator does not function as a judge or arbiter, but simply helps the
parties resolve the dispute themselves.
Upon receiving a request to mediate, the LPA's Title VI coordinator shall identify or designate a
mediator who must be a neutral and impartial third party. The mediator must be a person
acceptable to all parties and who will assist the parties in resolving their disputes.
If the complainant chooses to participate in mediation, she or he or the designee must respond in
writing within 10 calendar days of the date of the invitation. This written acceptance must be
dated and signed by the complainant and must also include the relief sought.
Page 4 of 7
After mediation is arranged, a written confirmation identifying the date, time and location of
the mediation conference shall be sent to both parties. If possible, the mediation process
should be completed within 30 calendar days of receipt of the discrimination complaint. This
will assist in keeping within the 90 calendar -day time -frame of the written Notice of Final
Action if the mediation is not successful.
If resolution is reached under mediation, the agreement shall be in writing. A copy of the
signed agreement shall be sent to the Iowa DOT's Title VI program coordinator. If an
agreement is reached, but a party to it believes his/her agreement has been breached, the
non breaching party may file another complaint. If the parties do not reach resolution under
mediation, the I..PA's Title VI coordinator shall continue with the investigation.
9. Notice of Final Action: A written Notice of Final Action shall be provided to the complainant
within 60 days of the date the discrimination complaint was filed. It shall contain:
a) A statement regarding the disposition of each issue identified in the
discrimination complaint and reason for the determination.
b) A copy of the mediation agreement, if the discrimination complaint was
resolved by mediation.
c) A notice that the complainant has the right to file a complaint with the Iowa
DOT, FHWA, USDOT or USDOJ within 30 calendar days after the Notice of
Final Action, if she or he is dissatisfied with the final action on the
discrimination complaint.
The LPA's Title VI coordinator shall provide the Iowa DOT's Title VI prograrn coordinator with
a copy of this decision, as well as a summary of findings upon completion of the
investigation. Should deficiencies be noted in the implementation of these discrimination
complaint procedures by the LPA, the Iowa DOT's Title VI program coordinator will work in
conjunction with the LPA's Title VI coordinator to review the information and/or provide
technical assistance in the discrimination complaint process, mediation process, and/or
investigation.
10. Corrective action: If discrimination is found through the process of a complaint
investigation, the respondent shall be requested to voluntarily comply with corrective
action(s) or a conciliation agreement to correct the discrimination.
11. Confidentiality: LPA and Iowa DOT Title VI program coordinators are required to keep the
following information confidential to the maximum extent possible, consistent with applicable
law and fair determination of the discrimination complaint.
a) The fact that the discrimination complaint has been filed.
b) The identity of the complainant(s).
c) The identity of individual respondents to the allegations.
d) The identity of any person(s) who furnished information relative to, or
assisting in, a complaint investigation.
12. Record keeping: The LPA's Title VI coordinator shall maintain a log of complaints filed that
alleged discrimination. The log must include:
a) t-he name and address of the complainant.
b) Basis of discrimination complaint.
c) Description of complaint.
d) Dale filed.
e) Disposition and date.
f) Any other pertinent information.
All records regarding discrimination complaints and actions taken on discrimination
complaints must be maintained for a period of not less than three years from the final date of
resolution of the complaint.
Page 5 of 7
V. Sanctions
In the event the LPA fails or refuses to comply with the terms of this agreement, the Iowa DOT may take
any or all of the following actions.
a) Cancel, terminate or suspend this agreement in whole or in part.
b) Refrain from extending any further assistance to the LPA under the program from which the
failure or refusal occurred, until satisfactory assurance of future compliance has been received
from the LPA.
c) Take such other action that may be deemed appropriate under the circumstances, until
compliance or remedial action has been accomplished by the LPA.
d) Refer the case to the USDOJ for appropriate legal proceedings.
IOWA DEPARTMENT OF TRANSPORTATION CITY of WAUKEE, IA
Signature
Steven I - Kerber, IA DOT Civil Right Bureau, AAO 2
_._.. --- _..__......._....__.......... ....._
Printed Name and Title
Date
Page 6 of 7
Courtney Clarke, Mayor, City of Waukee
Printed Name and Title
07/ 1812022
Date
Title VI Non-discrimination Policy Statement
The CITY of WAUKEE, IA hereinafter referred to as the LPA,
hereby assures that no person shall on the grounds of race, color, national origin, gender, age or disability, as
provided by Title VI of the Civil Rights Act of 1964, 42 U.S.C. §2000d, and the Civil Rights Restoration Act of
1987, Pub. L. No. 100-259, 102 Stat. 28, be excluded from participation in, be denied the benefits of or be
otherwise subjected to discrimination under any program or activity receiving federal financial assistance. The
LPA further assures every effort will be made to ensure nondiscrimination in all of its programs and activities,
regardless of whether those programs and activities are federally funded.
It is the policy of the LPA to comply with Title VI of the Civil Rights Act of 1964; Title VI of the Civil Rights Act of
1964, 42 U.S.C. § 2000e; Age Discrimination Act of 1975, 42 U.S.C. §§ 6101-6107; Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970, 42 U.S.C. §§ 4601-4655; 1973 Federal Aid
Highway Act, 23 U.S.C. § 324; Title IX of the Education Amendments of 1972, Pub. L. No. 92-318, 86 Stat, 235;
Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. §§ 701 et seq; Civil Rights Restoration Act of 1987, Pub.
L. No. 100-259, 102 Stat. 28; Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101 et seq.; Title Vill of the
Civil Rights Act 1968, 42 U.S.C. §§ 3601-3631; Exec. Order No. 12898, 59 Fed. Reg. 7629 (1994) (Federal
Actions to Address Environmental Justice in Minority Populations and Low -Income Populations); and Exec. Order
No. 13166, 65 Fed. Reg. 50121 (2000) (Improving Access to Services for Persons with Limited English
Proficiency).
The Civil Rights Restoration Act of 1987, Pub. L. No, 100-259, 102 Stat. 28, 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, subrecipients and contractors/consultants, regardless of whether such programs and
activities are federally assisted.
Pursuant to the requirements of Section 504 of the Rehabilitation Act of 1973, Pub. L. No. 93-112, 87 Stat.
355, the LPA hereby gives assurance that no qualified disabled person shall, solely by reason of disability, be
excluded from participation in, be denied the benefits of or otherwise be subjected to discrimination, including
discrimination in employment, under any program or activity that receives or benefits from this federal financial
assistance.
The LPA also assures that every effort will be made to prevent discrimination through the impacts of its
programs, policies and activities on minority and low-income populations. In addition, the LPA will take
reasonable steps to provide meaningful access to services for persons with LEP. The LPA will, where necessary
and appropriate, revise, update and incorporate nondiscrimination requirements into appropriate manuals,
directives and regulations.
In the event the LPA distributes federal -aid funds to a second -tier subrecipient, the LPA will include Title VI
language in all written agreements.
The LPA's CITY of WAUKEE, IA CITY CLERK , is responsible for initiating and monitoring
Title VI activities, preparing reports and performing other responsibilities, as required by 23 C.F.R. § 200 and 49
C.F.R. § 21,
Signature
Courtney (1arkc, Mayor, City of Waukee
Printed Name and Title
07/18/2022
Date
Page 7 of 7
RECEIVE®
The United States Department of Transportation (USDO"I.) JUL 2 0 2022
Standard'I'itle VI/Non-Discrimination Assurances CIVIL RIGHTS
iOWA DEPT OF TRANSPORTATION
DOT Order No. 1050.2A
The CITY O WAUKCE IA (herein referred to as the "Recipient"), HEREBY AGREES THAT, as a
condition to receivingy any Federal financial assistance from the United States Department of Transportation
(DOT), through the Federal Highway Administration (FHWA), is subject to and will comply with the
following:
Statutorv/Reealatory Authorities
• Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d el seq., 78 stat. 252), (prohibits
discrimination on the basis of race, color, national origin);
• 49 C.F.R. Part 21 (entitled !`lonotlsc-PililiI70111717 117 1'C'del-c1111'-;l.c.sisled PJ-olrraru.s Of'"1'!le Dcpclrtmeoll
Of Ti emsporlcttion Ejketualion Or77tle 1,7 Qf The Civil Rights . fct Of 1964);
• 28 C.F.R. section 50.3 (U.S. Department ol-Justice Guidelines for Enforcement of Title VI of the
Civil Rights Act of 1964);
The preceding statutory and regulatory cites hereinafter are referred to as the "Acts" and "Regulations,"
respectively.
General Assurances
In accordance with the Acts, the Regulations, and other pertinent directives, circulars, policy, memoranda,
and/or guidance, the Recipient hereby gives assurance that it will promptly take any measures necessary to
ensure that:
"No person ill the United State.,; shall. on the groul7ds of rewe, color, or l7alionul origin, he
excludedfron7 purlicipaliol7 in, he deJtied the henefils of; or be otherwise suhjec•led to
di.l•Crin7ir7a1iol7 Calder curt/ prosrrcrnl or cicliVill" " /or which the Recipient receives Federal
linage ia1 assi.elal7c c ji ont DOT, iucludini, [lie FIIWA.
11
The Civil Rights Restoration Act of 1987 clarified the original intent of Congress, with respect to Title VI
and other Non-discrimination requirements (The Age Disci imination Act of 1975, and Section 504 of the
Rehabilitation Act of' 1973) by restoring the broad, institutional -wide scope and coverage of these non-
discrimination statutes and requirements to include all programs and activities of the Recipient, so long as
any portion of the program is Federally assisted.
Specific Assurances
More specifically, and without litnitins; the above general Assurance, the Recipient agrees with and gives the
following Assurances with respect to its Federally assisted Federal Highway Program:
1, The Recipient agrees that each "activity," "facility," or "prograut," as defined in §� 21.23 (b) and
21.23 (e) of 49 C.F.R, § 21 will be (with regard to an "activity") facilitated, or will be (with regard to
a "facility") operated, or will be (with regard to a "program") conducted in compliance with all
requirements imposed by, or pursuant to the Acts and the Regulations.
2. The Recipient will insert the following notification in all solicitations Ru bids, Requests For
Proposals fin• work, or material subject to the Acts and the Regulations made in connection with all
Federal Highway Programs and, in adapted form, in all proposals for negotiated agreements
regardless of funding source:
CITY of WAUKEF IA in crccnrclrrnrc will? the provi.eirnrs o/ 7•i!lc t'I of the Cir it
Rights,Iel 01'1964 (78S/ur 252. 42 U.S.C. §§ 2000(110 2000d ) and the Regulations,
herebY nolifies till hklcle)-s that it trill eilliYMUI CIV ensrn•e Ural (rr?)' CIMP ucb enterer/ imo
pursuar?l to llris mNerlicemew, &sudi'Cowr qe(I husiness ewel frrises will hu a116)-detl/tell
and fair oppo?rlarri>.r to s?rhn?il hirl.,� in response to this im°ilrrliorr and will not he
C11.5'CT7r?1InUlC'C1 aQu,;I?Fl 01r the QJ'0111lds o/ race, color, or notional ori,f;in in consideration /Or'
tin uuurd."
3. The Recipient will insert the clauses of Appendix A and F of this Assurance in every contract or
agreement subject to the Acts and the Regulations.
4, The Recipient will insert the clauses ol' Appendix 13 of this Assurance, as a covenant running with
the land, in any deed from the United States effecting or recording a transfer of'real property,
structures, use, or improvements thereon or interest therein to it Recipient.
5. That where the Recipient receives Federal financial assistance to construct a facility, or part ofa
facility, the Assurance will extend to the entire facility and facilities operated in connection
therewith.
6. That where the Recipient receives Federal financial assistance in the form, or for the acquisition of
real property or an interest in real property, the Assurance wilt extend to rights to space on, over, or
under such property.
7. That the Recipient will include the clauses set forth in Appendix C and Appendix D of this
Assurance, as a covenant running with the land, in any future deeds, leases, licenses, permits, or
similar instruments entered into by the Recipient with other parties:
a. for the subsequent transfer of real property acquired or improved under the applicable
activity, project, or program; and
b. for the consu•uction or use of, or access to, space on, over, ur under real property acquired or
improved under the applicable activity, project, or program.
8. That this Assurance obligates the Recipient for the period during which Federal financial assistance
is extended to the program, except where the Federal financial assistance is to provide, or is in the
firm of, personal property, or real property, or interest therein, or structures or improvements
thereon, in which case the Assurance obligates the Recipient, or any transferee for the longer of the
following periods:
a. the period [luring which the property is used for a purpose for which the Federal financial
assistance is extended, or for another purpose involving the provision of similar services or
benefits; or
b. the period during which the Recipient retains ownership or possession of the property.
9. The Recipient will provide for such methods of administration for the program as are found by the
Secretary of Transportation or the official to whom he/she delegates specific authority to give
reasonable guarantee that it, other recipients, sub -recipients, sub -grantees, contractors,
subcontractors, consultants, transferees, successors in interest, and other participants of Federal
f-inancial assistance under such program .will comply with all requirements imposed or pursuant to
the Acts, the Regulations, and this Assurance.
10. The Recipient agrees that the United States has a right to seek judicial enforcement with regard to
any matter arising under the Acts, the Regulations, and this Assurance.
By signing this ASSURANCE, CITY of WAUKFF IA also agrees to comply (and require any sub -
recipients, Sub -grantees, contractors, successors, transferees, and/or assignees to comply) with all applicable
provisions governing the FHWA access to records, accounts, documents, information, facilities, and staff
You also recognize that you must comply with any program or compliance reviews, and/or complaint
investigations conducted by the FH WA. You must keep records, reports, and submit the material for review
upon request to FHWA, or its designee in a Iirncly, complete, and accurate way. Additionally, you must
comply with all other reporting, data collection, and evaluation requirements, as prescribed by law or
detailed in program guidance.
CITY of WAUKFF IA ` gives this ASSURANCE in consideration of and for obtaining any Federal grants,
loans, contracts, agreements. property, and/or discounts, or other Federal -aid and Federal financial assistance
extended after the date hereof to the recipients by the U.S. Department ol'Transporiation under the Federal
Highway Program. This ASSURANCE, is binding on Iowa, other recipients, sub -recipients, sub -
Grantees, contractors, subcontractors and their subcontractors', transferees, successors in interest, and any
other participants in the Federal Highway Program. The person (s) signing below is authorized to sign this
ASSURANCE on behalfof the Recipient.
CITY of WAUKEE IA
Name of Recipient)
by—
(Siguulure ofAulhorizecl Offrcirtl)
DATED 0711812022
APPENDIX A
During the performance of this contract, the contractor, for itself, its assignees, and successors in interest
(hereinafter referred to as tite "contractor") agrees as follows:
I. Compliance with Regulations: The contractor (hereinafter includes consultants) will comply with the Acts
and the Regulations relative to Non-discrimination in Federally -assisted programs of the U.S. Department of
Transportation, Federal Highway Administration, as they may be amended from time to time, which are
herein incorporated by reference and rnadc a part of this contract.
2. Non-discrimination: The contractor, with regard to the work performed by it during the contract, will not
discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors,
including procurements of materials and leases of equipment. The contractor will not participate directly or
indirectly in the discrimination prohibited by the Acts and the Regulations, including employment practices
when the contract covers any activity, project, or program set forth in Appendix B of49 CFR Part 21.
3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all
solicitations, either by competitive bidding, or negotiation rnadc by the contractor for work to be performed
under a subcontract, including procurements of materials, or leases of equipment, each potential
subcontractor or supplier will be notified by the contractor of the contractor's obligations under this contract
and the Acts and the Regulations relative to Non -discrimination on the grounds of race, color, or national
origin.
4. Information and Reports: The contractor will provide all information and reports required by the Acts,
the Regulations, and directives issued pursuant thereto and will permit access to its books, records, accounts,
Other sources of information, and its facilities as may be determined by the Recipient or the Federal
Highway Administration to be pertinent to ascertain compliance Willi such Acts, Regulations, and
instructions. Where any information required of a contractor is in the exclusive possession of another who
fails or refuses to furnish the information, the contractor will so certify to the Recipient or the Federal
Highway Administration, as appropriate, and will set forth what efforts it has made to obtain the
information.
5. Sanctions for Noncompliance: In the event of a contractor's noncompliance with the Non-discrimination
provisions of this contract, the Recipient will impose such contract sanctions as it or the Federal Highway
Administration may determine to be appropriate, including, but not limited to:
a. withholding payments to tite contractor under the contract until the contractor complies; and/or
b. cancelling, terminating, or suspending a contract, in whole or in part.
Incorporation of Provisions: The contractor will include the provisions of paragraphs one through six in
every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts,
the Regulations and directives issued pursuant thereto. The contractor will take action with respect to any
subcontract or procurement as the Recipient or the Federal Highway Administration may direct as a
means of enforcing such provisions including sanctions for noncompliance. Provided, that if the contractor
becomes involved in, or is threatened with litigation by a subcontractor, or supplier because of such
direction, the contractor may request the Recipient to enter into any litigation to protect the interests of the
Recipient. In addition, the contractor may request the United States to enter into the litigation to protect the
interests of the United States.
APPENDIX B
CLAUSES FOR DEEDS TRANSFERRING UNITED STATES PROPERTY
The following clauses will be included in deeds effecting or recording the transfer of real property,
structures, or improvements thereon, or granting interest therein from the United States pursuant to
the provisions of Assurance 4:
NOW, THEREFORE, the Department of Transportation as authorized by law and upon the
condition that the CITY of WAUKEE IA will accept title to the lands and maintain the project
constructed thereon in accordance with laws of the state of Iowa, the Regulations for the
Administration of Federal Highway Program, and the policies and procedures prescribed by the
Federal Highway Administration of the U.S. Department of "transportation in accordance and in
compliance with all requirements imposed by Title 49, Code of Federal Regulations, U.S.
Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Non-discrimination in
Federally -assisted programs of the U.S. Department of Transportation pertaining to and effectuating
the provisions of'l'itic V1 of the Civil Rights Act of 1964 (78 Stat. 252: 42 U.S.C. § 2000d to 2000d-
4), does hereby remise, release, quitclaim and convey unto the cnY of WAUKFr_ IA all the right, title
and interest of the U.S. Department of "Transportation in and to said lands described in Iixhibit A
attached hereto and made a part hereof.
(HABENDUM CLAUSE)
TO HAVE AND TO HOLD said lands and interests therein unto CIIYofWAUKEEIA 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 arc used for a purpose for which federal financial assistance is extended or for another
Purpose involving the provision of similar services or benefits and will be binding on the
CITY of WAUKEE IA its Successors and assigns.
T}1C CITY of WAUKEE IA in consideration of the conveyance of said lands and interests in lands,
does hereby covenant and agree as a covenant ntnning with the land for itself, its successors and
assigns, that (1) no person will on the grounds of race, color, or national origin be excluded from
participation in, be denied the benefits of, or be otherwise subjected to discrimination with regard to
any facility located wholly or in part on, over, or under such lands hereby conveyed [,] [and]* (2) that
the CITY ofWAUKEC IA Will use the lands and interests in lands and interests in lands so conveyed,
in compliance with all requirements imposed by or pursuant to Title 49, Code of Federal Regulations,
U.S. Department of Transportation, Subtitle A, Office ofthe Secretary, Part 21, Non-discrinli nation
in Federally -assisted programs of the U.S. Department of Transportation, Effectuation of "Title VI of
the Civil Rights Act of 1964, and as said Regulations and Acts may be amended[, and (3) that in the
event of breach of any of the above -mentioned non-discrimination conditions, the Department will
have a right to enter or re-enter said lands and facilities on said land, and that above described land
and facilities will thereon revert to and vest in and become the absolute property of the U.S.
Department of Transportation and its assigns as such interest existed prior to this inStructionJ.*
(*Reverter clause and related language to be used only when it is determined that such a clause is
necessary in order to make clear the purpose of Title V I.)
APPENDIX C
CLAUSES FOR TRANSFER OF REAL PROPERTY ACQUIRED OR IMPROVED UNDER
TILL ACTIVITY, FACILITY, OR PROGRAM
The following, clauses Will he included In deeds, licenses, ]cases. permits, or similar instruments
entered into by the _CITY oIWAUKEE IA pursuant to the provisions of Assurance 7(a):
A. The (grantee, lessee, permittcc, etc, as appropriate) for himself/herself, his/her heirs, personal
representatives, successors in interest, and assigns, as a part of the consideration hereof, does
hereby covenant and agree [in the case of deeds and leases add "as a covenant running with the
land"] that:
In the event facilities arc constructed, maintained, or otherwise operated on the property
described in this ((iced, license, lease, permit, etc.) for a purpose for which a U.S.
Department of Transportation activity, facility, or program is extended or for another
purpose involving the provision of similar services or benefits, the (grantee, licensee,
lessee, permittcc, etc.) will maintain and operate such facilities and services in
compliance with all requirements imposed by the Acts and Regulations (as may be
amended) such that no person on the grounds of race, color, or national origin, will be
excluded from participation in, denied the benefits of, or be otherwise subjected to
discrimination in the use ofsaid facilities.
B. With respect to licenses, leases, permits, etc., in the event of breach of any of the above Non-
discrimination covenants, CITYotWAUKEE IA will have the right to terminate the (lease,
license, permit, etc.) and to enter, rc-enter, and repossess said lands and facilities thereon, and
hold the same as if the (lease, license, permit, etc,) had never been made or issued.*
C. With respect to a deed, in the event of breach of any of the above Non-discrimination covenants,
the CITY or WAUKEE IA _ will have the right to enter or re-enter the lands and facilities thereon,
and the above described lands and facilities will there upon revert to and vest in and become the
absolute property of the CITY of WAUKEE IA and its assigns.'
(*Reverter clause and related language to be used only when it is determined that such a clause is
necessary to make clear the purpose of Title VI.)
APPENDIX D
CLAUSES FOR CONSTRUCTION/USN:/ACCESS TO REAL PROPERTY ACQUIRED
UNDER TIIL ACTIVITY, FACILITY OR PROGRAM
The following clauses will be included in deeds, licenses, permits, or similar instruments/
agrcements entered into by CITY of WAUKEE IA pursuant t0 the provisions Of Assurance 7(b):
A. The (grantee, licensee, pcnnittee, etc., as appropriate) for himself/licrself, his/her heirs,
personal representatives, successors in interest, and assigns, as a part of the consideration
hereof, does hereby covenant and agree (in the case of deeds and leases add, "as a covenant
running with the land") that (1) no person on the ground of race, color, or national origin,
will be excluded from participation in, 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 the furnishing of services thereon, no person on the ground
of race, color, or national origin, will be excluded from participation in, denied the benefits
of; or otherwise be subjected to discrimination, (3) that the (grantee, licensee, lessee,
permittee, etc.) will use the premises in compliance with all other requirements imposed by
or pursuant to the Acts and Regulations, as amended, set forth in this Assurance.
13. With respect to (licenses, leases, permits, etc.), in the event of breach of any of the above
Non-discrimination covenants, CITY of WAUKEL IA will have the right to terminate the
(license, peanut, etc., as appropriate) and to enter or re-enter and repossess said land and the
facilities thereon, and hold the same as if said (license, permit, etc., as appropriate) had never
been made or issued.*
CWith respect to deeds, in the event of breach of any of the above Non-discrimination
covenants, CITY of WAUKEE IA will there upon revert to and vest in and become the
absolute property of CITY of WAUKEE IA and its assigns.*
(*Reverter clause and related language to be used only when it is determined that such a clause is
necessary to make clear the purpose of'l'itle VI.)
APPENDIX E
During the performance of this contract, the contractor, for itself, its assignees, and successors in
interest (hereinafter referred to as the "contractor") agrees to comply with the following non-
discrimination statutes and authorities; including but not limited to:
• Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d e! seq.. 78 stat. 252),
(prohibits discrimination on the basis of race, color, national origin); and 49 CFR Part 21;
• The Uniform Relocation Assistance and Real Property Acquisition Politics Act of 1970,
(42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose property
has been acquired because of Fcdcral or Federal -aid programs and projects);
• Federal -Aid Highway Act of 1973, (23 U.S.C. § 324 el.seq,), (prohibits discrimination on
the basis of sex);
• Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 el seq.), as amended,
(prohibits discrimination on the basis ofdisability); and 49 Cl R Part 27•
• The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 el sect.), (prohibits
discrimination on the basis of age);
• Airport and Airway Improvement Act of 1982, (49 USC § 471, Section 47123), as
amended, (prohibits discrimination based on race, creed, color, national origin, or sex);
• The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage
and applicability of Title VI of the Civil Rights Act of" 1964, The Age Discrimination Act
of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of
the terms "programs or activities" to include all of the programs or activities of the
Federal -aid recipients, sub -recipients and contractors, whether such programs or activities
are Federally funded or not);
• Titles 11 and III of the Americans with Disabilities Act, which prohibit discrimination on
the basis ofdisability in the operation of public entities, public and private transportation
systems, places of public accommodation, and certain testing entities (42 U.S.C. §§
12 13 1 -- 12189) as implemented by Department of Transportation regulations at 49
C.F.R. parts 37 and 38;
• The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. § 47123)
(prohibits discrimination on the basis of race, color, national origin, and sex);
• Executive Order 12898, Federal Actions to Address Environmental Justice in Minority
Populations and Low-lncomc Populations, which ensures non-discrimination against
minority populations by discouraging programs, policies, and activities with
disproportionately high and adverse human health or environmental effects on minority
and low-income populations;
• Executive Order 13166, Improving Access to Services for Persons with Limited English
Proficiency, and resulting agency guidance, national origin discrimination includes
discrimination because of limited English proficiency (LEP). To ensure compliance with
Title VI, you must take reasonable steps to ensure that LEP persons have meaningful
access to your programs (70 Fed. Reg, at 74087 to 74100),
• "Title IX of the Education Amendments of 1972, as amended, which prohibits you from
discriminating because ot'Sex in education programs or activities (20 U.S.C. 1681 et scq).