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Exhibit 4: CIVIL RIGHTS CERTIFICATION FORM
<br /> The funds provided to the grant beneficiary named below(hereinafter referred to as the"Grantee")are available
<br /> under section 603 of the Social Security Act, as added by section 9901 of the American Rescue Plan Act.
<br /> Grantee understands and acknowledges that:
<br /> As a condition of receipt of federal financial assistance from the Department of the Treasury,with monies
<br /> distributed through City of Everett, Grantee provides the assurances stated herein.The federal financial
<br /> assistance may include federal grants, loans and contracts to provide assistance to Grantee,the use or rent of
<br /> Federal land or property at below market value, Federal training,a loan of Federal personnel,subsidies,and
<br /> other arrangements with the intention of providing assistance. Federal financial assistance does not
<br /> encompass contracts of guarantee or insurance, regulated programs, licenses,procurement contracts by the
<br /> Federal government at market value, or programs that provide direct benefits.
<br /> The Civil Rights Restoration Act of 1987 provides that the provisions of the assurances apply to all of the
<br /> operations of Grantee's program(s) and activity(ies),so long as any portion of Grantee's program(s)or
<br /> activity(ies)is federally assisted in the manner prescribed above
<br /> Grantee certifies the following:
<br /> 1. Grantee ensures its current and future compliance with Title VI of the Civil Rights Act of 1964,as
<br /> amended,which prohibits exclusion from participation,denial of the benefits of, or subjection to
<br /> discrimination under programs and activities receiving federal financial assistance,of any person in the
<br /> United States on the ground of race,color, or national origin (42 U.S.C. §2000d et seq.),as implemented
<br /> by the Department of the Treasury Title VI regulations at 31 CFR Part 22 and other pertinent executive
<br /> orders such as Executive Order 13166, directives, circulars, policies, memoranda, and/or guidance
<br /> documents.
<br /> 2. Grantee acknowledges that Executive Order 13166, "Improving Access to Services for Persons with
<br /> Limited English Proficiency,"seeks to improve access to federally assisted programs and activities for
<br /> individuals who, because of national origin, have Limited English proficiency(LEP).Grantee understands
<br /> that denying a person access to its programs,services,and activities because of LEP is a form of national
<br /> origin discrimination prohibited under Title VI of the Civil Rights Act of 1964 and the Department of the
<br /> Treasury's implementing regulations.Accordingly,Grantee shall initiate reasonable steps,or comply with
<br /> the Department of the Treasury's directives,to ensure that LEP persons have meaningful access to its
<br /> programs,services,and activities. Grantee understands and agrees that meaningful access may entail
<br /> providing language assistance services, including oral interpretation and written translation where
<br /> necessary,to ensure effective communication in Grantee's programs, services, and activities.
<br /> 3. Grantee agrees to consider the need for language services for LEP persons when Grantee develops
<br /> applicable budgets and conducts programs,services, and activities.As a resource,the Department of the
<br /> Treasury has published its LEP guidance at 70 FR 6067. For more information on taking reasonable steps
<br /> to provide meaningful access for LEP persons, please visit http://www.lep.gov.
<br /> 4. Grantee acknowledges and agrees that compliance with the assurances constitutes a condition of
<br /> continued receipt of federal financial assistance and is binding upon Grantee and its successors,
<br /> transferees,and assignees for the period in which such assistance is provided.
<br /> 5. Grantee shall comply with Title VI of the Civil Rights Act of 1964,which prohibits Grantees of federal
<br /> financial assistance from excluding from a program or activity,denying benefits of,or otherwise
<br /> discriminating against a person on the basis of race,color,or national origin (42 U.S.C. §2000d et seq.), as
<br /> implemented by the Department of the Treasury's Title VI regulations,31 CFR Part 22,which are herein
<br /> incorporated by reference and made a part of this contract(or agreement).Title VI also includes
<br /> W E R E T T
<br /> WASHINGTON Everett Forward Grant Program Agreement Page 11
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