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<br />Everett Forward Grant Program | Agreement | Page 11
<br />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 />
<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 />
<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
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