Non-Discrimination_Assurance_Form.pdf
PDF 105 KB Posted
- Attached to
- 2026 Residential Streets Project
- Solicitation number
- 26-10
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This is a Non-Discrimination Assurance Form issued by the City of Wheat Ridge, Colorado, in compliance with Title VI of the Civil Rights Act of 1964 and 49 CFR Part 21 regulations. The form applies to all bidders and contractors responding to solicitations for work or materials subject to federal transportation regulations. Bidders must certify their commitment to non-discrimination and ensure that disadvantaged business enterprises (DBEs) receive full opportunity to participate as sub-contractors or sub-consultants without discrimination based on race, color, or national origin. The form requires an authorized signature from the bidder's firm along with corporate attestation from a corporate secretary or equivalent officer.
The assurance form establishes four primary compliance obligations: adherence to Title VI provisions, affirmative commitment to providing DBEs with equal bidding opportunities, cooperation with investigations conducted by the Colorado Department of Transportation, U.S. Department of Transportation, or the City of Wheat Ridge, and acknowledgment of the United States' right to seek judicial enforcement of these requirements. This document is a mandatory compliance instrument for any entity seeking federal financial assistance through the City of Wheat Ridge and reflects the city's status as a recipient of federal funding that requires non-discrimination assurances from all contractors and consultants involved in federally-funded projects.
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Text version
CITY OF WHEAT RIDGE, CO
NON-DISCRIMINATION ASSURANCE FORM
TITLE VI REGULATIONS AT 49 CFR PART 21
Title VI of the Civil Rights Act of 1964 prohibits discrimination of the basis of race, color or national origin by any entity receiving federal financial assistance.
The City of Wheat Ridge is a recipient of Federal financial assistance and as such, it, as well as all of its responsible agents, contractors and consultants, is required by the United States Department of Transportation Title VI Regulations at 49 CFR Part 21 (the Regulations) to assure nondiscrimination. The City of Wheat Ridge assures that no person shall be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination on the grounds of race, color, or national origin under any program or activity conducted by the City.
All bidders are hereby notified that the City of Wheat Ridge will affirmatively ensure that disadvantaged business enterprises will be afforded full opportunity to submit bids in response to all invitations and will not be discriminated against on the grounds of race, color or national origin in consideration for an award. This applies to all solicitations for bids for work or material subject to the Regulations, and for all proposals for negotiated agreements.
The bidder, whose name and signature appear below, certifies and agrees as follows:
1. The bidder shall comply with the provisions of Title VI of the Civil Rights Act of 1964.
2. The bidder assures the City of Wheat Ridge that disadvantaged business enterprises are afforded full opportunity to submit bids as sub-contractors or sub-consultants and will not be discriminated against on the grounds of race, color or national origin in consideration for award.
3. The bidder shall comply with all reasonable requests made in the course of an investigation of Title VI, the Regulations and this assurance by the Colorado Department of Transportation, the US Department of Transportation or the City of Wheat Ridge, as a sub-recipient of Federal financial assistance.
4. The bidder agrees that the United States has a right to seek judicial enforcement with regard to any matter arising under Title VI, the Regulations and this assurance.
FIRM:
(Print full legal name of company)
AUTHORIZED SIGNATURE:
Printed Name and Title:
Date Certified and Agreed:
Attestation: (A corporate attestation is required)
BY:
Corporate Secretary or Equivalent
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