Non-Discrimination_Assurance_Form.pdf
PDF 105 KB Posted
- Attached to
- 2026 Residential Concrete Project
- Solicitation number
- 26-31
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This is a Non-Discrimination Assurance Form required by the City of Wheat Ridge, Colorado for the 2026 Residential Concrete Project. The form implements Title VI of the Civil Rights Act of 1964 and the U.S. Department of Transportation Title VI Regulations at 49 CFR Part 21, which govern entities receiving federal financial assistance. The City of Wheat Ridge, as a recipient of federal funding, requires all bidders and contractors to certify compliance with non-discrimination requirements. The project involves the removal and replacement of concrete, primarily residential sidewalks within Improvement Zone 3, with specific locations to be identified in the field by City representatives. The attached map is noted as non-inclusive, indicating additional work may be performed outside the designated area, and striping work on Upham Street is subject to change based on City direction.
All bidders must certify their commitment to comply with Title VI provisions and assure that disadvantaged business enterprises are afforded full opportunity to submit bids as subcontractors or sub-consultants without discrimination based on race, color, or national origin. Bidders must also agree to comply with reasonable requests made during Title VI investigations by the Colorado Department of Transportation, U.S. Department of Transportation, or the City of Wheat Ridge. The authorized signatory must provide corporate attestation, with the signature executed by a corporate officer such as a corporate secretary or equivalent. This assurance form is a mandatory requirement for bid submission on all solicitations for work or material subject to federal transportation regulations and negotiated agreements.
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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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