Non-Discrimination_Assurance_Form.pdf
PDF 105 KB Posted
- Attached to
- Youngfield Street Beautification
- Solicitation number
- 25-025
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
The document is a Non-Discrimination Assurance Form from the City of Wheat Ridge, Colorado, related to Title VI Regulations at 49 CFR Part 21. The form requires bidders to certify compliance with federal non-discrimination requirements, specifically the Civil Rights Act of 1964, which prohibits discrimination based on race, color, or national origin for entities receiving federal financial assistance. The City of Wheat Ridge mandates that all bidders ensure disadvantaged business enterprises are afforded full opportunity to submit bids without discrimination and will comply with all investigative requests from transportation departments.
The form serves as a legal commitment by potential contractors to uphold non-discrimination principles in all aspects of their work with the City of Wheat Ridge. Bidders must agree to comply with Title VI provisions, provide equal opportunities for disadvantaged businesses, respond to investigation requests, and acknowledge the United States' right to seek judicial enforcement. The document requires a corporate attestation, with spaces for the firm's full legal name, authorized signature, printed name and title, date of certification, and a corporate secretary or equivalent's signature to validate the non-discrimination assurance.
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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
File details come from the government source that posted it. Updated .