Non-Discrimination_Assurance_Form.pdf
PDF 105 KB Posted
- Attached to
- Lakemont Center Drainage Improvements
- Solicitation number
- ITB-25-051
- 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, for the Lakemont Center Drainage Improvements project (ITB-25-051). The project encompasses drainage infrastructure improvements including removal and replacement of approximately 13 linear feet of 12-inch HDPE pipe, installation of a 48-inch diameter manhole, bypass pumping and dewatering services, and cleaning and camera inspection of 4-inch, 8-inch, and 12-inch HDPE storm pipes. Additional work includes minor landscaping, asphalt and sidewalk replacement, curb and gutter work, concrete rundowns, sidewalk chases, and erosion control measures. Bid alternates are available for single spot pipe repairs and cured-in-place pipe lining. A mandatory pre-bid meeting is scheduled for November 4, 2025, at 2:00 pm, with bid submissions due on November 20, 2025, at 2:00 pm Mountain Time. The project completion timeline is 30 calendar days from the Notice to Proceed, and the contract will be awarded to the lowest most responsive and responsible bidder.
All bidders are required to comply with Title VI of the Civil Rights Act of 1964 and 49 CFR Part 21 regulations, affirming nondiscrimination on the grounds of race, color, or national origin. Bidders must ensure that disadvantaged business enterprises receive full opportunity to participate as subcontractors or sub-consultants without discrimination. The project is subject to the Keep Jobs in Colorado Act, requiring at least 80% of labor to be performed by Colorado workers. Bidders must submit a 5% bid bond and complete required documentation including the Non-Discrimination Assurance Form, Contractor's Qualification Form, and List of Subcontractors. The project is funded through the City of Wheat Ridge's Capital Improvement Program and follows Colorado Department of Transportation Standard Specifications for Road and Bridge Construction, 2021 Edition. The city will retain 5% of the contract value until final completion.
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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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