HomeMy WebLinkAboutCAG2024-578 - Other - Title VI Plan (Previously signed version required edits following WSDOT review) - 12/24/24 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form DirAsst:
• For Approvals,Signatures and Records Management Dir/Dep:
KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover (optional)
WASHINGTON Sheet forms. (Print on pink or cherry colored paper)
Originator: Department:
Chad Bieren Public Works
Date Sent: Date Required:
> 12/23/2024 ASAP
0
Q Mayor or Designee to Sign. Date of Council Approval:
Q Interlocal Agreement Uploaded to Website N/A
Budget Account Number: Grant? Yes NoF-]
Budget?Dyes�✓ No Type: N/A
Vendor Name: Category: i
Other
Vendor Number: Sub-Category:
Original
0
Project Name: Title VI Plan
cProject Details: Previously signed version required edits following WSDOT review.
0
c
40
c
Agreement Amount:
Basis for Selection of Contractor:
E *Memo to Mayor must be attached
i Start Date: Termination Date:
a Local Business? Yes F]No*If meets requirements per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions"form on Cityspace.
Business License Verification: ❑Yes In-Process F1 Exempt(KCC 5.01.045) FlAuthorized Signer Verified
Notice required prior to disclosure? Contract Number:
Yes❑No CAG2024-578
Comments:
Mayor please sign on page 3.
0
� c
in 0
3 40 Nk
Date Received:City Attorney: 12/24/24 Date Routed:Mayor's Offic 12/24/24 City Clerk's Office 12/24/24
adccW22373_7_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20221201
Title VI Plan
City of Kent
October 2024
Dana Ralph, Mayor
Agency Administrator/Signatory Authority
Chad Bieren, P.E.
Public Works Director
Prepared by:
Maria Tizoc, Race and Equity Coordinator
Email: mtizoc@kentwa.gov
Phone#:253-856-5716
1
Table of Contents
I. Policy Statement.......................................................................................................3
II. Organization, Staffing, and Structure..................................................................4
III. Title VI Plan and Implementation Program Administration............................5
IV. Title VI Training and Education..............................................................................6
V. Complaint Procedures..............................................................................................7
VI. Title VI Complaint Form..........................................................................................9
VII. Sub-Recipient Review and Remedial Action Procedures...............................11
VIII. Title VI Implementation Activities in Special Emphasis Program Areas....11
IX. Notice of Title VI Rights.........................................................................................15
Exhibit A - City of Kent Title VI Assurances...........................................................................
Appendix 1 - Title VI Assurances for Consultants, Contractors, Subcontractors,
Suppliers, and Manufacturers...................................................................................................
Appendix 2 - Limited English Proficiency (LEP) Plan ............................................................
Appendix 3 - Public Involvement Form....................................................................................
2
I. Policy Statement
A. Policy of Nondiscrimination
It is the policy of the Washington State Department of Transportation that no
person shall on the grounds of race, color, and national origin, be excluded from
participation in, be denied the benefits of, or be subjected to discrimination in
any operation of the City of Kent as provided by Title VI of the Civil Rights Act of
1964 and related statutes. This policy applies to all operations of the City of Kent,
including its contractors and anyone who acts on behalf of the City of Kent. This
policy also applies to the operations of any department or agency to which the
City of Kent extends federal financial assistance. Federal financial assistance
includes grants, training, equipment usage, donations of surplus property, and
other assistance. Prohibited discrimination may be intentional or unintentional.
Seemingly, neutral acts that have disparate impacts on individuals of a protected
group and lack a substantial legitimate justification are a form of prohibited
discrimination. Harassment and retaliation are also prohibited forms of
discrimination.
Examples of prohibited types of discrimination based on race, color, or national
origin include: Denial to an individual any service, financial aid, or other benefit;
Distinctions in the quality, quantity, or manner in which a benefit is provided;
Segregation or separate treatment; Restriction in the enjoyment of any
advantages, privileges, or other benefits provided; Discrimination in any
activities related to highway and infrastructure or facility built or repaired; and
Discrimination in employment.
Title VI compliance is a condition of receipt of federal funds. The Title VI
Coordinator is authorized to ensure compliance with this policy, Title VI of the
Civil Rights Act of 1964, 42 USC § 2000d and related statutes, 42 USC 4601 to
4655; 23 USC 109(h); 23 USC 324; DOT Order 1050.2; EO 12250; EO 12898;
28 CFR 50.3 and 49 CFR part 21.
Signed: I _ _ _. _ December 23 , 20 24
Mayor, Dana Ralph Date
B. Authorities
Title VI of the 1964 Civil Rights Act provides that no person in the United
States shall on the grounds of race, color, or national origin, be excluded
from participation in, be denied the benefits of, or otherwise subjected to
discrimination under any program or activity receiving Federal financial
assistance.
The Civil Rights Restoration Act of 1987 broadened the scope of Title VI
coverage by expanding the definitions of"programs or Activities" to include
all programs or activities of Federal Aid recipients, sub- recipients, and
3
contractors, whether or not such programs and activities are Federally
assisted (P. L. 100-259 [S. 557] March 22, 1998).
Limited English Proficiency - Executive Order 13166 clarifies that individuals
with limited English proficiency are protected under the Title VI
nondiscrimination provisions related to national origin, and requires Federal
aid recipients, sub-recipients and contractors to take reasonable steps to
provide meaningful access to programs, services, and entities. These
reasonable steps may include providing information, services, and materials
in language other than English.
Environmental Justice - Executive Order 12898 clarifies that Title VI requires
Federal aid recipients, sub-recipients, and contractors to conduct an equity
assessment to ensure full and fair participation of minority and low-income
communities and avoid disproportionately high or adverse human and
environmental impacts from transportation projects.
H. Organization, Staffing, and Structure
A. Organizational Chart
Chief
Administraor
Officer
Admin Title Public Works
VI Director
Coordinator
Information Economic and Legal Title VI Finanoe Ttle Property&
Public works Technology Parks and Communications Human Police try
Representative VI Acquisition Transportation Design
Human Title VI Resources Department Development Re resentative Anal s[ Planner Engineer
Title VI Title VI P P Y
Representative Representative Services Title Representative Title VI Title VI Title VI
VI Representative Representative Representative
Representative
4
B. Staffing and structure
Agency Administrator
The Mayor is authorized to ensure full compliance with the provisions of Title
VI of the Civil Rights Act of 1964 and related statutes and has directed that
non-discrimination is required of all LPA employees, contractors, and agents
pursuant to 49 CFR Part 21. The Mayor may designate the Public Works
Director to provide oversight of Federal grants compliance and Title VI
coordination within the director's functional area. The Mayor may also direct
other departments and agency personnel to provide oversight of Title VI
coordination for other city functions, particularly to ensure that all city
programs and activities comply with the general nondiscrimination,
Environmental Justice and Limited English Proficiency requirements that
apply to the entire agency.
Title VI Coordinator
The City of Kent has designated the position of the Race and Equity
Coordinator as a City Title VI Coordinator. The coordinator is responsible for
implementing, monitoring, and ensuring the City's compliance with Title VI
Regulations. The coordinator collaborates with Public Works to prepare an
annual report of City Title VI accomplishments and upcoming goals. The Title
VI Coordinator will update the Title VI Plan annually, reflecting
organizational, policy and implementation changes.
Title VI Representatives
Additionally, the city designated a Title VI Representative for every
department. Title VI Representatives ensure compliance in their respective
divisions and programs. These key programs or departmental areas may
receive Federal assistance through grants or other types of transportation
related funding or are responsible for implementing directives and policies to
ensure civil rights compliance. Title VI Representatives will work with the
coordinator to ensure compliance.
III. Title VI Plan and Implementation Program Administration
The Title VI Coordinator is responsible for initiating, monitoring, and ensuring
the City of Kent's compliance with Title VI requirements as follows:
A. Program Administration.
Administer the Title VI program and coordinate implementation of the
plan. Ensure compliance with the assurances, policies, and program
objectives.
B. Complaints.
5
Review Title VI complaints that may be received following the adopted
procedural guidelines.
C. Data Collection.
Review statistical language and demographic data collection processes
performed by Title VI Representatives and city staff periodically to ensure
sufficiency of data for meeting requirements.
D. Training Programs.
Conduct or facilitate training programs on Title VI issues and regulations
for city staff members. A summary of training conducted will be reported
in the annual update.
E. Title VI Plan Update.
Review and update the City of Kent's Title VI Plan as needed or required.
Present updated plan to Agency's Administrator and Public Works
Director for approval.
F. Annual Accomplishment Report.
Prepare an annual Title VI accomplishments and Goals report and
changes to the program in the preceding federal fiscal year; identify
goals and objectives for the upcoming year as required.
G. Public Dissemination.
Work to develop and disseminate Title VI program information to all
department staff members and sub-recipients, including contractors,
subcontractors, consultants, subconsultants, and beneficiaries, as well as
the public. Public dissemination will include inclusion of Title VI language
in contacts or other agreements, website pages. Ensure public service
announcements or notices of proposed projects, hearings, meetings, or
formation of public advisory boards are posted in media reaching
affected community. When appropriate, provide written or verbal
information in languages other than English.
IV. Title VI Training and Education
In keeping with adopted City of Kent policy of nondiscrimination,
departmental procedures will be established or followed for Public Works
employees to have equal access to applicable educational and training
opportunities. Public Works staff will maintain program administration
documentation and data necessary for preparation of annual Title VI reports
and will routinely supply the necessary data to the Title VI Coordinator.
The Title VI Coordinator is responsible for overall Title VI related training and
staff development for Title VI Specialists and other employees. The
6
coordinator will organize or conduct a minimum of one internal Title VI
training session annually. The coordinator will organize and facilitate the
provision of Title VI training sessions for consultants, contractors, and
subcontractors periodically. WSDOT's Office of Equity and Civil Rights be
asked to provide applicable training.
V. Complaint Procedures
The city has Title VI complaint procedures and information on the city's
website on the Race and Equity and Non-Discrimination page in English and
Spanish. Discrimination and complaint procedures are as follows:
The U.S. Congress signed the Civil Rights Act in 1964 and the Civil Rights
Restoration Act in 1987. Title VI of the Civil Rights Acts prohibits
discrimination based on race, color, or national origin in all benefits and
services provided by government agencies.
The City of Kent assures that no person shall, on the grounds of race, color,
national origin, or limited English proficiency, as provided by the legal
statutes listed below, be excluded from participation in, be denied the
benefits of, or be otherwise subjected to discrimination under any program or
activity. Executive Order #13166, Section 162 (a) of the Federal Highway Act
of 1973 (23 USC 324).
Title VI compliance is a condition of receipt of federal funds. The Title VI
Coordinator is authorized to ensure compliance with this policy, Title VI of
the Civil Rights Act of 1964, 42 USC § 2000d and related statutes, 42 USC
§ 4601 to 4655; 23 USC § 109(h); 23 USC § 324; DOT Order 1050.2; EO
12250; EO 12898; 28 CFR § 50.3 and 49 CFR part 21.
Who is eligible to file a complaint?
Anyone who believes they have been excluded from participation in, denied
the benefits of, or otherwise subjected to discrimination under any City of
Kent program or activity because of their race, color or national origin may
file a complaint.
How to file a complaint?
Complaints must be filed no later than 180 days from the last date of the
alleged discrimination. Contact City of Kent Title VI Coordinator, if you
believe your complaint may fall outside this deadline.
Reasonable efforts will be made to assist persons with disabilities, non-
English speakers, and others unable to file a written complaint. For
assistance filing a complaint, please contact the City of Kent's Title VI
Coordinator.
7
Complaints should be in writing, signed, stated, and may be filed by mail,
fax, in person, or e-mail.
What happens after a complaint is filed?
If your complaint is forwarded to another agency, you will be provided the
name and contact information of the employee handling your complaint.
Federal law prohibits retaliation against individuals because they have filed a
discrimination complaint or otherwise participated in a discrimination
investigation. Any alleged retaliation should be reported in writing to the
investigator.
FHWA will render final decisions in all cases including those investigated by
WSDOT. There are no administrative appeal forums in Title VI complaints.
Once FHWA issues its final agency decision, a complaint is closed.
There is no prohibition against a complainant filing a Title VI complaint
simultaneously with an local public agency, WSDOT, and FHWA.
All Title VI complaints are logged. The complaint log must contain the
following information for each complaint filed:
• The name and address of the person filing the complaint.
• The date of the complaint.
• The basis of the complaint.
• The disposition of the complaint.
• The status of the complaint.
City of Kent then forwards complaints to WSDOT-Office of Equity and Civil
Rights for processing by FHWA. [WSDOT investigates complaints only if
delegated by FHWA after acceptance of a complaint.] FHWA is responsible for
all determinations regarding whether to accept, dismiss, or transfer the
complaint and finding no violation or failure to comply.
Complainants have the right to file a complaint directly with the federal
funding agency. The following address is where Title VI complaints may be
filed directly with FHWA:
Federal Highway Administration
U.S. Department of Transportation Office of Civil Rights
8th Floor E81-105
1200 New Jersey Avenue, SE
Washington, DC 20590
CivilRights.FHWA@dot.gov
VI. Title VI Complaint Form
8
Please complete this form to the best of your ability. If you need translation or
other assistance, contact Maria Tizoc, Race and Equity Coordinator at 253-856-
5716, or mtizoc@Kentwa.gov.
Name
Address City Zip
Phone: Home Work
Mobile
Best time of day to contact you about this complaint:
Email:
Basis of Complaint (circle all that apply):
Race Color National Origin (includes language access)
Date of alleged incident:
Who discriminated against you?
Name
Name of Organization
Address City
Zip
Telephone
Explain what happened, why you believe it happened, and how you were
discriminated against. Indicate who was involved. Be sure to include how other
persons were treated differently than you. If you have any other information about
what happened, please attach supporting documentation to the form. (Attach
additional pages if more space is needed.)
9
What remedy are you seeking for the alleged discrimination? Please note that this
process will not result in the payment of punitive damages or financial
compensation.
List any other persons that we should contact for additional information in support
of your complaint. Please list their names, phone numbers, address, email address
below.
Have you filed your complaint, grievance, or lawsuit with any other agency or
court?
Who When
Status (pending, resolved, etc.) Result, if known
Complaint number, if known
Do you have an attorney in this matter?
Name (print)
Phone Address
City Zip
Signed Date
VII. Contractors and Consultant Review and Remedial Action Procedures
10
A. Title VI Review of Sub-recipients of Federal-Aid Highway Funds
Public works Title VI Representatives and Title VI Coordinator will assist
WSDOT to periodically conduct Title VI compliance reports and reviews.
Transportation staff will review selected recipients of Federal-Aid highway or
other Federal funds to ensure adherence to Title VI requirements. The Title
VI Coordinator will work with Title VI Representatives cooperatively to
periodically confirm operational guidelines provided to consultants,
contractors, and sub-recipients, include Title VI language, provisions, and
related requirements as applicable.
B. Post - Grant Reviews
The coordinator will collaborate with Public Works and Contracting staff to
conduct periodic post grant reviews of select recipients of Federal highway
funds or other Federal funds for roads, sidewalks, bridges, municipal
construction to ensure adherence to Title VI requirements. Appropriate staff
will periodically confirm the operational guidelines provided to consultants,
contractors and sub-recipients included in Title VI language, provisions, and
related requirements where applicable.
C. Remedial Action.
When irregularities occur in the administration of Federal-aid highway
programs and either City or sub-recipient levels, corrective action will be
taken to resolve identified Title VI issues. A follow up review will be
conducted within 180 days. The City of Kent will seek the cooperation of the
contractor, consultant, or other sub-recipient in correcting deficiencies found
during periodic reviews. The City will provide technical assistance and
guidance, upon request, to support voluntary compliance by the sub-
recipient.
VIII. Title VI Implementation Activities in Special Emphasis Program Areas
A. Planning & Location Activities
1. Planning Process.
The Transportation Engineering Section has the responsibility for
providing long-range planning, program development and capital
programming necessary to provide accessible transportation services to
City of Kent residents. The city annually updates and coordinates its six-
year plan for transportation improvement projects. The updates inform
other City of Kent departments and neighboring jurisdictions of the
current planning direction for its transportation needs. Projects included
in the updates are the result of evaluation and the prioritization of needs
in various transportation areas.
2. Public involvement in Planning Activities & Title VI
11
To ensure public involvement in planning activities and Title VI
compliance, planning team employs multiple strategies:
a) Community Based Organizations Engagement: the Transportation
Section establishes partnerships and engages with ethnic organizations
and community groups, representing various ethnic communities.
These partnerships enable them to reach a wider audience and
disseminate program information through emails, social media
platforms, and community events organized by these organizations.
b) Multilingual Materials: Program materials, including brochures, flyers,
posters, and websites, will be accessible in multiple languages to cater
to the linguistic diversity of the population in the project location. These
materials provide information about the planning process, project
updates, public meeting schedules, and ways to provide feedback in the
top languages commonly spoken in the community.
c) Community Meetings and Workshops: Public meetings, workshops,
focus groups, and listening sessions in diverse neighborhoods and
communities are used to gather input, feedback, and concerns from
residents belonging to different social, economic, and ethnic groups.
These meetings provide opportunities for direct interaction, dialogue,
and collaboration between transportation planners and community
members.
d) Online Engagement Platforms: the Transportation Section utilizes online
engagement platforms, including websites, social media channels, and
interactive tools, to reach a broader audience and facilitate virtual
participation in the planning process. They may host webinars, virtual
town halls, online surveys, and discussion forums to gather input and
engage with community members who may not be able to attend in-
person meetings.
B. Statistical Data
Engineering division and other City staff will obtain demographic statistics at
applicable community meetings and public hearings involving transportation
planning sessions. Data will be gathered through use of a voluntary self-
reporting Title VI Public Involvement Forms which includes race, gender,
and national origin (Appendix 4). Copies of the completed forms will be
provided to the Title VI Coordinator after each meeting.
C. Consultant Contract Activities
1. Consultant Contracts Administration.
The Engineering Division is responsible for recommending consultant
firms to support Transportation Section activities. Project managers will
participate in selection and award, with the approval of the City council.
2. Consultant Selection Process.
Contracting Services staff or project management staff will request
qualifications form consulting engineering firms specializing in various
12
aspects of civil engineering, which may relate to transportation projects
and the development of construction plans and special provisions for
roads and bridges; design work associated with structures; preforming
environmental studies or preparing NEPA or SEPA documents for
transportation projects.
3. Title VI Assurances and Provisions.
Transportation Division staff will:
a. Include Title VI assurance and provision language in all Federally
funded consultant contracts. Periodically review documents and
language to ensure compliance with current laws and regulations. For
planning and design contracts, information on the number of contracts,
the contractors name, project name, contract amount, and WMDBE
status of city contacts is periodically collected and included in the
Annual Update and Accomplishment Report.
b. Maintain updated demographic data on the utilization of women-and
minority-owned consulting firms. As needed, information on WMDBE
status of consultants or sub-consultants including consultant names will
be collected and included in the Annual Update and Accomplishment
Report.
D. Public Works Activities
1. Capital Improvement Projects (CIP):
The Construction and Design Sections are responsible for implementing
Capital Investment Program (CIP) projects. Studies are performed when
needed to assess various environmental factors as they relate to the
implementation of the City's transportation capital program, including
evaluating demographic data.
2. Design /Environmental Justice Review Process
Construction and Design Section staff will:
a. Depending on the scope, complexity, and impacts of a project, complete a
National Environmental Policy Act (NEPA), NEPA categorical Exclusion,
NEPA Environmental Assessment, State Environmental Assessment Policy
Act (SEPA) checklist, or NEPA and/ or SEPA Environmental Impact
Statements.
b. Monitor compliance with Title VI requirements in all aspects of conducting
Environmental Impact Statements or Assessments. Provide a
comprehensive summary of the demographic and environmental data
elements to be considered by the EIS/ EIA process to the Title VI
Coordinator, including updated summary lists as applicable.
c. Ensure dissemination of information and foster participation from affected
populations by placing public notices in applicable general and minority
media; select accessible locations and times for public meetings or
hearings and arrange for translation services as needed particularly in
projects impacting predominantly minority communities. Ensure the public
13
has information pertaining to their rights to call or write the department
to view plans and discuss environmental impacts.
d. Obtain demographic data at community meetings and public hearings
pertaining to transportation design phase. Data will be gathered through
use of a voluntary signup form that includes race, gender and national
origin. Copies of the voluntary self-reporting form will be provided to the
Title VI Coordinator after each meeting.
E. Right-of-way Activities
1. Property and Acquisition
The Property and Acquisition Analyst manages and coordinates the appraisal
and acquisition of real property and relocation assistance services for
transportation projects. The right of way acquisition process entails appraisal
of property, negotiation of terms and conditions for acquisition and
assistance in the relocation of displaced individuals, businesses, farm
operations, nonprofit organizations, and property management.
2. Right-of-way Activities and Title VI
Property and Acquisition staff will:
a) Ensure equal opportunity in all aspects of procuring real estate service
contracting and appraisal agreements. Follow City of Kent vendor
procurement policies in the acquisition of contracted services.
b) Utilize current OMWBE directories identifying fee appraiser organizations
and the Washington State Department of Transportation's list of certified
fee appraisers when seeking services. Maintain date on awards to
minority and female appraisers and provide date to Title VI Coordinator.
c) Follow guidelines in the WSDOT Local Agency Guideline Manual for
property acquisition as well as applicable laws and regulations, including
Title VI, ADA and Section 504.
d) Provide copies of relocation assistance literature produced by WSDOT
and a copy of the City of Kent Title VI compliance information sheet to all
affected parties.
e) Incorporate Title VI language and assurance statements in all surveys to
property owners and tenants after the conclusion of all business.
Coordinate the preparation of deeds, permits and leases to ensure the
inclusion of the appropriate clauses, including Title VI Assurances.
f) Ensure that appraised values and communications associated with the
appraisal and negotiation operations result in equitable treatment.
g) Maintain statistical data including race, color, national origin, and
language on all relocatees affected by federally funded projects and
provide detailed demographic data to Title VI Coordinator.
14
IX. Notice of Title VI Rights
The city of Kent has Title VI information on the City's website on the Race and
Equity Title VI page in English and Spanish. The following notice is posted on the
page:
Title VI Civil Rights Act and Policy Notification
The City of Kent hereby gives public notice that it is the Agency's policy to assure
full compliance with Title VI of the Civil Rights Act of 1964, the Civil Rights
Restoration Act of 1987, and related statutes and regulations in all programs and
activities. Title VI requires that no person shall, on the grounds of race, color, or
national origin be excluded from the participation in, be denied the benefits of, or
be otherwise subjected to discrimination under any Federal Aid Highway program or
other activity for which Agency receives federal financial assistance.
Any person who believes they have been aggrieved by an unlawful discriminatory
practice under Title VI has a right to file a formal complaint with the City of Kent.
Any such complaint filed with the City of Kent Title VI Coordinator within 180 days
following the date of the alleged discriminatory occurrence. Title VI discrimination
Complaint Forms may be obtained from the City of Kent Race and Equity staff at no
cost to the complainant.
To file a Title VI discrimination complaint, contact:
Title VI Coordinator
City of Kent
TitIeVI@Kentwa.gov
220 Fourth Ave South
Kent, WA 98032
Washington Department of Transportation
Office of Equity and Civil Rights - Title VI
Box 47314
Olympia, WA 98504-7314
TitIeVI@wsdot.wa.gov
Phone: (360) 705-7090
15
EXHIBIT A
16
The United States Department of Transportation (USDOT)Standard Title VI/Non-Discrimination
Assurances
DOT Order No. 1050.2A
The City of Kent (herein referred to as the "Recipient"), HEREBY AGREES THAT, as a condition to
receiving any Federal financial assistance from the U.S. Department of Transportation (DOT),through
Washington State Department of Transportation (WSDOT), is subject to and will comply with the
following:
Statutory/Regulatory Authorities
• Title VI of the Civil Rights Act of 1964(42 U.S.C. § 2000d et seq.,78 stat. 252), (prohibits
discrimination on the basis of race, color, national origin);
• 49 C.F.R. Part 21 (entitled Non-discrimination In Federally-Assisted Programs Of The Department
Of Transportation-Effectuation Of Title VI Of The Civil Rights Act Of 1964);
• 28 C.F.R. section 50.3 (U.S. Department of Justice Guidelines for Enforcement of Title VI of the
Civil Rights Act of 1964);
The preceding statutory and regulatory cites hereinafter are referred to as the "Acts" and "Regulations,"
respectively.
General Assurances
In accordance with the Acts,the Regulations, and other pertinent directives, circulars, policy,
memoranda, and/or guidance,the Recipient hereby gives assurance that it will promptly take any
measures necessary to ensure that:
"No person in the United States shall, on the grounds of race, color, or national origin, be
excluded from participation in, be denied the benefits of, or be otherwise subjected to
discrimination under any program or activity, 'for which the Recipient receives Federal
financial assistance from DOT, including the Washington State Department of
Transportation.
The Civil Rights Restoration Act of 1987 clarified the original intent of Congress,with respect to Title VI
and other Non-discrimination requirements (The Age Discrimination Act of 1975, and Section 504 of the
Rehabilitation Act of 1973), by restoring the broad, institutional-wide scope and coverage of these non-
discrimination statutes and requirements to include all programs and activities of the Recipient, so long
as any portion of the program is Federally assisted.
Specific Assurances
More specifically,and without limiting the above general Assurance, the Recipient agrees with and gives
the following Assurances with respect to its Federally assisted program:
1. The Recipient agrees that each "activity," "facility," or"program," as defined in §§ 21.23(b) and
21.23(e) of 49 C.F.R. § 21 will be (with regard to an "activity")facilitated, or will be (with regard to
1
a. the period during which the property is used for a purpose for which the Federal financial
assistance is extended, or for another purpose involving the provision of similar services or
benefits; or
b. the period during which the Recipient retains ownership or possession of the property.
9. The Recipient will provide for such methods of administration for the program as are found by the
Secretary of Transportation or the official to whom he/she delegates specific authority to give
reasonable guarantee that it, other recipients, sub-recipients, sub-grantees, contractors,
subcontractors, consultants,transferees, successors in interest, and other participants of Federal
financial assistance under such program will comply with all requirements imposed or pursuant to
the Acts,the Regulations, and this Assurance.
10. The Recipient agrees that the United States has a right to seek judicial enforcement with regard to
any matter arising under the Acts,the Regulations, and this Assurance.
By signing this ASSURANCE,the City of Kent also agrees to comply(and require any sub-recipients, sub-
grantees, contractors, successors,transferees, and/or assignees to comply) with all applicable provisions
governing the Washington State Department of Transportation access to records, accounts, documents,
information,facilities, and staff.You also recognize that you must comply with any program or
compliance reviews, and/or complaint investigations conducted by the Washington State Department of
Transportation . You must keep records, reports,and submit the material for review upon request to
Washington State Department of Transportation, or its designee in a timely, complete, and accurate
way.Additionally,you must comply with all other reporting, data collection, and evaluation
requirements, as prescribed by law or detailed in program guidance.
The City of Kent gives this ASSURANCE in consideration of and for obtaining any Federal grants, loans,
contracts, agreements, property, and/or discounts,or other Federal-aid and Federal financial assistance
extended after the date hereof to the recipients by the U.S. Department of Transportation under the
Federal Highway Administration. This ASSURANCE is binding on Washington State Department of
Transportation,other recipients, sub-recipients, sub-grantees, contractors,subcontractors and their
subcontractors',transferees, successors in interest, and any other participants in the Federal-Aid
Highway Program.The person(s) signing below is authorized to sign this ASSURANCE on behalf of the
Recipient.
City of Kent
(Name of Recipie
by7D- �
(Signatur of Author ed O cia1)
DATED
�Z 17�?�
3
unless exempt by the Acts,the Regulations and directives issued pursuant thereto.The
contractor will take action with respect to any subcontract or procurement as the Recipient or
the Washington State Department of Transportation may direct as a means of enforcing such
provisions including sanctions for noncompliance. Provided,that if the contractor becomes
involved in, or is threatened with litigation by a subcontractor, or supplier because of such
direction,the contractor may request the Recipient to enter into any litigation to protect the
interests of the Recipient. In addition,the contractor may request the United States to enter
into the litigation to protect the interests of the United States.
A
APPENDIX C
CLAUSES FOR TRANSFER OF REAL PROPERTY ACQUIRED OR IMPROVED UNDER THE ACTIVITY,
FACILITY,OR PROGRAM
The following clauses will be included in deeds, licenses, leases, permits, or similar instruments entered
into by the City of Kent pursuant to the provisions of Assurance 7(a):
A. The (grantee, lessee, permittee, etc.as appropriate)for himself/herself, his/her heirs, personal
representatives, successors in interest, and assigns, as a part of the consideration hereof, does
hereby covenant and agree [in the case of deeds and leases add "as a covenant running with the
land"] that:
1. In the event facilities are constructed, maintained, or otherwise operated on the property
described in this(deed, license, lease, permit, etc.)for a purpose for which a U.S. Department of
Transportation activity,facility, or program is extended or for another purpose involving the
provision of similar services or benefits,the(grantee, licensee, lessee, permittee,etc.)will
maintain and operate such facilities and services in compliance with all requirements imposed
by the Acts and Regulations(as may be amended) such that no person on the grounds of race,
color, or national origin, will be excluded from participation in, denied the benefits of, or be
otherwise subjected to discrimination in the use of said facilities.
B. With respect to licenses, leases, permits, etc., in the event of breach of any of the above Non-
discrimination covenants,the City of Kent will have the right to terminate the (lease, license,
permit,etc.) and to enter, re-enter,and repossess said lands and facilities thereon, and hold the
same as if the (lease, license, permit,etc.) had never been made or issued.*
C. With respect to a deed, in the event of breach of any of the above Non-discrimination covenants,
the City of Kent will have the right to enter or re-enter the lands and facilities thereon, and the
above described lands and facilities will there upon revert to and vest in and become the absolute
property of the City of Kent and its assigns.*
(*Reverter clause and related language to be used only when it is determined that such a clause is
necessary to make clear the purpose of Title VI.)
C
APPENDIX E
During the performance of this contract,the contractor,for itself, its assignees, and successors in
interest(hereinafter referred to as the "contractor") agrees to comply with the following non-
discrimination statutes and authorities; including but not limited to:
Pertinent Non-Discrimination Authorities:
• Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits
discrimination on the basis of race, color, national origin);and 49 CFR Part 21.
• The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C.
§4601), (prohibits unfair treatment of persons displaced or whose property has been acquired
because of Federal or Federal-aid programs and projects);
• Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination on the basis
of sex);
• Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended, (prohibits
discrimination on the basis of disability); and 49 CFR Part 27;
• The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits
discrimination on the basis of age);
• Airport and Airway Improvement Act of 1982, (49 USC §471, Section 47123), as amended,
(prohibits discrimination based on race, creed, color, national origin, or sex);
• The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and
applicability of Title VI of the Civil Rights Act of 1964,The Age Discrimination Act of 1975 and
Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms
"programs or activities"to include all of the programs or activities of the Federal-aid recipients,
sub-recipients and contractors, whether such programs or activities are Federally funded or
not);
• Titles II and III of the Americans with Disabilities Act,which prohibit discrimination on the basis
of disability in the operation of public entities, public and private transportation systems, places
of public accommodation, and certain testing entities(42 U.S.C. §§ 12131-12189) as
implemented by Department of Transportation regulations at 49 C.F.R. parts 37 and 38;
• The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. §47123) (prohibits
discrimination on the basis of race, color, national origin, and sex);
• Executive Order 12898, Federal Actions to Address Environmental Justice in Minority
Populations and Low-Income Populations, which ensures Non-discrimination against minority
populations by discouraging programs, policies, and activities with disproportionately high and
adverse human health or environmental effects on minority and low-income populations;
• Executive Order 13166, Improving Access to Services for Persons with Limited English
Proficiency, and resulting agency guidance, national origin discrimination includes discrimination
because of Limited English proficiency(LEP).To ensure compliance with Title VI,you must take
reasonable steps to ensure that LEP persons have meaningful access to your programs (70 Fed.
Reg. at 74087 to 74100);
• Title IX of the Education Amendments of 1972, as amended, which prohibits you from
discriminating because of sex in education programs or activities(20 U.S.C. 1681 et seq).
E
Appendix - 1
17
DECLARATION
CITY OF KENT NON-DISCRIMINATION POLICY
The City of Kent (City) is committed to conform to Federal and State laws regarding equal
opportunity. As such all contractors, subcontractors, consultants, vendors, and suppliers who
perform work with relation to this Agreement shall comply with the regulations of the City's
equal employment opportunity policies.
The City of Kent and its contractors are subject to and will comply with the following:
• Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat.
252), (prohibits discrimination on the basis of race, color, national origin);
• 49 C.F.R. Part 21 (entitled Non-discrimination In Federally-Assisted Programs
Of The Department Of Transportation-Effectuation Of Title VI Of The Civil
Rights Act Of 1964);
• 28 C.F.R. section 50.3 (U.S. Department of Justice Guidelines for
Enforcement of Title VI of the Civil Rights Act of 1964).
• Ch. 49.60 RCW (Washington Law Against Discrimination)
The preceding statutory and regulatory cites hereinafter are referred to as "the Acts and
Regulations".
The following statements specifically identify the requirements the City deems necessary for any
contractor, subcontractor, or supplier on this specific Agreement to adhere to. An affirmation of
all of the following is required for this Agreement to be valid and binding. If any contractor,
subcontractor, or supplier willfully misrepresents themselves with regard to the directives
outlined below, it will be considered a breach of contract and it will be at the City's sole
determination regarding suspension or termination for all or part of the Agreement.
The statements are as follows:
1. I have read the attached City of Kent administrative policy number 1.2.
2. During the time of this Agreement I will not discriminate in employment on the basis of
sex, race, color, national origin, age, or the presence of all sensory, mental or physical
disability.
3. During the time of this Agreement I, the prime contractor, will provide a written
statement to all new employees and subcontractors indicating commitment as an equal
opportunity employer.
4. During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
5. During the performance of this contract, the contractor, for itself, its assignees, and
successors in interest (hereinafter referred to as the "contractor") agrees as follows:
EEO COMPLIANCE DOCUMENTS - 1
A. Compliance with Regulations: The contractor, subcontractor, consultant,
vendor, and supplier (hereinafter "Contractor") will comply with all Acts and the
Regulations relative to non-discrimination, including those applicable to Federally-
assisted programs of the U.S. Department of Transportation, State-assisted
programs through the Washington State Department of Transportation, and
generally under Washington's Law Against Discrimination, Ch. 49.60 RCW, as they
may be amended from time to time, which are herein incorporated by reference
and made a part of this contract.
B. Non-discrimination: The contractor, with regard to the work performed by it
during the contract, will not discriminate on the grounds of race, color, or national
origin in the selection and retention of subcontractors, including procurements of
materials and leases of equipment. The contractor will not participate directly or
indirectly in the discrimination prohibited by the Acts and the Regulations, including
employment practices when the contract covers any activity, project, or program
set forth in Appendix B of 49 CFR Part 21.
C. Solicitations for Subcontracts, Including Procurements of Materials and
Equipment: In all solicitations, either by competitive bidding, or negotiation made
by the contractor for work to be performed under a subcontract, including
procurements of materials, or leases of equipment, each potential subcontractor or
supplier will be notified by the contractor of the contractor's obligations under this
contract and the Acts and the Regulations relative to non-discrimination on the
grounds of race, color, or national origin.
D. Information and Reports: The contractor will provide all information and reports
required by the Acts and Regulations and directives issued pursuant thereto and will
permit access to its books, records, accounts, other sources of information, and its
facilities as may be determined applicable to contractor's contract by the City or the
Washington State Department of Transportation to be pertinent to ascertain
compliance with such Acts and Regulations and instructions. Where any information
required of a contractor is in the exclusive possession of another who fails or
refuses to furnish the information, the contractor will so certify to the City or the
Washington State Department of Transportation, as appropriate, and will set forth
what efforts it has made to obtain the information.
E. Sanctions for Noncompliance: In the event of a contractor's noncompliance with
the non-discrimination provisions of this contract, the City will impose such contract
sanctions as it or the Washington State Department of Transportation may
determine to be appropriate, including, but not limited to:
a. withholding payments to the contractor under the contract until the
contractor complies; and/or
b. cancelling, terminating, or suspending a contract, in whole or in part.
F. Incorporation of Provisions: The contractor will include the provisions of
paragraphs (A) through (F) above in every subcontract, including procurements of
materials and leases of equipment, unless exempt by the Acts and Regulations and
directives issued pursuant thereto. The contractor will take action with respect to
any subcontract or procurement as the City or the Washington State Department of
Transportation may direct as a means of enforcing such provisions including
sanctions for noncompliance. Provided, that if the contractor becomes involved in,
EEO COMPLIANCE DOCUMENTS - 2
or is threatened with litigation by a subcontractor, or supplier because of such
direction, the contractor may request the City to enter into any litigation to protect
the interests of the City. In addition, the contractor may request the United States
to enter into the litigation to protect the interests of the United States.
6. During the performance of this contract, the contractor, for itself, its assignees, and
successors in interest agrees to comply with the following non-discrimination statutes and
authorities; including but not limited to:
Pertinent Non-Discrimination Authorities:
i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252),
(prohibits discrimination on the basis of race, color, national origin); and 49 CFR
Part 21.
ii. The Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970, (42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or
whose property has been acquired because of Federal or Federal-aid programs and
projects);
iii. Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits
discrimination on the basis of sex);
iv. Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as
amended, (prohibits discrimination on the basis of disability); and 49 CFR Part 27;
V. The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.),
(prohibits discrimination on the basis of age);
vi. Airport and Airway Improvement Act of 1982, (49 USC § 471, Section 47123), as
amended, (prohibits discrimination based on race, creed, color, national origin, or
sex);
vii. The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope,
coverage and applicability of Title VI of the Civil Rights Act of 1964, The Age
Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by
expanding the definition of the terms "programs or activities" to include all of the
programs or activities of the Federal-aid recipients, sub-recipients and contractors,
whether such programs or activities are Federally funded or not);
viii. Titles II and III of the Americans with Disabilities Act, which prohibit discrimination
on the basis of disability in the operation of public entities, public and private
transportation systems, places of public accommodation, and certain testing entities
(42 U.S.C. §§ 12131-12189) as implemented by Department of Transportation
regulations at 49 C.F.R. parts 37 and 38;
ix. The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. §
47123) (prohibits discrimination on the basis of race, color, national origin, and
sex);
X. Executive Order 12898, Federal Actions to Address Environmental Justice in
Minority Populations and Low-Income Populations, which ensures Non-
discrimination against minority populations by discouraging programs, policies, and
activities with disproportionately high and adverse human health or environmental
effects on minority and low-income populations;
EEO COMPLIANCE DOCUMENTS - 3
xi. Executive Order 13166, Improving Access to Services for Persons with Limited
English Proficiency, and resulting agency guidance, national origin discrimination
includes discrimination because of Limited English proficiency (LEP). To ensure
compliance with Title VI, you must take reasonable steps to ensure that LEP
persons have meaningful access to your programs (70 Fed. Reg. at 74087 to
74100);
xii. Title IX of the Education Amendments of 1972, as amended, which prohibits you
from discriminating because of sex in education programs or activities (20 U.S.C.
1681 et seq).
xiii. Washington Law Against Discrimination (Ch. 49.60 RCW)
7. The submission of the final invoice for this contract will constitute a reaffirmation that the
preceding statements were complied with during the course of the contract's performance.
By signing below, I agree to fulfill the five requirements referenced above.
By: — -- -- -- --For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 4
Appendix - 2
18
Contents
1. Language Access Standards
2. Glossary
3. Translation
4. Interpretation
S. Visualization
6. 4-Factor Analysis
7. Safe Harbor
S. Providing Public Notice
9. Training
10. Data Collection & Monitoring
1
Language Access Plan
Section 1: Language Access Standards
Title VI of the Civil Rights Act directs agencies to ensure meaningful access to their
programs and services and provide language assistance services. The Americans
with Disability Act requires that all Title II entities communicate effectively with
people who have communication disabilities. The City of Kent ("City") has a
responsibility to ensure that the information and services provided to the public are
accessible to all communities.
In consultation with the Law Department, the Race Equity Diversity & Inclusion
(REDI) Office has developed this Language Access Plan ("Plan") to help the City
meet the language needs of Kent residents and visitors experiencing barriers to
meaningfully accessing services due to the lack of available translated vital
documents.
The minimum requirements outlined in the Plan are based on the Department of
Justice's guidance, which recommends that at a minimum, the City translate vital
information for each language group with limited English proficiency that
constitutes 5% of the population or 1,000 people (whichever is less).
In general, a Language Access Plan may include:
• Interpretation services
o In-person interpretation: Spoken and sign language (as appropriate and
needed)
o Remote interpretation: Phone and video
• Multilingual staff
• Written translation services
• Notices about the availability of language services
• Auxiliary Aids and Services
This Plan is designed to promote fair and equitable access to City information and
services for Kent residents and visitors with limited English proficiency and
communication disabilities.
The City is committed to building and supporting an inclusive and well-informed
community. This includes making the necessary efforts to promote City services,
and provide information about those services, in a manner that is relevant, timely,
and equitable.
2
Section 2: Glossary
Certified Interpreter - An in-house or contracted interpreter who has
demonstrated their competence to interpret or translate through state or local
certification.
Critical Information — Critical information is material, either written or oral,
that may have life and death implications. An example of such information would
be emergency evacuation messages.
Translation — A rendering from one language into another. An accurate translation
is one that conveys the intent and essential meaning of the original text.
In-person Translation — In-person translation is the conversion of written
communication to oral rendition from one language to another while preserving the
intent and meaning of the original message.
Interpretation — Interpretation is the oral rendition of a spoken message from one
language to another, preserving the intent and meaning of the original message.
Language Line — City of Kent contracted vendor that provides on-demand and
onsite language interpretation services in over 240 languages.
Language Group — Communities who share a primary language.
Limited English Proficiency (LEP) — A Person who does not speak English as
their primary language and who has a limited ability to read, speak, write, or
understand English can be limited English proficient, or "LEP."
Meaningful Access - Language assistance that results in accurate, timely, and
effective communication at no cost to the LEP individual. For LEP persons ,
meaningful access denotes access that is not significantly restricted, delayed, or
inferior as compared to programs or activities provided to English proficient
persons.
Multilingual Staff - A staff person who has demonstrated proficiency in English
and reading, writing, speaking, or understanding at least one other language.
REDI Office — The City's Race Equity Diversity and Inclusion (REDI) team.
Safe Harbor Threshold - Based on the number and percentages of the service
area-eligible population (Kent residents) that speak a specific language.
Translations of vital documents to be provided when the eligible LEP population in
the service area exceeds 5%of the eligible population or exceeds 1,000 persons.
Vital Documents — Paper or electronic written material that contains information
that is critical for accessing the City's programs or activities or is required by law.
Examples of documents that may be considered vital include:
3
• Waiver of rights
• Shut-off notices
• Benefit applications
• Infraction notices
• Health and safety warnings
• Summary explanations of department's direct services
Each City Department will make vital forms available at appropriate locations.
Section 3: Translation
Section 3.1 - Vital Documents & Digital Content
A. Each City Department will create and maintain a list of vital documents that will
be translated into the major languages spoken by residents in the City. The Federal
Highway Administration indicates that a major language is where the Census data
shows at least 5% of the resident population, or 1000 people, whichever is less,
eligible to be served or likely to be affected or encountered.
The current LEP languages that meet the safe harbor threshold on a city-wide basis
are Spanish, Punjabi, Ukrainian Vietnamese, Chinese and Tagalog.
• Classification of a document or digital content as "vital" depends upon the
Four-Factor Analysis; a tool in providing meaningful access to include
services for interpretation and translation of vital documents. This analysis
includes the importance of the program, information, encounter, or service
involved, and the consequence to the LEP person if the information in
question is not provided accurately or in a timely manner.
• The determination of what documents are considered "vital" is left to the
discretion of the Department Director, in consultation with staff.
• Departments must review their vital document lists on an annual basis to
determine if any documents must be added or removed from the list.
• A vital document toolkit will be provided to City Departments to facilitate the
selection process. The toolkit will provide staff a set of resources, strategies,
and instructions designed to ensure accessibility to Limited English
Proficiency (LEP) individuals. [Please refer to attachment A for toolkit]
B. The City must translate vital digital content on the City's website, social media,
and other digital platforms.
The determination of what digital content is considered "vital" is left to the
discretion of the Communication Manager.
4
Section 3.2 - Additional Translations
A. Whenever a program or service receives federal funds, vital documents for that
program or service must be translated.
B. When a Department is providing a targeted service to a particular language
group, information about the service should be translated into that language.
C. All documents, vital or non-vital, must be translated upon request of a resident
or program/service participant.
E. All of these resources are provided to City residents free of charge.
[For more information about the translation process, please refer to attachment B]
Section 4: Interpretation
A. When staff work directly with a customer who is not proficient in English, and the
staff member is not proficient in the customer's language, staff will use the services
of a telephonic or video interpreter hired by the City's Human Resources
Department to assist in communicating with the customer.
B. Departments and programs should first use the Language Line and/or a
certified interpreter under contract with the City.
C. All staff members should receive a copy of the Language Line interpretation
services card. The card should include the client (City of Kent) ID number and
department code.
D. Reasonable efforts should be made to provide an interpreter at
community meetings scheduled by the City, when the City receives a request in
writing 7 days prior to the event.
Section 5: Visualization
Staff should use visualization techniques to communicate with LEP or low-literacy
persons. Using techniques such as maps, charts, graphs, illustrations, signs,
presentations, and videos to explain programs, services, and concepts behind
actions and decision-making are considered reasonable efforts.
s
Section 6: 4-Factor Analysis
The following four-factor analysis will serve as the guide for determining which
language assistance measures the City will undertake to help access to City
programs and resources by LEP persons.
Factor 1: The number or proportion of LEP persons within the project/program's
service area.
• Include data from sources such as Census Bureau, American Community Survey
(ACS), Kent School District etc.
• Include a listing of the counts and percentages of LEP persons present within the
City's service area.
• Identify if any of the LEP languages reach the Safe Harbor threshold of 5% or
1,000 persons.
To determine the LEP population in Kent, the City utilized U.S. Census Bureau's
Characteristics of Language Spoken at Home by Ability to Speak English for the
Population 5 Years and
Over 2015-2020 American Community Survey 5-Year Estimates
Language City of Kent LEP % of Total City of Kent
Population (Speak English Population of —131,000
less than "very well")
Spanish 6,879 5.3%
Punjabi 1,923 1.5%
Ukrainian 1,874 1.4%
Vietnamese 1855 1.4%
Chinese 1,399 1.1%
Tagalog 1 153 10.8%
Factor 2: Frequency of contact with LEP Persons.
The frequency with which LEP persons use the program, service, or activity. The
more frequent contact the City has or should have with LEP persons from different
language groups, the more likely enhanced language services will be needed.
Frequency of contact with specific languages should also be analyzed.
Factor 3: The nature and importance of the service to LEP Persons.
The assessment of impact to the LEP person is factored into the analysis.
6
The following questions need to be answered:
• How important is the program, information, encounter, or service?
• What are the consequences to the LEP person if the person does not receive
the information in question in a timely manner?
Assessment of impact (Factor3)
L Inconvenience Economic Loss Legal Requirement Health/Safety 60
The figure above is a visualization of potential impact to the LEP person. Critical
information that has a health and safety component should be prioritized for
translation.
Factor 4: The resources available to the City and the overall costs to the City.
While the City is required to take reasonable steps to remove language barriers,
"reasonable steps" may cease to be reasonable if the resources available to the City
are limited, and the costs of language barrier removal would substantially exceed
the benefits.
Section 7: Safe Harbor Provision
The "Safe Harbor Provision indicates the guaranteed minimum language service
action to comply with Title VI. The city provides written translations under the
following circumstances (examples A and B), such action will be considered strong
evidence of compliance under Title VI.
A) The City provides written translations of vital documents for each eligible LEP
language group that constitutes 5% of the eligible population or 1,000
persons, whichever is less (tier one and two); or
B) If there are fewer than 50 persons in a language group that reaches the 5%
trigger in (A), the recipient does not translate vital written materials but
provides written notice in the primary language of the LEP language group of
the right to receive competent oral interpretation of those written materials,
free of cost (tier three).
The Four Factor Analysis indicates the safe harbor threshold and is based on the
number and percentages of the service area-eligible population (Kent residents)
that speak a specific language. Translations of vital documents must be provided
when the eligible LEP population in the service area exceeds 5% of the eligible
population or exceeds 1,000 persons.
7
The following languages spoken in the City meet the criteria outlined above.
Language Tier
First Tier:
Translation Required Spanish 1
Second Tier: Punjabi 2
Ukrainian 2
Translation Vietnamese 2
Recommended Chinese 2
Tagalog 2
Third Tier:
Da ri 3
Emerging Languages Somali 3
Translation Encouraged
Key:
71 First Tier: "Public Communication Materials" must be translated into target
language, using the assessment of impact.
Second Tier: Translation of Public Communication Materials is
recommended, depending can target audience using the assessment of
impact.
Third Tier: Translation of Public Communication Materials is encouraged,
depending on target audience using the assessment of impact.
The City of Kent works to identify any vital documents requiring translation
services. ❑utreach materials for projects are translated if warranted based on the
population of English as a second language speakers in the impacted communities.
If time is too short for translation services, we include a brief message in the
various languages. This message is included below:
For mare information
Para mas informaeion
gOgaTKQBa iW�GpMaLtIA
06 biet thern thong tin
KentWkgou
8
Section 8: Providing Public Notice
The City shall inform the public of the existence of the Plan. To this end, the City
will:
• Post the Plan on its main website
• Share the Plan with managers, supervisors, and staff
• Post the following message in City buildings:
o "You have the right to language access services at no cost to you. To
request these services, please ask one of our staff members."
Section 9: Training
To establish meaningful access to information and services for LEP persons, the City
will train its staff to provide assistance both in person, and/or by telephone, to LEP
persons who request language assistance.
Training opportunities will include the following topics:
• Language Access Plan
• Translation process
• Interpretation resources
• Collection of language data
• Providing public notice
• Complaint process
• Monitoring of vital document list
Section 10: Data Collection & Monitoring
The REDI Office will, on a biennial basis, compile demographic data regarding the
language needs of the City of Kent community.
The REDI Office will review data from the following sources:
• Most recent U.S. Census and American Community Survey
• Kent School District
• County Health Department
• Internal data collected through translated vital documents.
The City will review this policy on a biennial basis and make necessary adjustments,
as appropriate, based on changing demographics and other community needs.
9
Attachment A
Vital Document Toolkit
KENT
Vital Document Toolkit
This toolkit provides you with the steps and guidance to ensure accessibility to Limited English
Proficiency (LEP) individuals. It's important that all departments conduct their own four factor
analysis specific to their program, activity, or service area.
Each factor is a step that must be completed in order.
Employees at the city can be proactive in providing language access. Examples where the city may be
required to provide language access without a specific request for modification from a resident include:
• a planned project that will require public outreach
• a public event where interpreters will be needed
• a project that is federally funded
• the translation of vital forms
The city uses a four-factor analysis to determine whether language access services are needed
(detailed below). Before each public-facing project, it is recommended that project groups go
through a four-factor analysis to ensure that their project and outreach is in line with Title VI,
the section of the Civil Rights Act of 1964 that protects those who are LEP from discrimination.
Factor #1. Number or proportion of LEP persons for a program, activity and/ or
service area
• Include data from sources such as Census Bureau, American Community Survey, Kent
School District, internal data, etc.
• Include a listing of the counts and percentages of LEP individuals present in your service
area by language.
• Identify if any of the LEP languages reach the LEP threshold of 5%, or the Safe Harbor
Threshold (1000 persons).
Quick Facts
• City of Kent has an LEP population of 20%, twice the national average.
• Most common languages in Kent:
Language City of Kent LEP % of Total City of Kent
Population (Speak English Population of—131,000
less than"very well")
Spanish 6,879 5.3%
Punjabi 1923 1.5%
Ukrainian 1874 1.4%
Vietnamese 1855 1.4%
Chinese 1399 1.1%
Tagalog 1,153 0.8%
Factor #2. Frequency of contact with LEP persons
KENT
Analyzing internal data, if available, is essential to determining the frequency of contact you
have or should be having with LEP persons.
• Figure out who is in the neighborhood, what languages are spoken in the
community, and how city services might be used by the population.
• Are you in contact with LEP persons within a specific language group that is not
identifies in Factor One?
Factor #3. Nature and importance of program or service (assessment of KE 1 T
impact) w.........
The more important the service or the greater the possible consequences to LEP
individuals, the more likely language services are needed. You must determine whether
language inaccessibility could have serious, or even life-threatening implications for LEP
individuals. Activities required by a governing entity, such as requiring a driver to have a
license, can serve as strong evidence of the importance of the program or activity.
• If a non-English speaker could not understand this document, what would the
consequences be?
Assessment of impact(Factor.3)
Inconvenience Economic Loss Legal Requirement Health/Safety
Factor #4. Resources available balanced against the cost Level of Cost of Providing
The level of resources and associated costs might affect the nature "
Services
of the steps that are taken to provide meaningful access for LEP
persons. In addition, "reasonable steps" might cease to be Potential effect on Availability of cost
LEP people if not reduction measures
reasonable when costs substantially exceed the benefits. However, accessible
before limiting services due to resource concerns, you must still
consider the most cost-effective and alternate means of delivering Translation costs
competent and accurate language services.
Potential Resources currently
Avilable Translation and Interpretation Resources consequences if available
inaccessible
• Digital Translation Services - The City's website Kentwa.gov
has automated Google translation functionality.
• Deaf and Hard of Hearing Services - Council Chambers has individualized hearing
assistance systems that residents can use if needed.
• Interpretation Services by Phone - The City used Language Line Solutions to
accommodate phone-in translations. This option is available for use by all City
departments and staff.
KENT
Language Tier
First Tier:
Translation Required Spanish 1
Second Tier: Punjabi 2
Ukrainian 2
Translation Vietnamese 2
Recommended Chinese 2
Tagalog 2
Third Tier:
Dari 3
Emerging Languages Somali 3
Arabic 3
Translation Encouraged
Key:
First Tier: "Public Communication Materials" must be translated into target
language, using the assessment of impact.
Second Tier: Translation of Public Communication Materials is
recommended, depending on target audience using the assessment of
impact.
Third Tier: Translation of Public Communication Materials is encouragell,
depending on target audience using the assessment of impact.
The City of Kent works to identify any vital documents requiring translation
services. Outreach materials for projects are translated if warranted based on the
Population of English as a second language speakers in the impacted communities.
If time is too short for translation services, we include a brief message in the
various languages. This message is included below:
W—J
For more information
tvifovalT5�t
Para mas informacion
AOAaTKOBa iH4)OpMaQiR
fle biet them thong tin
Kent=.gov
Selecting Vital Documents KENT
WnsrfiHoiou
What are vital documents? Review written
documents
Vital documents are paper and electronic
documents and communications deemed
significantly important to a LEP person's
o residents vie
access to city services, programs, activities, No the document?
or those that are required by law. This
process diagram walks through the process for
identifying when a document can be considered Yes
"vital". A vital document should be translated to
remain accessible to LEP persons.
s this a form the No
esident turns in
Assessment of impact(Factor 3)
Inconvenience Economic Loss Legal Requirement Health/Safety
Yes
Yes *. ?
No
No
Yes s this a notice t
' reduce,deny,or
minate service
Yes
No
No
Yes this a notice
rights or
sponsibilities.
Yes
No
Yes s this a notice o
omething that impact
No residents?
Translate
document
No
No translation
ne)` j -(
cessary
All documents,vital and non-vital, must be translated upon request
Appendix - 3
19
r
Title VI Public Involvement KENT
WaS1 .o.
Title VI of the Civil Rights Act of 1964 requires recipients of federal financial assistance to
guarantee its programs and activities provide for effective participation by persons who may
be impacted by the City's decisions.
As participants in the public involvement process, we need your help in gathering
demographic information. Completing the form will enable us to document whether our
public involvement process includes the affected populations. Completing the form is
voluntary; you are not required to complete the form to participate in this meeting.
We will handle the information gathered as confidentially as possible. For further
information regarding this process, please contact the Title VI Coordinator.
Please respond to the following questions:
Meeting Name Date
Location of Public Meeting
Zip Code:
Name (Optional) (please print):
Gender: Disability:
❑ Male ❑ Yes ❑ No ❑ Prefer not to disclose
❑ Female
❑ non-binary If yes, what type of accommodation is
❑ Transgender needed to serve? (List all that apply)
❑ Prefer not to disclose ❑ Non-Verbal assistance
❑ Not listed (please specify): ❑ Non-visual Assistance
❑ Adaptive equipment
❑ Additional Staff
❑Sign language interpretation
❑ Not Listed (please specify):
General Ethnic Identification Categories (check as many as apply):
❑ Black or African ❑ Hispanic or Latino ❑ Native Hawaiian / Pacific
American Islander
❑ Asian ❑ Caucasian ❑ American Indian / Alaskan
Native
❑ Middle Eastern, Arab, or
North African White
❑ Not Listed (Please ❑ Prefer not to disclose
Specify):
Country of Birth:
0 Prefer not to disclose
•
Title VI Public Involvement KENT
w,.s-o,a.
Language Spoken at Home (check as many as apply):
❑ English only ❑ Korean ❑ German
❑ Tagalog ❑ Russian ❑ Arabic
❑ Spanish ❑ Chinese ❑ Vietnamese
❑ Not Listed (Please ❑ Prefer not to disclose
Specify):
Age:
❑ Under 18 ❑ 18 - 34 ❑ 35-54
❑ 44-64 ❑ 65+ ❑ 55-64
❑ 65-79 ❑ 80+ ❑ Prefer not to disclose
What is the highest degree or level of education you have completed?
❑ Less than high school ❑ High school graduate ❑ Completed some college
❑ Associate degree ❑ Bachelor's degree ❑ Completed some post-
graduate
❑ Master's degree ❑ Ph.D. ❑ Graduate or professional
degree
❑ Prefer not to disclose
What is your approximate average household income?
❑ Less than $25,000 ❑ $25,000 - $75,000 ❑ $75,000 - $125,000
0 $125,000 - $175,000 0 $175,000 - $199,999 0 $200,000 +
❑ Prefer not to disclose
Thank you for your participation!
For language assistance, or reasonable accommodation, please visit
KentWA.gov/languageaccess or call 253-856-5716
ADVISORY: Please be advised the City of Kent is required to comply with the Public Records
Act Chapter 42.56 RCW. This act establishes a strong state mandate in favor of disclosure of
public records. As such, the information you submit to the City via this form, including
personal information, may ultimately be subject to disclosure as a public record.
4^07:�-
Titulo VI Participacion publica (CENT
K W-11111—
El Titulo VI de la Ley de Derechos Civiles de 1964 exige que los beneficiarios de ayuda
financiera federal se comprometan a que sus programas y actividades garanticen la
participacion efectiva de las personas que puedan verse afectadas por las decisiones de la
ciudad.
Necesitamos de su ayuda como participantes en el proceso de participacion p6blica para
recopilar informacion demografica. Sus respuestas al formulario nos permitiran comprender
de manera objetiva si nuestro proceso de participacion p6blica incluye a las poblaciones
afectadas. Llenar el formulario es voluntario; no es obligatorio Ilenarlo para participar en
esta reunion.
Trataremos la informacion recopilada de la manera mas confidencial posible. Para obtener
mas informacion sobre como resguardamos la confidencialidad, pongase en contacto con el
Coordinador del Titulo VI.
Conteste las siguientes preguntas:
Nombre de la reunion Fecha
Lugar de la reunion p6blica
Codigo postal:
Nombre O cional en tetra de molde :
Apellido Primer nombre
Genero: Discapacidad:
❑ Masculino ❑ Si ❑ No ❑ Prefiero no responder
❑ Femenino
❑ No binario De ser asi, ique tipo de adaptaciones
❑ Transgenero necesita para asistir a la reunion?
❑ Prefiero no responder (Marque todas las opciones que
❑ Otro (especificar): correspondan).
❑ Asistencia no verbal
❑ Asistencia no visual
❑ Equipo adaptativo
❑ Personal adicional
❑ Interprete de lengua de senas
❑ Otro (especificar):
Categorias generales de identificacion de origen etnico (marque todas las opciones
que correspondan):
❑ Negro o ❑ Hispano o latino ❑ Nativo de Hawai o de las islas
afrodescendiente del Pacifico
❑ Asiatico ❑ Blanco ❑ Indfgena estadounidense /
nativo de Alaska
❑ Otro (especificar): ❑ Prefiero no responder ❑ Blanco de Medio Oriente,
arabe o del norte de Africa
Titulo VI Particip acion p ublica KENT
Pais de nacimiento:
❑ Prefiero no responder
Idiomas que se hablan en casa (marque todas las opciones que correspondan):
❑ Ingles ❑ Punyabi ❑ Arabe
❑ Tagalo ❑ Ucraniano ❑ Vietnamita
❑ Espanol ❑ Chino ❑ Persa dari
❑ Otro (especificar): ❑ Prefiero no responder
Edad:
❑ Menor de 18 anos ❑ 18 a 24 anos ❑ 25 a 34 anos
035a44anos 045a54anos 055a64anos
❑ M6s de 65 anos ❑ Prefiero no responder
zCual es su ingreso familiar promedio?
❑ Menos de $25,000 ❑ $25,000 a $75,000 ❑ $75,000 a $125,000
0 $125,000 a $175,000 0 $175,000 a $199,999 0 M6s de $200,000
❑ Prefiero no responder
iGracias por participar!
Si necesita ayuda para el idioma o con cualquier adaptaci6n razonable, visite la
p6gina KentWA.gov/languageaccess o Ilame al (253) 856-5716
AVISO: Tenga en cuenta que la ciudad de Kent debe cumplir con la Ley de Registros
P6blicos, capitulo 42.56 del C6digo Revisado de Washington (RCW, por sus siglas en ingles).
Esta ley establece una obligaci6n de car6cter vinculante a nivel del estado pars la
divulgaci6n de los registros publicos, en virtud de to cual toda informaci6n que proporcione
a la ciudad a traves de este formulario, incluida la informaci6n personal, podria estar sujeta
a divulgaci6n como un registro publico.
A ;� '-!
VI 1�d . ENT
WaS-,o.
1964 1 QT) 3rIFi)AW 0 11SAY VI fS Two f0t wMin 1f3 Man MAY t' f t A at
f Td�t iT t niTd�l��3 ct yq;}u?�I
lug c�I CdN j v:d's 7Tt3 Tpt fou PP310 1070 0 A d I c F v ri3I, fd T IT Go r�3d N�
IdAT fy AP 3 InTot wom cb I Una I ps � 3 c ; 3c7r<5�f 7 f T f€ �dT Ac �Ada
17 to 0dd3?T ct - -
Of M3d Ott v vin lot t Tot-30 0 UIFT lm Ifu 0701 fgFf V�f�-�ft c�d -P't, fT
wu�t-UA�VI Tv Amm at I
fd3wqaF�*'-�ff4 H,-"8, -�R;��feQ:
TAN tom.T 70H flit
rTh V Nadi tT 7MT�5
fffq AW:
011 (AETNA) (thou a�df fly Q:
TO:
❑ f�A3-d�
❑ 7575-�T�Sc d� r S, 3TT WdF Too ii t fd773 tt
❑ 3 0133c? MToF o� rt sly it016)
❑ Q?�t (fcT a 7u� : ❑ aka-tea TFjtT
❑ fW(fco
❑ 03 ITAIT
❑ Fq Td� (f TTu a3 )
yNT1 f � c 7 (fry 7 T cTSc �Tc c5� t trd ate):
❑ t W ❑ 3�3T ❑ AR&W 2010 / ANY NF5
(fc? i'T uT #A):
VI 1�d . , ENT
K
rT�S�-r�Tt3T t�Ti.
❑ #Fr;ETliFT;e Tit
❑ �a� �faauT aa��): ❑ �T�
bra:
❑ 181W7 ❑ 18 - 24 025 - 34
035 - 44 045 - 54 055 - 64
❑ 65+ ❑ tFffT iirR cc
3 r9ft nfFf3 ul MTK;E!15--t ?
❑ $25,000 I ICF,� ❑ $25,000 - $75,000 ❑ $75,000 - $125,000
0 $125,000 - $175,000 0 $175,000 - $199,999 0 $200,000 +
❑ t Ff;T Z� c c
3c7r,e c�t I F? �'A zf3 if 10
TFT �T, fd7T i F�t, faazlT ZFJ;� KentWA.gov/languageaccess t -Rt 4
253-856-5716 t 7-9 zr�
T-F�: tc�j{T qa Tm c f4t Rt fd�lfTd t Zed fd-Td�;; n a t4cU 42.56 RCW tt zFm�T
-7-� ttA-,5tItuA-,5?� r:r 3 fd��T-� -� cTv f�ttqNu37��AtNf WU;; T t i fETf
3v, it EA fir-J3 urcff fig rT�aa-�-3, f4R R� fg1 a1-4t yr rcg b, a
t�-h3dfd�d��a�-ff�d �tnfll�i c��dt� c�l
KENT
P03AiA VI: 3any4eHHA rpOMaACbKOCTi Wl$ . T,
P03Ain VI 3aKOHY 1964 POKy npo rpomaAAHCbKi npaBa 306OB'A3yE OTPHMYBa4iB oeAepanbH01
OiHaHCOB0'1 AonOMOFA rapaHTYBaTW, Lu0 IXHI nporpaMA Ta 3aXOAM 3a6e3ne4yKOTb eoeKTHBHY
y4aCTb OCi6, Ha AKAX MO>KyTb BnjiMBaTA piweHHA MiCbK01 Bnagm.
Mm nOTpe6yEM0 BIA Bac, AK BIA y4aCHMKiB npOL�eCy 3any4eHHA rpOMaACbKOCTi, AonOMOFM y
360pi AeMOrpaoi4H01 iHoOpmaLAil. 3anOBHeHHA LAiEI OOPMW 903BOnV1Tb Ham AOKyMeHTanbHO
3aoiKCYBaTN, Hm oXonn[OC Haw npOLAeC 3any4eHHA rpomaACbKOCTi BIAnOBIAHi rpynA
HaceneHHA. 3anOBHeHHA LtiEI OOPMM HOCMTb A06POBinbHW1 XapaKTep; BN He 3o6OB'A3aHl
3anOBHK)BaTM Ti AnA y4aCTi y LANX 3axOAaX.
MM 3o6OB'A3yEMOCA AOTPHMYBaTMCb MaKCHmanbHO'l KOHoiAeHLtiOHOCTi OTPAmaHNX BIAOMOCTeV.
3a 6inbW AeTanbHM iHoopmaLAicio np0 L�eO npOL4eC 3BepTaOTeCb AO KOOPQMHaTOpa
nporpamm VI p03,4iny (Title VI Coordinator].
,QaOTe BIAnOBIAi Ha HaCTynHi 3anHTaHHA:
Ha3Ba 3aXOµy AaTa
Mule npOBeAeHHm rpOMagcbKHX 3aXOAiB
Zip-KOg:
n i3BHLL4e Ta iM'A aK nbTaTNBHO) (APYKOBaHMMM niTe amm :
Ilpi3BHLUe IM'A
CTaTb: IHBaniAHiCTb:
❑ LAOnOBi4a ❑ TaK ❑ Hi ❑ He 6a>KaFO 3a3Ha4aTA
❑ XiHo4a
❑ He6iHapHa AKWO TaK, AKi 3PY4HOCTi nOTpi6Hi AnA
❑ TpaHCreHAep o6cnyroBYBaHHA?
❑ He 6a>Karo 3a3Ha4aTW ❑ HeBep6anbHa Aonomora
❑ He 3a3Ha4eHo y nepeniKy (3a3Ha4Te): ❑ Qonomora 6e3 Bi3yanbHMX 3aco6iB
❑ QonOMi>KHe o6naAHaHHA
❑ QoaaTKOBAO nepCOHan
❑ flepeKnaA 3/Ha MOBY >KeCTiB
❑ He 3a3Ha4eHO y nepeniKy (3a3Ha4Te):
3arallbHi KaTerOpll eTHiLIH01 igeHTHCpiKaL{il (n03Ha4Te CTinbKm, CKinbKH nOTpi6HO):
❑ 0006a TeMHOWKiP01 pacm ❑ naTNHoaMePAKaHeLAb ❑ KOpiHHHO >KHTenb raBalB/
a6o aopoaMepNKaHeLAb TMXOOKeaHCbKHX OCTPOBiB
❑ A3iaT ❑ Bij-lmO ❑ AMepHKaHCbKMO iHAiaHeLAb/
KOPiHHHO >KMTenb AnACKH
❑ 6nN3bKOCXIAHwO, apa6CbKMO
a60 niBHi4HOaopMKaHCbKHO
❑ He 3a3Ha4eHo y nepeniKy ❑ He 6a>Ka[O 3a3Ha4aTm 6ij-W
(3a3Ha4Te):
P03Ain VI: 3an yeHHa OMaACbKOCTI KENT
Y p WaS� .�.o.
Kpa'iHa Hapog>KeHHSI:
❑ He 6awwO 3a3Ha4aTW
MOBa, S1KOK) CniJlKYFOTbCSI BAOMa (nO3Ha4Te CTInbKM, CKInbKm nOTpi6H0):
❑ AHrnit CbKa ❑ neHAma6i ❑ Apa6cbKa
❑ TaranbCbKa ❑ YKpaIHCbKa ❑ B'CTHaMCbKa
❑ IcnaHCbKa ❑ KNTaVCbKa ❑ gapi
❑ He 3a3Ha4eHO y nepenlKy (3a3Ha4Te): ❑ He 6a>Ka[O 3a3Ha4aTW
BIK:
❑ MonoAwe 18 ❑ 18 - 24 ❑ 25 - 34
035 - 44 045 - 54 055 - 64
❑ 65+ ❑ He 6amab 3a3Ha4aTW
AKNN npm6l1N3HMA CepeAHIN 90Xig Bawol P09MHM?
❑ McHW Hi>K $25 000 ❑ $25 000 - $75 000 ❑ $75 000 - $125 000
❑ $125 000 - $175 000 ❑ $175 000 - $199 999 ❑ $200 000 a6o 6inbwe
❑ He 6awafO 3a3Ha4aTH
AMKY6MO 3a yLiaCTb!
Mob 0TpMmaTM MOBHy gorlomOry a60 06rpyHTOBaHi 3pyyHOCTi, BigBigaVTe
KentWA.gov/languageaccess a60 3aTenecpOHYOTe 253-856-5716
nPMMITKA: npocmmo MaTW Ha yBa3i, WO MyHILtmnanITeT MICTa KeHT 3060B'A3aHWO
AOTPHMYBaTHCA 3aKOHY Public Records Act Chapter 42.56 RCW. ueO 3aKOH BCTaHOBmOE:
Aep>KaBHMO 903BIn Ha p03KPMTTA rly6n14HMX AOKYMeHTiB. TOMy IHoopMaLtiq, AKy BW
HaACNnaCTe MICbKirl BnaAi y L�iO OOpMI, B TOMY LIMCnl 0006NCTa IHoopMaLAIA, MO)Ke 3peWTWO
nigjiAraTM onpMMO9HeHWO AK 3aranbHO9OCTynHMO 90KYMeHT.
4^07:�-
Tham gia host d6ng cling chung lien quan den Tieu de VI KENT
W-11111—
Tieu de VI cua flao luat Dan quyen nam 1964 d6i h6i cac thLfc the, to chic nhan trd giup t6i
chanh cua lien bang phai bao dam la cac chu'dng tHnh va hoat d6ng cua ho se co sLr tham
gia hi6u qua cua nhUng ngLrbi co the bi anh hu'dng bdi cac quye"t Binh cua Thanh ph6.
Vdi tr cach la ngLrbi tham gia trong thu tuc tham gia host d6ng cling chung, xin quy vi vui
long giup chung t6i thu thap thong tin nhan khan. Khi hoan tat mau nay, quj vi se giup
chung t6i biet thu tuc tham gia host d6ng cling chung cua chung t6i co bao gom cac nh6m
dan so bi anh hLfdng hay kh6ng. Vi6c hoan tat mau nay la tu' nguyen; quy vi kh6ng bat bu6c
phai tra Idi cac cau hoi trong mau de tham gia buoi hop nay.
Chung t6i se sCr dung thong tin dLfdc thu thap m6t cach kin dao nhat co the. De biet thong
tin chi tiet ve thu tuc nay, vui long lien lac vdi Ph6i hd_p vien Tieu de VI.
Vui long tra Idi cac cau hoi sau da"y:
Ten buoi hop Ngay
Dia diem buoi hop cling chung
Ma bLfu dien:
Ten (kh6ng bat buec vui 16ng vie"t chir in):
Ho Ten
Gidi tinh: Tinh trang khuyet tat:
❑ Nam ❑ Co ❑ Kh6ng ❑ Kh6ng mu6n cho bi6t
❑ NU
❑ Phi nhi gidi Neu co thi can hinh thtYc phLfdng tien thich
❑ Chuyen gidi nghi nao de phuc vu? (Xin chon t5t ca
❑ Kh6ng mu6n cho biet nhUng dieu phu hdp)
❑ Kh6ng co li6t ke (vui long cho biet r6): ❑ Trd giup cho trLrdng hdp kh6ng n6i dLrdc
❑ Trd giup cho trLrdng hdp khong thgy dLrdc
❑ Thiet bi thich ang
❑ Them nhan vien
❑ Th6ng dich ng6n ngir ky hieu
❑ Kh6ng co li6t ke (vui long cho biet r6):
Cac hinh thiic nhan dang sac toc tong quat (danh d5u tat ca nhifng dieu ap dung):
❑ NgLrdi da den hoac ❑ Ngudi g6c Tay Ban Nha ❑ NgLrdi Hawaii ban xu'/ NgLrdi
NgLrdi My g6c Phi chau hoac Chau My La-tinh thu6c Khu vac Thai Binh Du'dng
❑ NgLrbi Chau A ❑ NgLrbi da trang ❑ NgLrdi My ban xis/ NgLrdi
Alaska ban xu'
❑ NgLrdi Trung D6ng, ngu'di A
Rap, hoac NgLfbi Bac Phi da
❑ Kh6ng co liet ke ❑ Kh6ng mu6n cho biet trang
(vui long cho biet ro):
4^
7:�-
•
Tham gia host dong c6ng chung lien quan den Tieu de VI KENT
W-11111—
Qu6c gia ndi sinh ra:
❑ Kh6ng mu6n cho bi6t
Ngon ngii n6i tai nha (danh dau tat ca nhi'ng dieu ap dung):
❑ tie"ng Anh ❑ tie"ng Punjab ❑ tie"ng A Rap
❑ tieng Tagalog ❑ tieng Ukraine ❑ tieng Viet
❑ tieng Tay Ban Nha ❑ tieng Hoa ❑ tieng Dari
❑ Kh6ng c6 liet ke ❑ Kh6ng mu6n cho biet
vui 16ng cho biet ro :
Tuoi:
❑ Du`di 18 ❑ 18 - 24 025 - 34
035 - 44 045 - 54 055 - 64
❑ 65 va cao hdn ❑ Kh6ng mu6n cho bi6t
Ldi tilt trung binh gia Binh quy vi Lf8c tinh la bao nhieu?
❑ DLfdi $25,000 ❑ $25,000 - $75,000 ❑ $75,000 - $125,000
❑ $125,000 - $175,000 ❑ $175,000 - $199,999 ❑ $200,000 va cao hdn
❑ Khbng mu6n cho bi6t
Cam do quy vi di tham gia!
De du'dc trd giup ve ng6n ngU hoac cung cap phLrdng tien thich nghi hdp ly, vui 16ng
vao trung KentWA.gov/linguaccess hoac goi s6 253-856-5716
VUI LONG CHID 1 : Xin Idu v, Thanh pho" Kent phai tuan thu ChLrdng 42.56 RCW, Dao luat Ho
sd c6ng. Dao luat nay thiet lap quy Binh chat the cho tieu bang d6i h6i phai cling khai tiet Io
ho so. Do d6, th6ng tin quy vi gifi cho Thanh pho" trong mau nay, g6m ca th6ng tin ca nhan,
sau cung van c6 the dddc tiet 16 dudi hinh thifc ho sd c6ng khai.
•
kk KENT
i� (Title VI ) 1� WaS .a,o.
1964 (( UVA74ZD RAM
n' Avf- tom** g1APME;
417ttJ ��rJ7��1w o �`c�t��i �'] TA e„
i�HI A 1�4-F PEE:
AM:
yy}} AMR&:
jR
❑ ZTJ`
❑ gO ❑ nA ❑ VIIIrpmr�AYRRF�
El
Ebtm*:
❑ '(�,�JAfi�iq ❑ '75�1'ia ❑ �cl�]iq
❑ ��1��iq ❑ �Xiq ❑ %��.ip
❑ � �J (i� i �A) : 11 TM,il99
4^
•
Vie7:�-
(Title VI ) KENT
Was .�.o.
IFr:
❑ TIA18t; ❑ 18-24 025-34t;
❑ 35-44 �O ❑ 45-54 t; ❑ 55-64 t;
❑ 65 �-VR I�4± ❑ TMEiaa
L111-1 n-7i>l]*)A4CA)Q`JAl%,i`?
❑ fFkT $25,000 ❑ $25,000-$75,000 ❑ $75,000-$125,000
0 $125,000 -$175,000 0 $175,000-$199,999 0 $200,000 R a
❑ T13
SNVAIFI�JA'Al 5!
KentWA.gov/languageaccess -fkFk 253-856-5716
W)I: ih fif I, -V 42.56 RCW i. 5*
IA
4^
•
7:�-
Title VI Public Involvement (Paglahok ng Publiko) KENT
Iniuutos ng Title VI ng Civil Rights Act of 1964 (1964 Batas ukol sa Mga Karapatang Sibil)
na dapat igarantiya ng mga tumatanggap ng pederal na pinansyal na tulong na ang mga
programa at aktibidad nito ay mabisang magagamit ng mga thong maaaring maapektohan
ng mga desisyon ng Lungsod.
Bilang kalahok sa proseso ng paglahok ng publiko, kailangan namin ang iyong tulong pars
makakuha ng demograpikong impormasyon. Kapag kinompleto mo ang form na ito,
malalaman namin kung kasama ang mga apektadong populasyon sa aming public
involvement process. Boluntaryo ang pagkompleto ng form; hindi mo kailangang punan ang
form para lumahok sa meeting na ito.
Kompidensyal naming tratratuhin ang impormasyon hanggat maaari. Para sa karagdagang
impormasyon hinggil sa prosesong ito, mangyaring kontakin ang Title VI Coordinator.
Mangyaring sagutin ang mga sumusunod na tanong:
Pangalan ng Meeting Petsa
Lokasyon ng Public Meeting
Zip Code:
Pangalan O s onal (mangyaring i- rint :
Apelyido Pangalan
Kasarian: Kapansanan:
❑ Lalaki ❑ Oo ❑ Hindi ❑ Mas gustong hindi sabihin
❑ Babae
❑ non-binary Kung oo, anong klaseng accommodation o
❑ Transgender tulong ang kinakailangan? (Ilista ang
❑ Mas gustong hindi sabihin lahat ng umaaplay)
❑ Hindi nakalista (mangyaring tukuyin): ❑ Non-verbal na tulong
❑ Non-visual na tulong
❑ Adaptive equipment
❑ Karagdagang staff
❑ Sign language interpretation
❑ Hindi nakalista (mangyaring tukuyin):
Mga Kategoriya ng General Ethnic Identification (i-check ang lahat ng umaaplay):
❑ Black o African American ❑ Hispanic o Latino ❑ Native Hawaiian / Pacific
Islander
❑ Asian ❑ White ❑ American Indian / Alaskan
Native
❑ Middle Eastern, Arab, o
North African White
❑ Hindi nakalista ❑ Mas gustong hindi sabihin
(mangyaringtukuyin):
45
Title VI Public Involvement Pa lahok n Publiko ENT
� g g ) WaS—.o.
Bansa ng Kapanganakan:
❑ Mas gustong hindi sabihin
Wikang Sinasalita sa Tahanan (i-check ang lahat ng umaaplay):
❑ Ingles ❑ Punjabi ❑ Arabic
❑ Tagalog ❑ Ukrainian ❑ Vietnamese
❑ Spanish ❑ Chinese ❑ Dari
❑ Hindi nakalista ❑ Mas gustong hindi sabihin
mangyaring tukuyin):
Edad:
❑ Wala pang 18 taong-gulang ❑ 18 - 24 ❑ 25 - 34
035 - 44 ❑ 45 - 54 055 - 64
❑ 65+ ❑ Mas gustong hindi sabihin
Ano ang humigit-kumulang na average na household income (kinikita ng
sambahayan)
❑ Wala pang $25,000 ❑ $25,000 - $75,000 ❑ $75,000 - $125,000
0 $125,000 - $175,000 0 $175,000 - $199,999 0 $200,000 +
❑ Mas gustong hindi sabihin
Maraming salamat sa iyong paglahok!
Para makakuha ng tulong sa wika, o makatwirang accommodation, mangyaring
bisitahin ang KentWA.gov/languageaccess o tumawag sa 253-856-5716
PAUNAWA: Dapat mo malaman na isang utos sa City of Kent na tumupad sa Public Records
Act Chapter 42.56 RCW. Mahigpit na iniuutos ng batas na ito sa estado na isiwalat ang
public records. Sa gayon, ang impormasyon na isusumite mo sa Lungsod gamit ang form na
ito, pati na ang personal na impormasyon, ay maaaring isiwalat bilang public record.
•
KENT jg�1911 }a �}r+�l.w�l �L;11l�ll dSt,� ,v11$]L,sll aS,Li a1141y: Ij Li—I yaps uLA.a a41j l A-]Wl ul�cL.w11�Cj.. 1964 pt,l avioll � I vy>9 uq,y,ZL.JI—ul
a,Loc u LS ICI l o�9i s'c r�C3yaJl JLoSI l;;< .., ,A iLS�Jl ul oyla.oll
�LoS�`dl I La AS�L olf r3 jjI JL,SI ei!4 liyll�o L4 `cam sb_)Ai r3 j,Jl JLoSI .c j�1�l uL<-JI LJ,o:,S L'4 n,Wl
,�y,�Lw11 uLall Lg""":JL.d�I Lam,?c4tloer�l c:Ln �yai,ul,oy),aoll V.o.vj,c1 ,uL��l ,�4,yx,0.,�asatl uLog�w11 Lc.o J,eL,ci,tsy.,
;aJL:JI a11..,�1��li�l may,
Ze.,Jul Lou'$)�—I
sy YJI JA_. l
�I a�l:,S�y vc)Liiil YI
JsvI�—Ijl awl I
:a9>LY1 :�I
fi ❑
L�t.) Sa.oyll uylL�.o11 �:e�='�I�s�spa l,o chi,%a,L�YI�i,LS ICI ��+�+y� ❑
d Lei yc e�cL o ❑ -L, ivl�]c JuI ❑
El
4yeY�i Ul.yt,o ❑
AAWI Aojall 6.L w, 11 uLA
u�lg]l �I &4. l 41JA pL<— ❑ i`d si ALL I J.ai�yo❑ �i J.a1 y�yol,i�yyi ❑
s-)�.i 4.,:A ❑ L�-i ❑ ❑
t, i7l J:asi ❑ g,11�y a,�� ❑
:s1,yo11 aL
cu..i,l z� Jai ❑
y.]I ❑ aul�ill ❑ a, 'I I ❑
4wLivs]I ❑ 4i1,$9�1 ❑ ❑
v�1s11 ❑ 4iwdl ❑ 0.ilw�l ❑
�L.a9�l�.�c J:asi ❑ :(�Ca.aj�1�.h')•L��.L'o yic ❑
•
KENT vg;1s11 �,�t,�11 "Lsll cS d.,a1�.11 dS�t. .a11 W.S .oTo.
34925u 0 24918c 0 18 �Ji11
64955LD- 0 54945uy0 44935a- 0
i ❑ j-0 L-i 65 L�- ❑
Y_111 Ll"I 1=�_ya LA
125,000 75,000 u ❑ s j'Y9-� 25,000 v- ❑ 25,000 L�J9i ❑
-)''9.�75,000
j-0 200,000 ❑ s 9'19.) 175,000 LD- ❑ 175,000 9 9V9-� 125,000 a- ❑
199,999 -)V9-�
d�1 ❑
9l KentWA.gov/languageaccess 9-4'I I o�L�ll Js, _n
253-856-5716 Oj� JL�','P
jylall I ue vas I U Is U93u&-42.56 LJL s l c0.oWl "�L� .tl Lj-,Lw JLiioYl uis 0.0 Lo�yo tii JI
QM3 ,,i LA,c��yoi]I I� yc Zu. l [AIjii]L�I 4L_)y LjD uloyla oll cJ� 1_121 I.A LIQ9 .4,oWl
L oLt ` , La -1 L+31- 1s Sll 41gi11 Ls�ai �s c4„ci Jl ul e plxoll