HomeMy WebLinkAbout2025-2026 Annual Report with AssurancesDocusign Envelope ID: 2438BBA7-0F8E-8D40-816B-4879687316A1
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WSDOT Report for July 2025 through June 2026
This outline is for LPA and other governmental entities to report Title VI activities that occurred over the past year
and report Title VI goals for the upcoming year. Reports must be returned on or before due date to meet eligibility
requirements for federal funding. Send to TitleVl@WSDOT.wa.gov
DUE DATES: Refer to Section 28.3 for scheduled reporting period and due date
Contact Information
Name and title of administrator (signature on Standard Assurances): Robert Putaansuu, Mayor
Mailing Address: 216 Prospect Street
City: Port Orchard WA Zip Code: 98366 County: Kitsap
Phone #: 360.876.4407 email address: rputaansuu@portorchardwa.gov
Name and title of head of transportation -related services: Denis Ryan, Public Works Director
Mailing Address: 216 Prospect Street
City: Port Orchard WA Zip Code: 98366 County: Kitsap
Phone #: 360.876.4407 email address: dryan@portorchardwa.gov
Name and title of designated Title VI coordinator*: Brandy Wallace, City Clerk
Mailing Address: 216 Prospect Street
City: Port Orchard WA Zip Code: 98366 County: Kitsap
Phone #: 360.876.4407 email address:
*When the Title VI coordinator changes, notify TitleVl@WSDOT.wa.gov within 30 days.
To comply with Title VI requirements, each annual report submission must include signed
Standard Assurances (USDOT1050.2A).
Accomplishments
1. Have there been any changes to the approved Title VI Plan that have not been reported to OECR?
No changes.
2. Organization, Staffing, Structure: Describe the Title VI Program reporting structure including the
Title VI Coordinator, Administrative Head, and transportation -related staff. The list should include
name, race, color, and national origin of each individual. Include the same details if your LPA has a
volunteer or appointed board related to transportation decision making.
Name
Title
Race/Color/National
Department/Advisory
Origin
Board
Rob Putaansuu
Mayor/Title VI
White
Mayor
Administrator
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Appendix 28.93
Denis Ryan
Public Works Director
White
Public
Works/Transportation
Committee
Chris Hammer
City Engineer
American (immigrant -not
Public
native/ first
Works/Transportation
peoples), 5th
Committee
generation
Washingtonian,
northern European
ancestry (Denmark &
Faroes, Norway)
Brandy Wallace
City Clerk/Title VI
White, Caucasian
Clerk/Administration
Coordinator
Debbie Lund
HR Director/ADA
White
Administration
Coordinator
Nick Bond
Director of
White
Community
Community
Development
Development/ROW
Rep.
Scott Diener
Councilmember
White, US Origin
Transportation
Committee
Mark Trenary
Councilmember
Caucasian
Transportation
Committee
Eric Worden
Councilmember
Portuguese
Transportation
Committee
Heidi Fenton
Councilmember
N/A
Transportation
Committee
3. Community Demographics: Using a map of the LPA's boundaries, describe the demographics of the
LPA's service area (e.g., race, ethnicity, and national origin). List, by individual languages, the
percentage of the population who is Limited English proficient. If the LPA's Limited English
proficient population is 5% of the total population or 1,000 individuals, whichever is less, explain
the Four -Factor Analysis by answering the statements listed on the next page.
3.1. Briefly describe the number of LEP persons served and languages spoken in the service area.
To determine the number of LEP individuals in the City of Port Orchard, the City relies on the
most recent data provided by the US Census Bureau to identify persons who have another
primary language other than English. In this case, the most recent available data is from 2024.
Other than English, the most common languages spoken within the City of Port Orchard are:
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Appendix 28.93
Spanish
•
170
1.06%
Other Asian/Pacific Islander
137
0.86%
Vietnamese
42
0.26%
Indo-European
38
0.24%
Chinese/Mandarin/Cantonese
19
0.12%
Korean
17
0.11%
Tagalong inc. Filipino
15
0.09%
German/West Germanic
13
0.08%
Total Population
16,010
2.81%
3.2. Briefly describe the frequency of contact with LEP persons for services or projects (e.g.,
customer service interactions, public meetings, and contracts bidding and awarding).
The City of Port Orchard does not currently possess information specifically relating to the frequency
of interactions between LEP individuals and City staff or programs outside our Court and Police
Department. However, we do have records for usage with the services we do have in place. In 2025,
our Court provided translation services in 36 court hearings and 2 instances in the jail. Those
services were primarily for Spanish interpretation. And since the start of its contract in January, the
Police Department has utilized Language Line 14 times.
3.3. Briefly describe the importance of the program, activity, or service to the lives of LEP persons.
The City of Port Orchard provides several services that are important to LEP individuals. These
include Municipal Court services; police; utilities; and road services. The City prioritizes language
access in programs related to law enforcement and our Court system. We would like to explore
options for language access to more services.
3.4. Briefly describe current resources available for LEP persons and overall cost.
The City uses different resources for its Police and Court. The Court uses a list of certified and
registered court interpreters from the Administrative Office of the Courts database. They appear in
person, zoom for court hearings (mainly zoom), and for client meetings with the attorneys in the jail
or the attorney's office. The service is part of a larger partnership between Port Orchard, Bremerton,
and Poulsbo Municipal Courts, which have a joint Language Access Plan specific to court services that
can be found on our website. The Police Department started contracting in 2026 with Language Line
Services, Inc., which offers on -demand interpretation in 240+ languages via phone, video, and mobile.
They also offer face-to-face interpretation in 130+ languages onsite or by video as well as translation,
testing, and training services. Both contracts are charged based on usage, but the Court receives some
reimbursement through a grant program.
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Appendix 28.93
Other departments within the City do not have separate translation services, however from time -to -
time different departments have been able to utilize the Court's service. In addition to these
resources, the City sometimes utilizes qualified staff to translate some documents or to converse
directly with residents/program participants in their preferred language. To encourage this, the City
has implemented a Bilingual Pay Incentive, which offers additional pay for qualified language skills.
Lastly, the City also utilizes an embedded translation feature on its website.
4. Complaints: Provide a copy of the LPA's Title VI complaint log, including new Title VI complaints
received during this reporting period and any still pending. Include the basis of the complaint (race,
color, national origin) and describe the disposition (status/outcome).
Complaint log included, no complaints received.
5. Planning: Describe the transportation planning activities performed this reporting period. Describe
the actions taken to promote Title VI compliance regarding transportation planning, including
monitoring and review processes, community involvement, their outcome or status. Include
examples of community outreach.
No formal plan activities other than annual limited update to comprehensive plan which includes City's
transportation improvement plan.
6. Right-of-way actions: Describe activities during this reporting period associated with the purchase,
sale, lease/use, or transfer of real property (related to highway transportation/public right-of-way
use). Include demographic information of affected populations. For example, the race, color,
national origin of affected property/business owner(s)/tenant(s).
For the Bethel Road Phase 1, there are thirty-three properties that are being impacted by either
partial fee takes and/or temporary easements. Of the properties, there are sixteen residential
relocations and three business relocations. As of now, no demographic data was provided by the
property owners or tenants and none of the businesses are certified by the Washington State
Office of Minority and Women's Business Enterprises (OMWBE) or listed in a federal
disadvantaged business registry.
7. Identify right-of-way appraisers and acquisition staff (used during this reporting period) by race,
color, national origin.
Project: City of Port Orchard — Bethel Road Phase 1
Consultant: Tierra Right of Way Services, Ltd.
Address: 1222 State Avenue NE, Suite 201, Olympia, WA 98506
Appraiser: SH&H Valuation and Consulting
Address: 3609 Market Place W, Suite 201, University Place, WA 98466
Review Appraiser: R.F. Duncan & Associates, Inc.
Address: P.O. Box 12300, Olympia, WA 98508
Position
Race and Ethnicity
National Origin
Project Manager (Tierra)
Not Disclosed
Not Disclosed
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Appendix 28.93
Right of Way Agent (Tierra)
Not disclosed
Not disclosed
Appraiser (R.F. Duncan)
Not Disclosed
Not Disclosed
Review Appraiser (SH&H Valuation
and Consulting)
Not Disclosed
Not Disclosed
8. Studies and Plans: Were any transportation studies (including environmental reviews) conducted or
transportation plans completed during this reporting period? Identify the data source(s) and
provide data summary (Title VI/Environmental Justice Analysis) relative to ethnicity, race,
languages spoken, neighborhoods, income levels, physical environments, and/or travel habits.
Explain how data was used in these studies/reviews/plans.
Tremont 2/3 preliminary engineering study; Project page, story map, social media, and public council
committee, council study session, and regular council meeting. Public comment was considered in
evaluating alternatives and committee recommendation of a preferred alternative. Outreach was
conducted to engage adjacent neighborhoods including those identified as disadvantaged.
9. Project Location and Design: Provide a list of construction projects that began during this reporting
period. Using a map of the LPAs service area, identify project locations, and a brief description of
the projects' benefits/burdens to affected populations. If possible, provide a map that overlays
projects with the racial composition of affected neighborhoods.
Sidney Nonmotorized improvement project- Extends sidewalks and bike lanes near an elementary
school. Removes barrier for students walking and biking to school along corridor with higher
density housing.
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Appendix 28.93
N + Sidney Non Motorizied CIP Project ORCHARD
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0 0.5 t 2 M ie5 �(k Opportunity Zones Eligable
Underprivileged Areas
These are defined by programs that look at multiple indicators such as environmental exposure,
historic inequities, access to services, health outcomes, and demographic vulnerability. Port Orchard
does not meet these thresholds.
Potential Opportunity Zones
These are determined strictly by Census -based income and poverty levels. A census tract can qualify
if it has:
• A poverty rate of 20-25% or higher, or
• Median family income below 80% of the area median.
Using these economic measures, much of the city east of Highway 16 meets the criteria even though
the area is not considered underprivileged under other frameworks.
10. Other Public Meetings: List other public meetings held during this reporting period. Identify
efforts used to encourage citizen participation at those meetings. Detail dates, times, locations,
attendance, and provide examples of outreach materials.
The Transportation Committee meets the 4th Tuesday of each month at 4:45pm via Zoom. The
public typically does not attend, but the public has the option to attend remotely. An agenda is
posted the Friday before each meeting with topic and date information. The public is encouraged to
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Appendix 28.93
attend via Zoom, and can also provide comments and questions by contacting the Public Works
department. Meetings are then posted to the City's YouTube channel.
Regular City Council meetings are held the 2nd and 4th Tuesday of each month at 6:30pm. A work
study meeting is held the 3rd Tuesday of each month at 6:30pm. All City Council meetings
livestream to our YouTube channel and to the City's website through CivicPlus. Typically, all
meetings have about 1 to 15 people in -person and via Zoom, and 1 to 12 people watching the
YouTube live stream. Depending on the topic matter, we could have up to 30 attending.
Meetings were held in -person and can also be watched virtually via Zoom. Citizens could attend by
phone; by joining the meeting as an attendee through their computer, laptop, or phone; or come in
person.
Additionally, City Council holds monthly Coffee with Council events on the first Saturday of the
month from 10am to 12pm and quarterly Town Hall Meetings at various locations around the City of
Port Orchard. The public is encouraged to attend; these are in -person only.
Efforts to encourage citizen participation includes Facebook postings, Linkedln, email distribution
lists, and sometimes telephone calls or emails. Regular City Council meetings allow citizen
comments at the beginning of the meeting for items on the agenda, and at the end of the meeting
for any topic the citizen would like to discuss. Citizen comments are encouraged and extremely
appreciated by the Mayor, Council, and staff. The public can provide comments on any agenda item
which includes all transportation contracts, presentations, and discussions.
Examples of Outreach Materials:
Social Media:
City of Port Orchard Government ...
z..5li_re.s C, Megan Hansen O- June 9 ♦1
Tonight we have two public meetings convening. The first is the Utility Committee, which will be
remotely at 4:30 p.m. On the agenda includes a presentation on the City... See more
City Council
Meets at 6:30 p.m.
bp� Tuesday
in
Puc omme Welcome!
0 City Hall — 216 Prospect Street
See insights and ads
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Appendix 28.93
Website (updated with new meeting dates):
CityCOLlflC,il Town Halls
City Council Vacancy
Coffee with Council
Council Meetings
Council Meeting Agendas, Packets
and Minutes
Council Meeting Videos
Council Advisory Committees
Ad -Hoc Committee - Review of
POMC 2.04
Upcoming Town Halts:
Thursday, September 3 16-8 p.m. I Christian Life Center, 1780 Lincoln
Port Orchard City Council
� Ave SE
(360) 876-4407
(360) 895-9029 (FAX)
cltvhall'' ponorchardwa.gov
Town Halls
We are excited to begin hosting regular Town Halls throughout our
community, bringing conversations with your elected officials
directly to you. All elected officials, including the Mayor and Council
will be in attendance.
This is a great opportunity to learn about City initiatives, projects,
and get answers to your questions. The goal is to bring your elected
officials into more parts of the city and encourage residents to visit
and experience neighborhoods they may not normally spend time in
These meetings are intended to be comfortable, relaxed, and less
formal than a council meeting. There will be an opportunity to talk
openly about what's happening in Port Orchard.
Email:
Your campaign Coffee with Council! 10/4/2025 has been sent
Constant Contact <noreply@constantcontactcom>
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Dear Jenine Floyd,
Your campaign 'Coffee with Coundll 10/4/2025' was sent on 10/2/2025 around 1:03 PM
EDT.
Below is a copy of the message your subscribers received. See how your campaign is doing by
visiting Reports inyour account to get real-time results and stats.
Subject: Coffee with Council! 10/4/2025
0 CHARD .
Coffee with Council is Saturday, October 4,
2025
Coffee with Council is this Saturday, October 41
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Appendix 28.93
Bring your questions and comments and join Councilmembers Diener, Morrissey,
and Rosapepe for coffee and conversation
Don't forget Coffee with Council happens every FIRST Saturday of the month
We hope to see you there!
City of Port Orchard 1216 Prospect Street I Port Orchard, WA 98366 US
Unsubscribe Update Profile Constant Contact Data Notice
10.1. Identify members of the LPA's transportation planning and/or advisory groups by race, color,
and national origin
Please see organization list shown under #2 Organization, Staffing, Structure
10.2. Specify methods used to collect demographic information from the transportation -related
public meetings. (Self -identification surveys, notes by staff, etc.) Include summaries of Public
Involvement Forms collected at each meeting, listing the demographics of those who attended by
meeting.
The City's Title VI Public Involvement form is a voluntary form brought to transportation related
meetings. No forms have been completed by the public during this reporting period.
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Appendix 28.93
10.3. List any language assistance services requested. For which languages? Who provided the
service? In addition, list vital documents translated during the reporting period and identify the
languages.
No language assistance services were requested in this reporting year.
11. Transportation -related Construction and Consultant Contracts (if applicable): Briefly describe the
process used to advertise and award construction contracts during this reporting period. Include
the process for negotiating contracts (e.g., consultants).
Sidney Nonmotorized Improvement Project Construction Contract. Construction projects
advertised using the City's standard public contracting procedures, including posting notices on the
City website, state procurement systems, and local media outlets. Bids were evaluated based on
lowest responsive and responsible bidder requirements and adherence to Title VI contract
provisions.
12. Describe the actions taken to promote construction contractor/consultant compliance with Title VI
by construction contractors/consultants, including monitoring and review processes, and their
outcomes/status (e.g. what Title VI language was included in contracts and agreements; were
contractors and consultants reviewed to ensure compliance; what Title VI responsibilities are
explained to contractors and consultants?)
Advertisements and awards include notices and proposal/ bid checks, Project meetings, Review of
progress billing, Interviews of subconsultant DBE's.
During this reporting period, the City of Port Orchard promoted Title VI compliance by incorporating
federal nondiscrimination language from the very beginning of the procurement process —starting
with all Invitation to Bid documents and continuing through every construction and consultant
contract. The City's standard Title VI provisions require contractors and consultants to comply with
Title VI of the Civil Rights Act of 1964 and the nondiscrimination regulations in 49 CFR Part 21, which
prohibit discrimination based on race, color, national origin, sex, age, disability, income level, and
limited English proficiency. These clauses also require contractors to include the same
nondiscrimination provisions in all subcontracts and to notify subcontractors and suppliers of their
Title VI obligations. Contract language further affirms the City's right to access contractor records,
requires reporting as necessary to demonstrate compliance, and outlines potential sanctions such as
withholding payment or termination for noncompliance. Title VI requirements were also reviewed
with contractors during pre -construction discussions to reinforce expectations for nondiscrimination
throughout project delivery. These expectations were communicated consistently through bid
documents, contract provisions, and meeting discussions to ensure contractors understood their
responsibilities. No Title VI concerns or violations were reported during the period.
13. List construction, right-of-way, and consultant contracts with your LPA/MPO/entity for this report
period with dollar value of each. Identify funding sources (federal, state, local, other), and how
many were awarded to certified disadvantaged contractors (as a prime contractor/consultant).
Bay Street Reconstruction Project (STPU, CDS, Commerce, Local) $14M, Consultant KPFF
Bethel Lincoln Lundberg Round About Project (HSIP, Local), $4M, Consultant SC
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Bethel Phase 1, Blueberry to Salmonberry (Local), $15M, Consultant SJC
Sidney Non -motorized Improvement Project (State SRTS, Local), $3.2M, Consultant SJC, Contractor
Active
Tremont 2/3 Project; (State Ped Bike, Local) $732K, Consultant BHC
Bay Street Reconstruction and Bethel Lincoln Lundberg RAB included DBE sub consultants.
Bridge Inspection 2026 (Local) $28,400, Consulting
Anderson Hill Roundabout Design (Local) $294,300, Consulting
SR3/SR166 Gorst Vicinity Remove Fish Barriers Project — Design (Local) $85,000, Consulting
SR3/SR166 Gorst Vicinity Remove Fish Barriers Project — Construction (Local) $515,000
None awarded to disadvantaged prime contractors/ consultants.
14. Education & Training: Describe actions taken to promote Title VI compliance through education and
trainings, including monitoring and review processes, and their outcomes/status.
14.1. List Title VI training/webinars your Title VI Coordinator attended this reporting period. Include
dates and entity that conducted the training.
March 18, 2026, sponsored by WSDOT Local Programs Washington State Local Assistance Program
14.2. When was Title VI internal training provided to staff? Who conducted the training? What was
the subject of the training? Provide the job titles and race/color/national origin of attendees.
No Title VI internal training provided to staff for this reporting year.
14.3. List other civil rights training conducted locally. Provide dates and a list of participants by job
title and Title VI role, if applicable.
No other civil rights training conducted locally were provided for this reporting year.
15. Title VI Goals for Upcoming Year
What area(s) of Title VI does your agency plan to focus on in the upcoming year? Describe by particular
program area what your agency hopes to accomplish. Include any significant problem areas to focus on
and plans to address those.
In the upcoming year, the City of Port Orchard will continue to uphold its commitment to ensuring
compliance with Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race,
color, or national origin in programs and activities receiving federal financial assistance. Our Title VI goals
for the year are focused on three primary areas:
Public Participation & Community Engagement
Goal: Improve access to public information and encourage greater participation from traditionally
underserved communities.
Actions:
• Increase outreach through community events, social media, and partnerships with local
organizations that serve minority and low-income populations.
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The United States Department of Transportation (USDOT) Standard Title VI/Non-Discrimination
Assurances
DOT Order No. 1050.2A
The City of Port Orchard (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
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to a "facility") operated, or will be (with regard to a "program") conducted in compliance with all
requirements imposed by, or pursuant to the Acts and the Regulations.
The Recipient will insert the following notification in all solicitations for bids, Requests For
Proposals for work, or material subject to the Acts and the Regulations made in connection with
all Federal -Aid Highway Programs and, in adapted form, in all proposals for negotiated
agreements regardless of funding source:
"The City of Port Orchard, in accordance with the provisions of Title VI of the
Civil Rights Act of 1964 (78 Stat. 252, 42 U.S.C. §§ 2000d to 2000d-4) and the
Regulations, hereby notifies all bidders that it will affirmatively ensure that any
contract entered into pursuant to this advertisement, disadvantaged business
enterprises will be afforded full and fair opportunity to submit bids in response
to this invitation and will not be discriminated against on the grounds of race,
color, or national origin in consideration for an award."
3. The Recipient will insert the clauses of Appendix A and E of this Assurance in every contract or
agreement subject to the Acts and the Regulations.
4. The Recipient will insert the clauses of Appendix B of this Assurance, as a covenant running with
the land, in any deed from the United States effecting or recording a transfer of real property,
structures, use, or improvements thereon or interest therein to a Recipient.
5. That where the Recipient receives Federal financial assistance to construct a facility, or part of a
facility, the Assurance will extend to the entire facility and facilities operated in connection
therewith.
6. That where the Recipient receives Federal financial assistance in the form, or for the acquisition
of real property or an interest in real property, the Assurance will extend to rights to space on,
over, or under such property.
7. That the Recipient will include the clauses set forth in Appendix C and Appendix D of this
Assurance, as a covenant running with the land, in any future deeds, leases, licenses, permits, or
similar instruments entered into by the Recipient with other parties:
a. for the subsequent transfer of real property acquired or improved under the applicable
activity, project, or program; and
b. for the construction or use of, or access to, space on, over, or under real property acquired
or improved under the applicable activity, project, or program.
That this Assurance obligates the Recipient for the period during which Federal financial
assistance is extended to the program, except where the Federal financial assistance is to
provide, or is in the form of, personal property, or real property, or interest therein, or
structures or improvements thereon, in which case the Assurance obligates the Recipient, or
any transferee for the longer of the following periods:
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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.
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 Port Orchard 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 the 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 Port Orchard 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 Port Orchard
(Name of Recipient)
�.Signed by:
b FDA PlnrMJA SlAAI
Y Fs8a�p
(Signature of Authorized Official)
DATED: July 28, 2026
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APPENDIX A
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:
Compliance with Regulations: The contractor (hereinafter includes consultants) will comply
with the Acts and the Regulations relative to Non-discrimination in Federally -assisted programs
of the U.S. Department of Transportation, Washington State Department of Transportation, as
they may be amended from time to time, which are herein incorporated by reference and made
a part of this contract.
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.
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.
4. Information and Reports: The contractor will provide all information and reports required by
the Acts, the 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
by the Recipient or the Washington State Department of Transportation to be pertinent to
ascertain compliance with such Acts, 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 Recipient or the Washington State
Department of Transportation, as appropriate, and will set forth what efforts it has made to
obtain the information.
Sanctions for Noncompliance: In the event of a contractor's noncompliance with the Non-
discrimination provisions of this contract, the Recipient 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.
6. Incorporation of Provisions: The contractor will include the provisions of paragraphs one
through six in every subcontract, including procurements of materials and leases of equipment,
Docusign Envelope ID: 2438BBA7-0F8E-8D40-816B-4879687316A1
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.
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APPENDIX B
CLAUSES FOR DEEDS TRANSFERRING UNITED STATES PROPERTY
The following clauses will be included in deeds effecting or recording the transfer of real property,
structures, or improvements thereon, or granting interest therein from the United States pursuant to
the provisions of Assurance 4:
NOW, THEREFORE, the U.S. Department of Transportation as authorized by law and upon the condition
that the City of Port Orchard will accept title to the lands and maintain the project constructed thereon
in accordance with Title 23, United States Code, the Regulations for the Administration of Washington
State Department of Transportation, and the policies and procedures prescribed by the Federal Highway
Administration of the U.S. Department of Transportation in accordance and in compliance with all
requirements imposed by Title 49, Code of Federal Regulations, U.S. Department of Transportation,
Subtitle A, Office of the Secretary, Part 21, Non-discrimination in Federally -assisted programs of the U.S
Department of Transportation pertaining to and effectuating the provisions of Title VI of the Civil Rights
Act of 1964 (78 Stat. 252; 42 U.S.C. § 2000d to 2000d-4), does hereby remise, release, quitclaim and
convey unto the City of Port Orchard all the right, title and interest of the U.S. Department of
Transportation in and to said lands described in Exhibit A attached hereto and made a part hereof.
(HABENDUM CLAUSE)
TO HAVE AND TO HOLD said lands and interests therein unto City of Port Orchard and its successors
forever, subject, however, to the covenants, conditions, restrictions and reservations herein contained
as follows, which will remain in effect for the period during which the real property or structures are
used for a purpose for which Federal financial assistance is extended or for another purpose involving
the provision of similar services or benefits and will be binding on the City of Port Orchard, its successors
and assigns.
The City of Port Orchard, in consideration of the conveyance of said lands and interests in lands, does
hereby covenant and agree as a covenant running with the land for itself, its successors and assigns, that
(1) no person will 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 with regard to any facility located
wholly or in part on, over, or under such lands hereby conveyed [,] [and]* (2) that the City of Port
Orchard will use the lands and interests in lands and interests in lands so conveyed, in compliance with
all requirements imposed by or pursuant to Title 49, Code of Federal Regulations, U.S. Department of
Transportation, Subtitle A, Office of the Secretary, Part 21, Non-discrimination in Federally -assisted
programs of the U.S. Department of Transportation, Effectuation of Title VI of the Civil Rights Act of
1964, and as said Regulations and Acts may be amended [, and (3) that in the event of breach of any of
the above -mentioned non-discrimination conditions, the Department will have a right to enter or re-
enter said lands and facilities on said land, and that above described land and facilities will thereon
revert to and vest in and become the absolute property of the U.S. Department of Transportation and its
assigns as such interest existed prior to this instruction].*
(*Reverter clause and related language to be used only when it is determined that such a clause is
necessary in order to make clear the purpose of Title VI.)
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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 Port Orchard 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:
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.
With respect to licenses, leases, permits, etc., in the event of breach of any of the above Non-
discrimination covenants, City of Port Orchard 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 Port Orchard 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 Port Orchard 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
Docusign Envelope ID: 2438BBA7-0F8E-8D40-816B-4879687316A1
APPENDIX D
CLAUSES FOR CONSTRUCTION/USE/ACCESS TO REAL PROPERTY ACQUIRED UNDER THE ACTIVITY,
FACILITY OR PROGRAM
The following clauses will be included in deeds, licenses, permits, or similar instruments/agreements
entered into by City of Port Orchard pursuant to the provisions of Assurance 7(b):
A. The (grantee, licensee, 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) no person on the ground 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, (2) that in the construction of any improvements on, over, or under such land, and the
furnishing of services thereon, no person on the ground of race, color, or national origin, will be
excluded from participation in, denied the benefits of, or otherwise be subjected to discrimination,
(3) that the (grantee, licensee, lessee, permittee, etc.) will use the premises in compliance with all
other requirements imposed by or pursuant to the Acts and Regulations, as amended, set forth in
this Assurance.
B. With respect to (licenses, leases, permits, etc.), in the event of breach of any of the above Non-
discrimination covenants, City of Port Orchard will have the right to terminate the (license, permit,
etc., as appropriate) and to enter or re-enter and repossess said land and the facilities thereon, and
hold the same as if said (license, permit, etc., as appropriate) had never been made or issued.*
C. With respect to deeds, in the event of breach of any of the above Non-discrimination covenants,
City of Port Orchard will there upon revert to and vest in and become the absolute property of City
of Port Orchard 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.)
D
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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).
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Page 12 of 12
Appendix 28.93
• Expand the use of virtual and in -person engagement tools to improve accessibility for residents
without reliable transportation or internet access.
Program Implementation & Equity in Service Delivery
Goal: Ensure that planning, programming, and service delivery in transportation, utilities, and public
works projects equitably serve all populations.
Actions:
• Review and update Title VI assessments in Capital Improvement Project (CIP) planning to consider
impacts.
• Incorporate equity analysis into grant application processes to ensure fair distribution of state and
federal resources.
Problem Areas and Plans to Address
• Strengthen internal understanding and consistent implementation of Title VI responsibilities
across departments.
Actions:
• Increase training opportunities on Title VI compliance and Limited English Proficiency (LEP)
requirements for staff involved in public outreach, project development, and permitting.
Docusign Envelope ID: 2438BBA7-0F8E-8D40-816B-4879687316A1
City Clerk's Office �Of
216 Prospect Street Port Orchard, WA87 9-44067 ORCHARD
citvclerk(a�portorchardwa.gov I (360) 876-4407
www.portorchardwa.gov •
TITLE VI COMPLAINT FORM
If you believe that you have been discriminated against because of your race, color, or national origin (including
limited English proficiency), by agency programs or activities, you may file a formal complaint by completing this
form and send by e-mail to cityclerk@portorchardwa.gov, or send by postal mail to Attn: City Clerk, 216 Prospect
Street, Port Orchard, WA 98366
Your Name:
Phone Number: Email:
Best time of day to contact you about this complaint:
❑ 8am-10m ❑ 10am-fpm ❑ 1pm-4:30pm
Your mailing address (Street/PO Box, City State, Zip)
What was the alleged discrimination based on? Select all applicable:
❑ Race ❑ Color ❑ National Origin (Including limited English proficiency)
Date of alleged incident:
Agency or person(s) responsible for the alleged discrimination:
Name City State Zip Phone Number
Docusign Envelope ID: 2438BBA7-OF8E-8D40-816B-4879687316A1
City Clerk's Office
216 Prospect Street Port Orchard, WA 98366
cityclerk(a�portorchardwa.gov 1 (360) 876-4407
www.portorchardwa.gov
ORCHARD.
Describe the alleged discrimination. Please explain what happened, why you believe it happened, and how you were
discriminated against. Indicate who was involved. Be sure to include how you feel other persons were treated
differently than you. Please attach any supporting documents to this form.
Docusign Envelope ID: 2438BBA7-OF8E-8D40-816B-4879687316A1
City Clerk's Office
216 Prospect Street Port Orchard, WA 98366
cityclerk(a�portorchardwa.gov 1 (360) 876-4407
www.portorchardwa.gov
ORCHARD.
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 include
their phone numbers, addresses, email addresses, etc.
Name City State Zip Email Phone Number
List any other agencies with whom you have filed this same complaint:
Signature (required): Date:
Docusign Envelope ID: 2438BBA7-0F8E-8D40-816B-4879687316A1
City Clerk's Office �Of
216 Prospect Street Port Orchard, WA87 9-44067 ORCHARD
citvclerk(a�portorchardwa.gov I (360) 876-4407
www.portorchardwa.gov •
CITY OF PORT ORCHARD
TITLE VI COMPLAINT PROCEDURES
If you believe that you have been discriminated against because of your race, color, or national origin, then you
have the right to file a formal complaint within 180 days of the alleged incident.
HOW TO FILE A COMPLAINT
1.Complete the Title VI Complaint Form, answering every question.
2.Submit the signed complaint to:
City of Port Orchard
Attn: City Clerk
216 Prospect Street
Port Orchard, WA 98366
or email cityclerk@portorchardwa.gov
The complaint will then be forwarded to the federal funding agency through Washington State Department of
Transportation -Office of Equal Opportunity.
Complaints may also be filed directly with:
Washington Sate Department of Transportation Office of Equity and Civil Right
Att: Complaints
P.O. Box 47314
Olympia, WA 98504-7314
or email: oecrcomplaints@wsdot.wa.gov
The federal funding agency is responsible for all decisions regarding whether a complaint should be accepted and
investigated, dismissed, or referred to another agency. When the federal funding agency decides whether to
accept, dismiss, or transfer the complaint, it will notify the complainant and the other agencies (as appropriate) as
to the status of the complaint.
These procedures do not deny you the right to file a formal complaint directly with the federal funding agencies or
seek private counsel for complaints alleging discrimination. Federal law prohibits intimidation or retaliation against
you of any kind.
These procedures cover all complaints filed under Title VI of the Civil Rights Act of 1964 as amended and the Civil
Rights Restoration Act of 1987, relating to any program, service, or activity administered by WSDOT as well as its
sub -recipients, consultants, and contractors.