instructions on reverse side.) None

IV. List all civil rights lawsuits and administrative complaints decided against the applicant/recipient within the last year that allege discrimination based on race, color, national origin, sex, age, or disability and enclose a copy of all decisions. Please describe all corrective

action taken. (Do riot include employment complaints not covered by 40 C.F.R. Parts 5 and 7. See instructions on reverse side.)

None

List all civil rights compliance reviews of the applicant/recipient conducted by any agency within the last two years and enclose a copy of the review and any decisions, orders, or agreements based on the review. Please describe any corrective action taken. (40 C.F.R. § 7.80(c)(3))

None

VI. Is the applicant requesting EPA assistanc now construction? If no, proceed to VII; if yes, answer (a) and/or (b) below.

Yes No

If the grant is for new construction, will all new fac es or alterations to existing facilities be designed and constructed to be readily accessible to and usable by persons with disabilities? If yes, proceed to VII; if no, proceed to VI(b). Yes lo b. If the grant is for new construction.and the new facilities or alterations to existing facilities wjll not be readily accessible to and usable by

persons with disabilities, explain how a regulatory exception (40 C.F.R. § 7.70) applies. zen No

VIL* Does the applicant/recipient provide initial and continuing notice that it does not discriminate on the basis of race, color, national origin, sex,

age, or disability in its programs or activities? (40 C.F,R. § 5.140 and § 7,95) Noa, Do the methods of notice accommodate those with impaired vision or hearing? Yes No

Is the notice posted in a prominent place in the applicant’s offi facilities or, for education pro ms and activities, in appropriatc periodicals and other written communications? Yes No

c. Does the notice identify a designated civil rights coo inator? ‘ Yes

VIII.* Does the applicant/recipient maintain demographic data on the race, color, national origin, sex, age, or handicap of the population it serves? (40 C.F,R. § 7.55(a)) No

IX.* Does the applicant/recipient have a policy/procedure for providing access to services for persons with limited English proficiency? (40 C.F.R, Part 7, EQ. 13166) Yes

X.* If the applicant/recipient is an education program or activity, or has 15 or more employees, has it designated an employee to coordinate its ompliance with 40 C.F.R. Parts 5 and 7? Provide the name, title, position, mailing address, e-mail address, fax number, and telephone

number of the designated coordinator. Yes (See Attached)

X1’ If the applicant/recipient is an education program or activity, or has 15 or more employees, has it adopted grievance procedures that assure the prompt and fair resolution of complaints that allege a violation of 40 C.F.R. Parts 5 and 7? Provide a legal citation or Internet address for, or a copy of, the procedures. Yes

For the Applicant/Recipient

I certify that the statements I have made on this form and all attachments thereto are true, accurate and complete. I acknowledge that any knowingly false or misleading statement may be punishable by fine or imprisonment or both under appLicable law. I assure that I will fully comply with all applicable civil rights stauts and EPA regulations.

of Authorized Official C. D

irctor

I For the U.S. Environmental Protection Agency

I have re’viewed the information provided by the applicant/recipient and hereby certify that the applicant/recipient has submitted all preaward compliance information required by 40 C,F.R. Parts 5 and 7; that based on the information submitted, this application satisfies the preaward provisions of 40 C.F.R. Parts 5 and 7; and that the applicant has given assurance that it will fully comply with all applicable civil rights statutes and EPA regulations.

A. Signature of Authorized EPA Official B. Title of Authorized EPA Official C. Date.

nnt nn wvprp -— EPA Form 4700-4 (Rev. 04/2009). Previous editious are obsolete MAY 20 2010 2 . i6S 1 ..

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GP 1AO, MI i’3- 1