DOE F 16~0.5 U.S. Department of Energy OMB Control No.
<br />(06-94) Assurance of Compliance 1910-~00
<br />All Other Edib~ns Are Obsolete Nondiscrimination in Federally Assisted Programs
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<br /> OMB Burden Disclosure Statement
<br />Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions,
<br />seamhing existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send
<br />comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of
<br />Information Resources Management Policy, Plans, and Oversight, Records Management Division, HR-422 - GTN, Paperwork Reduction Project (1910-
<br />0400) U.S. Department of Energy, 1000 Independence Avenue, S.W., Washington, DC 20585; and to the Office of Management and Budget (OMB),
<br />Paperwork Reduction Project (1910-0400), Washington, DC 20503.
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<br />CABARRUS COUNTY DEPARTMENT OF AGING
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<br />(Hereinafter called the
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<br />'Applicant") HEREBY AGREES to comply with Title VI of the Civil Rights Act of 1964 (Pub. C. 88-352) Section 18 of the Federal Energy
<br />Administration Act of 1974 (P. L. 93-275) Section 401 of the Energy Reorganization Act of 1974 (Pub. L. 93-438), Title IX of the
<br />Education Amendments of 1972, as amended, (Pub. L. 92-318, Pub. L. 93-568, and Pub. L. 94-482), Section 504 of the Rehabilitation
<br />Act of 1973 (Pub. L. 93-112), The Age Discrimination Act of 1977 (Pub. L. 94-135), Title Viii of the Civil Rights Act of 1968 (Pub. L. 90-
<br />284), the Department of Energy Organization Act of 1977 (Pub. L. 95-91), The Energy Conservation and Production ACt of 1976, as
<br />amended, (Pub. L. 94-385) and Title 10, Code of Federal Regulations, Part 1040. In accordance with the above laws and regulations
<br />issued pursuant thereto, the Applicant agrees to assure that no person in the United States shall, on the ground of race, color, national
<br />origin, sex, age, or disability, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination
<br />under any program or activity in which the Applicant receives Federal assistance from the Department of Energy.
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<br />Applicability and Period of Obligation
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<br /> In the case of any service, financial aid, covered employment, equipment, property, or structure provided, leased, or improved with
<br /> Federal assistance extended to the Applicant by the Department of Energy, this assurance obligates the Applicant for the period dudng
<br />_ which Federal assistance is extended. Din the case of any transfer of such service, financial aid, equipment, property, or structure, this
<br /> assurance obligates the transferee for the period during which Federal assistance is extended If any personal property is so provided,
<br /> this assurance obligates the Applicant for the period during which it retains ownership or possession of the property. In all other cases,
<br /> this assurance obligates the Applicant for the period during which the Federal assistance is extended to the Applicant by the
<br />-- Department of Energy.
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<br />Employment Practices
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<br />-- Where a primary objective of the Federal assistance is to provide employment or where the Applicant's employment practices affect the
<br /> delivery of services in programs or activities resulting from Federal assistance extended by the Department, the Applicant agrees not to
<br /> discriminate on the ground of race, color, national origin, sex, age, or disability, in its employment practices. Such employment
<br />_ practices may include, but are not limited to, recruitment, advertising, hiring, layoff or termination, promotion demotion, transfer, rates of
<br /> pay, training and participation in upward mobility programs; or other forms of compensation and use of facilities.
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<br />Subrecipient Assurance
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<br />The Applicant shall require any individual, organization, or other entity with whom it subcontracts, subgrants, or subleases for the
<br />purpose of providing any service, financial aid, equipment, property, or structure to comply with laws and regulations cited above. To
<br />this end, the subrecipient shall be required to sign a written assurance form; however, the obligation of both recipient and subrecipient
<br />to ensure compliance is not relieved by the collection or submission of written assurance forms.
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<br />Data Collection and Access to Records
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<br />The Applicant agrees to compile and maintain information pertaining to programs or activities developed as a result of the Applicant's
<br />receipt of Federal assistance from the Department of Energy. Such information shall include, but is not limited to the following: (1) the
<br />manner in which services are or will be provided and related data necessary for determining whether any persons are or will be denied
<br />such services on the basis of prohibited discrimination; (2) the population eligible to be served by race, color, national origin, sex, and
<br />disability; (3) data regarding covered employment including use or planned use of bilingual public contact employees serving
<br />beneficiaries of the program where necessary to permit effective participation by beneficiaries unable to speak or understand English;
<br />(4) the location of existing or proposed facilities connected width the program and related information adequate for determining whether
<br />the location has or will have the effect of unnecessarily denying access to any person on the basis of prohibited discrimination; (5) the
<br />present or proposed membership by race, color, national origin, sex, age and disability in any planning or advisory body which is an
<br />integral part of the program; and (6) any additional written data determined by the Department of Energy to be relevant to the obligation
<br />to assure compliance by recipients with laws cited in the first paragraph of this assurance.
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