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EXHIBIT "C" <br />Local Assistance Procedures Manual Exhibit 12-G <br />Required Federal -Aid Contract Language <br />CA Fresno <br />Non-SMSA Counties: <br />23.6 <br />CA Kings; CA Madera; CA Tulare <br />Los Angeles, CA: <br />SMSA Counties: <br />0360 Anaheim -Santa Ana -Garden Grove, CA <br />11.9 <br />CA Orange <br />28.3 <br />4480 Los Angeles -Long Beach, CA <br />CA Los Angeles <br />21.5 <br />180 <br />6000 Oxnard -Simi Valley -Ventura, CA <br />CA Ventura <br />19.0 <br />6780 Riverside -San Bernardino -Ontario, CA <br />CA Riverside; CA San Bernardino <br />19.7 <br />7480 Santa Barbara -Santa Maria -Lompoc, CA <br />CA Santa Barbara <br />24.6 <br />Non-SMSA Counties <br />CA Inyo; CA Mono; CA San Luis Obispo <br />San Diego, CA: <br />SMSA Counties <br />181 <br />7320 San Diego, CA <br />16.9 <br />CA San Diego <br />Non-SMSA Counties <br />18.2 <br />CA Imperial <br />For the last full week of July during which work is performed under the contract, the prime contractor and each <br />non material -supplier subcontractor with a subcontract of $10,000 or more must complete Form FHWA PRA391 <br />(Appendix C to 23 CFR 230). Submit the forms by August 15. <br />13. TITLE VI ASSURANCES <br />The U.S. Department of Transportation Order No.1050.2A requires all federal -aid Department of Transportation <br />contracts between an agency and a contractor to contain Appendix A and E. Appendix B only requires inclusion <br />if the contract impacts deeds effecting or recording the transfer of real property, structures, or improvements <br />thereon, or granting interest therein. Appendices C and D only require inclusion if the contract impacts deeds, <br />licenses, leases, permits, or similar instruments entered into by the recipient. <br />APPENDIX A <br />During the performance of this Agreement, the contractor, for itself, its assignees and successors <br />in interest (hereinafter collectively referred to as CONTRACTOR) agrees as follows: <br />a. Compliance with Regulations: CONTRACTOR shall comply with the regulations relative to <br />nondiscrimination in federally assisted programs of the Department of Transportation, Title 49, <br />Code of Federal Regulations, Part 21, as they may be amended from time to time, (hereinafter <br />referred to as the REGULATIONS), which are herein incorporated by reference and made a part of <br />this agreement. <br />b. Nondiscrimination: CONTRACTOR, with regard to the work performed by it during the <br />AGREEMENT, shall not discriminate on the grounds of race, color, sex, national origin, religion, <br />age, or disability in the selection and retention of sub -applicants, including procurements of <br />materials and leases of equipment. CONTRACTOR shall not participate either directly or indirectly <br />in the discrimination prohibited by Section 21.5 of the Regulations, including employment practices <br />when the agreement covers a program set forth in Appendix B of the Regulations. <br />c. Solicitations for Sub-aareements. Including Procurements of Materials and Equipment: In all <br />solicitations either by competitive bidding or negotiation made by CONTRACTOR for work to be <br />performed under a Sub- agreement, including procurements of materials or leases of equipment, <br />Page 22 of 28 <br />August 2022 <br />