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EXHIBIT "C"
<br />Local Assistance Procedures Manual Exhibit 12-G
<br />Required Federal -Aid Contract Language
<br />will on the grounds of race, color, or national origin, be excluded from participation in, be denied the
<br />benefits of, or be otherwise subjected to discrimination with regard to any facility located wholly or in part
<br />on, over, or under such lands hereby conveyed [,] [and]* (2) that the recipient will use the lands and
<br />interests in lands and interest in lands so conveyed, in compliance with all requirements imposed by or
<br />pursuant to Title 49, Code of Federal Regulations, U.S. Department of Transportation, Subtitle A, Office
<br />of the Secretary, Part 21, Non-discrimination in Federally -assisted programs of the U.S. Department of
<br />Transportation, Effectuation of Title VI of the Civil Rights Act of 1964, and as said Regulations and Acts
<br />may be amended[, and (3) that in the event of breach of any of the above -mentioned non-discrimination
<br />conditions, the Department will have a right to enter or re-enter said lands and facilities on said lands, and
<br />that above described land and facilities will thereon revert to and vest in and become the absolute
<br />property of the U.S. Department of Transportation and its assigns as such interest existed prior to this
<br />instruction].*
<br />(*Reverter clause and related language to be used only when it is determined that such a clause is
<br />necessary in order to make clear the purpose of Title VI.)
<br />APPENDIX C
<br />CLAUSES FOR TRANSFER OF REAL PROPERTY ACQUIRED OR IMPROVED UNDER THE
<br />ACTIVITY, FACILITY, OR PROGRAM
<br />The following clauses will be included in deeds, licenses, leases, permits, or similar instruments entered
<br />into by the recipient pursuant to the provisions of Assurance 7(a):
<br />A. The (grantee, lessee, permittee, etc. as appropriate) for himself/herself, his/her heirs, personal
<br />representatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby
<br />covenant and agree [in the case of deeds and leases add "as a covenant running with the land"] that:
<br />1. In the event facilities are constructed, maintained, or otherwise operated on the property
<br />described in this (deed, license, lease, permit, etc.) for a purpose for which a U.S. Department of
<br />Transportation activity, facility, or program is extended or for another purpose involving the
<br />provision of similar services or benefits, the (grantee, licensee, lessee, permittee, etc.) will
<br />maintain and operate such facilities and services in compliance with all requirements imposed by
<br />the Acts and Regulations (as may be amended) such that no person on the grounds of race, color,
<br />or national origin, will be excluded from participation in, denied the benefits of, or be otherwise
<br />subjected to discrimination in the use of said facilities.
<br />B. With respect to licenses, leases, permits, etc., in the event of breach of any of the above Non-
<br />discrimination covenants, the recipient will have the right to terminate the (lease, license, permit, etc.) and
<br />to enter, re-enter, and repossess said lands and facilities thereon, and hold the same as if the (lease,
<br />license, permit, etc.) had never been made or issued.*
<br />C. With respect to a deed, in the event of breach of any of the above Non-discrimination covenants, the
<br />recipient will have the right to enter or re-enter the lands and facilities thereon, and the above described
<br />lands and facilities will there upon revert to and vest in and become the absolute property of the recipient
<br />and its assigns.*
<br />(*Reverter clause and related language to be used only when it is determined that such a clause is
<br />necessary to make clear the purpose of Title VI.)
<br />Page 24 of 28
<br />August2022
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