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ATTACHMENT <br />CITY OF SANTA ANA <br />TITLE VI INFORMATION PACKAGE <br />The project proposed by the agency listed above will be receiving federal financial assistance. <br />Pursuant to Title VI of the Civil Rights Act of 1964, no person in the United States shall, on the <br />grounds of race, color, or national origin, be excluded from participation in, be denied the <br />benefits of, or be subjected to discrimination under any program or activity receiving Federal <br />financial assistance. Other statutes provide protection against discrimination on the basis of sex, <br />age or disability. <br />The enclosed Title VI Package is being provided for your information to further explain your <br />rights. The Package includes the following documents: <br />• Title VI Booklet <br />• Title VI of the 1964 Civil Rights Act and Related Statutes <br />• Right of Way Title VI Survey Form with Self -Addressed Stamped Envelope <br />• Right of Way Title VI Discrimination Complaint Form <br />• The U.S. Department of Commerce Census Bureau, Language Identification Flashcard <br />It is requested the Right of Way Title VI Survey form be completed and returned in the self- <br />addressed stamped envelope. <br />If you read or speak a language different than English, please write your name and address on <br />the top of the page and check the appropriate box on the Language Identification Flashcard; or, <br />if you believe you have been subjected to discrimination, please fill out the Right of Way Title VI <br />Discrimination Complaint form and return to the following: <br />Jason Gabriel <br />Principal Civil Engineer <br />City of Santa Ana <br />20 Civic Center Plaza M-36 <br />P.O, Box 1988 M-36 <br />Santa Ana, CA 92702 <br />© 1980-2012 Overland, Pacific & Cutler, Inc, <br />75E-21 <br />(Nov -12) <br />