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K-5 - USDOT Title VI Non-Discrimination Assurances - North Park Road Improvements 2
Page 5 of 8
Text from the PDF text layer; check the PDF for anything that matters. APPENDIX B
CLAUSES FOR DEEDS TRANSFERRING UNITED STATES PROPERTY
The following clauses will be included in deeds effecting or recording the transfer of real property,
structures, or improvements thereon, or granting interest therein from the United States pursuant to
the provisions of Assurance 4:
NOW, THEREFORE, the Department of Transportation as authorized by law and upon the
condition that the ___________________
CITY of TIFFIN, IOWA will accept title to the lands and maintain the project
constructed thereon in accordance with laws of the state of Iowa, the Regulations for the
Administration of Federal Highway Program, and the policies and procedures prescribed by the
Federal Highway Administration of the U.S. Department of Transportation in accordance and in
compliance with all requirements imposed by Title 49, Code of Federal Regulations, U.S.
Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Non-discrimination in
Federally-assisted programs of the U.S. Department of Transportation pertaining to and effectuating
the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat. 252; 42 U.S.C. § 2000d to 2000d-
4), does hereby remise, release, quitclaim and convey unto the ___________________
CITY of TIFFIN, IOWA all the right, title
and interest of the U.S. Department of Transportation in and to said lands described in Exhibit A
attached hereto and made a part hereof.
(HABENDUM CLAUSE)
TO HAVE AND TO HOLD said lands and interests therein unto ___________________
CITY of TIFFIN, IOWA and its
successors forever, subject, however, to the covenants, conditions, restrictions and reservations herein
contained as follows, which will remain in effect for the period during which the real property or
structures are used for a purpose for which Federal financial assistance is extended or for another
purpose involving the provision of similar services or benefits and will be binding on the
___________________
CITY of TIFFIN, IOWA , its successors and assigns.
The ___________________
CITY of TIFFIN, IOWA , in consideration of the conveyance of said lands and interests in lands,
does hereby covenant and agree as a covenant running with the land for itself, its successors and
assigns, that (1) no person will on the grounds of race, color, or national origin be excluded from
participation in, be denied the benefits of, or be otherwise subjected to discrimination with regard to
any facility located wholly or in part on, over, or under such lands hereby conveyed [,] [and]* (2) that
the ___________________
CITY of TIFFIN, IOWA will use the lands and interests in lands and interests in lands so conveyed,
in compliance with all requirements imposed by or pursuant to Title 49, Code of Federal Regulations,
U.S. Department of Transportation, Subtitle A, Office of the Secretary, Part 21, Non-discrimination
in Federally-assisted programs of the U.S. Department of Transportation, Effectuation of Title VI of
the Civil Rights Act of 1964, and as said Regulations and Acts may be amended[, and (3) that in the
event of breach of any of the above-mentioned non-discrimination conditions, the Department will
have a right to enter or re-enter said lands and facilities on said land, and that above described land
and facilities will thereon revert to and vest in and become the absolute property of the U.S.
Department of Transportation and its assigns as such interest existed prior to this instruction].*
(*Reverter clause and related language to be used only when it is determined that such a clause is
necessary in order to make clear the purpose of Title VI.)
Sources
- sharepoint (K-5 - USDOT Title VI Non-Discrimination Assurances - North Park Road Improvements 2.pdf) — where it was found ↗ first seen Oct 12, 2026
Data last updated October 15, 2026. Built from the archive's documents; see how the data is built.