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DocuSign Envelope ID: 895D2A90-533F-4A74-8650-530137EA9E81 <br />ABAG/City Innovate <br />PROVIDER Bench Management Software <br />Page 35 <br /> <br /> <br />APPENDIX C TO ATTACHMENT D-2 <br /> <br />The following clauses shall be included in any and all deeds, licenses, leases, permits, or similar <br />instruments entered into by PROVIDER, pursuant to the provisions of Assurance 7(a) of <br />Attachment D-2. <br /> <br />The grantee (licensee, lessee, permittee, etc., as appropriate) for himself, his heirs, personal <br />representatives, successors in interest, and assigns, as a part of the consideration hereof, does <br />hereby covenant and agree (in the case of deeds and leases add ‘as covenant running with the <br />land”) that in the event facilities are constructed, maintained, or otherwise operated on the said <br />property described in this (deed, license, lease, permit, etc.) for a purpose for which a U.S. <br />Department of Transportation program or activity is extended or for another purpose involving the <br />provision of similar services or benefits, the (grantee, licensee, lessee, permittee, etc.), shall <br />maintain and operate such facilities and services in compliance with all other requirements <br />imposed pursuant to Title 49, Code of Federal Regulations, U.S. Department of Transportation, <br />Subtitle A, Office of Secretary, Part 21, Nondiscrimination in federally-assisted programs of the <br />Department of Transportation - Effectuation of Title VI of the Civil Rights Act of 1964, and as <br />said Regulations may be amended. <br /> <br />(Include in licenses, leases, permits, etc.)* <br /> <br />That in the event of breach of any of the above nondiscrimination covenants, PROVIDER shall <br />have the right to terminate the (license, lease, permit etc.) and to re-enter and repossess said land <br />and the facilities thereon, and hold the same as if said (license, lease, permit, etc.) had never been <br />made or issued. <br /> <br />(Include in deeds)* <br /> <br />That in the event of breach of any of the above nondiscrimination covenants, PROVIDER shall <br />have the right to re-enter said land and facilities thereon, and the above described lands and <br />facilities shall thereupon revert to and vest in and become the absolute property of PROVIDER <br />and its assigns. <br /> <br />*Reverter clause and related language to be used only when it is determined that such a clause is <br />necessary in order to effectuate the purposes of Title VI of the Civil Rights Act of 1964. <br />DocuSign Envelope ID: 8A67B327-8D8D-41F3-A9AA-0E6612310575