range: 0 -54% μ 18,078 2,508 705 165 84 5,965 126 65 137 120 3,429 15 0 16 8 57,732 4,289 1,297 1,091 414 28,122 1,633 658 198 36 12,004 1,796 604 478 355 7,323 162 26 64 4 29,560 2,051 610 194 64 12,229 385 58 49 15 11,408 279 98 112 47 9,291 112 53 27 9 15,688 770 178 465 265 39,155 1,879 565 882 256 18,753 482 143 62 45 7,465 86 0 11 0 101,664 26,534 9,948 342 137 21,033 653 53 93 16 16,177 392 73 111 33 9,144 291 153 0 0 424,220 44,443 15,287 4,497 1,908 10.48% 3.60% 1.06% 0.45% 18,116 233 170 119 36 2,803 5,866 28 28 0 0 902 3,379 0 0 26 0 578 57,567 484 277 1,234 125 9,590 28,203 64 0 447 48 5,075 11,959 89 13 150 26 1,924 7,383 4 0 176 28 1,553 29,230 237 95 818 256 4,717 12,412 16 16 104 0 2,150 11,264 8 0 106 0 1,917 9,380 16 0 110 16 1,864 15,889 78 0 136 13 2,236 39,728 112 29 868 245 8,471 18,682 29 3 226 54 5,542 7,360 0 0 25 0 1,266 101,631 2,031 964 1,607 645 14,077 20,999 0 0 588 85 3,893 15,974 58 58 197 60 2,759 9,114 53 0 111 20 1,957 424,136 3,540 1,653 7,048 1,657 73,220 4.83% 2.26% 9.63% 2.26% 17.26% range: 0 -33% μ range: 0 -35% μ range: 0 -11% μ Naugatuck Valley Council of Governments Board of DirectorsOfficers: Chairman: Neil O'Leary, Waterbury Vice Chairman: Mark Lauretti, Shelton Secretary: Ed Mone, Thomaston Treasurer: Pete Hess, Naugatuck Executive Director: Rick Dunne EEO/DEBELO Officer: Gabriel Filer Financial Director Director of Planning Administrative Staff NVCOG EEO/DBELO Organizational Chart Naugatuck Valley Council of Governments/Valley Transit District Title VI Discrimination and Complaint Form Complaint’s Name: _______________________________________________________________________ Street Address: ___________________________________________________________________________ City/State/Zip: ___________________________________________________________________________ Phone: _____________________________ E-Mail (if available): __________________________________ Title VI Discrimination Complain because of: ____ Race ____ Color ____ National Origin (FHWA complaints only) ____ Disability Please provide the date(s) and location(s) of the alleged discrimination, the name(s) of the individual(s) who allegedly discriminated against you, inc luding their titles (if known). ________________________________________________________________________ ________________ ________________________________________________________________________ ________________ Please provide the names, addresses and telephone numbers of any witnesses. ________________________________________________________________________________________ ________________________________________________________________________________________ Explain as briefly and as clearly as possible; what happened, how you felt that you were discriminated agains t and who was involved. If applicable, please include how other persons were treated differently from you in the same circumstances. _________________________________________________________________________________________ _________________________________________________________________________________________ Signature: _____________________________________________ Date: ___________________________ Deliver, mail or e- mail this form to: NVCOG will provide this form to : Mr. Gabriel Filer, Civil R ights Officer Title VI Coordinator, Naugatuck Valley Council of Governments Connecticut Department of Transportation 49 Leavenworth Street, 3rd Floor 2800 Berlin Turnpike Waterbury, Connecticut 06702 Newington, CT 06131- 7546 You may use additional sheets of paper if necessary. Also, please include any written materials pertaining to your complaint. Please contact our office if you need printed materials in another language . Should you have any further questions or want to submit the Title VI Complaint Form you may contact the Civil Rights Officer at firstname.lastname@example.org or by phone at 203- 757-0535. Title VI Complaint Log No. Date of Complaint Summary of Allegations Status of Investigation Lawsuit or Complaint Action Taken Final Disposition List of Title VI Investigations, Complaints & Lawsuits The Naugatuck Valley Council of Governments maintains a Log of all Title VI Investigations, Complaints and Lawsuits filed against the agency. To date, no investigations, complaints or lawsuits have been filed against the Naugatuck Valley Council of Governments. If an investigation, complaint or lawsuit arises the Naugatuck Valley Council of Governments will immediately notify the Connecticut Department of Transportation’s Office of Contract Complianc e. Naugatuck Valley Council of Governments (NVCOG ) Title VI Compliance Procedures I. NVCOG/FHWA’s Title VI Complaint Process Any person who believes she or he has been discriminated against on the basis of race, color, or national origin by the NVCOG may file a Title VI complaint by completing and submitting the NVCOG Title VI Complaint Form. The FHWA investigates compl aints received no more than 180 days after the alleged incident. A person may also file a complaint directly with the Connecticut Department of Transportation, Office of Contract Compliance, Attn: Title VI Coordinator, 2800 Berlin Turnpike, Newington, CT 06111; or directly with the Federal Highway Administration, at FHWA Office of Civil Rights, 1200 New Jersey Avenue SE, Washington, DC 20590. FHWA will process com plaints that are complete and include the following information: • A written explanation of the allege d discriminatory actions; • The complainant’s contact information, including, if available: full name, postal address, phone number, and email address; • The basis of the complaint (e.g., race, color, national origin); • The names of specific persons and respond ents (e.g., agencies/organizations) alleged to have discriminated; • Sufficient information to understand the facts that led the complainant to believe that discrimination occurred in a program or activity that receives Federal financial assistance; and • The date(s) of the alleged discriminatory act(s) and whether the alleged discrimination is on- going. Once the complaint is received, NVCOG will review it and forward it to the CT DOT . There are four potential outcomes for processing complaints: 1.) Accept : if a complaint is filed within 180 days, contains sufficient information to support a claim under Title VI, and concerns matters under FHWA’s jurisdiction, then HCR will send to the complainant, the respondent agency, and the FHWA Division Office a written no tice that it has accepted the complaint for investigation. 2.) Preliminary review : if it is unclear whether the complaint allegations are sufficient to support a claim under Title VI, then HCR may (1) dismiss it or (2) engage in a preliminary review to acquir e additional information from the complainant and/or respondent before deciding whether to accept, dismiss, or refer the complaint. 3.) Procedural Dismissal : if a complaint is not timely filed, is not in writing and signed, or features other procedural/practi cal defects, then HCR will send the complainant, respondent, and FHWA Division Office a written notice that it is dismissing the complaint. 4.) Referral /Dismissal : if the complaint is procedurally sufficient but FHWA (1) lacks jurisdiction over the subject ma tter or (2) lacks jurisdiction over the respondent entity, then HCR will either dismiss the complaint or refer it to another agency that does have jurisdiction. If HCR dismisses the complaint, it will send the complainant, respondent, and FHWA Division Off ice a copy of the written dismissal notice. The FHWA is responsible for conducting all investigations of State DOTs and other primary recipients. II. FHWA ’s Title VI investigation process There are five potential outcomes for concluding an investigation: 1. The FHWA makes a finding of no violation and the case will be closed with no further action. The FHWA will issue an LOF stating in sufficient detail the reasons for the determination of no violation. 2. If, by a preponderance of the evidence, FHWA determine s the respondent has failed to comply with its Title VI requirements or threatens to fail to comply by action or inaction, then FHWA will inform the respondent and the matter will be resolved by informal means whenever possible. o If FHWA informally resolve s the matter with the respondent by agreement, then FHWA will hold the complaint in abeyance until the respondent completes its corrective actions. If the corrective actions are completed to the FHWA’s satisfaction, then the complaint will be dismissed with no further action. o If FHWA cannot informally resolve the matter or the respondent does not complete agreed upon corrective actions, then FHWA may issue a LOF stating that the Recipient is in noncompliance with its Title VI obligations. 3. If FHWA issues a LOF of noncompliance to the respondent, the LOF will request that the respondent provide to FHWA, within 90 days, an action plan that implements the recommendations in the LOF. 4. If FHWA approves the action plan, then the respondent will be given a reasonable amount of time to implement the plan. At the end of the implementation period, FHWA will assess whether the respondent has sufficiently corrected the deficiencies. 5. If FHWA does not approve the action plan, or the respondent is nonresponsive/unc ooperative, then FHWA may seek administrative sanctions, including, but not limited to, suspension or termination of Federal funds or any other means authorized by law such as referral to USDOJ for enforcement. o If USDOT seeks to suspend or terminate funds , it must provide the respondent with an opportunity for a hearing on the record. If the Secretary of Transportation determines that the respondent has not complied with Title VI and voluntary compliance cannot be secured, USDOT must notify Congress before that finding goes into effect. 49 CFR All LOFs issued by F HWA are administratively final.