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2023 through December 2023 <br />This outline is for LPA and other governmental entities to report Title VI activities that occurred over the past year <br />and report Title VI goals for the upcoming year. Reports must be returned on or before the due date to meet <br />eligibility requirements for federal funding. Send to TitleVl@WSDOT.wa.gov <br />DUE DATES: Refer to Section 28.3 for scheduled reporting period and due date <br />Contact Information <br />Name and title of administrator (signature on Standard Assurances): Brett Wachsmith, Chairman of the Board, <br />Kittitas County Board of Commissioners <br />Mailing Address: 205 W 5r" AVE STE 108 <br />City: Ellensburg WA Zip Code: 98926 County: Kittitas <br />Phone #:(509) 962-7508 email address: bocc@co.kittitas.wa.us <br />Name and title of head of transportation -related services: Mark Cook, Public Works Director <br />Mailing Address:411 North Ruby, Suite 1 <br />City: Ellensburg WA Zip Code: 98926 County: Kittitas <br />Phone #: (509) 962-7523 email address: mark. cook@co.kittitas.wa. us <br />Name and title of designated Title VI coordinator*: Joshua Fredrickson, County Engineer <br />Mailing Address: 411 North Ruby, Suite 1 <br />City: Ellensburg WA Zip Code: 98926 County: Kittitas <br />Phone #: (509) 962-7609 email address: josh.fredrickson@co.kittitas.wa.us <br />*When the Title VI coordinator changes, notify TitleVI@WSDOT.wa.gov within 30 days. <br />To comply with Title VI requirements, each annual report submission must include signed <br />Standard Assurances (USDOT1050.2A). <br />Accomplishments <br />1. Have there been any changes to the approved Title VI Plan that have not been reported to DIED? If Yes, <br />please submit an update to the Title VI Plan with a new signature. <br />No changes <br />2. Organization, Staffing, Structure — Describe the Title VI Program reporting structure including the Title <br />VI Coordinator, Administrative Head, and transportation -related staff. The list should include name, <br />race, color, and national origin of each individual. Include the same details if your LPA has a volunteer <br />or appointed board related to transportation decision making. <br />Mark Cook, <br />Public Works Director, Native American, USA birthplace <br />