113.

Appendices to Sample Consent Order

APPENDIX A RELEASE State of _________________ ss County of _______________ Contingent upon defendants' payment of the sum of $ 190,000.00, to be distributed as follows: $ 65,000.00 in compensatory damages to me; $ 125,000.00 to the law firm of Goldfarb and Abrandt for attorneys' fees pursuant to the provisions of the Consent Order entered on ____________________, 1995, in Shapiro v. Cadman Towers, Inc. and Sydelle Levy, CV 93-5764, and United States v. Cadman Towers, Inc. and Sydelle Levy. CV 93-5860, I, Phyliss Shapiro, hereby release and forever discharge Defendants in that case, their current, former and future officials, employers and agents, of and from all legal and equitable or administrative claims or causes of action arising out of any alleged discrimination on the basis of handicap with respect to housing at Cadman Towers in violation of any Federal, state or local equal housing opportunity laws, statutes, regulations or ordinances occurring before the execution of this Release. I understand that the payment to be made to me and/or other relief to be offered to me does not constitute an admission by any of the parties released of the validity of any claim raised by me, or on my behalf. This release and the Consent Order constitute the entire agreement between the Defendants and myself, without exception or exclusion. I acknowledge that a copy of the Consent Order in this action has been made available to me. I HAVE READ THIS RELEASE AND UNDERSTAND THE CONTENTS THEREOF AND I EXECUTE THIS RELEASE OF MY OWN FREE ACT AND DEED. Signed this ______ day of __________________, 1995. [SIGNATURE] ________________________ Phyliss Shapiro Subscribed and sworn to before me this ____________ day of __________, 1995. ____________________________________ Notary Public My Commission expires: APPENDIX B NOTICE TO ASSOCIATES OF NONDISCRIMINATION POLICY This notice is to make you aware of the nondiscrimination policy of Cadman Towers, Inc. It is the policy of Cadman Towers, Inc. to comply with Title VIII of the Civil Rights Act of 1968 (commonly known as the Fair Housing Act), as amended by the Fair Housing Amendments Act of 1988 by ensuring that cooperative units are available to all persons without regard to handicap, and that the terms and conditions of rental and sale are the same for handicapped persons as they are for anyone else. It is required that any entity employed or otherwise engaged by Cadman Towers, Inc. for the purpose of making solicitations or referrals for the rental of apartments must follow this nondiscrimination policy. Violation of this policy could subject it or them to termination of the agency or employment relationship and to possible sanctions by the Court. __________________________ President, Cadman Towers Board of Directors _____________ Date ________________________ Leasing or other Agent ____________ Date APPENDIX C LETTER TO EMPLOYEES Dear Employee: This letter is to make you, an employee or agent of Cadman Towers, Inc., aware of Cadman Towers' non-discrimination policy. It is the policy of Cadman Towers to comply with Title VIII of the Civil Rights Act of 1968 (commonly known as the Fair Housing Act) as amended by the Fair Housing Amendments Act of 1988 by ensuring that cooperative units are available to all persons without regard to handicap, and that the terms and conditions of rental and sale are the same for handicapped persons as they are for anyone else. It is required that all employees or agents of Cadman Towers, Inc. adhere to these policies. Disciplinary action, up to and including dismissal, will be taken against any employee who is found to have violated these policies, and, in addition, the employee may be subject to court sanctions. ___________________________________ Board of Directors ___________________________________ President, Cadman TowersDate APPENDIX D EMPLOYEE ACKNOWLEDGEMENT I hereby acknowledge that I have received and read a copy of the Consent Decree entered on _________________, 1995, in the consolidated cases of United States v. Cadman Towers, Inc. and Sydelle Levy, CV 93 5860 and Phyllis Shapiro v. Cadman Towers, Inc. and Sydelle Levy, CV 93-5764, that I have been instructed concerning my responsibilities for complying with the provisions of the Decree, and that I have reviewed and understand Cadman Towers' non-discrimination policy. ___________________________________ Signature ___________________________________ Date _______________________________ Name (Printed or typed) _______________________________ Title _______________________________ _______________________________ Address _______________________________ Telephone APPENDIX E Log of Persons Seeking Parking Spaces, Modification of Dwelling Units of Common Areas, or Other Reasonable Accommodations Name: _____________________________________________________ Address: __________________________________________________ Telephone: ________________________________________________ Cadman Towers Cooperator? ________________________________ Cadman Towers Renter? ____________________________________ Prospective Cadman Towers Cooperator? _____________________ Prospective Cadman Towers Renter? ________________________ Nature of Request: Parking space _________ Modification of Dwelling unit ____________ Modification of Common Area ___________ Other Accommodation ___________ Date of visit: ____________ Time of visit: From: ______________ To: ________________ Date person became a cooperator/renter at Cadman Towers _____ Did person fill out an application for parking,modification, or other accommodation? ________ Did person receive parking space, modification oraccommodation sought? ________________ Did person receive some other reasonable accommodation? _____ If answer to 15 is yes, please describe that accommodation. __________________________________________________________ __________________________________________________________ If answer to 13 or 14 is no, please explain why _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ __________________________ Was person placed on a waiting list for parking, modification, or some other accommodation? _____________________________________________________________________________ _ _____________________________________________________________________________ _ _______________________________________ Name, address, and telephone number of person making log entry __________________________ __________________________ __________________________ APPENDIX F Application for Reasonable Accommodation APPENDIX G Policy Statement Re: Reasonable Accommodation Applications [cited in Civil Rights Resource Manual 60]