Assurance_of_Compliance_with_Section_504_of_the_Rehabilitation_Act_of_1973,_as_Amended.pdf
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- Attached to
- San Mateo County Parks Dept. - Central Reservation and Point of Sale System Replacement RFP
- Solicitation number
- 2026-RFP-00117
- Issued by
- San Mateo County, San Bernardino City, California
About this file
This document is Appendix C, an Assurance of Compliance form related to Section 504 of the Rehabilitation Act of 1973, which requires organizations to demonstrate their commitment to non-discrimination and accessibility for individuals with disabilities. The form is designed for contractors to affirm their compliance with federal regulations, specifically those imposed by the Department of Health and Human Services (DHHS).
The form allows contractors to indicate whether they employ fewer than 15 persons or 15 or more persons, with the latter category required to designate a specific coordinator responsible for ensuring compliance with DHHS accessibility regulations. By signing this document, contractors agree that their contracts will be extended based on the representations made, and the assurance is binding on the contractor, its successors, transferees, and assignees. An exception note provides guidance for smaller organizations (fewer than 15 employees) that may find facility modifications challenging, allowing them to refer disabled persons to alternative accessible service providers.
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Text version
Appendix C – Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, as Amended
The undersigned (hereinafter called "Contractor(s)") hereby agrees that it will comply with Section 504 of the Rehabilitation Act of 1973, as amended, all requirements imposed by the applicable DHHS regulation, and all guidelines and interpretations issued pursuant thereto.
The Contractor(s) gives/give this assurance in consideration of for the purpose of obtaining contracts after the date of this assurance. The Contractor(s) recognizes/recognize and agrees/agree that contracts will be extended in reliance on the representations and agreements made in this assurance. This assurance is binding on the Contractor(s), its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Contractor(s).
The Contractor(s): (Check a or b) ☐ a. Employs fewer than 15 persons.
☐ b. Employs 15 or more persons and, pursuant to section 84.7 (a) of the regulation (45 C.F.R.
84.7 (a), has designated the following person(s) to coordinate its efforts to comply with the DHHS regulation.
Name of 504 Person:
Name of Contractor(s):
Street Address or P.O. Box:
City, State, Zip Code:
I certify that the above information is complete and correct to the best of my knowledge
Signature:
Title of Authorized Official:
Date:
*Exception: DHHS regulations state that: "If a recipient with fewer than 15 employees finds that, after consultation with a disabled person seeking its services, there is no method of complying with (the facility accessibility regulations) other than making a significant alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person to other providers of those services that are accessible.”
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