Attachment_I_504_Compliance.pdf
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- Attached to
- Group Purchasing Organization
- Solicitation number
- 66000-2627-258
- Issued by
- San Mateo County, San Francisco City, California
About this file
This is an Assurance of Compliance form issued by the County of San Mateo Contract Compliance Committee on August 5, 2013, establishing Section 504 compliance requirements for contractors bidding on county contracts. The document requires contractors to affirm their compliance with Section 504 of the Rehabilitation Act of 1973 and all applicable Department of Health and Human Services (DHHS) regulations. Contractors must indicate whether they employ fewer than 15 persons or 15 or more persons. Those employing 15 or more persons are required to designate a Section 504 coordinator responsible for coordinating compliance efforts with DHHS regulations. The assurance binds the contractor, its successors, transferees, and assignees, with authorized officials required to certify the accuracy of submitted information by signature.
The form includes an exception provision allowing recipients with fewer than 15 employees to refer disabled persons seeking services to other accessible providers if no method of compliance with facility accessibility regulations exists without significant facility alterations. All contractors must provide complete contractor identification information, including the designated 504 coordinator's name (if applicable), street address or P.O. Box, city, state, and zip code. Signature, title of authorized official, and date are required on the certification statement, with the contractor confirming the accuracy of all provided information.
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Text version
Issued by County of San Mateo Contract Compliance Committee August 5, 2013
ATTACHMENT I
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
Issued by County of San Mateo Contract Compliance Committee August 5, 2013 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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