Attachment_I_504_Compliance.pdf
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- Solicitation number
- 66600-2627-275
- 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 the Electroencephalography (EEG) Equipment and Remote Solution contract with San Mateo Medical Center (SMMC). The form requires all contractors to affirm compliance with Section 504 of the Rehabilitation Act of 1973, as amended, and all applicable Department of Health and Human Services (DHHS) regulations, guidelines, and interpretations. The assurance is binding on contractors, their successors, transferees, and assignees, and must be signed by an authorized official as a condition of contract award.
The form requires contractors to identify their employee count and designate a Section 504 compliance coordinator if the contractor employs 15 or more persons. For contractors with fewer than 15 employees, an exception exists under DHHS regulations permitting referral of disabled persons seeking services to other accessible providers if facility accessibility modifications would require significant alterations. The form necessitates contractor certification of complete and accurate information regarding compliance responsibilities and the designated compliance officer's contact information, name, and organizational details.
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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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