Attachment_I_504_Compliance.pdf
PDF 176 KB Posted
- Attached to
- Medical Physicist
- Solicitation number
- 66000-2627-270
- Issued by
- San Mateo County, San Francisco City, California
About this file
This document is an Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, issued by the County of San Mateo Contract Compliance Committee on August 5, 2013, in connection with a Medical Physicist contract opportunity at San Mateo Medical Center (SMMC). The assurance form requires contractors to certify their compliance with Section 504 of the Rehabilitation Act and all applicable Department of Health and Human Services (DHHS) regulations. The form requires contractors to indicate whether they employ fewer than 15 persons or 15 or more persons, with contractors employing 15 or more persons required to designate a Section 504 coordinator responsible for coordinating compliance efforts. The contractor must provide their name, address, the name and title of the designated 504 person (if applicable), and the signature of an authorized official certifying the accuracy of the information provided.
This compliance assurance is binding on the contractor, its successors, transferees, and assignees, and must be completed as a condition of contract award. The document notes an exception for recipients with fewer than 15 employees, allowing them to refer individuals with disabilities to other accessible service providers if facility accessibility modifications would require significant alterations to existing facilities. No pricing terms, specific performance dates, or other contract-specific requirements are detailed in this compliance form, as it serves solely as a regulatory assurance document required for contract execution.
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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."
File details come from the government source that posted it. Updated .