Attachment_I_504_Compliance.pdf
PDF 176 KB Posted
- Attached to
- Sterile Compounding Consulting Services
- Solicitation number
- 66000-2526-209
- Issued by
- San Mateo County, San Francisco City, California
About this file
This document is an Attachment I form for 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. The form is a standard compliance document that requires contractors to affirm their commitment to non-discrimination and accessibility for individuals with disabilities. Contractors must indicate whether they employ fewer than 15 persons or 15 or more persons, and if the latter, they must designate a specific person to coordinate efforts to comply with DHHS regulations.
The form provides flexibility for smaller organizations, noting that recipients with fewer than 15 employees may refer disabled persons to alternative accessible service providers if making significant facility alterations is not feasible. The document is a standard administrative requirement for contractors seeking to work with the County of San Mateo, specifically related to the upcoming Sterile Compounding Consulting Services contract for San Mateo Medical Center. The form must be completed, signed, and dated by an authorized official of the contracting organization, certifying the accuracy of the information provided.
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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 .