Attachment_I_504_Compliance.pdf

PDF 176 KB Posted

Attached to
Merchant Credit Card Services
Solicitation number
15200-25-002
Issued by
San Mateo County, San Bernardino City, California

About this file

This is a Section 504 Compliance Assurance form issued by the County of San Mateo Contract Compliance Committee on August 5, 2013, applicable to the Merchant Credit Card Services procurement. The document establishes that contractors must comply 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 required as a condition for obtaining contracts and is binding on the contractor, its successors, transferees, and assignees. Contractors must certify their compliance status by completing the form with authorized signatory information, including company name, address, and contact details.

The form provides two compliance options based on contractor size: contractors employing fewer than 15 persons may follow a simplified compliance pathway with a potential exception allowing referral to accessible alternative providers if facility modifications would constitute significant alterations, while contractors employing 15 or more persons must designate a specific Section 504 Coordinator to oversee compliance efforts in accordance with 45 C.F.R. 84.7(a). The assurance requires certification that submitted information is complete and accurate, with signature and date from an authorized official. This compliance requirement ensures that merchants and service providers under the Merchant Credit Card Services contract maintain non-discriminatory practices and accessibility standards for individuals with disabilities throughout the contract period.

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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 .