Attachment_I_504_Compliance.pdf
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- Attached to
- Wander Management System
- Solicitation number
- 66000-2526-233
- Issued by
- San Mateo County, San Francisco 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, establishing requirements for contractors seeking contracts with San Mateo County. The document requires contractors to certify their compliance with Section 504 of the Rehabilitation Act of 1973, as amended, and all applicable Department of Health and Human Services (DHHS) regulations and guidelines. The assurance applies to all contracts entered into after the date of the document and is binding on the contractor, its successors, transferees, and assignees.
Contractors must complete the form by indicating whether they employ fewer than 15 persons or 15 or more persons. Contractors employing 15 or more persons must designate a Section 504 Coordinator responsible for overseeing compliance efforts with DHHS regulations. An authorized official must sign the assurance, certifying that the provided information is complete and correct. The form includes an exception for recipients with fewer than 15 employees who determine, after consultation with disabled persons seeking services, that no method exists for complying with facility accessibility regulations other than making significant alterations; such entities may refer disabled persons to other accessible providers. The contractor must provide name, street address or P.O. Box, and city, state, and zip code information on the form.
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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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