Attachment_I_504_Compliance.pdf

PDF 176 KB Posted

Attached to
Provider Time Tracking, Invoicing and Approval
Solicitation number
66600-2526-240
Issued by
San Mateo County, San Francisco City, California

About this file

This is an Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973 document issued by the County of San Mateo Contract Compliance Committee on August 5, 2013, applicable to the Provider Time Tracking, Invoicing and Approval contract opportunity for San Mateo Medical Center. The document requires contractors to 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 serves as a binding agreement for contractors and their successors, transferees, and assignees in consideration of obtaining contracts. Contractors must certify their compliance status and provide complete and accurate information regarding their organization and any designated Section 504 coordinator.

The document distinguishes between contractors employing fewer than 15 persons and those employing 15 or more persons. Contractors with fewer than 15 employees are subject to an exception allowing them to refer disabled persons seeking services to other accessible providers if compliance would require significant alteration of existing facilities. Contractors with 15 or more employees must designate a Section 504 compliance coordinator and provide that person's name, title, and contact information. An authorized official must sign and date the assurance, certifying the accuracy of all provided information.

View the file

Other files

File Type Posted
Provider_Time_Tracking,_Invoicing_and_Approval.pdf PDF
Provider_Time_Tracking,_Invoicing_and_Approval.pdf PDF
Provider_Time_Tracking,_Invoicing_and_Approval_(Addendum_#1_Revision).pdf PDF
Provider_Time_Tracking,_Invoicing_and_Approval.pdf PDF
Attachment_IP.pdf PDF
HIPAA_Attachment_H.pdf PDF
Living_Wage_Ordinance.pdf PDF
Vendor_Contractor_Access_Policy.pdf PDF
Living_Wage_Ordinance.pdf PDF
Fingerprinting_Certification_Form.pdf PDF
Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf PDF
Attachment_IP.pdf PDF
Living_Wage_Ordinance.pdf PDF
Sample_Service_Agreement.pdf PDF
Attachment_I_504_Compliance.pdf PDF
Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf PDF
Fingerprinting_Certification_Form.pdf PDF
Attachment_IP.pdf PDF
Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf PDF
Living_Wage_Ordinance.pdf PDF
Attachment_I_504_Compliance.pdf PDF
Sample_Service_Agreement.pdf PDF
Sample_Service_Agreement.pdf PDF
HIPAA_Attachment_H.pdf PDF
Sample_Service_Agreement.pdf PDF
Vendor_Contractor_Access_Policy.pdf PDF
Fingerprinting_Certification_Form.pdf PDF
Attachment_I_504_Compliance.pdf PDF
Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf PDF
Fingerprinting_Certification_Form.pdf PDF
HIPAA_Attachment_H.pdf PDF
Vendor_Contractor_Access_Policy.pdf PDF
Attachment_IP.pdf PDF
HIPAA_Attachment_H.pdf PDF
Vendor_Contractor_Access_Policy.pdf PDF
Show all 35

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .