Attachment_I_504_Compliance.pdf
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- Solicitation number
- 66000-2526-238
- Issued by
- San Mateo County, San Francisco City, California
About this file
This is a Section 504 Rehabilitation Act Compliance Assurance document issued by the County of San Mateo Contract Compliance Committee on August 5, 2013, applicable to the Fixed and Removable Prosthesis for Dental Patients procurement opportunity. The document requires contractors to certify compliance with Section 504 of the Rehabilitation Act of 1973, as amended, and all applicable Department of Health and Human Services (DHHS) regulations. Contractors must complete the assurance form by providing their name, street address, city, state, and zip code, along with an authorized official's signature, title, and date. The assurance is binding on the contractor, its successors, transferees, and assignees, and contractors must acknowledge that contracts will be extended in reliance upon the representations and agreements made in the document.
The document distinguishes between contractors employing fewer than 15 persons and those employing 15 or more persons. Contractors with 15 or more employees must designate a Section 504 Compliance Coordinator and provide that person's name on the assurance form. For smaller contractors with fewer than 15 employees, an exception applies allowing referral of disabled persons seeking services to other accessible providers if no method of compliance exists without significant alteration to existing facilities. All contractors must certify that the information provided is complete and correct to the best of their knowledge at the time of signing.
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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 .