Attachment_I_504_Compliance.pdf
PDF 176 KB Posted
- Attached to
- After-Hours Pharmacy Remote Order Entry Services
- Solicitation number
- 66000-2425-201
- Issued by
- San Mateo County, San Francisco City, California
About this file
This is an Assurance of Compliance document issued by the County of San Mateo Contract Compliance Committee on August 5, 2013, establishing requirements for contractors to comply with Section 504 of the Rehabilitation Act of 1973, as amended. The document requires all contractors entering into agreements with the County to demonstrate compliance with Section 504 and all applicable Department of Health and Human Services (DHHS) regulations, including guidelines and interpretations issued pursuant to the statute. The assurance is binding on the contractor, its successors, transferees, and assignees, and serves as a condition for obtaining County contracts executed after the assurance date. Contractors must certify their compliance status and provide authorized signature documentation confirming the accuracy of submitted information.
The document contains a checkbox provision distinguishing compliance requirements based on contractor size: contractors employing fewer than 15 persons have streamlined requirements, while those employing 15 or more persons must designate a specific Section 504 coordinator responsible for coordinating compliance efforts. For smaller employers, DHHS regulations provide an exception allowing referral of disabled persons seeking services to alternative accessible providers if facility modifications would constitute a significant alteration. The assurance form requires submission of the contractor's name, address, designated 504 coordinator name (if applicable), authorized official signature, title, and date of certification, ensuring clear accountability and documented commitment to non-discrimination compliance 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."
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