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Agmt22 County of San Mateo
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Agmt22 County of San Mateo
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Last modified
6/22/2023 2:17:54 PM
Creation date
7/19/2022 12:38:15 PM
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Template:
Agreement
Contractor Name
County of San Mateo
PROJECT NAME
Core Services/Information and Referral Program Provided at the Fair Oaks Community Center
RMP File Number
304
Date
6/30/2022
Amendment
Yes
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Contract Template <,000 <br />May 2021 <br /> Page 27 <br />REV: 06-16-22 SK <br />ATTACHMENT I <br />Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, as Amended <br />The undersigned (hereinafter called "Contractor(s)") hereby agrees that it will comply with Section 504 of <br />the Rehabilitation Act of 1973, as amended, all requirements imposed by the applicable DHHS regulation, <br />and all guidelines and interpretations issued pursuant thereto. <br />The Contractor(s) gives/give this assurance in consideration of for the purpose of obtaining contracts after <br />the date of this assurance. The Contractor(s) recognizes/recognize and agrees/agree that contracts will <br />be extended in reliance on the representations and agreements made in this assurance. This assurance is <br />binding on the Contractor(s), its successors, transferees, and assignees, and the person or persons whose <br />signatures appear below are authorized to sign this assurance on behalf of the Contractor(s). <br />The Contractor(s): (Check a or b) <br />☐ a. Employs fewer than 15 persons. <br />☒ b. Employs 15 or more persons and, pursuant to section 84.7 (a) of the regulation (45 C.F.R. <br /> 84.7 (a), has designated the following person(s) to coordinate its efforts to comply with the <br />DHHS regulation. <br />Name of 504 Person: <br />Name of Contractor(s): <br />Street Address or P.O. Box: <br />City, State, Zip Code: <br />I certify that the above information is complete and correct to the best of my knowledge <br />Signature: <br />Title of Authorized Official: <br />Date: <br />*Exception: DHHS regulations state that: "If a recipient with fewer than 15 employees finds that, after consultation <br />with a disabled person seeking its services, there is no method of complying with (the facility accessibility <br />regulations) other than making a significant alteration in its existing facilities, the recipient may, as an alternative, <br />refer the handicapped person to other providers of those services that are accessible." <br />ATTY/AGR.2022.153/County of San Mateo (HSA Contract June 2022) (Page 27 of 37) <br />DocuSign Envelope ID: F5FF63A3-8103-4442-8F5F-F37301405123 <br />Redwood City, CA 95063 <br />City of Redwood City <br />1017 Middlefield Rd. <br />City Manager <br />6/30/2022 | 8:26 AM PDT <br />Melissa Stevenson Diaz
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