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<br />A TT ACHMENT III <br /> <br />Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, as Amended <br /> <br />The undersigned (hereinafter called the "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, and <br />all guidelines and interpretations issued pursuant thereto. <br /> <br />The Contractor(s) gives/give this assurance in consideration of for the purpose of obtaining contracts after the <br />date of this assurance. The Contractor(s) recognizes/recognize and agrees/agree that contracts will be extended <br />in reliance on the representations and agreements made in this assurance. This assurance is binding on the <br />Contractor(s), its successors, transferees, and assignees, and the person or persons whose signatures appear <br />below are authorized to sign this assurance on behalf of the Contractor(s). <br /> <br />The Contractor(s): (Check a or b) <br /> <br />D ~mploys fewer than 15 persons. <br /> <br />~~~ ~mploys 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 /> <br />R-t~y ~ <br />NamW ype or Print <br />CA 0' L~u <br /> <br />Name of ont actor(s) - Type or Print ~ <br /> <br />%O~ MA:Adlt!l~IA K1- <br /> <br />Street Ad ess or P.O. Box <br /> <br />f!Ri~ Cl11 VIr q tiP 11 3 <br /> <br />City, State, Zip Code ' <br /> <br />I certify that the above information is complete and correct to the best of my knowledge; <br /> <br />Signature \v:~ <br />(}it;. M~ <br />Title of Au orized Offici~ <br /> <br />g-p~~ <br /> <br />Date <br /> <br />* Exception: DHHS regulations state that: <br /> <br />"If a recipient with fewer than 15 employees finds that, after consultation with a disabled person seeking its <br />services, there is no method of complying with (the facility accessibility regulations) other than making a <br />significant alteration in its existing facilities1 the recipient may, as an alternative, refer the handicapped person to <br />other providers of those services that are accessible." <br />