Orange County NC Website
D:—'uA2T: -YT OF HEALTH APID HL`M.LN SERY]CES 14 <br /> ASSURANCE OF COMPLIANCE WITH SECTION $04 OF THE <br /> REHABILITATION ACT OF 1973, AS AMENDED <br /> The undersigned (hereinafter called the"re pient") HER:BY AGREES.THAT it will comply <br /> with Section 344 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 7K, all require- <br /> ments imposed by the applicable HHS regulation(45 C.F.R. Part 84), and III guidelines and <br /> interpretations issued pursuant thereto. <br /> Pursuant to 134.3(a)of the regulation [43 C.F.R. 84.3(a)], the r:cpient gives this Assurance <br /> in consideration of and for the purpose of obtaining any and 211 Federal 3rants, loans, can- <br /> tracts (except procurement contracts and contracts of insuranc:or guaranty), property, dis- <br /> counts, or other Federal financial assistance extended by the Department of Health and human <br /> Services after the date of this Assurance, including payments or other assistance made after <br /> such date on applications for Federal financial assistance that were approved before such <br /> date.T he recipient recognizes and agrees that such Federal financial assistance will be extended <br /> in reliance on the representations and agreements made itrthis Assurance and that. the United <br /> States will have the right to enforce this Assurance through lawful means. This Assurance <br /> is binding on the recipient, its successors, transferees, and assignees, and the person or persons <br /> whose signatures appear below are authorized to sign this Assurance on behalf of the recipient. <br /> This Assurance obligates the recipient for the period during which Federal financial assistance <br /> is extended to it by the Department of Health and Human Services or, where the assistance <br /> is in the form of real or personal property, for the period provided for in §84.5(b) of the <br /> regulation [45 C.F.R. 84,5(b)]. <br /> The recipient: (Check (a) or (b)) <br /> a. ( ) employs fewer than fifteen persons; <br /> b. ( ) employs fifteen or more persons and, pursuant to §84.7(a) of the regulation <br /> 145 C.F.R. 84.7(a)J, has designated the following person(s) to coordinate its <br /> efforts to comply with the HHS regulations: <br /> Daniel B. Reimer <br /> Name of Designees) (Type or Print) <br /> Orange County Health Department PO Box 8:81 <br /> Name of Recipient4Type or Print) Street Address or P.O. Box <br /> 56-6000327 Hillsborough <br /> (IRS) Employer Identification Number City <br /> North Carolina 27278-8181 <br /> State Zip <br /> I certify that the above information is complete and correct to the bat of my knowledge. <br /> Date Signature and Title of Authorized Official <br /> If there has been a change in name or ownership within the last year, please PRINT the former <br /> name below: <br /> MRS-"I titer. �zs.� <br />