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DEPARTMENT OF HEALTH AND HUMAN SERVICES <br /> ASSURANCE OF COMPLIANCE WITH SECTION SU OF THE <br /> REHABILITATION ACT OF 1973, AS AMENDED <br /> The undersigned(hereinafter called the"recipient")HEREBY AGREES,THAT it will comply <br /> with Section 504 of the Rehabilitation Act of 1973.as amended(29 U.S.C.7K,all require. <br /> meats imposed by the applicable HHS regulation(45 C.F.R. Part 84),and all guidelines and <br /> interpretations issued pursuant thefeto. <br /> Pursuant to 184.5(a)of the regulation 145 C.F.R. 84.5(a)j.the recipient gives this Assurance <br /> in consideration of and for the purpose of obtaining any and all Federal grants,loans,con- <br /> tracts(except procurement contracts and contracts of insurance 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.The recipient recognizes and agrees that such Federal financial assistance will be extended <br /> in reliance on the representations and agreements made irrthis 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(x) 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 8181 <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 best of my knowltdge. <br /> W&UM <br /> Date l 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 /> HHS-641 fifty.42/821 <br />