Orange County NC Website
a <br /> ATTACHMENT C <br /> DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE <br /> ASSURANCE OF COMPLIANCE WITH SECTION SO4 OF THE <br /> REHABILITATION ACT OF 1973, AS AMENDED <br /> The undersigned (hereinafter called the "recipient") HEREBY AGREES THAT it will comply with section 504 of the <br /> Rehabilitation Act of 1973, as amended (29 U.S.C. 794), all requirements imposed by the applicable HEW regulation <br /> ' (45 C.F.R. Part 84). and all guidelines and interpretations issued pursuant thereto. <br /> Pursuant to § 84.5(a) of the regulation 145 C.F.R. 84.5(a)), the recipient gives this Assurance in consideration of and for <br /> the purpose of obtaining any and all federal grants,.loans, contracts(except procurement contracts and contracts of <br /> insurance or guaranty), property, discounts, or other federal financial assistance extended by the Department of Health, <br /> Education, and Welfare after the date of this Assurance, including payments or other assistance.made after such date on <br /> applications for federal financial assistance that were approved before such date. The recipient recognizes and agrees that <br /> such federal financial assistance will be extended in reliance on the representations and agreements made in this Assurance <br /> and that the United States will have the right to enforce this Assurance through lawful means. This Assurance is <br /> binding on the recipient, its successors, transferees, and assignees, and the person or persons whose signatures appear below <br /> 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 is extended to it.by the <br /> Department of Health, Education, and Welfare or, where the assistance is in the form of real or personal property, for <br /> the period provided for in § 84.5(b) of the regulation [45 C.F.R. 84.5(b)). <br /> The recipient: [Check (a) or (b)) <br /> a. ( ) employs fewer than fifteen persons; <br /> A73 <br /> b. ( ) employs fifteen or more persons and, pursuant to § 84.7(a) of the regulation [45 C.F.R. 84.7(a)), has <br /> A74 designated the following person(s) to coordinate its efforts to comply with the HEW regulation: <br /> ... bert .1 ttrelli Interim _County Manager <br /> Name of Designee(s) — Type or Print <br /> C12 C42 <br /> Orange County Health Department 300 W. Tryon Street <br /> • <br /> Name of Recipient — Type or Print Street Address or P. O. Box <br /> Al? A41 A42 <br /> A71 <br /> 56-6000327 Hillsborough <br /> (IRS) Employer Identification Number City <br /> Al All B12 • 841 <br /> 81 811 North Carolina 27278 <br /> Cl 919/732-8181 C11 State <br /> Area Code —Telephone Number B42 8 <br /> 871 <br /> I certify that the above information is complete and correct to the best of usy knowledge. <br /> Date r - <br /> at Signatur and Title of Authorized Official <br /> B72 877 B78 Inter-ini County Manager <br /> • <br /> If there has been a change in name or ownership within the last year, please PRINT the former name below: <br /> William T. Laws <br /> NOTE: The 'A', '8', and 'C' followed by numbers are for computer use. Please disregard. <br /> HEW-4141 (1/77) <br />