Orange County NC Website
AT TACHMENT 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 />Rehabditation Act of 1973. as amended (29 U.S.C. 794), ag 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 § R4.5(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 145 C.F.R. 84.5(b)). <br />The recipient: (Check (a) or (b)] <br />a. ( ) employs fewer than fifteen persons; <br />A73 <br />b. ( x ) 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 persons) to coordinate its efforts to comply with the HEW regulation: <br />Daniel B. Reimer <br />Name of Designee(s) — Type or Print <br />C12 C42 <br />Orange County Health Department <br />Name of Recipient — Type or Print <br />Al2 <br />A41 <br />56- 6000 -327 <br />(IRS) Employer ldenti ication Number <br />Al All <br />BI 811 <br />Cl (919) 71 7—A181 C11 <br />Area Code — Telephone Number <br />P.O. Box 8181 <br />Street Address or P. 0. Box <br />A42 <br />A71 <br />Hillsborou h <br />City <br />B12 841 <br />State Zip <br />B42 B71 <br />I certify that the above information is complete and correct o the best of Zny knowledge. <br />qjj-7 j qv <br />Dace Signatu a and Title of Authorimd Officir <br />872 877 B78 Moses Carey, Jr. Chairman <br />Board of Commissioners 4 <br />If there has been a change in name or ownership within the last year, pkase PRINT the former name below: <br />NOTE: The 'A', V. and 'C' followed by numbers are for computer use. Please disregard. <br />HEW -441 (3/77) <br />