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15 <br />DEPARTMENT OF HEALTH AND HUMAN SERVICES <br />ASSURANCE OF COMPLIANCE WITH SECTION 9W 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. 7921), all require- <br />ments imposed by the applicable HHS regulation (45 C.F.R. Part 84), and all guidelines and <br />interpretations issued pursuant thereto. <br />Pursuant to 184.5(a) of the regulation [45 C.F.R. 84.5(a)], 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. 84,50)]. <br />The. recipient: [Check (a) or (b)) <br />a• ( ) rmploys fewer than fifteen persons; <br />b. ( X ) employs fifteen or more persons and, pursuant to §84.7(a) of the regulation <br />[45 C.F.R. 84.7(a)), has designated the following person(s) to coordinate its <br />efforts to comply with the HHS regulations: <br />Daniel B. Reimer <br />Name of Designee(s) (Type or Print) <br />Orange Gounty Heap Departnent P. 0. Box 8181 <br />Name of Recipient -(Type or Print) Street Address or P.O. Box <br />56 -M327 Hillsborough <br />(IRS) Employer Identification Number City <br />North Carolina 272.78 <br />State Zip <br />I certify that the above information is complete and correct to the best of my knowledge. <br />Date <br />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 />HH5*41 tRev. 12/121 <br />