Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Contractor (rev. 8/08) ATTACHMENT I Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, as Amended The undersigned (hereinafter called the "Contractor(s)") hereby agrees that it will comply with Section 504 of the Rehabilitation Act of 1973, as amended, all requirements imposed by the applicable DHHS regulation, and all guidelines and interpretations issued pursuant thereto. The Contractor(s) gives/give this assurance in consideration of for the purpose of obtaining contracts after the date of this assurance. The Contractor(s) recognizes/recognize and agrees/agree that contracts will be extended in reliance on the representations and agreements made in this assurance. This assurance is binding on the Contractor(s), its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Contractor(s). The Contractor(s): (Check a or b)
Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Contractor
Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Contractor Attachment I (Required only from Contractors who provide services directly to the Public on County's behalf.) Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, as Amended The undersigned (hereinafter called the "Contractor(s)") hereby agrees that it will comply with Section 504 of the Rehabilitation Act of 1973, as amended, all requirements imposed by the applicable DHHS regulation, and all guidelines and interpretations issued pursuant thereto. The Contractor(s) gives/give this assurance in consideration of and for the purpose of obtaining contracts after the date of this assurance. The Contractor(s) recognizes/recognize and agrees/agree that contracts will be extended in reliance on the representations and agreements made in this assurance. This assurance is binding on the Contractor(s), its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Contractor(s). The Contractor(s): (Check a or b) a. ( ) employs fewer than 15 persons. b. ( ) employs 15 or more persons and, pursuant to Section 84.7 (a) of the regulation (45 C.F.R. 84.7 (a)), has designated the following person(s) to coordinate its efforts to comply with the DHHS regulation. Name of 504 Person - Type or Print AIDS Community Research Consortium 0000 Xx Xxxxxx Xxxx, Xxxxx X Name of Contractor(s) - Type or Print Street Address or XX Xxx Xxxxxxx Xxxx XX 00000 Xxxx Xxxxx Zip Code I certify that the above information is complete and correct to the best of my knowledge. Date Signature and Title of Authorized Official *Exception: DHHS regulations state that: "If a recipient with fewer than 15 employees finds that, after consultation with a handicapped person seeking its services, there is no method of complying with (the facility accessibility regulations)...other than making a significant alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person to other providers of those services that are accessible."
Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Business Associate.
Reservation of Right to Monitor Activities. Covered Entity reserves the right to monitor the security policies and procedures of Business Associate. Specific Provisions for Use and Disclosures by Business Associate of PHI Subject to 42 CFR Part 2.
Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Contractor ATTACHMENT Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, as Amended The undersigned (hereinafter called the "Contractor(s)") hereby agrees that it will comply with Section 504 of the Rehabilitation Act of 1973, as amended, all requirements imposed by the applicable DHHS regulation, and all guidelines and interpretations issued pursuant thereto. The Contractor(s) gives/give this assurance in consideration of for the purpose of obtaining contracts after the date of this assurance. The Contractor(s) recognizes/recognize and agrees/agree that contracts will be extended in reliance on the representations and agreements made in this assurance. This assurance is binding on the Contractor(s), its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this assurance on behalf of the Contractor(s). The Contractor(s): (Check a or b)
Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Contractor Attachment III County of San Mateo Contractor’s Declaration Form I. CONTRACTOR INFORMATION Contractor Name: City of Redwood City/Fair Oaks Community Center Phone: (000) 000-0000 Contact Person: Xxxx Xxxx, Human Services Manager Fax: (000) 000-0000 Address: 0000 Xxxxxxxxxxx Xxxx Xxxxxxx Xxxx, XX 00000
Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Contractor ATTACHMENT III FINGERPRINTING COMPLIANCE BREATHE CALIFORNIA,
Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Contractor Attachment III FINGERPRINTING CERTIFICATION FORM For the Agreement with Youth Leadership Institute Tobacco Prevention Services July 1, 2006 through June 30, 2007 Funded by Tobacco Master Settlement Agreement Funds And Proposition 99 Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a criminal history which would compromise the safety of children with whom contractors employees, assignees and subcontractors or volunteers have contact. Name Title Signature
Reservation of Right to Monitor Activities. County reserves the right to monitor the security policies and procedures of Contractor. Certificate Of Completion Envelope Id: 7BB3ACB3F79B4279B67756FBD2718EB0 Status: Completed Subject: Childcare Coordination Council (4Cs) - Stage 2 Childcare Source Envelope: Document Pages: 46 Signatures: 2 Envelope Originator: Certificate Pages: 4 Initials: 0 XxxxXxx Xxxxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 400 County Ctr Redwood City, CA 94063-1662 xxxxxxxxxx@xxxxxx.xxx IP Address: 38.127.225.96 Record Tracking Status: Original 5/16/2023 10:22:54 AM Holder: XxxxXxx Xxxxxxxxx xxxxxxxxxx@xxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxxx XXxxxxxxxx@xxxxxxxx0xx.xxx Executive Director Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 107.1.90.198 Sent: 5/16/2023 10:23:12 AM Viewed: 5/16/2023 10:47:34 AM Signed: 5/16/2023 11:05:45 AM Electronic Record and Signature Disclosure: Accepted: 5/12/2021 3:26:56 PM ID: c6bcbc06-9555-4f49-b560-3e3a3407fb09 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 5/16/2023 10:23:12 AM Certified Delivered Security Checked 5/16/2023 10:47:34 AM Signing Complete Security Checked 5/16/2023 11:05:45 AM Completed Security Checked 5/16/2023 11:05:45 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 8/31/2015 5:58:12 PM Parties agreed to: Xxxxx Xxxxxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Carasoft OBO County of San Mateo (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through your DocuSign, Inc. (DocuSign) Express user account. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of this document. ...
