Authorizing the Mayor to submit a grant application for funding of the "Runaway Shelter" for the year 1980

Home Browse Search

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE ASSURANCE OF COMPLIANCE WITH SECTION 504 OF THE REHABILITATION ACT OF 1973, AS AMENDED The undersigned (hereinafter called the "recipient ") HEREBY AGREES THAT it will comply with section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), all requirements imposed by the applicable HEW regulation (45 C.F.R. Part 84), and all guidelines and interpretations issued pursuant thereto. Pursuant to § 84.5(a) of the regulation 145 C.F.R. 84.5(a)j, the recipient gives this Assurance in consideration of and for the purpose of obtaining any and all federal grants, loans, contracts (except procurement contracts and contracts of insurance or guaranty), property, discounts, or other federal financial assistance extended by the Department of Health, Education, and Welfare after the date of this Assurance, including payments or other assistance made after such date on applications for federal financial assistance that were approved before such date. The recipient recognizes and agrees that such federal financial assistance will be extended in reliance on the representations and agreements made in this Assurance and drat the United States will have the right to enforce this Assurance through lawfni means. This Assurance is binding on the recipient, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this Assurance on behalf of the recipient. This Assurance obligates the recipient fur the period during which federal financial assistance is extended to it by the Department of Health, Education, and Welfare or, where the assistance is in the form of real or personal property, for the period provided for in § 84.5(b) of the regulation 145 C.F.R. 84.5(b)J. The recipient: [Check (a) or (b)J a. ( ) employs fewer than fifteen persons. A73 b. ( X) employs fifteen or more persons and, pursuant to § 84.7(a) of the regulation 145 C.F.R. 84.7(a)], has A74 designated the following persun(s) to coordinate its efforts to comply with the HEW regulation: Ma32y F. Poczik Name of Ucsignee(s) - Type or Print C12 C42 South Bend Youth_ Service Bureau 121.-65outh Michi= Street Name of Recipient -- Type or Print Street Address or 1. 0. Box Al_' A41 A42 A71 1 -35 -600- 1201 -A1 South Bend (IRS) Employer identification Number City At All B12 B41 BI Bit Indiana 46601 Cl C I l State Zip B42 B71 I certify that the above information is complete and correct to the best of my knowledge. go U. • •�� B72 B77 Signature and Title of Authorized B78 If there has been a change in name or ownership within the last year, please PRINT the former name below: NOTE: The 'A', V, and 'C' followed by numbers are for computer use. Please disregard. PLEASE RETURN ORIGINAL TO: Office for Civil Rights, HEW, P. 0. Box 8222, Washington, D.C. 20024. HEW -641 (5/77)