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Assurances & Certifications <br />Selected providers will beiequired to sign and submit "actual" assurances and certificates as required by <br />the City of Santa Ana and the Workforce Development Board on all contracts. <br />I recognize that I must give assurances for each item below. If I cannot, this proposal will be <br />automatically rejected. Please initial each box. <br />0-alln authorized by my Board of Directors, Trustees, other legally qualified officer, or as the owner of <br />this agency or business to submit this proposal. <br />We are not currently on any Federal, State of California, or local Debarment list. <br />We will provide records to show that we are fiscally solvent, if needed. <br />awe have, or will have, all of the fiscal control and accounting procedures needed to ensure that WIA <br />funds will be used as required by law and contract. <br />O''We have additional funding sources and will not be dependent on WIA funds alone. <br />We do or will meet the applicable Federal, State, and local compliance requirements. These include, but are not <br />limited to: <br />• 'Records accurately reflect actual performance. <br />'Maintain record confidentiality, as required. <br />Reporting financial, participant, and performance data, as required. <br />. Comply with State and Federal fiscal and program activity audits. <br />• Complying with Federal and State non-discrimination provisions. <br />. 'Meeting requirements of Section 504 of the Rehabilitation Act of 1973. <br />'Meeting requirements of the American's with Disabilities Act of 1990. (submit completed survey) <br />Meeting all applicable labor law, including Child Labor Law standards. <br />• 'Agree to provide a drug free workplace. <br />Agree to insure the City of Santa Ana through General Liability Insurance and Automobile Liability <br />Coverage in the amount of $1,000,000.00 policy. <br />,,. <br />Agree to provide all participants with Grievance Procedures. <br />Agree to insure proposers employees througl. Workers Compensation Insurance <br />(including part-time employees) <br />Procurement policies and procedures are in place and meet federal guidelines. <br />We will not: _ <br />Place a youth in a position that will displace acurrent employee. <br />'Use WIA money to assist, promote, or deter union organizing. <br />• Use funds to employ or train of persons in sectarian activities. <br />'Use funds for youth in the construction, operation, or maintenance of any part of a facility to be used <br />for sectarian instruction or religious worship. <br />Use WIA funds for activities that would interfere with or replace regular academic requirements for <br />eligible youth who are not dropouts. <br />Use WIA funds to carry out programs funded under the School -to -Work Opportunities Act of 1994 <br />unless the programs) are only for youth eligible to participate under WIA. <br />ioUse WIA money under this contract to purchaseany equipment <br />1 hereby assure that all of the above are true. <br />y6c. �iwn eN«— i �XPc,.ol��irtc�IL <br />Name <br />EXHIBIT H <br />Date <br />