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OTHER DOCUMENTS <br />Administrative and fiscal information: <br />X 1. Completed SBPIC/PAN Authorized Signature form listing names and signatures <br />of those persons authorized to execute Agreements, contracts, modifications, <br />fiscal statements and other documents for Contractor. <br />X 2. Contractor shall complete 504 handicapped accessibility survey forms prior to <br />written authorization to enroll. <br />N/A 3. Debarment and Suspension Certification (for contracts over $25,000). <br />N/A 4. Lobbying Certification and Disclosure (for contracts in excess of $100,000). <br />X 5. Americans with Disabilities Act Certification. <br />X 6. Drug Free Workplace Certification. <br />X 7. Other, specify: Statement of Current Cost Methodolmy, <br />Required Insurance Certificates: <br />X 1. General Liability Coverage with endorsements.* <br />X 2. Automobile Liability Coverage with endorsements.* <br />X 3. Worker Compensation Coverage <br />Endorsements must be as defined in Contract in Section VII Part D, naming City <br />of Inglewood, its officers and employees as additional insured. <br />30 <br />