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Exhibit G Attachment D Assurances & Certifications Selected providers will be required to sign and submit "actual" assurances and certificates as required by the City of Santa Ana and the Workforce Investment Board on all contracts. i recognize that I must give assurances for each item below. If I cannot, this proposal will be automatically rejected. Please initial each box. I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as the owner of Jthis agency or business to submit this proposal. We are not currently on any Federal, State of California, or local Debarment list. - We will provide records to show that we arc fiscally solvent, ifneeded. We have, or will have, all of the fiscal control and accounting procedures needed to ensure that WIA funds will be used as required by law and contract. We have additional funding sources and will not be dependent on WIA funds alone. We will meet the applicable Federal, State, and local compliance requirements. These include, but are not mited to: cords accurately reflect actual performance. aintain record confidentiality, as required. orting financial, participant, and performance data, as required. C mply with State and Federal fiscal and program activity audits. plying with Federal and State non-discrimination provisions. ting requirements of Section 504 of the Rehabilitation Act of 1973. �eting requirements of the American's with Disabilities Act of 1990. (submit completed survey) M eeting all applicable labor law, including Child Labor Law standards, me to provide a drug free workplace. ee to insure the City of Santa Ana through General Liability Insurance and Automobile Liability erage in the amount of $1,000,000.00 policy. to provide all participants with Grievance procedures. Agree to insure proposer's employees through Workers Compensation Insurance (including part-time employees) ll not: ff e a youth in a position that will displace a current employee. WIA money to assist, promote, or deter union organizing. funds to employ or train of persons in sectarian activities. funds for youth in the construction, operation, or maintenance of any part of a facility to be used or sectarian instruction or religious worship. Qy,Use WIA funds for activities that would interfere with or replace regular academic requirements for eligible youth who are not dropouts, Use WIA funds to carry out programs funded under the School -to -Work Opportunities Act of 1994 unless the program(s) are only for youth eligible to participate under WIA. assure that alWf the Aove are true. II Name i / v Title Attachment E 34 - - - Formatted: Bullets and Numbering •--- Formatted: Bullets and Numbenng •-' - Formatted: Bullets and Numbering