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<br />Exhibit G <br /> <br />Assurances & Certifications <br />Selected providers will be required to sign and submit "actual" assurances and certIficates as <br />required bv the CIty of Santa Ana and the Workforce lnvestment Board on all contracts <br /> <br />1 recognize that [ must give assurances for each item below If] cannot, this proposal will <br /> <br />be automatlcally rejected Please InItwl each box. <br /> <br />r,i" <br />~ <br />If:''. <br />tiY <br />~/ <br /> <br />1 am authorized by my Board of Directors, Trustees, other legally qual1fied officer. or as the owner <br />of this agency or business to submit this proposal. <br />\!v'e are not currently on any FederaL State of California, or local Debarment list <br />'A'e will provide records to show that we are fiscally solvent, if needed <br />Vor' e have, or will have, all of the fiscal control and accounting procedures needed to ensure that \\TIA <br />funds will be used as reqUJred by law and contract <br />We have additional funding sources and will not be dependent on \V1A funds alone <br /> <br />We do or will meet the applicable Federal, State, and local compliance requirements. These include, <br />~ut are not limited to <br />'~k~ords accuratel\' reflect actual performance. <br />[0!V1aintain recorD confidentiality, as required <br />[BRJPorti.ng ~nancial, participant, and performance data,.a~ requir.ed. <br />GCpmplv wIth State and Federal fiscal and program aCtIVIty audIts <br />~omplying with Federal and State non-discrimination provisions <br />~eeting requirements of Section 504 of the Rehabilitation Act of 1973. <br />~ et~ng require~ems of the .A.me~can...~ with I?isabihties Act of 1990. (submit completed survey) <br />~ etmg all applIcable labor law. mcludmg ChIld Labor Law standards <br />.. ee to provide a drug free workplace <br />!9'Agree to insure the City of Santa Ana through General Liability Insurance and Automobile Liability <br />Gt;Gverage in the amount of $1,000.00000 polIcy <br />19A9ree to provide all participants with Grievance Procedures <br />liJX'gree to insure proposer's employees through \\lorkers Compensation Insurance <br />(includmg pan-tIme employees) <br />L'J[ocurement policies and procedures are in place and meet federal guidelines. <br /> <br />"':e will not: <br />[gP(ace a youth in a position that will displace a current employee <br />GtJs.e WL~ money to assist, promote, or deter union organizing <br />l3(r funds to employ or train of persons in sectarian activities <br />Gjtlse funds for youth in the construction, operation. or maintenance of any part of a facility to be used <br />fei sectarian instruction or religious worship <br />[gt\se WIA funds for activities that would intelfere with or replace regular academic requirements for <br />oogible youth who are not dropouts <br />[3(fse W1A funds to caIT)' out programs funded under the School-to-\"lork Opportunities Act of 1994 <br />)lIliess the program(sl are only for youth eligible to partlcipate under \\lJA <br />[9tJse \\71A money under this contract to purchase any equipment <br /> <br />I hereby assure that ;lll or the above are true. <br /> <br />?, ,,~, Jc-,..f / SfL'f. D,y <br />Title <br /> <br />~ Cc. 1~.S2a,v i ..:c <br />~--:: '- Na~e ,- <br />.>:->----- <br />/' ',. .. <br /> <br />5.- I 9 -ole <br /> <br />Date <br /> <br />i <br />~~ <br />!:.......' <br /> <br />.::.:-:: <br />