Laserfiche WebLink
Exhibit G <br />~~~.~ <br />Assurances & Certifications <br />Selected providers will be required to sign and submit "actual" assurances and certificates as <br />required by the City of Santa Ana and the Workforce Investment Board on all contracts. <br />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 />Q I am authorized by my Board of Directors, Trustees, other legally qualified officer or as <br />~'~k~L~' <br />G~~ <br />U~~ <br />.~~ 0 <br />the owner of 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 />We have, or will have, all of the fiscal control and accounting procedures needed to <br />ensure that WIA funds will be used as required by law and contract. <br />We have:additionalfunding sources and will not be dependent on WIA funds alone. <br />We do or will meet the applicable Federal, State, and local compliance requirements. <br />These include, but are not limited to: <br />~.~r~` [Records accurately reflect actual performance. <br />~' ~.,t1° QMaintain record confidentiality, as required. <br />C~ ,~}• ©'Reporting financial, participant, and performance data, as required. <br />~~'{J ~° [~omply with State and Federal fiscal and program activity audits. <br />~``~, ~.~ [...Complying with Federal and State non-discrimination provisions. <br />l~ ik []~/leeting requirements of Section 504 of the Rehabilitation Act of 1973. <br />~`~ ; ',~~.[~Meeting requirements of the American's with Disabilities Act of 1990. (submit attachment F) <br />[~/leeting all applicable labor law, including Child Labor Law standards. <br />~('~ ~_[]"Agree to provide a drug free workplace. <br />~,- •, . Q"Agree to insure the City of Santa Ana through General Liability Insurance and Automobile <br />~• Liability. Coverage in the amount of $1,000,000.00 policy. <br />~` [/~Agree to provide all participants with Grievance Procedures. <br />G` f~~°[~Agree to insure proposer's employees through Workers Compensation Insurance <br />fr' (including part-time employees) <br />~"• ['Procurement policies and procedures are in place and meet federal guidelines. <br />C~ <br />We will not• <br />©Place a youth in a position that will displace a current employee. <br />G Use WIA mone to assist <br />y ,promote, or deter union organizing. <br />G~.~` [~]'(Jse 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 <br />~i'7~ to be used for sectarian instruction or religious worship. <br />_~ [~'Clse WIA funds for activities that would interfere with or replace regular academic <br />~'~ requirements for eligible youth who are not dropouts. <br />~' []"tJse WIA funds to carry out programs funded under the School-to-Work Opportunities Act <br />C~ ~~ of 1994 unless the program{s) are only for youth eligible to participate under WIA. <br />~.c\,~~` [ ,~'C1se WIA money under this contract to purchase any equipment. <br />I hereby assure that all of the above are true. <br />~, /1 ~ s <br />- ~L- cx~ G~ ~ ~ v>= Di I~~Z-oR- ~ - 27~ ~q <br />Name ..,~N .~~ M~t~(t Z Title Date <br />30 <br />