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<br />~ <br />4 <br /> <br />SELF-CERTIFICATIONS <br /> <br />Location of Records - ~itial <br /> <br />I understand, all accounting records and evidence pertaining to all costs of CONTRACTOR and all documents related to <br />this Agreement shall be kept available at the location where CONTRACTOR conducted the program, as well as in the <br />County of Orange, for the duration of this Agreement and thereafter for three (3) years after completion of an audit. <br />Records which relate to (a) complaints, claims, administrative proceedings or litigation arising out of the performance of <br />this Agreement, or (b) costs and expenses of this Agreement to which CITY, the State of California or the United States <br />Government take exception, shall be retained beyond the three (3) years until resolution of disposition of such appeals, <br />litigation, clauDS, or exceptions. ~. <br /> <br />Clean Air I Clean Water Act - ~ Initial <br /> <br />I understand, if the grant hereunder exceeds $100,000, CONTRACTOR must comply with Section 306 of the Clean Air <br />Act [(42 USC 1875(h)J; Section 508 of the Clean Water Act (33 USC 1368); Executive Order 11738 and Environmental <br />Protection Agency ("EP A") regulations (40 CFR Part 15) as any may now exist or be hereafter amended. Under these laws <br />and regulations, the CONTRACTOR assures that: <br /> <br />(a) No facility to be utilized in the performance of the proposed grant has been listed on the EPA List <br />of Violating Facilities; <br />(b) It will notify CITY prior to award of the receipt of any communication from the Director, Office of <br />Federal Activities, U.S. EPA, indicating that a facility to be utilized for the grant is under <br />consideration to be listed on EPA List of Violating Facilities; <br />(c) It will not' the TY the EP A about any known violation of the above laws and regulations. <br /> <br />Drug Free Environment- <br /> <br /> <br />Initial <br /> <br />My organization agrees to provide a drug-free work place and to execute a certification as set forth in the contract. <br /> <br />WILL SUBMIT <br /> <br />Single Audit - _Initial <br /> <br />My organization has has or has not expended $300,000 or more of federal funds in <br />fiscal year ending on or before December 31, 2002, has or will conduct an audit in accordance with Section 184 of the <br />WIA, Title 20 CFR Section 667.200, Title 29 CF Part 95 or 97 (as applicable), and Title 31 USC Chapter 75. If <br />applicable, submit eopy of 2002 Audit. <br /> <br />Commercial General Liability - <br /> <br /> <br />itial <br /> <br />CONTRACTOR agrees to obtain and k ep in force during the term of this Agreement a policy of comprehensive <br />commercial public liability insurance insuring the State of California, CITY, and CONTRACTOR against any liability for <br />accident, injury or death arising out of or in consequence of this Agreement. Such insurance shall be in an amount not less <br />than One Million Dollars ($1,000,000.00) for any injury to or death of any person or persons in any single accident or <br />occurrence. Said policy of comprehensive public liability insurance shall be endorsed to provide to CITY and to tlle State <br />of California, Employment Development Department, at least thirty (30) days written notice prior to cancellation; name <br />CITY, its officers, agents, employees, and volunteers, and the State of California, its officers, employees, and volunteers as <br />additional insured; and state that such coverage is primary to any other coverage or self-insurance of the State of California <br />and CITY. Governmental entities may substitute a certificate of self-insurance. Submit Copy of Policy <br />