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<br />, <br /> <br />Assurances & Certifications <br /> <br />Selected providers will be required to sign and submit "actual" assurances and certificates <br />as required by the Santa Ana Empowerment Corporation Board on all contracts. <br /> <br />I recognize that I must give assurances for each item below. IfI cannot, this proposal will <br />be automatically rejected. Please initial each box. <br /> <br />l'8:! <br />l'8:! <br />l'8:! <br />l'8:! <br />l'8:! <br /> <br />I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as the owner <br />of this agency or business to submit this proposal. ' <br />Weare not currently on any Federal, State of California, or local Debarment list. <br />We will provide records to sbow that we are fiscally solvent, if needed. <br />We have, or will have, all of the fiscal control and accounting procedures needed to ensure that <br />Empowerment Zone funds will be used as required by law and contract. <br />We have additional funding sources and will not be dependent on Empowerment Zone funds alone. <br /> <br />We will meet the applicable Federal, State, and local compliance requirements. These include, but are <br />not limited to: <br />;:.:,l'8:!Records accurately reflect actual performance. <br />,,:;l'8:!Maintain record confidentiality, as required. <br />,,:;l'8:!Reporting fmancial, participant, and performance data, as required. <br />,:c.l'8:!Comply with State and Federal fiscal and program activity audits. <br />=-l'8:!Complying with Federal and State non-discrimination provisions. <br />,,:;l'8:!Meeting requirements of Section 504 of the Rehabilitation Act of 1973. <br />gl'8:!Meeting requirements of the American's with Disabilities Act of 1990. (submit completed survey) <br />,:c.l'8:!Meeting all applicable labor law, including Child Labor Law standards. <br />,:c.l'8:!Agree to provide a drug free workplace. <br />,:c.l'8:!Agree to insure the City of Santa Ana through General Liability Insurance and Automobile Liability - <br />l'8:!Coverage in the amount of $1 ,000,000.00 policy. <br />;:.:,l'8:!Agree to provide all participants with Grievance Procedures. <br />,,:;l'8:!Agree to insure proposer's employees through Workers Compensation Insurance <br />(including part-time employees) <br /> <br />We will not: <br />,,:;l'8:!Place an Empowerment Zone resident in a position that will displace a current employee. <br />.;;.[8lUse Empowerment Zone money to assist, promote, or deter union organizing. <br />,:c.l'8:!Use funds to employ or train of persons in sectarian activities. <br />;;I:8'JUse funds for Empowerment Zone residents in the construction, operation, or maintenance of any <br />part of a facility to be used for sectarian instruction or religious worship. <br />l'8:!Use Empowerment Zone funds for activities that would interfere with or replace regular academic <br />requirements for eligible youth who are not dropouts. <br />;:.:,l'8:!Use Empowerment Zone funds to carry out programs funded under the School-to- Work <br />Opportunities Act of 1994 <br /> <br />I hereby assure that all of the above are true. <br /> <br />Title <br /> <br />June 22, 2005 <br />Date <br /> <br />Lee De Leon <br />Name <br /> <br />CEO <br /> <br />I <br />