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<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. If I cannot, this proposal will <br />be automatically rejected. Please initial each box. <br /> <br />IXI <br />[jIJ <br />I'll <br />!{J <br />qJ <br /> <br />I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as the O\\o11er <br />of this agency or business to submit this proposal. <br />We are not currently on any Federal, State of Cali fomi a, or local Debannent 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 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 />~ meet the applicable Federal, State, and local compliance requirements. These include, but are <br />not limited to: <br />I13Records accurately reflect actual performance. <br />Maintain record confidentiality, as required. <br />eporting financial, participant, and performance data, as required. <br />omply with State and Federal fiscal and program activity audits. <br />Complying with Federal and State non-discrimination provisions. <br />Meeting requirements of Section 504 of the Rehabilitation Act of 1973. <br />Meeting requirements of the American's with Disabilities Act of 1990. (submit completed survey) <br />Meeting all applicable labor law, including Olild Labor Law standards. <br />Agree to provide a drug free workplace. <br />Agree to insure the City of Santa Ana through General Liability Insurance and Automobile Liability <br />Icoverage in the amount of$l,OOO,OOO.OO policy. <br />Agree to provide all participants with Grievance Procedures. <br />Agree to insure proposer's employees through Workers Compensation Insurance <br />(including part-time employees) <br /> <br />We will not: <br />IPlace an Empowerment Zone resident in a position that 'Nil! displace a current employee. +-- <br />Use Empowerment Zone money to assist, promote, or deter union organizing. <br />Use funds to employ or train of persons in sectarian activities. <br />Use funds for Empowerment Zone residents in the construction, operation, or maintenance of any part <br />ofa facility to be used for sectarian instruction or religious worship. <br />lfl]Use Empowerment Zone funds for activities that would interfere with or replace regular academic <br />requirements for eligible youth \\ho are not dropouts. <br />mUse Empowerment Zone funds to carry out programs funded under the School-to-Work Opportunities .... <br />Act of 1994 <br /> <br />I hereby assure that all of the above are true. <br /> <br />Ii(~. 'h1~ -hrn' q.(j <br />Name <br /> <br />~-If.,~ <br />Date <br /> <br />C 1\ fCJ ITlIIE <br />Title -UrREC?T01L <br /> <br />- - - -. - { Formatted: Bullets and Numbering 1 <br /> <br />.. - { Formatted: Bullets and Numbering 1 <br /> <br />----{ Formatted: Bullets and Numbering I <br />