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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. In cannot, this proposal will <br />be automatically rejected. Please initial each box. <br /> <br />EIT <br />~ <br />ffi/ <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 />We are not currently on any Federal, State of Cali fomi a, 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 ensure that <br />/ Empowerment Zone funds will be used as required by law and contract. <br />Q/ 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 />_ ym limited to: <br />BR~cords accurately reflect actual performance. <br />~intain record confidentiality, as required. <br />!;R orting financial, participant, and performance data, as required. <br />omply with State and Federal fiscal and program activity audits. <br />L.::J~mplying with Federal and State non-discrimination provisions. <br />~'eeting requirements of Section 504 of the Rehabilitation Act of 1973. <br />eeting requirements of the American's with Disabilities Act of 1990. (submit completed survey) <br />~~eeting all applicable labor law, including Child Labor Law standards. <br />S'1)g{ee to provide a drug free workplace. <br />~gree to insure the City of Santa Ana through General Liability Insurance and Automobile Liability <br />~s;average in the amonot of $1,000,000.00 policy. <br />!,;;;JApee to provide all participants with Grievance Procedures. <br />l1d1\gree to insure proposer's employees through Workers Compensation Insurance <br />(including part-time employees) <br /> <br />~illnot: <br />~~ace an Empowerment Zone resident in a position that will displace a current employee. <br />~se Empowerment Zone money to assist, promote, or deter union organizing. <br />~~ funds to employ or train of persons in sectarian activities. <br />tldUse funds for Empowerment Zone residents in the construction, operation, or maintenance of any part <br />of ~cility to be used for sectarian instruction or religious worship. <br />BUse Empowerment Zone funds for activities that would interfere with or replace regular academic <br />re<J1i'rrements for eligible youth who are not dropouts. <br />I21Use Empowerment Zone funds to carry out programs funded noder the School-to-Work Opportunities <br />Act of 1994 <br /> <br /> <br />of the above are true. <br /> <br />Executive Director <br />Title <br /> <br />6/16/05 <br />Date <br />