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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! cannot, this proposal will <br />be automatically rejected. Please initial each box. <br /> <br />;& <br />l <br />~ <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 />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 />,MRecords accurately reflect actual performance. <br />~Maintain record confidentiality, as required. <br />}(lReporting financial, participant, and performance data, as required. <br />~omply with State and Federal fiscal and program activity audits. <br />!EOffiPIYing with Federal and State non-discrimination provisions. <br />eeting 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 Child Labor Law standards. <br />Agree to provide a drug free workplace. <br />gree to insure the City of Santa Ana through General Liability Insurance and Automobile Liability <br />Coverage in the amount of $1,000,000.00 policy. <br />gree to provide all participants with Grievance Procedures. <br />gree to insure proposer's employees through Workers Compensation Insurance <br />(including part-time employees) <br /> <br /> <br />:t!; will not: <br />~P1ace an Empowerment Zone resident in a position that will displace a current employee. <br />Ise Empowerment Zone money to assist, promote, or deter union organizing. <br />se funds to employ or train of persons in sectarian activities. <br />se funds for Empowerment Zone residents in the construction, operation, or maintenance of any part <br />of a facility to be used for sectarian instruction or religious worship. <br />NUse Empowerment Zone funds for activities that would interfere with or replace regular academic <br />~."_irements for eligible youth who are not dropouts. <br />jC:>Use 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 />/J~ U-' f;.~_ {}MC_..Jj.~ 1)j~,-J-,.,.. <br /> <br />I.:::::!: Name Title <br /> <br />t I,n / t7l- <br /> <br />Daie <br />