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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 />r/ <br />tV <br />ITV <br />W <br /> <br />I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as the o\o\lller <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, ifneeded. <br />We have, or will have, all afthe 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 />Joot limited to: <br />Eords accurately reflect actual performance. <br />intain record confidentiality, as required. <br />. porting financial, participant, and performance data, as required. <br />rJffiPlY with State and Federal fiscal and program activity audits. <br />mplying with Federal and State non.discrimination provisions. <br />Eting 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 />~Wee to provide a drug free workplace. <br />Er~ee to insure the City of Santa Ana through General Liability Insurance and Automobile Liability <br />~<;Pverage in the amount of$I,OOO,OOO.OO policy. <br />[B""""~ to provide all participants \\lith Grievance Procedures. <br />~~ee to insure proposer's employees through Workers Compensation Insurance <br />(including part-time employees) <br /> <br />~ilnot: <br />lk1e.ffice an Empowerment Zone resident in a position that \\Iill 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 />~us funds for Empowerment Zone residents in the construction, operation, or maintenance of any part <br />of acUity to be used for sectarian instruction or religious worship. <br />~s Empowerment Zone funds for activities that would interfere \\lith or replace regular academic <br />re rements for eligible youth who are not dropouts. <br />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 />~~r <br /> <br />,4))0 l.-F J> <br /> <br />.e-P VE..e..t, <br /> <br />€J{lEcur;rl <br />Title <br /> <br />J.,XEcr7J/L <br /> <br />I <br />/ <br /> <br />Date <br /> <br />Name <br /> <br />[ Fonnatted: Bullets and Numbering <br /> <br />[ Fonnatted: Bullets and Numbering <br /> <br />~nnatted: Bullets and Numbering <br />