CAMBODIAN FAMILY, THE 7 - 2005 - Laserfiche WebLink

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Assurances & Certifications Selected providers will be required to sign and submit "actual" assurances and certificates as required by the Santa Ana Empowerment Corporation Board on all contracts. I recognize that [must give assurances for each item below. If I cannot, this proposal will be automatically rejected. Please initial each box. 1& ~ l8' ~ ~ I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as the owner of this agency or business to submit this proposal. We are not currently on any Federal, State of Cali fomi a. or local Debarment list. We will provide records to show that we are fiscally solvent, ifneeded. We have, or will have, all of the fiscal control and accounting procedures needed to ensure that Empowennent Zone funds will be used as required by law and contract. We have additional funding sources and will not be dependent on Empowerment Zone funds alone. We will meet the applicable Federal, State. and local compliance requirements. These include, but arc not limited 10: lEecordS accurately reflect actual perfonnance. - - - i Formatted: Bullets and Numbering I aintain record confidentiality, as required. Reporting financial, participant, and perfonnance data. as required. rgJComply with State and Federal fiscal and program activity audits. ~Complying with Federal and State non~discrimination provisions. li:!Meeting requirements of Section 504 of the Rehabilitation Act of 1973. DS:JMeeting requirements of the American's with Disabilities Act of 1990. (submit completed survey) ~eeting all applicable labor law, including Child labor Law standards. ~Agree to provide a drug free workplace. 18Agree to insure the City of Santa Ana through General Liability Insurance and Automobile Liability [8Coverage in the amount of$ 1 ,000,000.00 policy. '[gAgree to provide all participants w'ith Grievance Procedures. rlJAgree to insure proposer's employees through Workers Compensation Insurance (including part-time employees) w~ will not: ~P~mpowerment Zone resident in a position that will displace a current employee. ! Formatted: Bullets and Numbering I [8JUse Empowerment Zone money to assist, promote, or deter union organizing. ~Use funds to employ or train of persons in sectarian activities. ~Use funds for Empowerment Zone residents in the construction, operation, or maintenance of any part ofa facility to be used for sectarian instruction or religious worship. ~Use Empowennent Zone funds for activities that would interfere w'ith or replace regular academic ~uirements for eligible youth who are not dropouts. ~Use Empowerment Zone funds to carry out programs funded under the School-to-Work Opportunities.. - - [Formatted: Bullets and Numbering I Act of 1994 at all of the above are true. q EXEettnvf b/~( Title Date