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Exhibit G Attachment D Assurances & Certifications Selected providers will be required to sign and submit "actual" assurances and certificates as required by [he City of Santa Ana and the Workforce Investment Board on all contracts. I recognize that 1 must give assurances for each item below. If I cannot, this proposal will be automatically rejected. PJease initial each box. I am authorized by my Board of Directors, Tmstccs, 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 Califomm, or local Ikbarment list. We will provide records to show that we are fiscally solvent, if needed. We have, or will have, all of the fiscal control and accounting procedures needed [o ensure [hat WIA funds will be used as required by law and contract. We have additional funding sources and will not be dependent on WIA funds alone. W e will meet the applicable Federal, Slate, and local compliance requirements. These include, but are not tmi[ed to: cords accurately reflect actual performance. aintain record confidentiality, as required. orting financial, participant, and performance data, as requited. ~mply with State and Federal fiscal and program activity audits. plying with Federal and State nondiscrimination provisions. eating requirements of Scc[ion 504 of the Rchabilimdon Act of 1973. ~c[ing requirements of the American's with Disabilities Ac[ of 1990. (submit completed survey) et~ng all applicable labor law, including Child Labor Law standards. ree to provide a drug free workplace. ree to insure the City of Santa Ana through Genera] Liability Insurance and Automobile Liability erage in the amount of $ I,DOQ000.00 policy. A ee to provide all participants with Grievance Procedtves. ee to insure proposer's employees through Workers Compensarion Insurance (including part-time employees) W dl not: ce a youth in a position that will displace a torten[ employee. WIA money to assist, promote, or deter union organizing. Use funds to employ or [rain of persons in sectarian activities. Use funds for youth in the construction, operation, or maintenance of any part of a facility to be used ..,,----,,(( for sectarian instruction or religious worship. QyUse W1A funds for activities that would interfere with or replace regular academic requirements for /~~~/// eligible youth who are not dropouts. 17yUse WIA funds to carry out programs funded under [he School-to-Work Opportunities Act o£ 1994 / unless the program(s) are only £or youth eligible to participate under WIA. I hereby a~sure that al f the ova are true. Title Attachment E •- - - Formatted: Bullets and Numbering •--- Formatted: Bullets and Numbering •--- Formattetl: Bullets and Numbering ~~~~ S' 34