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<br />Exhibit G <br /> <br />Assurances & Certifications <br /> <br />Selected providers will be required to sign and submit "actual" assurances and certificates <br />as required by the City of Santa Ana and the Workforce Investment Board on all contracts. <br /> <br />I recognize that I must give assurances for each item below. Ifl cannot, this proposal will <br />be automatically rejected. Please initial each box. <br /> <br />~ <br />m <br />~ <br /> <br />J 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 California, 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 WIA <br />funds will be used as required by law and contract. <br />We have additional funding sources and will not be dependent on WlA funds alone. <br /> <br />We will meet the applicable Federal, State, and local compliance reqnirements. These include, but are <br />not limited to: <br />~RecordS accurately reflect actual performance. <br />Maintain record confidentiality, as required. <br />Reporting fmancial, participant, and performance data, as required. <br />Comply with State and Federal fiscal and program activity audits. <br />Complying with Federal and State non-discrimination provisions. <br />Meeting 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 />Agree to insure the City of Santa Ana through Geueral Liability Insurance and Automobile Liability <br />Coverage in the amount of $1,000,000.00 policy. <br />Agree to provide all participants with Grievance Procedures. <br />Agree to insure proposer's employees through Workers Compensation Insurance <br />(including part-time employees) <br /> <br />We will not: <br />IPlace a youth in a position that will displace a current employee. <br />Use \VIA money to assist, promote, or deter union organizing. <br />Use funds to employ or train of persons in sectarian activities. <br />Use funds for youth in the construction, operation, or maintenance of any part of a facility to be used <br />. for sectarian instruction or religious worship. <br />~Use \VIA funds for activities that would interfere with or replace regular academic requirements for <br />eligible youth who are not dropouts. <br />~se \VIA funds to carry out programs funded under the School-to-Work Opportunities Act of 1994 <br />unless the program(s) are only for youth eligible to participate under WlA. <br /> <br />I hereb~ assure lbat all of the above are trne. <br /> <br />f/~0 <br /> <br />Name <br /> <br />CeD <br />Title <br /> <br />J/ C/ t>?- <br /> <br />Date <br /> <br />31 <br />