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<br />: E ~ - . 4- <br /> <br />FE8-1a-2(30.~ 1<:1:0,j L:::"Jf'!; <br /> <br />; "' ~ <br /> <br /> <br />FEB-14-2005 09:15 <br /> <br />:J~r!: tl~ <br /> <br />T[.':-:--2<J <br /> <br />'-'. c.' _ <br /> <br />".:17~ <br /> <br />~331j <br /> <br />" <br />~~>~ <br /> <br />El~i <br /> <br />-" I' - <br />~ ,~. J. ~ '), .] ~ <br /> <br />~: :: <br /> <br />i <br />1------ <br />! <br /> <br />1_11I< <br /> <br />, <br />L~hHd. ~ " <br />I Assurances & Certifications <br /> <br />S.I led providers will be required to sign anu submit "..tlllal" assur-doce. and ccrtifiC$t",. <br />.quired by the Cit)' or Stinllo AJlu and the Workforce In,,.ument Boara on ll1I ool11Ol'lict&< <br /> <br />J CllgnUt tj",j I must give as!UraDctJ; fl)r c.ch item below, If 1 ClllllltJl, tWo proposal will <br />be l1roIDllUCIlll)' J...jected Please initial eacL box. <br /> <br />] alll 8uthori:z.ed by my 'BObla /)fDirc:c~or.r., Trustet~, otht:~ iegtllly qU3.1ifi<<l (\ffi;er, or a-s th.e OWTJer Dr llm; <br />IIgt:ncy ~r baslm:s~ tu ~ubmjt [."/1:; plOP:lSaJ <br />WI:. e.l't nol cl"trrr..l1tl) on wy Federal, Stl:Itc of QJlifomi.ll , Dr IOC1l1 DcblU"lnent list <br />We will JlTOVldt: recon.i~ to ,how that1lJ!.' are fisr;lllly $olvcm, if11l~oded. <br />We JIll/t, (.IT wiJl1avt, al) of the fr!J;td cClIltrol and accoUDting prooouurct; n.:edcil 10 ens~e that WlA. funds. <br />",jI) be IUd as reQ\.!\fed by lzw ~aLllXl~Ct. <br /> <br />e !iDVnottm<.m&lfu.ntling-nlU~O-wjlLnDl..ht....dl'p.e.l).ci_onl Oll WJ A funds alone. <br /> <br />will m..,' the applicable Federal, Stat<, and IDcul comvIianc.e requirements. These <br />",elude, but are not 11lIliled to: <br />RccCJrd:; 3CCUf,jtcly rld}e;r bCl1.l~l pertonu:mcc. <br />Mainmm TocorO c:.onfidenhali::y. as required. <br />Reportmg "fina.llCiOll, pD.rtu~i'Part~, and pe...forntan~ QaDi, a.) Jequirtd, <br />Campl)' 'WIth State aM. Fe~l fis=1 and prog.ram 8.Cl:iVltY1i.1diu <br />Cump1yjng with FedC3'aJ Jlnd SUllO ilcm-discrimmation prOV~S}Qm;. <br />Met:un, ToquireIO~ ofSecuo1J 5V4 oftbe Rt:hu."iiitRtior. Act of 1973, <br />lvIeetlDg. requlfc.tlll:;lIb of the Ame.rlc&rl's with !nSabiiitie> Act cf 199(;-. (s'Ubmit completed SIU....cy} <br />Me=Z t\lapplieable IabOI l.w, i.cluQjn~ Chik Wor Lltw .,."donls <br />Agrt~ W I'TC\lWe ~ QrUi fret 'Norkpl,-oc <br />Agree 10 illStlt'e ~h~ City of ~w Am through GCIICI-:sl lJabiHt)' Ins\lrjIDct iUld AUUJmobiic 1..l~ility <br />Coverage ir, tlJ, ...,,,,,, of Sl.OOO.OODUD poUey <br />All''' to provIlle .11 ~,,"icjpantt with Cir;"....co l'roco<lures <br />^grcc to in,U1c prClp~"s empkryOC"s thr0\1g.1 Workco Coml'cr.:mLi01l1nl:W:IJlce (inl;ludmg: part-time <br />cll~ploycgs) <br /> <br />-,ewillllQl: <br />, <br />?la:c ~ )'OUUI in Z' positioo :!her will tli~l~c ll.cWTent emplor=. <br />Use W1A 1'DtlJ1C}'to IUSl.st. promote, or dtHtl' U1lion ot.8J.U1Lt.m~ <br />U~ fulds K: employ \)T mrin Qfpersons m 5ecmnAIllIctj\.jtie~ <br />lhe funds for youth in thl ..;onstructioll, I;;'peratian, or m~intQ1Mcc of~)' pan Ofl flicility to ~ ~Cld fm <br />~~ian in5-trllCrion or reilg.,ou5 wOl'$hip. <br />USt WlA tunds 10r l\~tivitic:. that would iml:rfere wirh OJ repl.,oc regul2J ac8l.'ltIr.1C r-:oquireml!nt: for <br />t.hglble youth wllu;2Te not dropout!; <br />Use WlA funds1c C.ll1TY oUt pl"OgraIll'.i fund~ wuiu the School-to,WDJt, Opponun;bc~ Act of 1994 <br />.uJ.lcss ~ht prosra.'1ll~) iltt only for Y\luth dj~ib1e UI 08.J1icil'ate under WlA. <br /> <br /> <br />th'l~ above are tnle. <br />-' <br />Exec;u1.ive Director <br />Titl. <br /> <br /> <br />Jul 25. 2005 <br />Dot<: <br /> <br />37 <br /> <br />F~X:714 835 7330 <br /> <br />w: <br /> <br />PAGE;G<Jc 1"=93'. <br /> <br />