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<br />. 'f <br /> <br />Exhibit G <br /> <br />Assurances & Certifications <br /> <br />Selected providers will be required to sign and submit "actual" assurances and certificates as <br />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. If! cannot, this proposal will <br />be automatically rejected. Please initial each box. <br /> <br /> <br />~~ I. 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 />(0/ ~e will provide records to show that we are fiscally solvent, if needed. <br />[Q./' 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 />W We have additional funding sources and will not be dependent on WIA funds alone. <br /> <br />We do or will meet the applicable Federal, State, and local compliance requirements. These include, <br />JXit are not limited to: <br />[gReSPfds accurately reflect actual performance. <br />~~tain record confidentiality, as required. <br />~eperting [mancial, participant, and performance data, as required. <br />b)e'JIDPly with State and Federal fiscal and program activity audits. <br />~Jlffiplying with Federal and State non-discrimination provisions. <br />~.;eting requirements of Section 504 of the Rehabilitation Act of 1973. <br />~yeting requirements of the American's with Disabilities Act of 1990. (submit completed survey) <br />~yeting all applicable labor law, including Child Labor Law standards. <br />~.,.gtee to provide a drug free workplace. <br />~~ to insure the City of Santa Ana through General Liability Insurance and Automobile Liability <br />~~rage in the amount of $1,000,000.00 policy. <br />~~ to provide all participants with Grievance Procedures. <br />~gree to insure proposer's employees through Workers Compensation Insurance <br />... [iJl6uding part-time employees) <br />~curement policies and procedures are in place and meet federal guidelines. <br /> <br />We wi11 not: <br />[9(~. a youth in a position that will displace a current employee. <br />[g6~ money to assist, promote, or deter union organizing. <br />[gt(~nds to employ or train of persons in sectarian activities. <br />Wse funds for youth in the construction, operation, or maintenance of any part of a facility to be used <br />~ sectarian instruction or religious worship. <br />~[g{1se WIA funds for activities that would interfere with or replace regular academic requirements for <br />gible youth who are not dropouts. <br />ae funds to carry out programs funded under the School-to- Work Opportunities Act of 1994 <br />ess the program(s) are only for youth eligible to participate under WIA. <br />se WIA money under this contract to purchase any equipment. <br /> <br />I hereby assure that all of the above are true. <br /> <br />--r ftYL ' <br />.... ~ oe':;l lLav\ N <br />Na e <br /> <br />-t;'f: e C~~~ \J \ (e~.:~y <br />Title <br /> <br />if -Zc:; -07 <br />Date <br />