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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. IfI cannot, this proposal will <br />be automatically rejected. Please initial each box. <br /> <br />"Q <br />'bJ <br />'i;J <br />'bD <br />'iiJ <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 />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 WIA funds alone. <br /> <br />We do or will meet the applicable Federal, State, and local compliance requirements. These include, but <br />are not limited to: <br />"QRecords accurately reflect actual performance. <br />"{]Maintain record confidentiality, as required. <br />"iJReporting financial, participant, and performance data, as required. <br />"G]Comply with State and Federal fiscal and program activity audits. <br />:is]Complying with Federal and State non-discrimination provisions. <br />BMeeting requirement' 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 />bJMeeting all applicable labor law, including Child Labor Law standards. <br />'E]Agree to provide a drug free workplace. <br />"{;JAgree to insure the City of Santa Ana through General Liability Insurance and Automobile Liability <br />"'1:JCoverage 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 />~Procurement policies and procedures are in place and meet federal guidelines. <br /> <br />We will not: <br />'-QPlace a youth in a position that will displace a current employee. <br />'E]Use \\'lA money to assist, promote, or deter union organizing. <br />~Use funds to employ' or train of persons in sectarian activities. <br />"'QUse 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 />'EJUse \VIA funds for activities that would interfere with or replace regular academic requirement.;;; for <br />eligible youth who are not dropouts. <br />~Use \\1A 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 WIA. <br />t:!JUse \\1A money under this contract to purchase any equipment. <br /> <br />J hereby assure that all of the above are true. <br /> <br /> <br />'SICEc '-'\\ v ~ D! i2-E C:, CJ ~ <br />Title <br /> <br />'i <... c'7 <br />Date <br />