Laserfiche WebLink
<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 be <br />automatically rejected. Please initial each box. <br /> <br />IT I am authorized by my Board of Directors. Trustees, other legally qualified officer. or as the O\,ner of this <br />agency or business to submit this proposal. <br />IRJ V/e are not currently on any Federal. State of California, or local Debarment list. <br />[8] Vv'e will provide records to show that we are fiscally solvent ifneeded. <br />[ZJ \Ve have, or will have, all of the fiscal control and accounting procedures needed to ensure that V'/IA funds will <br />be used as required by law and contract. <br />[8 We have additional fundmg sources and will not be dependent on W1A funds alone. <br /> <br />We do or will meet the applicable Federal, State, and local compliance requirements. These mclude. but are not <br />limited to. <br />o Records accurately reflect actual performance. <br />[SJ Maintain record confidentiality, as required. <br />Z Reporting financial, participant, and perfonnance data, as required. <br />!R Comply with State and Federal fiscal and program activity audits. <br />[EJ Complying \vith Federal and State non-discrimination provisions. <br />[;:1 Mee.ting requirements of Section 504 of the Rehabilitation Act of 1973. <br />[8 i'vleeting. requirements of the American's with Disabilities Act of 1990. (submit completed 5.ur\'c~') <br />IS] Meeting alt appheabIe labor law, includmg Child Labor La" standards. <br />[8 Agree to provide a drug free workplace. <br />[8 Agree to insure the CIty of Santa Ana through General Liability Insurance and Automobile Ltabibty <br />Coverage in the amount of $ I ,000,000.00 policy. <br />[gJ Agree to provide all participants \vith Grievance Procedures. <br />[2J Agree to insure proposer's employees through Workers Compensation Insurance <br />(including part-hme employees) <br />[s] Procurement policies and procedures are in place and meet federal guidelines. <br /> <br />We will not: <br />[] Place a youth in a position that will displace a current employee. <br />[8] Use V\'IA money to assist, promote, or deter WllOn organizing. <br />[E- 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 for <br />sectarian instruction or religious worship. <br />[2J Use \VIA funds for activities that would interfere with or replace regular academic requirements for eligible <br />youth who are not dropouts. <br />[8 Use W1A funds to carry out programs funded under tbe School-to-Work Opportunities Act of 1994 unless <br />the program(s I are only for youth eligible to participate under W1A. <br />[2::; Use \VIA money under this contract to purchase any equipment. <br /> <br />I hereby assure that all of the above are true. <br /> <br />~/'~~ <br /> <br />(J/ 15 C> <br />Title <br /> <br />c;/Z.S'/tj7 <br />I Date r <br /> <br />Name <br />