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Exhibit G <br />Assurances & Certifications <br />Selected providers will be required to sign and submit "actual" assurances and certificates as required by the City <br />of Santa Ana and the Workforce Investment Board on all contracts. <br />I recognize that I must give assurances for each item below. If I cannot, this proposal will be automatically <br />rejected. Please initial each box. <br />® f C,' I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as the owner of <br />r this agency or business to submit this proposal. <br />® /� We are not currently on any Federal, State of California, or local Debarment list. <br />®1�1�, 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 />1 funds will be used as required by law and contract. <br />®�L We have additional funding sources and will not be dependent on WIA funds alone. <br />We do or will meet the applicable Federal, State, and local compliance requirements. These include, but are <br />not limited to: <br />.-/Y/ Records accurately reflect actual performance. <br />®Maintain record confidentiality, as required. <br />®Reporting financial, 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 />r� ®Meeting requirements of Section 504 of the Rehabilitation Act of 1973. <br />LA ®Meeting requirements of the American's with Disabilities Act of 1990. (submit completed survey) <br />7 /KNMeeting 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 General 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 />�u ®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 />/ We will not: <br />v� ®Place a youth in a position that will displace a current employee. <br />®Use WIA 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 WIA funds for activities that would interfere with or replace regular academic requirements for <br />/ eligible youth who are not dropouts. <br />✓ii ®Use WIA 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 />®Use WIA money under this contract to purchase any equipment. <br />I hereby;ossure that aVof the above are true. <br />Name <br />c y Director, Career Develo <br />Title <br />ROP�` %� <br />Date <br />30 <br />