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Attachment D <br />Assurances & Certifications <br />Selected providers will be required to sign and submit "actual" assurances and certificates as required <br />by the City 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 <br />automatically rejected. Please initial each box. <br />_A_ I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as the <br />owner of this agency or business to submit this proposal. <br />u 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 <br />WIA 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 />We do or will meet the applicable Federal, State, and local compliance requirements. <br />These include, but are not limited to: <br />nrds accurately reflect actual performance. <br />tain record confidentiality, as required. <br />�Reporting financial, participant, and performance data, as required. <br />L=JC mply with State and Federal fiscal and program activity audits. <br />C plying with Federal and State non-discrimination provisions. <br />eting requirements of Section 504 of the Rehabilitation Act of 1973. <br />eting requirements of the American's with Disabilities Act of 1990. (submit attachment F) <br />M eting all applicable labor law, including Child Labor Law standards. <br />[] gree to provide a drug free workplace. <br />ee to insure the City of Santa Ana through General Liability Insurance and Automobile <br />Liab' ' y. Coverage in the amount of $1,000,000.00 policy. <br />AA to provide all participants with Grievance Procedures. <br />gree to insure proposer's employees through Workers Compensation Insurance <br />(inc ing part-time employees) <br />Procurement policies and procedures are in place and meet federal guidelines. <br />We <br />will not: <br />la e a youth in a position that will displace a current employee. <br />imu <br />WIA money to assist, promote, or deter union organizing. <br />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 <br />use for sectarian instruction or religious worship. <br />Use WIA funds for activities that would interfere with or replace regular academic requirements <br />fore ' ible youth who are not dropouts. <br />j Use WIA funds to carry out programs funded under the School -to -Work Opportunities Act of <br />1994 less the program(s) are only for youth eligible to participate under WIA. <br />se WIA money under this contract to purchase any equipment. <br />I heressure that all of the above are true. <br />D . ZaJimene'z�-Hi � ~ Executive Director and Founder March 15, 2010 <br />Name Title Date <br />EXHIBIT G <br />