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On-the-Job Training Contract Checklist <br />Business Name: Pacific Cleaninct Services <br />YES NO <br />1 . Pre Award Survey ? ? <br />2. OJT Agreement Template: Training Dates (pg 1), Funding (pg 1), Payment Cap <br />(pg 13)1 and Employer Info (pg 5) must match Exhibit A -Training Plan info. 0-- ? <br />3. E hibit A: Training Plan <br />JT's to employees do not exceed 1-5 ratio <br />?VP Level is =>3+ (training length) <br />'?? ? <br /> ours of Training are reasonable <br /> 8'Cost Computation is in accordance with hourly wage of 65% of wages, or <br /> sliding scale based on number of employees per DOL waiver. <br /> 'igned by Employer <br />4. Exhibit B: Assurances 8- ? <br />5. Exhibit C: Insurance commercial/workers comp for 1,000,000 with Additional 19r' ? <br /> Insured Endorsement naming City of Santa Ana as Additional Insured. <br />6. Exhibit D: Drug Free Workplace Form completed and signed. ,q/ ? <br />7. Exhibit E: Debarment Certification signed. i;r" ? <br />8. s. ' ' B <br /> <br />9. NOT <br />File: <br />? <br /> ADA Survey <br /> EEO & Grievance Procedures <br />100 Three copies of agreement and canary routing slip attached '2-' ? <br />Comments: <br /> <br /> <br /> <br />Program Supervisor Date