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Attachment D <br />Assurances & Certifications <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 />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 />[ti]' I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as <br />the owner of this agency or business to submit this proposal. <br />&-a, We are not currently on any Federal, State of California, or local Debarment list. <br />a�e(' [� 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 <br />iJ <br />ensure that 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 />,;�,1C�Records accurately reflect actual performance. <br />�vlaintain record confidentiality, as required. <br />�ke orting financial, participant, and performance data, as required. <br />A(kmply with State and Federal fiscal and program activity audits. <br />C,. E26-mplying with Federal and State non-discrimination provisions. <br />a\ 22epting requirements of Section 504 of the Rehabilitation Act of 1973. <br />U.k a ting requirements of the American's with Disabilities Act of 1990. (submit attachment F) <br />I -W le ting all applicable labor law, including Child Labor Law standards. <br />N�Ie to provide a drug free workplace. <br />A gree to insure the City of Santa Ana through General Liability Insurance and Automobile <br />Liabi'ty. Coverage in the amount of $1,000,000.00 policy. <br />Gt'r' A ree to provide all participants with Grievance Procedures. <br />Agree to insure proposer's employees through Workers Compensation Insurance <br />o (incl g part-time employees) <br />rn'krocurement policies and procedures are in place and meet federal guidelines. <br />We will not: <br />6,.wlam a youth in a position that will displace a current employee. <br />,00&e WIA money to assist, promote, or deter union organizing. <br />N,A-Mu e funds to employ or train of persons in sectarian activities. <br />,lk-[j�Jse funds for youth in the construction, operation, or maintenance of any part of a facility <br />to b,p,used for sectarian instruction or religious worship. <br />t* se WIA funds for activities that would interfere with or replace regular academic <br />-reqgkrLxments for eligible youth who are not dropouts. <br />r. se WIA funds to carry out programs funded under the School -to -Work Opportunities Act <br />of 199'4 unless the program(s) are only for youth eligible to participate under WIA. <br />A.� Use WIA money under this contract to purchase any equipment. <br />I hereby assure that all of the above arg true. <br />Name <br />3'30r 2_01 <br />Title �re�.Date <br />33 <br />