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On the Job Training Agreement Checklist <br />BUSINESS NAME: California Waters. LLC <br /> YES NO <br />1. Pre Award Survey ? <br />2. OJT Agreement Template: Training dates (pg 1), reimbursement rate (pg 1), and <br />maximum reimbursement amount (pg 4), and Employer Info (pg 5) match Exhibit s- ? <br /> A-Training Plan. <br />3. Exlyibit A: Training Plan <br /> OJT's to employees do not exceed 1-5 ratio <br />NO'SVP Level is => 3+ <br />Hours of Training are reasonable <br />Cost Computation is in accordance hourly wage 50% of wages or sliding scale ? <br /> based on number of employees per DOL waiver. <br />-Signed by Employer <br />4. Exhibit B: Assurances <br /> <br />5. Exhibit C: Insurance commercial/workers comp for 1,000,000 with Additional <br />Insured Endorsement naming City of Santa Ana as Additional Insured. ? <br />6. Exhibit D: Drug Free Workplace Form completed and signed. ? <br />7. Exhibit E: Debarment Certification signed. . ? <br />8. File: <br />ADA Survey ? <br /> EEO &Z Grievance Procedures <br />9. Three copies of agreement and canary routing slip attached fix' ? <br />Comments: <br /> <br /> <br /> <br />Program Supervisor Date