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On the Job Training Agreement Checklist <br />BUSINESS NAME: ? (7 C???r 1 =??? (OnQ ? ?YG(,(?t ? yam(( ?, cl'-fir <br />J <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 <br /> A-Training Plan. <br />3. Exhibit A: Training Plan <br /> OJT's to employees do not exceed 1-5 ratio ; ? <br /> 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. y?? ? <br />7. Exhibit E: Debarment Certification signed. C7 <br />8. File: ? <br /> ADA Survey <br /> EEO & Grievance Procedures <br />9. Three copies of agreement and canary routing slip attached ??y ? <br />Comments: <br /> <br /> <br /> <br />Program S upervisor Date