Laserfiche WebLink
On the Job Training Pre Award 'S,_urvey <br />BUSINESS NAME: {??-?- ??/?C;ti(?GI,(/?,(?? A?jylc,? STATE TAX I.D. # `?? ?9?y? ' <br />ADDRESS: Huai ularrur«-v? 3 -p937??f <br />?'???`? ? FEDERAL TAX I.D. # 3 -3 <br /> YES NO <br />1 . The business does provide worker's compensation coverage. ? ? <br /> Policy Number: SO (o ?i?? p ? ?j <br />2. The business does provide General Liability Insurance in the amount of ? ? <br /> One Million Dollars ($1,000,000). Policy must identify the City of Santa Ana as <br /> the certificate holder. <br />3. The system used for business accounting does document cash received, state and <br /> federal tax withholdings, FICA deductions. ? <br />4. The business has not been cited for any health, safety, wage and hour, or child <br /> labor violations during the past 12 months. [] <br />5. The business maintains a grievance and/or complaint handling procedures for ? ? <br /> employees. <br />6. The prospective OJT client is not a former employee of the business. <br />7. Wages for the planned OJT position are wages comparable to similar positions. ?? ? <br />g. A written job description for this position is on file. ?? ? <br />9. Union concurrence has been obtained. ? n]`? ? <br />10. Business license is current. <br />1 1 . The business has not had any employees laid off in the past 6 months. <br />12. The business is financially stable and has the means to train and pay for the <br />prospective OJT employee. ? / ? <br />The employer stipulates and agrees by signing below that the establishment in which ?onY-the job <br />training will be given: <br />(1) Has not been moved from any previous location less than ] 20 days prior to the effective date of the <br />OJT contract. <br />(2) Is not a branch, affiliate or subsidiary of a business entity in another location which has, at any time <br />subsequent to the date of the OJT contract, relocated or expanded so as to cause an increase in <br />unemployment or the closing down of operations in which the entity conducts business operations. <br />TOTAL WORKFORCE # ? CONTRACT RECOMMENDED YES ? NO ? <br />Comments: <br />Lll//l ?1 ? ? ? 3l /ZOO ? Z <br />?p yer Title Date <br />ar <br />dJT Coo/?'r?tFir(atdr/ se Manager ? Gate <br />//`r c-> ?-?? 0 I `- ?- <br />Progra Supervisor/Director Date