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On the Job Training Pre Award Survey <br />BUSINESS NAME: ?;?I"I.D. # -2--3 ?5W4p? <br />ADDRES S: Rcc?aie-1 l <br /> ?? „?,. LIJ? ol?U FEDERAL TAX I.D. <br /> YES NO <br />1. The business does provide worker's coom <br />ens ' n coverage. ,Cyr <br />7? ? <br /> ? <br />Policy Number: <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 />/ ? <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. tC?T) ? <br />7. Wages for the planned OJT position are wages comparable to similar positions. ? <br />8. A written job description for this position is on file. ?-) ? <br />9. Union concurrence has been obtained. 7?y? <br />? ? <br />10. Business license is current. 7?j ? <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 on-the-job <br /> training will be given: <br /> (1) Has not been moved from any previous location less than 120 days prior to the effectiv e 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 incr ease i n <br /> unemployment or the closing down of operations in which the entity conducts business operations. <br />TOTAL WORKFORCE # CONTRACT RECOMMENDED YESV] <br />-\ NO ? <br />Comments: <br /> <br /> <br /> <br />Em toyer Title Date <br />at se Manager Dat <br /> 7n: <br /> Program Supervisor/Director ate