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On the Job Training Agreement Checklist <br />BUSINESS NAME: ??. ?? i??_f????}-?? ?¢? p?'YS?- 1 \ ? ? ?^ <br />L <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. E ibit A: Training Plan <br />OJT's to employees do not exceed 1-5 ratio <br />?f?SVP Level is => 3+ <br />urs of Training are reasonable <br />ost Computation is in accordance hourly wage 50% of wages or sliding scale <br />ased on number of employees per DOL waiver. <br />igned by Employer <br />4. Exhibit B: Assurances <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 8z Grievance Procedures <br />9. Three copies of agreement and canary routing slip attached <br />Comments: <br />YES <br />`? <br />`?' <br />NO <br />.'? ? <br /> <br />Program Supervisor Date