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On the J(ob Training Agreement Checklist <br />BUSINESS NAME: ???5-{ ??iNY1lPO???P??C• <br />YES NO <br />1. Pre Award Survey cam( <br />J"? ? <br />2. ./ <br />OJT Agreement Template: Training dates (pg 1), reimbursement rate (pg 1), and ? ? <br /> maximum reimbursement amount (pg 4), and Employer Info (pg?9) mate-Exhibit <br /> A-Training Plan. <br />3. Exhibit A: Training Plan <br /> ?OJT's to employees do not exceed 1-5 ratio ? ? <br /> ?S.VP 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 /> ?igned by Employer <br />4. Exhibit B: Assurances .? <br /> <br />5. Exhibit C: Insurance commercial/workers comp for 1,000,000 with Additional ?j ?j <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 8t Grievance Procedures <br /> W9 and W9 Request Forms <br />9. Three copies of agreement and canary routing slip attached ?j ? <br />Comments: <br />Program Supervisor Date