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On the Job Training Pre Award Survey <br />BUSINESS NAME: _ Coast composites_ Inc. STATE TAX LD. # 229-3890-6 <br />ADDRES S: 1395 South Lvon Street FEDERAL TAX LD. # 7 1-0950 1 3 9 <br /> Santa Ana_ CA 92705 <br /> YES NO <br />1. The business does provide worker's compensation coverage. <br /> Policy Number: WC509588100 <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 ® D <br /> labor violations during the past 12 months. <br />5. The business maintains a grievance and/or complaint handling procedures for ® ED <br /> employees. <br />6. The prospective OJT client is not a former employee of the business. ® EA <br />7. Wages for the planned OJT position are wages comparable to similar positions. ® ID <br />8. A written job description for this position is on file. ® 0 <br />9. Union concurrence has been obtained. ®NA E] <br />10. Business license is current. ® ED <br />11. The business has not had any employees laid off in the past 6 months. ® D <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 effective date o f 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 operati ons. <br />TOTAL WORKFORCE # 285 CONTRACT RECOMMENDED YES 0 NO E__1 <br />Comments: <br /> <br /> -7 z <br />Empl-byer se <br />a ger Date <br />itle Date o or/Caa <br /> n <br />l <br /> Program Supervisor/Director Date