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On the Job Training Pre Award Survey <br />BUSINESS NAME: Union Investments, Inc DBA StoneShine STATE TAX I.D. #005-3305 <br />ADDRESS: 2110 E. McFadden Ave. Suite G FEDERAL TAX I.D. # 20-4523787 <br />Santa Ana, CA 92705 <br />YES NO <br />1. The business does provide worker's compensation coverage. ® ? <br />Policy Number: 065257298 <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 ho , or child <br />labor violations during the past 12 months. V\4'? a 0A V--k1-tv, il. -W - <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. ??- G.-?WWw?u~ <br />evvy1OS9->i <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. ®NA ? ? <br />10. Business license is current. ® ? <br />11. 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 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# <br />r?aceliDelgaao 09/09/2013 <br />E ployer Title Date OJT Coordinator/Case Manager Date <br />Carlos de la Riva Dat Sandra D. Gottlieb Date <br />Economic Development Specialist Economic Development Manager <br />CONTRACT RECOMMENDED: YES ? _ NO ? <br />Rev. 8/2012