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On the Job Training Pre Award Survey <br />BUSINESS NAME: U.S. Saws Inc. STATE TAX I.D. # 262-2193 <br />ADDRESS: 3317 W. Warner Ave. FEDERAL TAX I.D. # 20-0661644 <br /> Santa Ana, CA 92704 <br /> YES NO <br />1. The business does provide worker's compensation coverage. ?1 ? <br /> Policy Number: -[11)13372?7'3,,°/-!2. <br />2. The business does provide General Liability Insurance in the amount of CSI ? <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 l] ? <br /> federal tax withholdings, FICA deductions. <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 R1 ? <br /> employees. <br />6. The prospective OJT client is not a former employee of the business. ? <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. ONA ? ? <br />10. Business license is current. © ? <br />11. The business has not had any employees laid off in the past 6 months. [1 ? <br />12. The business is financially stable and has the means to train and pay for the E K. ? <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 />Employer Title Date <br />n a,4/K---- <br />Carlos de In Riva Date <br />Economic Development Specialist <br />Acting Economic Development Manager <br />CONTRACT RECOMMENDED: YES`, NO ? <br />9/W/3 <br />Rev. 8/2012