2017-014-E DSS - Durham Technical Community College for employment services

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onnunign Envelope ID:onFsoexE-F9eE-4000-97As177nn400eoro more of the conditions of G.S. |O5'l64.X(h); and (b) [check one of the fb!lowing boxesj E Neither the Contractor nor any of its affiliates has incorporated or reincorporated in a "tax have country" as set forth in G.S. |43-59.l(o)(2) after December 3l` 200l; ur E The Contractor or one of its affiliates has incorporated or reincorporated in a"tax haven country' as set forth in G.S. 143-59.1(c)(2) after December 31, 2001 but the United States is not tb« principal market for the public trading of the stock of the corporation incorporated in the t. , haven country. (3) Pursuant to G.S. 143-59.2(b), the undersigned hereby certifies that none of the Contractor's officers, directors, or owners (if the Contractor is an unincorporated business enti ) has been convicted of any violation of Chapte 78A of the General Statutes or the Securities Act of 1933 or the Securities Exchange Act of 1934 within 10 year immediately prior to the date of the bid solicitation. (4) The undersigned hereby certifies further that: (a) He or she is a duly authorized representative of the Contractor named below; (b) He or she is authorized to make, and does hereby make, the foregoing certifications on behalf of th; Contractor; and , (c) He or she understands that any person who knowingly submits a false certification in response to 1bv requirements of S. l43'59.lomd '59.2 shall he guilty of a Class I felony. (5) Pursuant to the Orange County Living Wage Contractor's Policy: (a) The undersigned certifies that the Contractor pays the employees who perform services under this contract u living wage (in Orange County currently $13.15 per/hr.) Check here 1 if contractor pays enmployuc% performing under this contract a living wage. If Contractor does not pay employees a living wage, what is th wage that employees performing services under this contract paid Durham Tech CC o�"»m=v^'' - _ ___-_--_- --------- Co c ��' ' -- IZ/l6/ZOl6 aoDOFB377E504E9- Signature of Contractor's Authorized Agent Date Matthew williams vP. Finance and Admin. service Priot /\ r'u&utborizcdgent Title `^~~ controller Signature of Witness Title Andrew Kleitsch I2/16/2016 Printed Name of Witness Date The witness should be present when the Contractor's Authorized Agent signs this certification and should sign and duh this document immediately thereafter. Contractor Certifications Required by North Carolina Law Page 2of)