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DocuSign Envelope ID:ODO4B5DD-363F-41 FF-BD24-FAD291133B51 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> • Chapel Hill-Carrboro Chamber of Commerce: The Chamber shared information from <br /> their surveys of member businesses. The Chamber also promoted our living wage <br /> certification program while hosting a conference with other Chambers from all over <br /> the state. We will continue to engage with the Chamber to inform their members <br /> about our organization and explore ways to collaborate. <br /> • Hillsborough Chamber of Commerce: We will be partnering with this agency in the <br /> same manner as indicated above. <br /> • Just Economics in Asheville, NC: We have consulted with them about the mechanics <br /> of setting up our living wage certification program, and about issues that arise from <br /> time to time about criteria for certification and recertification. <br /> • Durham Living Wage: We have consulted with them about initial steps in launching <br /> a living wage certification program here in Orange County, and website <br /> development. <br /> • Inter-Faith Council for Social Service: The IFC has helped us to reach out to faith- <br /> based organizations to promote our program and the value of certification. <br /> • United for a Fair Economy: We have joined this broad coalition of organizations <br /> seeking to raise the state minimum wage, which has been a stagnant $7.25/hour <br /> since 2009. <br /> • UNC Computer Science Department: As a class project, students worked in <br /> conjunction with faculty to develop (free of charge) a mobile app for living wage <br /> employers. The mobile app is valued at $12,000. <br /> • Cooperative Initiatives of the Carolinas Credit Union League: The director, Jeff <br /> Hardin, produced (free of charge) 25 short videos and screenshots of living wage <br /> employers to be posted on social media. The videos and screen shots are valued at <br /> $3,750. <br /> Program Description (3 pages OR LESS) <br /> Please provide the following information about the proposed program: <br /> d) Summarize the program services proposed and how the program will address a <br /> Town/County priority/goal? <br /> A member of the certification team meets with each business owner who wishes to <br /> apply for certification. An application is completed at this meeting or can be <br /> submitted to our website in advance of the meeting. The certification team <br /> determines whether our criteria for certification are met. For 2017, the minimum <br /> living wage required for certification is $13.15/hour. If at least fifty percent of an <br /> employee's health insurance premium is paid by the employer, the threshold for <br /> certification is $11.65/hour. If a business's eligibility depends on employees' tips, <br /> commissions or other payments that vary, a member of the certification team <br /> interviews a sample of employees or reviews credit card or other financial records to <br /> verify earnings. If the criteria are met, the business/organization is certified and <br /> receives materials including a decal that can be displayed at the work site indicating <br /> certification. Other materials include a framed certificate, a poster describing the <br /> program to be displayed in the workplace, and a car magnet to publicize the <br /> DO NOT SUBMIT THIS PAGE 12/15/2016 9:57:17 AMIII' : 19 •r 32 <br />