Orange County NC Website
DocuSign Envelope ID: 179DC6FB-73BA-4F64-A513-C8AB2B7D864F <br /> (c) He or she understands that any person who services under this contract a living wage (in <br /> knowingly submits a false certification in response Orange County currently $14.95 per/hr.) Check <br /> to the requirements of G.S. 143-59.1and -59.2 here ❑ if contractor pays employees performing <br /> shall be guilty of a Class I felony. under this contract a living wage. If Contractor <br /> does not pay employees a living wage, what is the <br /> (1) Pursuant to the Orange County Living Wage wage that employees performing services under this <br /> Contract's Policy, the undersigned certifies that contract paid? <br /> the Contractor pays the employees who perform <br /> Contractor's Name: senior Care of orange County,Inc. <br /> DocuSigned by: <br /> Contractor's SWvri Nxsbt , 7/10/2019 <br /> Authorized Agent: signature �P Date <br /> C5B55FF72C3C4D2. <br /> Swavzene Riaasbee Executive Director <br /> Printed Na DocuSigned by: Title <br /> �AWBE08 05 9/12/2019 <br /> Witness: Si�aturc Date <br /> Sib=BE9S195644? <br /> Printed Name <br /> Dawniell Boykin Title office Manager <br /> The witness should be present when the Contractor's Authorized Agent signs this certificate and should sign and <br /> date the document immediately thereafter. <br /> Contractor Certifications Required by North Carolina Law(Rev.8/2016) Page 2 of 3 <br />