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DocuSign Envelope ID: FBA030F0-9120-42B9-A272-5932D959B8F6 <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: Charles House Association <br /> Dccusign <br /> Contractor's rq W�"A y' 7/2/2019 <br /> Authorized Agent: Signature hate <br /> Paul Klever Executive Director <br /> Printed Na DocuSigned by: TitkL <br /> Witness: Signature OCAV Fb�, Date 9/13/2019 <br /> Printed Name <br /> Dean Fox Title Lead Program Director <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 />