Orange County NC Website
Browse       Search
DocuSign Envelope ID:5330770B-8F93-4746-9A9E-98B8628F995F <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: KAH Care, LLC <br /> nocu5igned by: <br /> Contractor's Lht* 10/1/2019 <br /> Authorized Agent: Signature Fate <br /> 4045A30F29284C7.. <br /> Kan ualmiith Owner <br /> Printed Na(—Doc u Sig ned by: Title <br /> 64v <br /> Witness: Signature <br /> Printed Name � TG&ur� Tille Fate 10/1/2019 <br /> 9AUA726C�E641A. — -- <br /> Katherine Thackeray Business 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 />