Orange County NC Website
Contractor Certifications Required by North Carolina Law (Rev. 8/2016) Page 2 of 3 <br />(a) He or she is a duly authorized representative <br />of the Contractor named below; <br /> <br />(b) He or she is authorized to make, and does <br />hereby make, the foregoing certifications on <br />behalf of the Contractor; and <br />(c) He or she understands that any person who <br />knowingly submits a false certification in <br />response to the requirements of G.S. 143- <br />59.1and -59.2 shall be guilty of a Class I felony. <br />(1) Pursuant to the Orange County Living Wage <br />Contract’s Policy, the undersigned certifies <br />that the Contractor pays the employees who <br />perform services under this contract a living <br />wage (in Orange County currently $15.85 <br />per/hr.) Check here if contractor pays <br />employees performing under this contract a <br />living wage. If Contractor does not pay <br />employees a living wage, what is the wage that <br />employees performing services under this <br />contract paid? <br />__________________________ <br /> <br /> <br />The witness should be present when the Contractor’s Authorized Agent signs this certificate and should <br />sign and date the document immediately thereafter. <br /> <br />Contractor’s <br />Name: <br />Contractor’s <br />Authorized Agent: Signature Date <br /> Printed Name Title <br />Witness: Signature Date <br /> Printed Name Title <br />DocuSign Envelope ID: 80FAA64D-D4E1-4D56-8F3D-32DFBE60990E <br />President <br />9/26/2022 <br />SpeakWrite <br />CEO <br />9/27/2022