Agenda - 06-18-2024; 8-h - In-Home Aide Contract with Medisolutions, Inc.

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ATTACHMENT M 28 STATE AND LOCAL CERTIFICATIONS Contractor Certifications Required by North Carolina Law Orange County Department of Social Services and Orange County Department on Aging Instructions: The person who signs this document should read the text of the statutes and Executive Order listed below and consult with counsel and other knowledgeable persons before signing. The text of each North Carolina General Statutes and of the Executive Order can be found online at: • Article 2 of Chapter 64: http://www.ncga.state.nc.us/EnactedLegislation/Statutes/PDF/ByAnicle/Chapter_64/Article 2.pdf • G.S. 133-32: http://www.ncga.state.nc.us/ ag scripts/statutes/statutelookup.pl?statute=133-32 • Executive Order No. 24(Perdue, Gov., Oct. 1,2009): http://www.ethicscommission.nc.gov/librLry/pdfs/Laws/E024.pdf • G.S. 105-164.8(b): hgp://www.ncga.state.nc.us/EnactedLegislation/Statutes/PDF/BySection/Chgpter_105/GS_105- 164.8.pdf • G.S. 143-48.5: http://www.ncga.state.nc.us/EnactedLegislation/Statutes/HTML/BySection/Chgpter_143/GS_143- 48.5.html • G.S. 143-59.1: http://www.ncga.state.nc.us/EnactedLe,gislation/Statutes/PDF/BySection/Chapter_143/GS_143- 59.l.pdf • G.S. 143-59.2: http://www.ncga.state.nc.us/EnactedLe,gislation/Statutes/PDF/BySection/Chgpter_143/GS_143- 59.2.pdf • G.S. 143-133.3: http://www.ncga.state.nc.us/EnactedLegislation/Statutes/HTML/BySection/Chgpter_143/GS_143- 133.3.html • G.S. 143B-139.6C: http://www.ncga.state.nc.us/EnactedLegislation/Statutes/PDF/BySection/Chgpter_143B/GS_143B-13 9.6C.pdf • The text of Orange County Living Wage Contractor Policy which is attached to this document. Certifications (1) Pursuant to G.S. 133-32 and Executive Order No. 24 (Perdue, Gov., Oct. 1, 2009), the undersigned hereby (a) Neither the Contractor nor any of its affiliates has certifies that the Contractor named below is in refused to collect the use tax levied under Article 5 compliance with, and has not violated,the provisions of of Chapter 105 of the General Statutes on its sales either said statute or Executive Order. delivered to North Carolina when the sales met one (2) Pursuant to G.S. 143-48.5 and G.S. 143-133.3, the or more of the conditions of G.S. 105-164.8(b);and undersigned hereby certifies that the Contractor named below, and the Contractor's subcontractors, complies (b) [check one of the following boxes] with the requirements of Article 2 of Chapter 64 of the N Neither the Contractor nor any of its affiliates NC General Statutes,including the requirement for each has incorporated or reincorporated in a "tax employer with more than 25 employees in North haven country" as set forth in G.S. 143- Carolina to verify the work authorization of its 59.1(c)(2)after December 31, 2001; or employees through the federal E-Verify system." E- Verify System Link: www.uscis.gov ❑ The Contractor or one of its affiliates has Local government is specifically exempt from Article 2 incorporated or reincorporated in a "tax haven of Chapter 64 of the North Carolina General country"as set forth in G.S. 143-5 9.1(c)(2)after Statutes. However,local government is subject to and December 31, 2001 but the United States is not must comply with North Carolina General Statute the principal market for the public trading of the 153A-99.1,which states in part as follows: stock of the corporation incorporated in the tax Counties Must Use E-Verify-Each county shall haven country. register and participate in E-Verify to verify the work (4) Pursuant to G.S. 143-59.2(b), the undersigned hereby authorization of new employees hired to work in the certifies that none of the Contractor's officers,directors, United States. or owners (if the Contractor is an unincorporated (3) Pursuant to G.S. 143-59.1(b), the undersigned hereby business entity) has been convicted of any violation of certifies that the Contractor named below is not an Chapter 78A of the General Statutes or the Securities Act "ineligible Contractor" as set forth in G.S. 143-59.1(a) of 1933 or the Securities Exchange Act of 1934 within because: 10 years immediately prior to the date of the bid Contractor Certifications Required by North Carolina Law(Rev.8/2016) Pagel of 3