HomeMy WebLinkAboutAttachment G£00 j I8£69 ON XaIXL) 89:n. t1HL 900Z/gZ/90
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PREVIOUS CONTRACT NO. H403-242431
MO NO. H-Z-¢k376.B1
a,TTA211{VENT "G"
E3i4OWARO COUNTY
LIVING WAGE_EMPLOYER CERTIFtCATjQN
This GettitiC&tlon rntist be provided at the request of the pu►chaslrg went before award of the contract.
Empl4Yer Wet � � 1.4- G Ytl �' SLC t :
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Address:
•
2u rc)l Mil 1i rxc RC(
S' rnb roCrz lei YZz L 33332
Phone Number:39SAl G "ROC1S
Local Con et: parlizi Weet key
Bid/Contract Number: (j2.O Q,
Address: )31 nbe:Irk i 'r �.'R
Contract Amount: t. e 22qt cr0 _ oo
Phone Number, q
Department Steed:
Brief Description of Service Provided:
Please check 2ns:
are provided hearth benefits valued at
are not provided health benefits.
By signing below I hereby certify that the employees listed below:
A Receive a minimum pay of $ per hour end
per hour.
I
B. i� Receive a minimum pay of $ A/r? per hour and
Please check one:
for the above referenced contract:
period:
Names / f / A or 6
-
» tf'dr r )r.,,tf l dd'il,-e63
Names of employees to be providing covered services
Names of employees that provided service for this invoice
/ ernes A or B
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(Use reverse side or attach informaton, If needed)
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. f i-te t. d�E1 451 �" ,hereby Cray tatb�' eal-- �vxre is committed
Name Title ontract°, j
to pay all employees working on this contract/project, and therefore covered by the Broward County Living Wage
Ordinance 2002-45. in accordance with wage rates and provisions of the Living Wage Ordinance_ I further certify that
all of thil'i nation provided above Is true. complete and correct
By DANIEL D. WEEKLEY. PRESIDENT
Sigliature Priinttrype Name and The
came-Paez-zar
2J46106
Page 77 of 8d
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