Some Positions Have Pay Rates Less Than Living. Wage Rates Check this box if any positions in this agency have any part of their pay ranges at less than the living wage rates. If this box is checked, the following additional form must be completed and returned with your signed contract: Non-Wage Provisions Self-certification Form (Form 2) All non-profit agencies not exempt from the new living wage ordinance requirements must also provide wage data information for all employees in job classifications paying less than the current living wage standard. A form to collect this information will be electronically distributed to non-profit contractors in January with a March deadline (date to be determined) to complete and return to the County. I certify, under penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature of Executive Director Section Below is Optional Efforts to Maintain and Increase Wages for Positions (Check all applicable boxes) Our agency was able to bring all workers up to a living wage in FY . Our agency was not able to increase pay rates for employee positions in the FY 2003-04 budget. Pay rates for positions in this agency were not reduced in the budget for FY 2003-04. LA in Our agency was able to give our employees the following pay increases (fill in blanks): Cost of Living Adjustment (CO creases of , Step or increases or Our agency was able to increase employer-sponsored benefits (Check appropriate boxes): Unpaid sick leave benefits Other STATE OF CALIFORNIA- HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SERVICES STANDARD AGREEMENT Consultant: Xxxxxx Xx Xxxxxx 0172 THIS AGREEMENT, made and entered into this 06/15/03, in the State of California, by and between State of California, through its duly elected or appointed, qualified and acting. TITLE OF OFFICER ACTING FOR STATE AGENCY called the State and GRANTNUMBER FISC 1 hereafter the Grantee GRANTEE’S I.D. NUMBER OCAP Bureau Chief California Department of Social Services County of Santa Xxxx Human Resources Agency
Some Positions Have Pay Rates Less Than Living. Wage Rates
Some Positions Have Pay Rates Less Than Living. Wage Rates Check this box if any positions in this agency have any part of their pay ranges at less than rates. If this box is checked, the following additional form must be completed and contract: Non-Wage Provisions Form (Form 2) All non-profit agencies not exempt from the new living wage ordinance requirements must also information for all employees in job classifications paying less than the current living wage standa collect this information will be electronically distributed to non-profit contractors in January with Section Below is Optional nd correct to the best my nowledge. - Date to Maintain and Increase Wages for Positions (Check all applicable boxes) 0 Our agency was able to bring all workers up to a living wage in FY . 0 Our agency was not able to increase pay rates for employee positions in the FY 2005-06 budget. Pay rates for positions in this agency were not reduced in the budget for FY 2005-06. Our agency was able to give our employees the following pay increases (fill in blanks): Cost of Living Adjustment (COLA) increases of Step or annual increases of (% or Our agency was able to increase employ er-sponsored benefits (Check appropriate boxes): Health insurance benefits Paid sick leave benefits 0 Unpaid sick leave benefits Other Attachment B p. 2 LW Form 2 County of Santa Xxxx Agency Attachment] Living Wage Ordinance FY Non-Wage Provisions Self-certification Form Agency Name: Women's Crisis Support - Defensa de Mujeres County Dept: MLF Contract No: All nonprofit agencies receiving County funding, unless exempt from the ordinance requirements, shall comply with the following non-wage provisions of the Living Wage Ordinance (Chapter 2.122 of the County Code):
