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ATTACHMENT C <br /> <br /> 42 of 40 <br /> <br />Contract Description/Specification No: <br />____________________________________________________________ <br /> <br />SECTION III <br />.. <br />* * FOR ADMINISTRATIVE USE ONLY -- PLEASE PRINT CLEARLY * * * <br />I have reviewed this Living Wage Ordinance Self Verification form, in addition to verifying <br />Contractor's total dollar amount contract commitments with the City in the past twelve (12) <br />months, and determined that this Contract IS / IS NOT (circle one) subje ct to San Leandro's <br />Living Wage Ordinance. <br /> <br />Department Name _____________________ Department Representative ______