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STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ************************** <br /> I• ,Tr%y o Kuhn (the individual attesting below), being duly authorized by and on behalf of <br /> P-et rial Serviees (the entity bidding on project hereinafter"Employer")after first being duly <br /> sworn hereby swears or affirms as follows: <br /> 1. Employer understands that E-Verify is the federal E-Verify program operated by the United States <br /> Department of Homeland Security and other federal agencies,or any successor or equivalent program used to verify <br /> the work authorization of newly hired employees pursuant to federal law in accordance with NCGS§64-25(5). <br /> 2. Employer understands that Employers Must Use E-Verify. Each employer,after hiring an employee to work <br /> in the United States,shall verify the work authorization of the employee through E-Verify in accordance with <br /> NCGS§64-26(a). <br /> 3. Employer is a person, business entity,or other organization that transacts business in this State and that <br /> employs 25 or more employees in this State. (mark Yes or No) <br /> a. YES or <br /> b. NO <br /> 4. Employer's subcontractors comply with E-Verify,and if Employer is the winning bidder on this project <br /> Employer will ensure compliance with E-Verify by any subcontractors subsequently hired by Employer. <br /> This L day of Or,4p b e-r 2013. <br /> tj� kJ�� <br /> Sig to a ffiant i <br /> Pr nt Ty Name: ��V <br /> State of North Carolina Orange County W _�tp /y <br /> D �° <br /> N <br /> ILI <br /> Signed and sworn to(or affirmed) before me,this the O 001"k <br /> my <br /> day of �Ci Vx--C 2013. d ' <br /> Z <br /> ° ,y p(AXIG <br /> My Commission Expires: a <br /> d/C0UJ <br /> 3 1lp l m <br /> Notary Public 2L <br />