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DCFf= 10/16/2013 7:49:45 AM PAGE 2/002 Fax Server <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> i <br /> I, �rAr� L�w�S (the individual attesting below),being duly authorized by and on behalf of <br /> i <br /> l��pNc <br /> 5L31� pt1 ZNL (the entity bidding on project hereinafter"Employer")after first being duly <br /> sworn hereby swears or affirms as��:Ilows: <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 new'y hired employ i,,p '.i-U;int to federal law -•ccor4ince with NCr3S§t': :. <br /> 2. Employer understands that Employers Must Use E-Verify: Each employer;after hiring an employee to wurk <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 X <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_�_day of oc 2013. <br /> Signature of Affiant <br /> Print or Type Name; A(PA Lea'-` <br /> State of,North Carolina Orange County �. p <br /> Signed and sworn to(or affirmed)before me,this the two— 0 w V �tpRY <br /> n Z <br /> day of 2013, d <br /> 1 <br /> My Commission Expires: sr'l'��^� <br /> LE <br /> DIUti <br /> Notary Public .°—' <br />