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131 <br />STATE OF NORTH CAROL) NA <br />AFFI DAVIT <br />�.:_ ► r. *— ► <br />* * * * * * * * * * * * * * * * * * * * * * * * ** <br />I, (the individual attesting below), being duly authorized by and on behalf of <br />(the entity bidding on project hereinafter "Employer ") after first being duly <br />sworn hereby swears or affirms as fol lows: <br />1. Employer understands that E- Verify is the federal E Verify program operated by the United Mates <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 NODS §64 - 25(5). <br />2. Employer understands that Employers M ust Use E Verify. Each employer, after hiring an employee to work <br />in the United Mates, shall verify the work authorization of the employee through E Verify in accordance with <br />NOGS364- 26(a). <br />3. Employer is a person, business entity, or other organization that transacts business in this Mate and that <br />employs 25 or more employees in this Mate. (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 day of 12013. <br />9gnature of Affiant <br />Print or Type Name: <br />State of North Carolina Orange County <br />D <br />9gned and sworn to (or affirmed) before me, this the o <br />0 <br />day of 2013. v <br />Z <br />My Commission Expires: v <br />Un <br />Notary Public 11 _' <br />