Orange County NC Website
Jan 08 14 10:49a Aquatic Resource Group 704-583-0730 p.21 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> (the individual attesting below),being duly authorized by and on behalf of <br /> o► . }^-C C o�.ti C=��T(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 /> " ly, <br /> This f dayof �cnu't£l-�_11-1 - C'-f <br /> IN ,- <br /> Signature of Affiant ✓ <br /> Print or Type Name: <br /> \{{i111 <br /> State of North Carolina Orange County D ``�� 4��ALD c�O,��' <br /> Signed and sworn to(or affirmed)before me,this theme_ <br /> day of r.�ZT_gi - C;! ^-• :E <br /> r <br /> E <br /> My Commission Expires: ° <br /> 0T-04-24`6�a�,� <br /> //1lQ� URG C <br /> �` <br /> Notary Public l,t�►�ti{{��� <br />