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STATE OF NORTH CAROLINA <br /> AFFIDAVIT <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 swear or affirm as follows: <br /> 1. Employer understands that E-Verify is the federal E-Verify program operated by the United States Department <br /> of Homeland Security and other federal agencies, or any successor or equivalent program used to verify the work <br /> authorization of newly hired employees pursuant to federal law in accordance with NCGS §64-25(5). <br /> ' 2. 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 /> 3. Employer understands that employers employing 25 or more employees in this State must use E-Verify. Each <br /> employer, after hiring an employee to work in the United States, must verify the work authorization of the employee <br /> ' through E-Verify in accordance with Article 2,Chapter 64 of the North Carolina General Statutes. <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 ?'7 day of ,20/-/ . <br /> Signatur f Affi <br /> Print or Type Name: J 14'.5 6.01, Zz/t/AI-ej-.5 er► <br /> Title: <br /> State of County of <br /> Signed and sworn to(or affirmed)before me,this the <br /> ' O <br /> day of ,�g 20 <br /> 3 <br /> ' My Commission Expires: ° <br /> ' Notary Public a \ ci. <br /> IV <br />