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DocuSign Envelope ID:29F350EB-C553-4EEB-BD97-898B3775EE03 <br /> I <br /> I <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> I, Edward /f� � _(the individual attesting below),being duly authorized by and on behalf of <br /> entity bidding on project hereinafter"Employer")after first being duly <br /> sworn hereby swears or affirms as follows: <br /> 1. Employer understands that E:YgrL 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 �'► <br /> ye day of <br /> Signature ofAff!ant <br /> Print or Type Name: �W r <br /> State of North Carolina Orange County ( <br /> G <br /> Signed and sworn to (or affirmed)before me, <br /> Q <br /> � Y <br /> day f 20 N O T A R <br /> C <br /> My Commission Expires: PUB LI C <br /> Z� <br /> COUN; ��`. <br /> Notary Public 61 <br /> i <br /> i <br /> I <br />