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DocuSign Envelope ID:4C996037-012A-4978-866D-FBEA2F02CC51 <br /> STATE OF NORTH CAROLINA <br /> E-VERIFY AFFIDAVIT <br /> ORANGE COUNTY <br /> 1, 901 C � (the individual attesting below),being duly authorized by and on behalf of <br /> � ( P, 1 ,. (the entity bidding on project hereinafter"Employer")after first being <br /> duly sworn hereby swears or affirms as follows: <br /> 1. Employer understands that E- eri 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 <br /> verify the work authorization of newly hired employees pursuant to federal law in accordance with NCGS §64- <br /> 25(5). <br /> 2. Employer understands that Employers Must Use E-Verify. Each employer,after hiring an employee to <br /> work in the United States, shall verify the work authorization of the employee through E-Verify yin 4ccordance <br /> with 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 compliatice with E-Verify by any subcontractors subsequently hired by Employer. <br /> This d day of 201 <br /> ad PM � ... <br /> Signatur f Affant <br /> Print or Type Name: <br /> State of North Carolina County, <br /> a ' <br /> Signed and swom to(or affirmed)before me,this the x <br /> 0 <br /> day of )2014. <br /> • o <br /> My Commission Expires: <br /> w <br /> Notary Public <br /> Page 7 of 7 <br />