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DocuSign Envelope ID:4E43C797-33A3-4C29-9D23-96EA82AC437C <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> free 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 follows; <br /> 1 <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 tite 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 y' or <br /> 'b. NO <br /> 4. Employer's Subcontractors complywith E-Verify,and if Employer is the winning bidder on this project <br /> Employer will ensure compliance with E,Verlfy by any subcontractors subsequently hired by Employer. <br /> This day of (}13r' G? <br /> Signature of Affiant <br /> I?rint or Type Name: A, <br /> State of North Carolina Orange County <br /> Signed and sworn to(or affirmed)before me this the <br /> day of — k12-0Z -2033. a'��//S _ � ��' r a�f.kit° 20 r <br /> My Commission Expires: $ <br /> Notary/�P 61c <br /> � �ridfitftt'�� <br /> I <br />