Orange County NC Website
Browse       Search
DocuSign Envelope ID:4E43C797-33A3-4C29-9D23-96EA82AC437C <br /> Attach u=Biel Attach to[aid Auach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid <br /> State of North Carolina --AFFIDAVIT Intent to Perform Contract <br /> with Own Workforce. <br /> County of �1( <br /> Aff idavit of <br /> (Name of Bidder) <br /> 1 hereby certify that it is our intent to perform 100%of the work required for the� Crs n�t <br /> M CW ,a Ate 94f, Y�' r ;e�. �. contract. <br /> (Name of Prolect) <br /> In making this certification, the Bidder states that the Bidder does not customarily subcontract elements <br /> of this type project, and normally performs and has the capability to perform and will perform all <br /> elements of the work on this project with his/her own current work forces; and <br /> The Bidder agrees to provide any additional information or documentation requested by the owner in <br /> support of the above statement.The Bidder agrees to make a Good Faith Effort to utilize minority <br /> suppliers where possible. <br /> The undersigned hereby certifies that he or she has read this certification and is authorized to bind the <br /> Bidder to the commitments herein contained. <br /> Date: ;Z16, /5-Name of Authorized Officer: ,-e. Yc�� <br /> Signa <br /> Title; <br /> y w�, <br /> SEAL { <br /> Al.it= <br /> County of <br /> Subscribed and sworn to before e this day o*,,AJ W420,E <br /> Notary Public , <br /> My corr,mission expires <br /> MBFon»s 2002-Revised July 2010 <br />