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DocuSign Envelope ID: 1582AE24-D793-4A66-9311-4472000BOEC3 <br /> Contract 468-2004 <br /> Personalized Patient Home Assistance,Inc. <br /> ATTACHMENT M <br /> STATE CERTIFICATION <br /> Contractor Certifications Required by North Carolina Law <br /> Orange County Department of Social Services <br /> Instructions <br /> The person who signs this document should read the text of the statutes listed below and consult with counsel and other <br /> knowledgeable persons before signing. <br /> • The text of Article 2 of Chapter 64 of the North Carolina General Statutes can be found online at: <br /> httpa/Nyww.ncga.state.nc.us/EnactedLe islationlStatutes/PDF/BvArticle/Chapter 64/Article 2.pdf <br /> • The text of G.S. 105-164.8(b) can be found online at: <br /> httl2://www,ncga.statc.nc.us/EnactedLe islationlStatutes/PDF/B ySeetion/Cha ter 105/GS 105-164.8. df <br /> • The text of G.S. 143-48.5 (S.L. 2413-418, s. 2.(d))can be found online at: <br /> http://www.n a.state.nc.us/Sessions/2013/Bills/House/PDF/H786v6. df <br /> • The text of G.S. 143-59.1 can be found online at: <br /> http://www.nega.state.ne.us/EnactedLegislation/Statutes/PDF/BySection/Chgpter_143/GS 143-59.1_.pdf <br /> • The text of G.S. 143-59.2 can be found online at: <br /> http://w=ww.nc a.state.nc.us/EnactedLexislatian/S__tatutes/PDF/BySection/Chapter_143/GS 143-59.2.pdf <br /> • The text of G.S. 147-33.95(g)(S.L. 2013-418, s. 2. (e))can be found online at: <br /> htt ://wlvw.nc a.state.nc.us/Sessions/2013/Bills/House/PDF/H786v6. df <br /> Certifications <br /> (1) Pursuant to G.S. 143-48.5 and G.S. 147-33.95(8), the undersigned hereby certifies that the Contractor named <br /> below, and the Contractor's subcontractors, complies with the requirements of Article 2 of Chapter 64 of the NC <br /> General Statutes, including the requirement for each employer with more than 25 employees in North Carolina to <br /> verify the work authorization of its employees through the federal E-Verify system." E-Verify System Link: <br /> www.uscis. ov <br /> Local government is specifically exempt from Article 2 of Chapter 64 of the North Carolina General Statutes. <br /> However, local government is subject to and must comply with North Carolina General Statute §153A-99.1., <br /> which states in part as follows: <br /> Counties Must Use E-Verify. - Each county shall register and participate in E-Verify to verify the work <br /> authorization of new employees hired to work in the United States. <br /> (2) Pursuant to G.S. 143-59.1(b), the undersigned hereby certifies that the Contractor named below is not an <br /> "ineligible Contractor"as set forth in G.S. 143-59.1(a)because: <br /> (a) Neither the Contractor nor any of its affiliates has refused to collect the use tax levied under Article 5 of <br /> Chapter 105 of the General Statutes on its sales delivered to North Carolina when the sales met one or <br /> Contractor Certifications Required by North Carolina Law Page 1 of 2 <br />