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DocuSign Envelope ID: EAAlB08E-4226-45A4-818B-A35B979DD90C <br /> Contract 468-2014 <br /> Senior Care of Orange County,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 /> http://Nvww.ncga.state.ne.us/EnactedLegislation/Statutes/PDF/ByArticle/Chapter_64/Article 2_.pd3' <br /> • The text of G.S. 105-164.8(b)can be found online at: <br /> http://tivww.neya.state.ne.us/EnactedLegislation/Statutes/PDF/BySection/Chapter_105/GS_1.05-164.8.pdf <br /> • The text of G.S. 143-48.5 (S.L. 2013-418, s. 2.(d))can be found online at: <br /> http://www.ncga.state.ne.us/Sessions/2013/Bills/House/PDF/H786v6.pdf <br /> • The text of G.S. 143-59.1 can be found online at: <br /> http://wwtiv.ncga.state.ne.us/EnactedLegistation/Statutes/PDF/BySection/Chapter_143/GS_143-59.I.pdf <br /> • The text of G.S. 143-59.2 can be found online at: <br /> http://www.nc r a.state.ne.us/EnactedLegislation/Statutes/PDF/BySection/Chapter_143/GS_143-59.2.pdf <br /> • The text of G.S. 147-33.95(8)(S.L. 2013-418, s. 2. (e))can be found online at- <br /> fittp://www.nc 2a.state.ne.us/Sessions/2013/BiIIs/House/PDF/H786v6. df <br /> Certifications <br /> (1) Pursuant to G.S. 143-48.5 and G.S. 147-3395(g), 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.gov <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 />