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2015-442-E AMS - Baker Roofing Company for remedial roofing at Hwy 86 North $17,090
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2015-442-E AMS - Baker Roofing Company for remedial roofing at Hwy 86 North $17,090
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8/19/2015 8:13:50 AM
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8/17/2015 3:31:43 PM
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BOCC
Date
8/17/2015
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Agreement
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R 2015-442-E AMS - Baker Roofing Company for remedial roofing at Hwy 86 North
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2015
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000uSign Envelope ID:uonn4r1n'oAun-4n43-e000-F1ronEFss4on <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> l, Bruce Harrincrt n (the individual atzesdngbe|ow), being du8y authorized by and on behalf of <br /> (the entity bidding mn project hereinafter"Ennp|mVer") after first being duty <br /> sworn hereby swears or affirms asfollows; <br /> 1. Employer understands that E-Verif is the federal E-Veffy program operated by the United States <br /> Department of Homeland Security and other federal agencies,or any successor or equivalent program used tuverify <br /> LhewmrkauthorizatUnmof^evxlyhi/edemmp|myeesrvrsLanttofedera| |avxinaccardoncevvlthNOGS864-25(5). <br /> 2. Employer understands that . Each employer,after hiring an employee tmwork <br /> |n the United States, shall verify the work authorization of the employee through E-Verif;io 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 ZSor more omp|oyessin this State. (mark Yes orNo) <br /> e. YES_x , or <br /> lb. NO <br /> 4. Employer's subcontractors comply with E-Verify, and if Employer is the winning bidder on this project <br /> Employer will ensure compliance with E-Verify by any subcontractors subsequently hired by Employer. <br /> This_8thdsVof 30473-2815 <br /> ~ <br /> Signature of Affiant <br /> Print or Type Name: __. <br /> State of North Carolina Orange County <br /> Signed and sworn to (or affirmed) before me, this the 8th <br /> 0 DIANE M. BAKER <br /> :1� NOTARY PUBLIC <br /> day of JulV n <br /> My Commission Expires: <br /> LK <br /> Notary Public <br />
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