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DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE <br /> Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid <br /> State of North Carolina --AFFIDAVIT B-- Intent to Perform Contract <br /> with Own Workforce.-Y County of V__ <br /> Affidavit of �� hC-' <br /> (Name of Bidder) <br /> I hereby certify that it is our intent to perform 100% of the work required for the C <br /> contract. <br /> ame of oject) <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. Name of Authorized Officer: <br /> Signature 1 <br /> Titl xleo_1q% <br /> SEAL G v <br /> i pVBV 2 <br /> State o f • ' County of <br /> Subscribed a d s n to before m this da �-20�� <br /> Notary Public <br /> My commission expires <br /> MBForms 2002-Revised July 2010 <br />