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DocuSign Envelope ID: B1 D50716-7603-4905-88E6-3348AF487601 <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> 1, Edmund W.Purcell (the individual attesting below),being duly authorized by and on behalf of <br /> Summit Design and Engineering (the entity bidding on project hereinafter"Employer")after first being <br /> duly sworn hereby swears or affirms as follows: <br /> 1. Employer understands that E-Verify is the federal E-Verify program operated by the United States <br /> Department of Homeland Security and other federal agencies,or any successor or equivalent program used to <br /> verify the work authorization of newly hired employees pursuant to federal law in accordance with NCGS §64- <br /> 25(5). <br /> 2. Employer understands that Employers Must Use E-Verify. Each employer,after hiring an employee to <br /> work in the United States,shall verify the work authorization of the employee through E-Verify in accordance <br /> with 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 25 or more employees in this State. (mark Yes or No) <br /> a. YES X or <br /> b. 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.15 day of October ,2015. <br /> Signature of Af rent <br /> Print or Type Name: <br /> State of North Carolina Orange County <br /> D. <br /> Signed`. m <br /> and sworn to(or affirmed)before e,this the x <br /> _.I 0 ��,tZ. •.Tp��� <br /> � <br /> day of Q{� 201<-. <br /> PUBLIC' <br /> My Commission Expires: 'f'q•., ' <br /> VG <br /> Z-1Z 3120 QA CIO <br /> a <br /> Notary Public <br />