Orange County NC Website
DocuSign Envelope ID:41 B27956-1 C1 7-475E-9558-D6D38ABE1436 <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ************************** <br /> I, David W. Mykins (the individual attesting below),being duly authorized by and on behalf of <br /> Stroud, Pence &Associates (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 or <br /> b. NO X <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 9th day of September ' 2015. <br /> Signature of Affiant <br /> Print or Type Name. <br /> State of North Carolina Orange County ,1 <br /> Y <br /> Sign and sworn to (or affirmed) before me, this the 0 <br /> day of '� ?k 6Ct , 201 c <br /> 0 <br /> My Commission Expires: <br /> Z Z9 i� YA <br /> Notary Public <br /> ••�P N. At 44r� <br /> s <br /> cC4� �X;iE.7tT��,y��O <br /> vRE6a i 1��7669 <br /> y.�,����`•� �' - Page 12 of 12 <br /> 'AR•i P <br />