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DocuSign Envelope ID:826509CF-ED5F-4F89-AE19-18F10AF97036 <br /> Affidavit I LA. Loving <br /> STATE OF NORTH CAROLINA <br /> E-VERIFY AFFIDAVIT <br /> ORANGE COUNTY <br /> ***4********************** <br /> 1 V%A L. Pk t o t (the individual attesting below),being duly authorized by and on behalf of <br /> T.A,(bhy,,/Coriatvi (the entity ry biddin on project hereinafter"Employer")after first being <br /> duly sworn hereby <br /> 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 <br /> 4. Employer's subcontractors comply with E-Verify,and if Employer is the winning bidder on this project <br /> Employer wil -1 sure compliance with E-Verify by any subcontractors subsequently hired by Employer. <br /> This Ilk.. el? 1'�? , ,2014 <br /> i r <br /> Sign cure of A 'ant ' , <br /> Print or Type Name: Fi Vt j� L. y I +N' <br /> State of North Carolina/_zi®County <br /> Sigqy and sworn to(or affirmed)before me,this the <br /> O <br /> a0/(. o <br /> day of �� ,- <br /> 0 <br /> • <br /> My Commission Expires: , <br /> L ,4 I'?,aoaw 44-'0 . A . 7 <br /> Notary P 10 c <br /> Page 20 of 20 <br /> 24 <br />