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DocuSign Envelope ID:A9CF8A9E-4CDB-4BB9-A678-D4AD80CD1393 <br /> STATE OF NORTH CAROLINA <br /> WAKE AFFIDAVIT <br /> ..trok; : COUNTY <br /> 1, DYLAN BAKER (the individual attesting below),being duly authorized by and on behalf of <br /> BAKER ROOFING COMPANY (the entity bidding on project hereinafter"Employer")after first being duly <br /> 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 verify <br /> the work authorization of newly hired employees pursuant to federal law in accordance with NCGS§64-25(5). <br /> 2. Employer understands that Employers Must Use E-Verify. Each employer,after hiring an employee to work <br /> in the United States,shall verify the work authorization of the employee through E-Verify in 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 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 2 day of OCTOBER ,XXXX 2016 <br /> Lwow <br /> Si•,ifre of Affiant <br /> Print or Type Name: DYLAN BAKER <br /> State of North Carolina Orange County 00, � <br /> '.notu,,, <br /> 9 <br /> Signed and sworn to(or affirmed)before me,this the 12 0 11,�j',,-i',,,3 <br /> day of OCTOBER . 2 016 ' <br /> My Commission Expires: ' ��'vQL\C'S4's <br /> My <br /> v� , �C°+++am�iitsn„```�`�!P <br /> 3/23/16 ! # `"-'�. <br /> r <br /> Notary Public <br />