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DocuSign Envelope ID *18Ao/w3-2p7o-4243+AF32-45*1C104o0FA <br /> STATE OF NORTI-I CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ****************r*****+*** <br /> � <br /> � 4 a�m�� /~. (the individual attesting below), being duly authorized by and on behalf of <br /> _ /lti. ilre" Zinw«n«Ver^�c' 1,4c (the entitV 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-Verlfv. 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§64-36(o) <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 �'� <br /> . 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 /> 3x'6 <br /> This 874 day of /%r"zax' ^20.11. <br /> , ~ <br /> °~ l�~� <br /> Signatu e-ofAffiamd <br /> Print or Type Name: (Ao70,4:g_ M. /47r5z <br /> State of North Carolina Orange County \^/w <br /> Signed and sworn to(or affirmed)before me,this the //r* '7' <br /> day of ar"uce_ ,3O13. <br /> My Commission Expires: <br /> 7 7 102d � �v, onmilloo <br /> cu <br />