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DocuSign Envelope ID:09434BEC-1F7E-41E5-A9D1-4CA5D7ECE339 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ************************** <br /> I, <br /> ' �f� � ?. , . 4 1t. 'µ. (the individual attesting below), being duly authorized by and on behalf of <br /> m.:S (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 [-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 , 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 VI day ofQ , <br /> Signature mow. ... <br /> Print or Type AName <br /> State of Noft r°C� ®fangs°C t nty' <br /> Signed and sworn to (or affirmed) before me,this the 2q 'x <br /> oleTtAheRgya Weigel <br /> day of NIOYeVNe1 , 2010 <br /> IL, or nroeit6*t ini <br /> My Commission Expires: iv r j i rts <br /> ro <br /> Notary Public �' <br />