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onnunign Envelope ID: 1eC4En7u1oe7-4oco-9oen-0ua000noareu <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> **~*****^***************** <br /> ���� {� <br /> I, V����~ 0�' U«����'��8��� Athe individual attesting below), being duly authorized by and on behalf of <br /> ME (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 /> Z. 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 ' or <br /> .� <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 ? 4day of pspizic , 2017 <br /> 0" <br /> Signature of Affiant --A. <br /> State of North Carolina Orange County <br /> Signed and sworn to (or affirmed) before me this the r�»� <br /> day of AC1/r , Ia}lr <br /> My Commission Expires: <br /> \\ �\ <br /> a�>\ <br /> ~^K <br /> Notary Public U '� <br /> ^` �1 <br />