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DocuSign Envelope ID:263713C2-C652-4F0D-A49E-D7FE86601625 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> **************************sr <br /> I, mc L. "its (the individual attesting below),being duly authorized by and on behalf of <br /> S <br /> ficC. (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 mployees 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 1 day of �,.J P.`Q- , 2017 <br /> 111110 , <br /> Signature of i p �° r� fit-yo <br /> Print or Type L-I'' ' t vi "J �/ <br /> State of North Carolina Orange County ,°N Vt <br /> Signed and sworn to(or affirmed) before me,this the 7 R. <br /> 111 W-knaJ"'t . a <br /> day of ,)(m e- , 2014. /7 ! ' qb <br /> 41 LE CO' <br /> o My Commission Expires: a <br /> ET <br /> (5- -"ri'd0 d-7/4/4 dk..„ ,6,Z, V) <br /> CD <br /> Notary Public ' <br />