Orange County NC Website
Browse       Search
DocuSign Envelope ID:9E1F9021-C474-4807-8F93-1C616BEBDEF1 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ******************* ****** <br /> "4'4 1 <br /> e .tor— (the individual attesting below), being duly authorized by and on behalf of <br /> * Co (the entity bidding on project hereinafter "Employer") after first being <br /> duly 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 <br /> verify the work authorization of newly hired employees pursuant to federal law in accordance with NCGS §64- <br /> 25(5). <br /> 2. Employer understands that Employers Must Use E-Verify. Each employer, after hiring an employee to <br /> work in the United States, shall verify the work authorization of the employee through E-Verify in accordance <br /> with 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 epployees in this State. (mark Yes or No) <br /> a. YES V , 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 cfm liance with E-Verify by any subcontractors subsequently hired by Employer. <br /> 110 0 tio' <br /> This r day of w <br /> ,000, <br /> S'inat I of Affiant <br /> 00," <br /> State of North Carolina Orange County ttloo <br /> Signed and sworn to (or affirmed) bet ori-, this <br /> 0„,1 0 <br /> 0(--2• <br /> day of Orraii./Va , 2011. I <br /> My Commission Expires: co CO CO , 000 <br /> ,0" 1' cz) <br /> NotarfPublic <br /> Orange County Bid 1713 Page#4 <br />