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DocuSign Envelope ID: 313DA256 -1 EDE- 4396- A716- 4C53B809027E <br />STATE OF NORTH CAROLINA <br />ORANGE COUNTY <br />Peter Upchurch <br />E- VERIFY AFFIDAVIT <br />the individual attesting below), being duly authorized by and on behalf of <br />H.M. Kern Corporation (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 employees in this State. (mark Yes or No) <br />a. YES X , 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 7th day of December 2'1�,U 2017 <br />Signature of Affiant <br />Print or Type Name: Peter Upchurch, Vice - President <br />State of North Carolina ,rW,)CXXrMX Foiysth County <br />n <br />Signed and sworn to (or affirmed) before me, this the 7th o <br />EMILY R. KEMP <br />day of December , MY.2017 NOTARY PUBLIC <br />c <br />Forsyth County <br />My Commission Expires: QJ North Carolina <br />un <br />c+, <br />9/13/2021 rD <br />tary Public <br />