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DocuSign Envelope ID: B49FB256 -4ADF- 4759- AF63- 134AD44FC239 <br />Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid <br />State of North Carolina -- AFFIDAVIT B -- Intent to Perform Contract <br />with Own Workforce. <br />County of <br />Affidavit of <br />(Name of Bidder) <br />I hereby certify that it is our intent to perform 100% of the work required for the <br />contract. <br />(Name of Project) <br />In making this certification, the Bidder states that the Bidder does not customarily subcontract elements <br />of this type project, and normally performs and has the capability to perform and will perform all <br />elements of the work on this project with his /her own current work forces; and <br />The Bidder agrees to provide any additional information or documentation requested by the owner in <br />support of the above statement. The Bidder agrees to make a Good Faith Effort to utilize minority <br />suppliers where possible. <br />The undersigned hereby certifies that he or she has read this certification and is authorized to bind the <br />Bidder to the commitments herein contained. <br />Date: Name of Authorized Officer: <br />Signature: <br />Title: <br />S SEAL <br />State of , County of <br />Subscribed and sworn to before me this <br />Notary Public <br />My commission expires <br />MBForms 2002 - Revised July 2010 <br />day of <br />20 <br />