Orange County NC Website
Browse       Search
DocuSign Envelope ID: 1COFA69C- 6757 -43BD- 8570- E9C8F4DE644E <br />STATE OF NORTH CAROLINA <br />AFFIDAVIT <br />ORANGE COUNTY <br />1, M 16RAau :�D _ &A1J&6-)5 (the individual attesting below), being duly authorized by and on behalf of <br />- D"Prr2- ,-J s 4A (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 />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 />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 '21 day of NoyG�, 20 <br />Signature o Affiant <br />Print or Type Name: /f4 41;L <br />State of Ne ft — Gar° " ° - <br />Signed and sworn to (or affirmed) before me, this the 2q X <br />0 <br />" rvFi Aletheia Weigel <br />„� n �` �S"oN F� d NOTARY PUBLIC day of , 2,U� 201 � ` aF Commonwealth of Virginia <br />a Reg. #7507596 <br />My Commission Expires: W My C miss prt Ex res <br />�aI 21)1 h L <br />Notary Public _' <br />