Orange County NC Website
Browse       Search
DocuSign Envelope ID: 7796CD94- 342E- 40D0- B7C3- A2B604F926B4 <br />ORANGE COUNTY <br />STATE OF NORTH CAROLINA <br />AFFIDAVIT <br />ORANGE COUNTY <br />Department of Solid Waste Management <br />f, (the individual attesting below), being duly authorized by and on behalf of <br />(the entity bidding on project hereinafter "Employer") after first being duly <br />sworn hereby swears or of firms as follows <br />1. Employer understands that E- rife 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 tire work authorization of the employee through E- Verify In accordance with <br />N CGS §64 -26 (a). <br />3. Emplove.r 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 />Em pioyer will ensure compliance with E- Verify by a ny su be ont ractors subsequently hired by Employer. <br />This ,_ clay of , 201_. <br />Signature of Affiant <br />Print or Type Name: <br />State of North Carolina Orange County <br />Y <br />Signed and sworn to (or affirmed) before nee, this t lie o <br />day of .2014. <br />My Commission Expires. <br />Nutaiy Public. I I E <br />21 <br />RFP No. 5427 <br />