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DocuSign Envelope ID:730BOEA2-D934-4504-B42A-928DAE22F3FB <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> 1, M[CKACeL-� &4"&6'55 (the individual attesting below), being duly authorized by and on behalf of <br /> V{mea—?2- ,-rJ s t (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 , 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 /UoVC4- 20L.. <br /> Signature o Affiant <br /> Print or Type Name: /4110�l�L �OL956 <br /> VIazstNto, tr4f004T-(dC .JZRL%[ �1nsr; <br /> State of Neft <br /> n <br /> Signed and sworn to(or affirmed) before me,this the 2 " <br /> ° Aletheia Weigel <br /> g" NOTARY PUBLIC <br /> day of do II!YYI kif 2�U . 1 a 4F x Commonwealth of Virginia <br /> Reg. #7547545 <br /> My Commission Expires: r+ My C imiss pn Ex r!s <br /> :3l ml <br /> Notary Public �' <br />