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DocuSign Envelope ID:2C98A942-6292-49C3-81F6-C8CD7BC59159 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> I,_M I61449-L:. tI.E}r.+G�`,j (the individual attesting below), being duly authorized by and on behalf of <br /> -DMPan- ,-J s zr�� (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 N&VVHZCP— 201... <br /> Signature o Affiant <br /> Print or Type Name: Af 1 14 i.- �AL-)(-05 <br /> U1�sNcR t—I;Lcm-"5� �s^' <br /> State of Perth-Gare4ft <br /> n <br /> Signed and sworn to(or affirmed) before me,this the 2 " <br /> Aletheia Weigel <br /> NOTARY PUBLIC <br /> day of do IIQ,m kj!Y 2,U3 !(0 ° vF Y Commonwealth of Virginia <br /> Reg. #7507596 <br /> My Commission Expires: r+ My cammisspn Ex r" <br /> �I iblLn <br /> Notary Public �' <br />