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DocuSign Envelope ID: B94F2D40-3B3C-47A7-86C2-6F1 B4F92C62C <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 /> f with Own Workforce. <br /> County of 6[,«X�d t�1 <br /> Affidavit of I VIC. _ <br /> (Name of Bidder) f I <br /> I hereby certify that it is our intent to perform 100% of the work required for the 510-�+G� <br /> > dunk. `weer `t7i ►fd, contract. <br /> ame of Proj ct) <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 /> I elements of the work on this project with his/her awn 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: w e of Authorized Officer: r <br /> gSION qNQ♦♦'., Si nature: <br /> g � <br /> W 2 O_; Title: ��t6. � i� 4�s,K..�3 �,✓ <br /> FO A/A/ 2 z� <br /> � ti <br /> �. <br /> P . <br /> 1mtn�ti+� <br /> State of lkv ga County of 6" I c <br /> Subscribed and sworn th o�L y of 20_L!� <br /> Notary Public Z!:4� - <br /> My commission expires <br /> MBForms 2002-Revised fuly 2010 <br />