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DocuSign Envelope ID: B94F2D40-3B3C-47A7-86C2-6F1B4F92C62C <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> I, ke-0 (the individual attesting below), being duly authorized by and on behalf of <br /> user(�6vnoan k'a5 I nC (the entity bidding on project hereinafter"Employer") after first being duly <br /> t <br /> sworn hereby swears or affirms as follows: <br /> 1. Employer understands that E-Ver.ify 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 lqu� day off o.(AarV 2011. <br /> or <br /> Signat of Affiant <br /> Print or Type Name: <br /> State of North Carolina("i-QCounty <br /> D <br /> Signed and sworn to(or affirmed) before me,this the XoOLLY <br /> day of 2019. AN <br /> 50 Oslav�����, <br /> ZI 1FE13. N S. <br /> My Commission Expires; iv c' 2022 O' <br /> A-002 <br /> bZ7 Zozz. <br /> Notary Pubic '''�•�rglR�Y�pU�.`�° <br />