Orange County NC Website
Browse       Search
DocuSign Envelope ID:C2063C1A-926C-4144-9830-38AC585A1867 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> 1, irzeWdrd d(&J&- n (the individual attesting below), being duly authorized by and on behalf of <br /> �ee`ritity bidding on project hereinafter "Employer") after first being <br /> duly 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 <br /> verify the work authorization of newly hired employees pursuant to federal law in accordance with NCGS §64- <br /> 25(5). <br /> 2. Employer understands that Employers Must Use E-Verify. Each employer, after hiring an employee to <br /> work in the United States, shall verify the work authorization of the employee through E-Verify in accordance <br /> with 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 ay of , 20 9. <br /> Signature of Affiant <br /> Print or Type Name; Ok <br /> State of North Carolina Orange County <br /> Sig�np-d and sworn to (or affirmed) before me,this the o ti�P GEN TR��i��� <br /> n Y r <br /> day ofAP <br /> ,2011. <br /> f K <br /> G U� <br /> My Commission Expires: ?; •�� �y,�; <br /> Notary Public <br /> Orange County Bid 500-0I I9 Page #4 <br />