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DocuSign Envelope ID:3AC50ODB-E636-4E52-82CE-BOE691498C3A <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT E <br /> ORANGE COUNTY <br /> (the individual attesting below),being duly authorized by and on behalf of <br /> s r (the entity bidding on project hereinafter "Employer"']after first being duly <br /> i <br /> sworn hereby swears or affirms as follows: <br /> 1, Employer understands that E-Ver f+is the federal R-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 m la exs Must Use E-Veri . Each employer,after hiring an employee to work <br /> in the United States,shall verify the work authorization of the employee}hrough E-Verify in accordance with <br /> NCGS§64-26(a), <br /> 3, ECm to er 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. (marls 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 day of AlaYeW13 e 2011. <br /> LY I <br /> Signature of Af'fiant <br /> Print or Type Name: Ac Wc-L 1- 64-AW�� <br /> State of North Carolina Orange County <br /> Signed and sworn to (or affirmed)before me,this the ��+�,r�i"�r►��`,, <br /> J <br /> ri �.' NOTARY f� <br /> day of V F.. W PUBU <br /> rr�s <br /> r MY <br /> O Jul1&.YU78 <br /> My Commission Expires: , ''f,t qp ... GLO) oil Fit <br /> ig-��.,, <br /> M <br /> Notaiy Public <br />