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DocuSign Envelope ID:3E380E16-OEE4-4809-9C60-91 EC84F8B4C8 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ########################## <br /> I, arrvnvF CIAnr><t,M (the individual attesting below),being duly authorized by and on behalf of <br /> 2F5 cnn��� art s �L e-- (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-VerIfV 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 I1?ft,day of 202-1. <br /> Signattre of Affiant <br /> PrintorTypeName: Tor14.Ne- Grtv� „ <br /> State of North Carolina, SV(41V County n <br /> -T X Signed and sworn to(or affirmed)before me,this the I � <br /> o y:zcn <br /> 0 C <br /> day of ;_' 20.i 1 Q. =p w <br /> z Xn @� <br /> My Commission Expires: m o � <br /> Notary Public <br />