Orange County NC Website
Browse       Search
DocuSign Envelope ID: D442B3A4-5DOF-49D2-ABA8-60AB45788486 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> --a--r- 11. (the individual attesting below),being duly authorized by and on behalf of <br /> ir <br /> (the entity bidding on project hereinafter"Employer")after first being duly <br /> sworn hereby swears or affirms as follows: <br /> 11 Employer understands that E-Verifyis 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.Emi2lovers 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 9 day of 4,?v < <br /> 20J, <br /> Signature of Affiant,. <br /> Print or Type Names 17�1°Il <br /> State of North Carolina L k ie --§o u nty <br /> Signed and sworn to(or affirmed)before me,this the b c'O 20�) X P,\.y S Sq <br /> ��'%��/J/ <br /> 'Vo te <br /> day of t- ", C. <br /> - 446, 'J,P 7 <br /> Ck/ 06/1- <br /> co ob," <br /> k.CO <br /> My Commission Expires: C, 0? <br /> C4 F?Oo�l <br /> Notary Public <br />