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DocuSign Envelope ID:81 E05E8E-EED7-43D3-8B8A-0811 OE72140A <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> I, WC", (the individual attesting below), being duly authorized by and on behalf of <br /> ful\ Cir-cle �tw,ranr^e'�ic�l . LA- theentity 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 1L day of G,• 2011. <br /> IkLVV <br /> Sign re of A Iant <br /> Print or Type Name: <br /> State of North Carolina, 16ywr,iv, County <br /> D <br /> Signed and sworn to(or affirmed) before me,this the 9 Z X <br /> 0 <br /> day of r-e b:vt q 2011 <br /> v <br /> My Commission Expires: ANNgWOMMACK o <br /> NOTARY PUBLIC <br /> JOHNSTON COUNTY,NC M. <br /> /Z - 1 ci -- Z.Z My Commission Expii►es 12-19-2022 <br /> V) <br /> rD <br /> Notary Public <br />