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STATE OF NORTH CAROLINA <br />ORANGE COUNTY <br />***x************x***r(***** <br />AFFIDAVIT <br />,\ rz U-l'[r','.(the individual attesting below), being duly authorized by and on behalf of <br />(the entity biddine 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 564-25(5). <br />2. Employer understands that Emplovers Must Use E-VerifV. Each employer, after hiring an employee to work <br />in the United States, shallverify the work authorization of the employee through E-Verify in accordance with <br />NCGS$64-26(a). <br />3. Emplover 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 v,ol <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 201_. <br />State of North Carolina, LSqrl6d_ County <br />dav of A4aJ ,2oJt <br />3 3'9"""""11 <br />il =----).,e8-% <br />/;*2 <br />g%,#tf.s <br />Signature of Affiant <br />Print or Type Name: <br />Notary Public <br />My Commission Expires: <br />Signed and sworn to (or affirmed) before me, this tne ?G <br />t'ta.{ 4 tnut <br />- <br />DocuSign Envelope ID: 60336781-1EC3-4B9F-B8E2-081D46278222