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DocuSign Envelope ID: 17405374-3F52-4EE3-A40B-COBD1 EOB0058 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ###Yt###Y#YiKt##Y#Y###YYYYt <br /> I A P Hh 816Aj r,- (the individual attesting below), being duly authorized by and on behalf of <br /> -P'1&01,Zn ee (the entity bidding on project hereinafter"Employer")after first beingduly <br /> sworn hereby swears or affirms as follows: <br /> 1. Employer understands that E-Verifyis the federal E-Verify program operated by the United States <br /> Department of Homeland Security and otherfederal 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 a 3 day of J L ')z 6,f 202/. <br /> Signature AAKIant �l Q <br /> Print or Type Name: _ Q ii�3r�r��✓ <br /> IY'7QC�'�lnh�r <br /> State of North Carolina E)Fem Count} n <br /> Signed and sworn to(or affirmed)before me,this the <br /> day of '5eA n> r- 12021. a) SCOTT N CARDER <br /> o NOTARY PUBLIC <br /> My Commission Expires: ,1 m MECKLENBURG COUNTY, NC <br /> 03 <br /> !Votary Public == <br /> -42- <br />