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DocuSign Envelope ID:07A4359F-6D47-4987-B1F1-BF667ACBB3BA <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ************************** <br /> (the individual attesting below), being duly authorized by and on behalf of <br /> (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-Verify 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`Vh day of 202.A <br /> :aatu LofAff ia in \ <br /> Print or Type Name: Mlsx � `mac comic <br /> State of North Carolina. County �`64�ti��es�t�ar+�+►r�k <br /> �y /� <br /> Signed and sworn to(or affirmed) before me,trlist ax <br /> day of , 201q r)6G <br /> G•'Exp. <br /> Bj4 ' <br /> My Commission Expires: L .o <br /> emlris�a►4°� o, <br /> Notary Public °1 <br />