Orange County NC Website
9. E-VERIFY 91 <br /> STATE OF NORTH CAROLINA <br /> r <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> Adam Chahulski,AIA, <br /> NCARB, LEED AP <br /> .(the individual attesting below), being duly authorized by and on behalf of <br /> CPL Architects and Engineers, P.C. (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 X , or <br /> b. NO <br /> 4. Employer's subcontractors comply with E-Verify,and if Employer is the winning bidder on this project <br /> I <br /> Employer will ensure compliance with E-Verify by any subcontractors subsequently hired by Employer. <br /> This day of 20_. <br /> �Z�lz <br /> Ignaturj�of Affiant <br /> Print or Type Name: Adam Chahulski,AIA, NCARB, LEED AP <br /> State of North Carolina, Meck�cnburL{County <br /> JWJ11191Fort"r <br /> Signed and sworn to or affirmed before me this the (th " .•`�`���, +���```•. <br /> da of 5t 20 Zq: <br /> z '°(JBLIG <br /> My Commission Expires: ,°�, � ' <br /> •.;fit `r <br /> �p,Gyr . 20 [a <br /> 5120 1 202 •"''�`Qticouea' ,:�•`� <br /> —� <br /> Notary P <br />