Orange County NC Website
10 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> ************************** <br /> I, i C1nae j. C ca`� (the individual attesting below), being duly authorized by and on behalf of <br /> ��O�OnIPr�k [%_�Y1G (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 '1"" day of_AtAAu,s�r 20,214. <br /> Signature of Affiant <br /> Print or Type Name: M iGhgei( Crwio, <br /> State of North Carolina, County 'GL6 Ifbrd <br /> D <br /> i� <br /> Signed and sworn to (or affirmed) before me,this the 1 xo <br /> ,,"� N WF� '�-,,,, <br /> day of , 20,S . �, ,° Gomm. C <br /> My Commission Expires: Le Vo--fw � ° � <br /> v P <br /> NLO � OgICo�,� <br /> m 0�A nber 18,? <br /> Notary Public v f'�., <br /> ycooN,,,�,. <br />