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SUBMIT WITH PROPOSAL 70 <br /> STATE OF NORTH CAROLINA <br /> ORANGE COUNTY AFFIDAVIT <br /> ##kkk###!!f'lffff!lffffffff <br /> I'—4���L\� ►v\\�` �• l \� (the individual alimting brluw),being rluly authorirpd by and on behalf of <br /> `�(1he entity bidding on prole(t hereinafter"Employer")aftor first being duly <br /> sworn hereby swears or afflr%as follows: <br /> 1• Employer understands that L-Verify Is the federal E-Verify program operated by the United State, <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 <br /> b. NO:E1 <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 rday of V'14 <br /> J bf C 20:��' <br /> ,1 <br /> Signature of A rant (1 <br /> Print or Type Name: <br /> State of North Caroli n Lb&rounty <br /> v. C o <br /> Signed and sworn to(or affirmed) before me,this theZ 3D O Z <br /> L� -4D <br /> day of I�IabCne.— ,20�� m n M O <br /> Zc-ov <br /> My Commission Expires: a Z P G) <br /> �f7 <br /> t <br /> -N ry,P11 rli A <br />