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31 <br /> F. Appendix E: E-Verify <br /> STATE OF NORTH CAROLINA AFFIDAVIT <br /> COUNTY OF ORANGE <br /> ------------------------------------------------------------------------------- <br /> I, (the individual attesting below), being duly authorized by and on <br /> behalf of (the entity contracting with Orange County hereinafter <br /> "Employer") after first being duly 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 <br /> program used to verify the work authorization of newly hired employees pursuant to federal law in <br /> accordance with NCGS §64-25(5). <br /> 2. Employer understands that Employers Must Use E-Verify. Each employer, if employing 25 or more <br /> employees in this State, after hiring an employee to work in the United States, shall verify the work <br /> authorization of the employee through E-Verify in accordance with NCGS§64-26(a). <br /> 3. Employer is a person, business entity, or other organization that transacts business in this State and <br /> that employs 25 or more employees in this State. (Mark Yes or No) <br /> a.YES ❑ or b. NO ❑ <br /> 4. Employer's subcontractors comply with E-Verify, and Employer will ensure compliance with E-Verify <br /> by any subcontractors subsequently hired by Employer during the term of its contract with Orange <br /> County. <br /> This day of , 20 <br /> Signature of Affiant <br /> Print or Type Name <br /> NORTH CAROLINA NOTARY ACKNOWLEDGEMENT <br /> THE STATE OF NORTH CAROLINA, COUNTY OF <br /> Signed and sworn to (or affirmed) before me,this day of 20_. <br /> My Commission Expires: <br /> Notary Public, <br /> Notary Public Signature: <br /> [Official Seal] <br /> 7 <br />