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<br /> <br />SUBMIT WITH PROPOSAL <br /> <br />STATE OF NORTH CAROLINA <br />ORANGE COUNTY <br />************************** <br /> <br />AFFIDAVIT <br /> <br />I, (the individual attesting below), being duly authorized by and on behalf of <br /> <br /> (The entity bidding on project hereinafter "Employer") after first being duly <br /> <br />sworn hereby swears or affirms as follows: <br /> <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 day of , 20 . <br /> <br /> <br />Signature of Affiant <br />Print or Type Name: <br />State of North Carolina, County <br /> <br />Signed and sworn to (or affirmed) before me, this the <br />day of , 20 . <br />My Commission Expires: <br /> <br /> <br /> Notary Public (Affix Official/Notarial Seal) Docusign Envelope ID: ED9774D9-AC0C-4CB2-997F-EA672B7B6C5D