Orange County NC Website
Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid 20 <br /> STATE OF NORTH CAROLINA <br /> AFFIDAVIT <br /> ORANGE COUNTY <br /> I, V' [R (the individual attesting below), being duly authorized by and on behalf of <br /> W0(C1d' t L. C-11 (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-Verifyis 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 /> Signature of Affiant <br /> Print or Type Name: <br /> ,,,,�N��mm�n�h,�i <br /> State of North Carolina, -�J� County .�`��LE_E,M <br /> Signed and sworn to (or affirmed) before me,this the " ��!, p AR Y <br /> ~ �G' omm,�xp• ��^ �v MY C <br /> day of V` 20_ <br /> z PJJ5\, <br /> My C 0 m m j5 sion E es: <br /> • '',,,, E�Co 1VN,,.,� <br /> Ln <br /> Notary Public <br /> ' qe <br />