Orange County NC Website
24 <br /> Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid <br /> State of North Carolina --AFFIDAVIT B-- Intent to Perform Contract <br /> with Own Workforce. <br /> County of w A kU <br /> Affidavit of 2 IM S o 6,r Lt, (-- <br /> (Name of Bidder) <br /> I hereby certify that it is our intent to perform 100% of the work required for the <br /> C2a Ced a,( 6(o Je, co mmuq ii y contract. <br /> (Name of Project) <br /> In making this certification, the Bidder states that the Bidder does not customarily subcontract elements <br /> of this type project, and normally performs and has the capability to perform and will perform all <br /> elements of the work on this project with his/her own current work forces; and <br /> The Bidder agrees to provide any additional information or documentation requested by the owner in <br /> support of the above statement. The Bidder agrees to make a Good Faith Effort to utilize minority <br /> suppliers where possible. <br /> The undersigned hereby certifies that he or she has read this certification and is authorized to bind the <br /> Bidder to the commitments herein contained. <br /> Date: d 3.30 '2Jo pine of Authorized Officer: c'4✓n?1M 'A4 t'✓` <br /> 01' SEE,`,���,•`�',,. ---�,F0O2o,,, Signature: <br /> PRY '�� <br /> Title: i oP)M lez4'--�— 144Aa-5�tr' <br /> a IF-At' 1 2 NU U <br /> P V <br /> State of N0(M k �al County of Q <br /> Subscribed and sw o f e thi '6 day of 0_�'L <br /> Notary Public <br /> My commission e pire _ D <br /> MBFortns 2002-Revised July 2010 <br />