Laserfiche WebLink
CABBARUSCOUNTY <br /> E-VERIFY AFFIDAVIT <br /> STATE OF NORTH CAROLINA <br /> COUNTY OF <br /> Before me, the undersigned Notary Public, personally appeared <br /> (Affiant)who,being by me first duly sworn,doth depose and say as follows: <br /> I, in my capacity as (Title) of <br /> (Business Entity or Employer), having lawful authority to act in its behalf and personal knowledge of the <br /> facts set out herein,do attest to the following: <br /> At the time of execution and during the term or performance of any contract with County of <br /> Cabarrus,North Carolina: <br /> 1. [ ] The Business Entity or Employer will not knowingly employ, hire for <br /> employment, or continue to employ any unauthorized alien. The Business Entity or <br /> Employer is enrolled in E-Verify. The Business Entity or Employer will participate in E- <br /> Verify to verify the employment status of new hires, as well as any subcontractors' <br /> compliance with E-Verify: <br /> ******** [OR] <br /> 2. [ ] The Business Entity has 25 or fewer employees and does not intend to hire more <br /> than 25 employees for the purpose of supplying goods or services. Pursuant to NC <br /> House Bill 786/S.L.2013-418, vendors with 25 or fewer employees are exempt from <br /> acquiring an E-Verify account and are required to supply a copy of their driver license if <br /> they have not registered and do not have an E-Verify User Identification Number. <br /> Should the Business Entity or Employer acquire more than 26 employees, the Business <br /> Entity or Employer will acquire an E-Verify account. <br /> Date Signature of Affiant <br /> I, the undersigned Notary Public in and for hereby <br /> certify that whose name as (Title) of <br /> (Business Entity or Employer) and first being duly sworn <br /> the foregoing Affidavit and who is known to me, acknowledged before me on this day that, being <br /> informed of the contents of the said Affidavit he/she, as such officer or agent and with full authority, <br /> executed the same voluntarily as and for the act of the Business Entity or Employer. <br /> Given under my hand and seal this day of ,2016. <br /> Notary Public <br /> Print Name: <br /> My Commission Expires: <br /> (affix seal) <br /> Attachment number 1 \n <br /> G-5 Page 174 <br />