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B K 00026 PG <br />Consolidated Agreeanent FYI 5 <br />STATE CERTIFICATION <br />Contractor Certifications Required by North Carolina Law <br />Page 20 of 28 <br />Instructions: The person who signs this document should read the text of the statutes listed below and consult with <br />counsel and other knowledgeable persons before signing. <br />• The text of Article 2 of Chapter 64 of the North Carolina General Statutes can be found online at: <br />httpJ /www.ncp. state. nc. us /EnactedLegislation/ Statutes /PDFByArticle/Cbapter 64/Articl,q 2.pdf <br />• The text of G.S. 105- 164.8(b) can be found online at: <br />httpJ /www.nega. state. nc. us/ EnactedL. egislation /Statutes/PDFBySection/Chapter 105/GS_105- 164.8.pdf <br />• The text of G.S. 143 -48.5 (S.L. 2013 -418, s. 2.(d)) can be found online at: <br />httpJ /www.ncga.state.nc.us/ Sessions /2013BflstHouse/PDF/H786v6.pdf <br />• The text of G.S. 143 -59.1 can be found online at: <br />http:/ /www.nega. state.nc.usffi=tedLegislation/ Statutes/ PDFBySection /Chapter_143 /GS_143 -59. l .pdf <br />• The text of G.S. 143 -59.2 can be found online at: <br />httpJ /www.nega. state. nc. us/ FanactedLegislation /Statutes/PDFBySection/Chapter 143/GS_143- 59.2.pdf <br />• The text of G.S. 147-33.95(g) (S.L. 2013 -418, s. 2.(e)) can be found online at: <br />httpJ /www.ncga. state. nc. us / Sessions /2013Bills/House/PDF/H786v6.pdf <br />Certifications <br />(1) Pursuant to GS. 143-48.5 and G.S. 147-33.95(g), the undersigned hereby certifies that the Contractor <br />named below, and the Contractor's subcontractors, complies with the requirements of Article 2 of Chapter 64 <br />of the NC General Statutes, including the requirement for each employer with more than 25 employees in <br />North Carolina to verify the work authorization of its employees through the federal E- Verify system." E- <br />Verify System Link: www.uscis.gov <br />(2) Pursuant to G.S. 143- 59.1(b), the undersigned hereby certifies that the Contractor named below is not an <br />"ineligible Contractor" asset forth in G.S. 143- 59.1(a) because: <br />(a) Neither the Contractor nor any of its affiliates has refused to collect the use tax levied under Article 5 of <br />Chapter 105 of the General Statutes on its sales delivered to North Carolina when the sales met one or <br />more of the conditions of G.S. 105- 164.8(b); and <br />(b) [check one of the following boxes] <br />❑ Neither the Contractor nor any of its affiliates has incorporated or reincorporated in a "tax haven <br />country" as set forth in G.S. 143- 59.1(c)(2) after December 31, 2001; or <br />❑ The Contractor or one of its affiliates has incorporated or reincorporated in a "tax haven country" as <br />set forth in G.S. 143- 59.1(c)(2) after December 31, 2001 but the United States is not the principal <br />market for the public trading of the stock of the corporation incorporated in the tax haven country. <br />(3) Pursuant to G.S. 143- 59.2(b), the undersigned hereby certifies that none of the Contractor's officers, <br />directors, or owners (if the Contractor is an unincorporated business entity) has been convicted of any <br />violation of Chapter 78A of the General Statutes or the Securities Act of 1933 or the Securities Exchange Act <br />of 1934 within 10 years immediately prior to the date of the bid solicitation. <br />