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The County of Lee North Carolina <br />Vendor/Contractor Name: All e C; 6 I k5:5 JN � P 4 <br />IRAN DIVESTMENT ACT CERTIFICATION <br />REQUIRED BY N.C.G.S. 147-86.59 <br />As of the date listed below, the Vendor/Contractor listed above certifies that they are not on the Iran Final <br />Divestment List ("List") created by the North Carolina State Treasurer persuant to N.C.G.S. 147-86.58. <br />ContractorNendor shall not utilize any subcontractor that is identified on the list. <br />E -VERIFY CERTIFICATION <br />REQUIRED BY N.C.G.S. 143-48.5 & 147-33.95(8) <br />As of the date listed below, the Vendor/Contractor listed above and all Vendor/Contractor's subcontractors <br />certify that they are in compliance with the requirements of Article 2 of Chapter 64 of the North Carolina <br />General Statutes, including the requirement for each employer with more than 25 employees in North <br />Carolina to verify the work authorization of its employees through the federal E -Verify system. <br />The undersigned hereby certifies that he/she is authorized by the entity listed above to make the foregoing <br />statement. <br />41A A <br />Sign ure <br />i3 CL4 kMaNI <br />Printed Nanle <br />05-1/-7 <br />Date <br />0- 1F0 <br />Printed Title <br />