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INDIANA LEGAL EMPLOYMENT DECLARATION <br />H.J.UMBAUGH & ASSOCIATES, CERTIFIED PUBLIC ACCOUNTANTS, LLP <br />I, Diana Sarkine, a duly authorized agent of H. J. Umbaugh & Associates, Certified Public Accountants, <br />LLP, declare under penalties of perjury that H. J. Umbaugh & Associates, Certified Public Accountants, <br />LLP does not employ unauthorized aliens to the best of its knowledge and belief. <br />Umbaugh has enrolled in and verifies the work eligibility status of all newly hired employees through the <br />E-Verify program as defined in I.C. 22-S-1.7-3. <br />Umbaugh is not required to participate if the E-Verify program ceases to exist. <br />Umbaugh requires subcontractors, who perform work under this contract, to certify that the <br />subcontractor does not knowingly employee or contract with an unauthorized alien and that the <br />subcontractor has enrolled and is participating in the E-Verify program. The Contractor agrees to <br />maintain this certification throughout the duration of the term of a contract with a sub -contractor. The <br />subcontractor is not required to participate if the contractor is self-employed and does not employ any <br />employees. <br />14•J. UmBAm, A r Asto, L IE, ; p4 I_Cp <br />Name of Contractor/Sub-Contractor <br />By: /Ul./ d" XLLdt <br />Authorized Representative of Contractor <br />Dated: a/i�20/7 <br />