00 0016 EX F _ Subcontractor Affidavit.pdf
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- Solicitation number
- PE-72600-NONST-2026-000000029
- Issued by
- Spalding County, Georgia
About this file
This document is a Subcontractor Affidavit for the State of Georgia, specifically involving the Spalding County Water Board of Commissioners. The affidavit is a legal document verifying a subcontractor's compliance with Georgia state law (O.C.G.A. § 13-10-91) and Georgia Department of Labor Rule 300-10-1-.02, which requires businesses performing contract services to participate in a federal work authorization program.
The affidavit mandates that the subcontractor confirm registration and participation in an electronic verification of work authorization program, such as the "EEV / Basic Pilot Program" operated by the U.S. Citizenship and Immigration Services Bureau. This verification is part of the Immigration Reform and Control Act of 1986 and is designed to ensure that newly hired employees are legally authorized to work in the United States. The document provides a template for a subcontractor to formally attest to their compliance, including spaces for the subcontractor's name, identification number, authorized agent's signature, and notarization.
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Text version
Exhibit F – 1 Project No. 17100.00
STATE OF GEORGIA
______________ COUNTY
SUBCONTRACTOR AFFIDAVIT
COMES NOW before me, the undersigned officer duly authorized to administer oaths, the undersigned subcontractor, who, after being duly sworn, states as follows:
By executing this affidavit, the undersigned subcontractor verifies its compliance with O.C.G.A. § 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02, stating affirmatively that the individual, firm, or corporation which is engaged in the performance of services under a contract between _______________________________ (name of contractor) and SPALDING COUNTY WATER BOARD OF COMMISSIONER has registered with and is participating in a federal work authorization program* in accordance with the applicability provisions and deadlines established in O.C.G.A. § 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02.
EEV / Basic Pilot Program User Identification Number
FURTHER AFFIANT SAYETH NOT.
BY: Authorized Officer or Agent Date
Subcontractor Name
Title of Authorized Officer or Agent of Subcontractor
Printed Name of Authorized Officer or Agent
Sworn to and subscribed before me This ____ day of ___________, 20
Notary Public My commission expires: ___________
* Any of the electronic verification of work authorization programs operated by the United States Department of Homeland Security or any equivalent federal work authorization program operated by the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603. As of the effective date of O.C.G.A. § 13-10-91, the applicable federal work authorization program is the “EEV / Basic Pilot Program” operated by the U.S. Citizenship and Immigration Services Bureau of the U.S. Department of Homeland Security, in conjunction with the Social Security Administration (SSA).
File details come from the government source that posted it. Updated .