023_46 _ Exhibit E _ E_Verify Affidavit.pdf
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- Solicitation number
- PE-77129-NONST-2026-000000044
- Issued by
- Hall County, Georgia
About this file
Exhibit E – Mandatory E-Verify Affidavit for Hall County, Georgia
This document is a mandatory E-Verify Affidavit required by Hall County Government's Financial Services Purchasing Division for contractors entering into contracts subject to O.C.G.A. § 13-10-91. The affidavit serves as a compliance verification tool that contractors must execute and submit as a condition of contract award. The document requires contractors to attest to their registration with and authorization to use the federal E-Verify work authorization program and commit to continued use throughout the entire contract period, including any renewals or extensions.
The affidavit contains seven key provisions that establish contractor obligations, including maintaining E-Verify enrollment, notifying Hall County if E-Verify usage ceases, acknowledging that cessation constitutes material breach of contract, requiring subcontractors to provide similar affidavits, and submitting copies of all required affidavits, drivers' licenses, and identification cards to the public employer within five business days of receipt. The form requires completion with the contractor's Federal Work Authorization User ID Number, authorization date, contractor name, project name, execution date and location, authorized officer signature and title, and notarization before a notary public. No pricing, set-asides, incumbent information, funding sources, or contract term details are specified in this exhibit, as it functions solely as a compliance and authorization document for use in conjunction with Hall County contracts.
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Text version
Hall County Government
FINANCIAL SERVICES
PURCHASING DIVISION
POST OFFICE DRAWER 1435
GAINESVILLE, GA 30503
t: 770.535.8270 | f: 770.531.6711
FINANCIAL SERVICES DIRECTOR
Taylor Samples, CPA
ASSISTANT FINANCE DIRECTOR
Elizabeth White
PURCHASING MANAGER
Andy Youngblood
EXHIBIT E – MANDATORY E-VERIFY AFFIDAVIT
The undersigned contractor ("Contractor") executes this Affidavit to comply with O.C.G.A § 13-10-91 related to any contract to which Contractor is a party that is subject to O.C.G.A. § 13-10-91 and hereby verifies its compliance with O.C.G.A. § 13-10-91, attesting as follows:
A. The Contractor has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program; and, B. The Contractor will continue to use the federal work authorization program throughout the contract period, including any renewal or extension thereof; and, C. The Contractor will notify the public employer in the event the Contractor ceases to utilize the federal work authorization program during the contract period, including renewals or extensions thereof;
and, D. The Contractor understands that ceasing to utilize the federal work authorization program constitutes a material breach of contract; and, E. The Contractor will contract for the performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the Contractor with the information required by O.C.G.A. § 13-10-91(a), (b), and (c); and, F. The Contractor acknowledges and agrees that this Affidavit shall be incorporated into any contract(s) subject to the provisions of O.C.G.A.
§ 13-10-91 for the project listed below to which Contractor is a party after the date hereof without further action or consent by Contractor;
and, G. Contractor acknowledges its responsibility to submit copies of any affidavits, drivers' licenses, and identification cards required pursuant to O.C.G.A. § 13-10-91 to the public employer within five (5) business days of receipt.
Federal Work Authorization User ID Number Date of Authorization
Name of Contractor
Name of Project
Name of Public Employer: Hall County, Georgia
I hereby declare under penalty of perjury that the foregoing is true and correct.
Executed on ___________________, 202___ in ________________________ (city), ______ (state).
Signature of Authorized Officer or Agent
Printed Name and Title of Authorized Officer or Agent
Subscribed and sworn before me on this the ______ day of ________________, 202___.
Notary Public: ______________________________
Print Name: ________________________________
My Commission Expires: ______________________
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