1-Contractor Affidavit under O.C.G.A. § 13-10-91(b)(l).pdf
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- Attached to
- 4899 - Water Valley Utilities Commission
- Solicitation number
- Not on record
- Issued by
- Kentucky
About this file
This is a Contractor Affidavit document under O.C.G.A. § 13-10-91(b)(1) required by the Water Valley Utilities Commission in Kentucky for electrical distribution engineering services related to federal disaster recovery grants. The affidavit serves as a compliance verification form for contractors entering into contracts subject to Georgia's work authorization requirements. The submission deadline for qualifications and required forms is Monday, July 6, 2026, at 9:00 a.m. CST through the DFS Procurement Portal at dfs.bonfirehub.com. Electronic submission is mandatory; hard copy, telephone, fax, or email submissions will not be accepted. Multiple submittals from the same entity are prohibited, and responses received after the deadline will not be considered. Top-ranked firms will be contacted for further negotiations following the evaluation of qualifications.
The affidavit requires contractors to certify registration and authorization to use E-Verify or any subsequent federal work authorization replacement program throughout the contract period, including any renewals or extensions. Contractors must notify the public employer if they cease utilizing the work authorization program, acknowledging that such cessation constitutes material breach of contract. Contractors are also responsible for ensuring all subcontractors submit compliant affidavits and must submit copies of required affidavits, drivers' licenses, and identification cards to the public employer within five business days of receipt. Work performed must comply with all federal and state requirements and guidelines, including the FEMA PA Program and Policy Guide FP 104-009-02, and any resulting contract will contain all required clauses as specified in FEMA's contract provisions guide for fiscal year 2024.
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Text version
Contractor Affidavit under O.C.G.A. § 13-10-91(b)(l)
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;
b) The Contractor will continue to use the federal work authorization program throughout the contract period, including any renewal or extension thereof;
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;
d) The Contractor understands that ceasing to utilize the federal work authorization program constitutes a material breach of Contract;
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);
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 business days of receipt.
Federal Work Authorization User Identification Number Date of Authorization Name of Contractor Name of Project Name of Public Employer
I hereby declare under penalty of perjury that the foregoing is true and correct.
Executed on _________, _____, 20_____ 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 _____________, 20______.
NOTARY PUBLIC
My Commission Expires: _____________________________
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