1-Contractor Affidavit under O.C.G.A. § 13-10-91(b)(l).pdf
PDF 95 KB Posted
- Attached to
- City of Hazlehurst - Embankment Repairs
- Solicitation number
- 4830-797991
- Issued by
- Kentucky
About this file
This is a Contractor Affidavit form required by the City of Hazlehurst, Georgia, under O.C.G.A. § 13-10-91(b)(1) for the Embankment Repairs project. The affidavit must be executed by the awarded contractor to verify compliance with Georgia's federal work authorization requirements. Sealed bids for road embankment and dirt road shoulder repairs at multiple locations within city limits must be submitted through the DFS Procurement Portal no later than Monday, November 16, 2026 at 2:00 P.M. EST, with public bid opening and reading scheduled for 3:00 P.M. the same day at Hazlehurst City Hall, 86 S Cromartie Street. The City Council is scheduled to award the contract on Thursday, November 19, 2026 at 5:00 P.M. EST. Work is expected to be completed within 60 days of contract award.
Bidders must submit a bid guarantee equal to 5% of the total bid price in the form of a bid bond, postal money order, certified check, cashier's check, or irrevocable letter of credit. The awarded contractor is required to provide 100% performance and payment bonds before work begins and submit proof of general and professional liability insurance with the bid. Bids remain valid for 60 calendar days after the submission deadline. The contractor must register with and continuously use the E-Verify federal work authorization program throughout the contract period, notify the City if E-Verify usage ceases, and ensure all subcontractors provide comparable affidavits. Failure to maintain E-Verify compliance constitutes material breach of contract. The contractor must submit copies of affidavits, drivers' licenses, and identification cards to the City within five business days of receipt.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-City of Hazlehurst 797991 Embankment Repairs RFB.pdf |
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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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