3-RFP 26-112 E-Verify Affidavit-Contractor.pdf
PDF 70 KB Posted
- Attached to
- Firefighter Structural Turnout Gear
- Solicitation number
- 26-112
- Issued by
- Fulton County, Georgia
About this file
This is an E-Verify Affidavit form required by the City of Alpharetta, Georgia for RFP 26-112 regarding the procurement of firefighter structural turnout gear. The City is requesting proposals from qualified firms to supply firefighter structural turnout gear, with offerors having the option to provide individual components (jacket, pants, and boots) rather than complete sets. The RFP documents are available online through the City's bid posting website at https://cityofalpharetta.bonfirehub.com/ beginning Thursday, January 29, 2026. Proposals are due by Thursday, February 26, 2026, at 10:00 AM, with all responses required to be submitted electronically through the designated webpage. The City reserves the right to reject any or all proposals that are non-responsive or not responsible and to waive technicalities and informalities in awarding a contract in its best interest.
This affidavit document verifies contractor compliance with O.C.G.A. 13-10-91 requirements regarding federal work authorization through the E-Verify program. Contractors must confirm their registration with and authorized use of E-Verify and commit to maintaining participation throughout the contract period, including any renewals or extensions. Contractors must also ensure that all subcontractors provide similar E-Verify affidavits and must notify the City if they cease utilizing the program at any time, with such cessation constituting a material breach of contract. Contractors are required to submit copies of all required affidavits, driver's licenses, and identification cards to the City of Alpharetta within five business days of receipt. The affidavit must be notarized and executed by an authorized officer or agent of the contracting firm.
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Text version
City of Alpharetta, GA Procurement Required Document Affidavit Verifying Contractor Participation in Federal Work Authorization Program (E-Verify)
AFFIDAVIT VERIFYING CONTRACTOR PARTICIPATION IN
FEDERAL WORK AUTHORIZATION PROGRAM (E-Verify)
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 City of Alpharetta 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) The 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 City of Alpharetta within five business days of receipt.
Federal Work Authorization User Identification Number Date of Authorization
Name of Contractor Name of Project
I hereby declare under penalty of perjury that the foregoing is true and correct.
Executed date ___________________ 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: _____________________________
(Notary Stamp)
AFFIDAVIT VERIFYING CONTRACTOR PARTICIPATION IN FEDERAL WORK AUTHORIZATION PROGRAM (E-Verify)
| Federal Work Authorization User Identification Number: |
| Date of Authorization: |
| Name of Contractor: |
| Name of Project: RFP 26-112: Firefighter Structural Turnout Gear |
| Executed date: |
| in: |
| state: |
| Printed Name and Title of Authorized Officer or Agent: |
| My Commission Expires: |
| Year: |
| Month: |
| Day: |
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