47_013 _ Exhibit E _ E_Verify Affidavit.pdf
PDF 188 KB Posted
- Attached to
- 2028 Hazard Mitigation Plan Consultant
- Solicitation number
- PE-77129-NONST-2027-000000071
- Issued by
- Hall County, Georgia
About this file
This is a mandatory E-Verify Affidavit form required by Hall County, Georgia's Financial Services Purchasing Division for contractors bidding on the 2028 Hazard Mitigation Plan consulting services contract. The affidavit serves as compliance documentation with O.C.G.A. § 13-10-91, Georgia's employment eligibility verification statute. Contractors must attest that they have registered with and are authorized to use E-Verify, the federal work authorization program, and agree to maintain this enrollment throughout the entire contract period, including any renewals or extensions. Contractors are also required to ensure that any subcontractors they engage present similar affidavits demonstrating E-Verify compliance.
The affidavit establishes material obligations for the contractor, including notification to Hall County should the contractor cease using E-Verify during contract performance, which would constitute a material breach. Contractors must submit copies of all required affidavits, drivers' licenses, and identification cards to the public employer within five business days of receipt. The form requires completion of the contractor's Federal Work Authorization User ID Number, date of authorization, contractor name, project name, and notarization by a qualified notary public. This affidavit must be executed and incorporated into any resulting contract with Hall County without further action or consent from the contractor.
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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
Andrew 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 ___________________, 2026 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 ________________, 2026.
Notary Public: ______________________________
Print Name: ________________________________
My Commission Expires: ______________________
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