5-RFP 26-106 E-Verify Affidavit-Contractor.pdf
PDF 65 KB Posted
- Solicitation number
- 26-106
- Issued by
- Fulton County, Georgia
About this file
This document is an Affidavit Verifying Contractor Participation in Federal Work Authorization Program (E-Verify) from the City of Alpharetta, Georgia, pertaining to a potential project involving Drones as First Responders. The affidavit requires contractors to verify their participation in the federal E-Verify program, which is designed to confirm the employment eligibility of workers. Contractors must register with E-Verify, continue using the program throughout the contract period, and notify the city if they cease using the program. The document outlines several key compliance requirements, including the need to use E-Verify, continue its use during the contract, and only subcontract with vendors who can provide similar verification.
The affidavit is a legal document that must be signed and notarized, with the contractor acknowledging that failure to use the E-Verify program constitutes a material breach of contract. Contractors are required to submit copies of affidavits, drivers' licenses, and identification cards to the City of Alpharetta within five business days of receipt. While the specific project details are not fully completed in this document, it appears to be related to a Drones as First Responders program, which suggests potential public safety or emergency response applications. The document serves as a mandatory procurement requirement for contractors seeking to do business with the City of Alpharetta, ensuring compliance with state labor verification regulations.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 6-RFP 26-106 Information.pdf | ||
| 7-RFP 26-106 Scope of Work-Submittal Info.pdf | ||
| 1-Alpharetta LVP Form.pdf | ||
| 4-RFP 26-106 Disclosure-Debarment Required Form.pdf | ||
| 2-IRS Form W-9 March 2024.pdf | ||
| 3-CAD 365.xlsx | XLSX spreadsheet |
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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: Drones as First Responders Program (Proof of Concept) |
| Executed date: |
| in: |
| state: |
| Printed Name and Title of Authorized Officer or Agent: |
| My Commission Expires: |
| Year: |
| Month: |
| Day: |
File details come from the government source that posted it. Updated .