Contractor Affidavit
75 KB Posted
- Solicitation number
- GDC-22-COLW-PD-012-DP
- Issued by
- Georgia
About this file
This is a Contractor Affidavit document required under O.C.G.A. § 13-10-91(b)(1) for the Air Handling Units and Boiler Replacement project at Colwell Correctional Facility, administered by the Georgia Department of Corrections. The affidavit pertains to professional design and construction administration services for HVAC systems and heating boiler replacement. The scope of work includes preparation of schematic design and design development documents, construction documents, bidding assistance, and construction contract administration for two HVAC systems and one heating boiler system.
The affidavit requires the contractor to register with and utilize the federal E-Verify work authorization program throughout the entire contract period, including any renewals or extensions, and to notify the public employer if E-Verify usage ceases at any point. Contractors must also ensure all subcontractors submit compliant affidavits with required documentation including federal work authorization user identification numbers, drivers' licenses, and identification cards within five business days of receipt. Failure to maintain E-Verify compliance constitutes a material breach of contract. The affidavit must be executed before a notary public and incorporated into the contract without further action or consent from the contractor.
Text of this file
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 _ _ .
NOT ARY PUBLIC
My Commission Expires: _____ _ _____ _
Colwell PDC AHU/Boiler Project for Design
Georgia Department of Corrections
Other files
| File | Type | Posted |
|---|---|---|
| Award Information | — | |
| Notice to Design Professionals | — |
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