Contractor Affidavit (37).pdf
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- Solicitation number
- PE-64800-NONST-2026-000000071
- Issued by
- Douglas County, Georgia
About this file
This is a Contractor Affidavit required under O.C.G.A. § 13-10-91(b)(1) for the Douglas County Board of Commissioners' project titled "Patching, Milling and Resurfacing of Various Douglas County Roads." The project consists of 8.12 miles of road work. Sealed bids must be submitted electronically via Douglas County's BidNets online bidding platform no later than Monday, April 20, 2026 at 2:00 PM EST. The affidavit must be executed and notarized by an authorized officer or agent of the bidding contractor prior to contract award.
The affidavit requires all contractors to register with and actively use E-Verify or any subsequent federal work authorization program throughout the contract period, including any renewals or extensions. Contractors must notify Douglas County if they cease using E-Verify during contract performance, with such cessation constituting material breach. Contractors are further required to ensure all subcontractors submit compliant affidavits and must submit copies of affidavits, drivers' licenses, and identification cards to the public employer within five business days of receipt. The affidavit becomes incorporated into the contract automatically without further action or consent from the contractor.
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Text version
Contractor Affidavit under O.C.G.A. § 13-I0-9l(b)(I)
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
Name of Contractor:
Date of Authorization
Name of Project
Douglas County, Georgia 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: _ _ _ _ _ _ _ _ _ _ _ _ lammons Cross-Out
Contractor Affidavit under O.C.G.A. § 13-I0-9l(b)(I)
File details come from the government source that posted it. Updated .