Contractor Affidavit (45).pdf
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- Solicitation number
- PE-64800-NONST-2026-000000078
- Issued by
- Douglas County, Georgia
About this file
This is a Contractor Affidavit submitted in connection with the SR 166 @ Chapel Hill Road Project roundabout construction bid opportunity in Douglas County, Georgia. The affidavit serves as a sworn statement from a contractor affirming their qualifications, legal standing, and compliance with applicable regulations to submit a proposal for the construction of a roundabout at the intersection of SR 166 and Chapel Hill Road in Douglasville, GA. The project requires the contractor to furnish all materials, labor, and equipment necessary for roundabout construction, including Chapel Hill Road approaches. The affidavit is a standard documentation requirement in the bid submission process and confirms that the contractor meets the eligibility criteria established by the Douglas County Board of Commissioners for participating in this public works project.
The affidavit contains sworn declarations regarding the contractor's business status, authorization to conduct business in Georgia, and adherence to state and local regulations governing public construction contracts. This document is a mandatory component of the bid package and must be completed and notarized to validate the contractor's proposal submission. The affidavit ensures accountability and establishes legal responsibility for the information provided by the bidding contractor throughout the procurement process for this Douglas County infrastructure improvement project.
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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 .