Contractor Affidavit (49).pdf
PDF 105 KB Posted
- Solicitation number
- PE-64800-NONST-2027-000000082
- Issued by
- Georgia
About this file
This is a Contractor Affidavit required under O.C.G.A. 13-10-91(b)(1) for the Douglas County, Georgia road patching, milling, and resurfacing project. The affidavit pertains to a sealed bid solicitation issued by the Douglas County Board of Commissioners for patching, milling, and resurfacing of various Douglas County roads totaling 6.41 miles. Electronic bids must be submitted via Douglas County BidNets online bidding platform no later than Thursday, September 17, 2026 at 2:00 PM EST.
The affidavit requires contractors to verify compliance with Georgia state law by confirming registration with and authorization to use E-Verify, the federal work authorization program. Contractors must commit to continuous use of E-Verify throughout the contract period, including any renewals or extensions, and notify the public employer if they cease participation. Contractors must also ensure all subcontractors submit required affidavits and comply with E-Verify requirements. Failure to maintain E-Verify participation constitutes material breach of contract. Contractors are responsible for submitting copies of affidavits, drivers' licenses, and identification cards to the public employer within five business days of receipt. The affidavit must be executed before a notary public and incorporated into all resulting contracts without further action required.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid Docs 2026 LRA Bid Docs.pdf | ||
| Proposal Certification (60).pdf | ||
| Subcontractor affidavit (50).pdf | ||
| No Conflict of Interest (52).pdf | ||
| AD for 26_025 (1).pdf |
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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 .