Contractor Affidavit (51).pdf
PDF 105 KB Posted
- Attached to
- Basketball Court Flooring Restoration
- Solicitation number
- PE-64800-NONST-2027-000000085
- Issued by
- Georgia
About this file
This is a Contractor Affidavit related to a Basketball Court Flooring Restoration project in Georgia. The affidavit serves as a formal declaration by the contractor regarding their qualifications, legal standing, and compliance with applicable regulations for the commercial athletic facility restoration work. The document establishes the contractor's commitment to fulfill the scope of work involving water mitigation and restoration services for the facility containing two basketball courts, a gymnasium, and a walking track, with services including water extraction, drying equipment deployment, containment and dust control measures, hardwood flooring repairs and refinishing, vinyl cove base replacement, court line repainting, debris removal, and final construction cleaning.
The affidavit functions as a binding declaration of the contractor's eligibility and intent to perform the contracted services in accordance with state and local requirements. This document typically verifies that the contractor possesses the necessary licensing, insurance, and legal authorization to execute the restoration work and confirms compliance with Georgia regulations governing commercial construction and restoration projects.
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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 .