Contractor Affidavit.pdf
PDF 43 KB Posted
- Attached to
- GDC-24-Johnson-SP-008-DP
- Solicitation number
- PE-40900-RFQ-2024-000000004
- Issued by
- Jones County, Georgia
About this file
The document is a Contractor Affidavit required under O.C.G.A. § 13-10-91 related to a contract between a Contractor and a Public Employer. The Affidavit verifies the Contractor's compliance with O.C.G.A. § 13-10-91, including registering and using the federal E-Verify work authorization program, continuing to use E-Verify throughout the contract period, and notifying the Public Employer if the Contractor ceases to utilize the program. The Contractor also agrees to have subcontractors provide affidavits with the required information and to submit copies of any affidavits, drivers' licenses, and identification cards to the Public Employer within five business days of receipt.
The document does not provide details about the specific contract, such as the products or services requested, project overviews, item quantities, response dates, due dates, site visits, bidder's meetings and conferences, award dates, or the term of the contract including any renewal options. Additionally, the document does not include information about pricing terms, set asides, incumbents, current environment, funding requirements and sources, or any other salient contract details.
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Other files
| File | Type | Posted |
|---|---|---|
| Awarded Firm.pdf | ||
| Notice to Design Professionals.pdf | ||
| Awarded Firm.docx | DOCX document |
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Text version
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______.
NOTARY PUBLIC
My Commission Expires: _____________________________
File details come from the government source that posted it. Updated .