Contractor Affidavit.pdf
PDF 35 KB Posted
- Attached to
- CP Jones County High School Renovations
- Solicitation number
- PE-55267-NONST-2026-000000036
- Issued by
- Jefferson County, Georgia
About this file
This is a Contractor Affidavit document required under Georgia state law (O.C.G.A. 13-10-91(b)(1)) for the Jones County School District's CP Jones County High School Renovations project in Gray, Georgia. The affidavit serves as a compliance verification mechanism for contractors participating in this construction professional services contract. Contractors executing this document must attest to their registration with and authorized use of E-Verify, the federal work authorization program, and commit to maintaining this authorization throughout the entire contract period, including any renewals or extensions.
The affidavit establishes specific obligations for the contractor, including the requirement to notify the public employer if the contractor ceases E-Verify utilization, with such cessation constituting a material breach of contract. Contractors must ensure all subcontractors also submit compliant affidavits meeting O.C.G.A. requirements and are responsible for submitting copies of all required affidavits, driver's licenses, and identification cards to the public employer within five business days of receipt. The document requires completion with the contractor's Federal Work Authorization User Identification Number, authorization date, project name, public employer name, and execution date, followed by notarization. This affidavit is automatically incorporated into all subject contracts without requiring further action or consent from the contractor.
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Other files
| File | Type | Posted |
|---|---|---|
| 36_36 GENERAL INFORMATION WORKSHEET.doc | DOC document | |
| JCSS STANDARD TERMS AND CONDITIONS.pdf | ||
| 26_36 MANDATORY RESPONSE CHECKLIST.xls | XLS spreadsheet | |
| Tax Compliance Form.doc | DOC document | |
| Certificate of NonCollusion.pdf | ||
| DEPARTMENT OF AUDITS IMMIGRATION AND SECURITY.pdf | ||
| W_9.pdf | ||
| 26_36 RFP_CP at Risk Jones County High School.pdf | ||
| District Certifications Form.pdf |
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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 .