Contractor Affidavit.pdf
PDF 35 KB Posted
- Attached to
- 24-146 School Signs
- Solicitation number
- PE-55267-NONST-2025-000000020
- Issued by
- Bibb County, Jefferson County, Georgia
About this file
This document is a Contractor Affidavit required under O.C.G.A. 13-10-91 for a state and local contract opportunity. The Affidavit requires the contractor to verify its compliance with the E-Verify program throughout the contract period, including any renewals or extensions. The contractor must agree to only subcontract with parties who have also provided the required affidavit information. The contractor acknowledges that ceasing to utilize the E-Verify program constitutes a material breach of the contract.
The Affidavit does not provide details on the specific contract opportunity, such as the products or services requested, project overview, quantities, response dates, award information, or contract term. It focuses solely on the compliance requirements for the contractor related to the E-Verify program under Georgia state law.
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| File | Type | Posted |
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| Tax Compliance Form.doc | DOC document | |
| 24_146 School Signs Addendum I Reposting.pdf | ||
| 24_146 Request for Quote .doc | DOC document | |
| W_9.pdf | ||
| JCSS STANDARD TERMS AND CONDITIONS.pdf | ||
| How to respond to an online bid_ Vendor Regis.pdf | ||
| District Certification.pdf | ||
| NOTICE OF INTENT TO AWARD 24_146 Dames Ferry .pdf | ||
| 24_146 School Signs DFES _ MWES Revised_Reope.pdf | ||
| DEPARTMENT OF AUDITS IMMIGRATION AND SECURITY.doc | DOC document | |
| Certificate of NonCollusion.doc | DOC document | |
| 24_146 Scope of Work Revised .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 .