Contractor Affidavit.pdf
PDF 35 KB Posted
- Attached to
- 24-145 Classroom Furniture
- Solicitation number
- PE-55267-NONST-2024-000000017
- Issued by
- Jefferson County, Georgia
About this file
This document is a Contractor Affidavit required by O.C.G.A. § 13-10-91 for a state or local government contract opportunity. It verifies that the contractor is registered with and uses the federal E-Verify program to confirm the employment eligibility of its personnel. The contractor agrees to continue using E-Verify throughout the contract period, notify the public employer if it ceases to use the program, and ensure its subcontractors also comply with the E-Verify requirement. The contractor further acknowledges that failure to use E-Verify constitutes a material breach of the contract.
The affidavit does not provide details about the specific contract opportunity, such as the products or services requested, project scope, response dates, award information, or contract term. It is solely focused on the contractor's obligations related to the E-Verify program under Georgia law.
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Other files
| File | Type | Posted |
|---|---|---|
| W_9.pdf | ||
| JCSS STANDARD TERMS AND CONDITIONS.pdf | ||
| 24_145 DFES Furniture Description and Specifi.pdf | ||
| 24_145 Classroom Furniture eRFQ.pdf | ||
| 24_145 Request for Quote .doc | DOC document | |
| 24_145 Notice of Reopening.pdf | ||
| Certificate of NonCollusion.doc | DOC document | |
| District Certification.pdf | ||
| DEPARTMENT OF AUDITS IMMIGRATION AND SECURITY.doc | DOC document | |
| Tax Compliance Form.doc | DOC document | |
| How to respond to an online bid_ Vendor Regis.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 .