Contractor_Affidavit___Updated_December_2018_.pdf
PDF 43 KB Posted
- Attached to
- Guaranteed Energy Savings Performance Contract
- Solicitation number
- PE-92200-RFP-2025-000000033
- Issued by
- Fulton County, Atlanta City, Georgia
About this file
This document is a Contractor Affidavit related to a Guaranteed Energy Savings Performance Contract solicitation issued by the Georgia World Congress Center Authority. The affidavit requires the contractor to verify its use of the federal E-Verify program and compliance with Georgia law related to the use of unauthorized immigrants. The contract opportunity is for energy performance contracting services across facilities owned by the Authority, which is located in Fulton County and the City of Atlanta, Georgia. The Authority is seeking responses from pre-qualified energy service providers, and has imposed a restriction on communication by interested firms during the solicitation process. The contract term and any renewal options are not specified.
The affidavit includes pricing-related terms, requiring the contractor to only subcontract with firms that provide their own E-Verify affidavits. No other details are provided regarding pricing, funding sources, or potential set-asides. The current incumbent, if any, is not mentioned.
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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 .