Contractor_Affidavit Updated.doc
DOC document 54 KB Posted
- Attached to
- 26-52 Internet Content Filters
- Solicitation number
- PE-55267-NONST-2026-000000039
- Issued by
- Jefferson County, Georgia
About this file
This is a Contractor Affidavit document required under O.C.G.A. § 13-10-91(b)(1) for contractors entering into contracts with Georgia public employers. The affidavit requires contractors to verify compliance with federal work authorization requirements by confirming registration with and authorization to use E-Verify or any subsequent federal replacement program. Contractors must maintain continuous E-Verify usage throughout the entire contract period, including any renewals or extensions, and are obligated to notify the public employer immediately if they cease utilizing the program at any point during contract performance. The affidavit becomes automatically incorporated into all subject contracts without requiring further action or consent from the contractor upon execution.
The document establishes that cessation of E-Verify usage constitutes a material breach of contract and imposes specific responsibilities on contractors regarding subcontractor compliance. Contractors must ensure all subcontractors provide comparable affidavits containing information required under O.C.G.A. § 13-10-91(a), (b), and (c), and must submit copies of all required affidavits, drivers' licenses, and identification cards to the public employer within five business days of receipt. The affidavit requires execution before a notary public and must include the contractor's federal work authorization user identification number, authorization date, project name, and the name of the contracting public employer.
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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 .