Contractor E_Verify Affidavit ITB 24_002.pdf
PDF 111 KB Posted
- Attached to
- 2024 Milling & Resurfacing
- Solicitation number
- PE-70760-NONST-2024-000000002
- Issued by
- Lanier County, Georgia
About this file
This document is a Contractor Affidavit required by the City of Oxford for ITB 24-002 - 2024 Milling & Resurfacing project. The affidavit verifies the contractor's compliance with Georgia law (O.C.G.A. § 13-10-91) regarding the use of the federal E-Verify program to confirm the employment eligibility of its workers. The contractor must provide its federal work authorization user identification number and date of authorization. Furthermore, the contractor attests that it will only subcontract with firms that also provide the required E-Verify affidavit.
The affidavit must be executed and notarized by an authorized officer or agent of the contractor. It does not contain any details about pricing, set-asides, funding, or other contractual terms. The affidavit is a compliance requirement for the 2024 Milling & Resurfacing project solicited by the City of Oxford under ITB 24-002.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Contractor Affidavit under O.C.G.A. § 13-10-91(b)(1)
By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13- 10-91, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services on behalf of the City of Oxford has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-91. Furthermore, the undersigned contractor will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical 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(b).
Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:
Federal Work Authorization User Identification Number:
Date of Authorization:
Name of Contractor:
Name of Project ITB 24-002 – 2024 Milling & Resurfacing
Name of Public Employer City of Oxford
I hereby declare under penalty of perjury that the foregoing is true and correct.
Executed on in _______________, _______.
DATE 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 _______________________,202____.
NOTARY PUBLIC
My Commission Expires:
File details come from the government source that posted it. Updated .