E_Verify Affidavit_Contractor.pdf

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Attached to
RFP 26-118 NORTHWINDS PKWY. STORMWATER BMP DESIGN
Solicitation number
PE-66085-NONST-2026-000000090
Issued by
Fulton County, Georgia

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This is an E-Verify Affidavit procurement document required by the City of Alpharetta, Georgia, for contractor participation in the federal work authorization program. The affidavit is mandatory for any contract subject to O.C.G.A. 13-10-91 and confirms the contractor's enrollment in and continued use of E-Verify throughout the contract period, including any renewals or extensions. The contractor must notify the City of Alpharetta if it ceases E-Verify participation during contract performance, and such cessation constitutes a material breach. Contractors are required to ensure that any subcontractors also provide compliant affidavits with the information specified under O.C.G.A. 13-10-91(a), (b), and (c). The contractor must submit copies of all required affidavits, drivers' licenses, and identification cards to the City within five business days of receipt.

The affidavit requires the contractor to provide its federal work authorization user identification number, date of authorization, project name, and authorized officer signature before a notary public. The completed document for the project at 26-118 Northwinds Parkway BMP Design must be executed and notarized. This affidavit serves as a standard procurement requirement for the City of Alpharetta and is automatically incorporated into applicable contracts without further action or consent from the contractor.

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Other files

File Type Posted
26_118 Information and Contract T_C.pdf PDF
Northwinds Parkway Pond Analysis Report_Final.pdf PDF
Disclosure_Debarment Form.pdf PDF
26_118 Scope of Work_Submittal Info.pdf PDF
Alpha Loop Stormwater Imp Exhibit.pdf PDF

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City of Alpharetta, GA Procurement Required Document Affidavit Verifying Contractor Participation in Federal Work Authorization Program (E-Verify)

AFFIDAVIT VERIFYING CONTRACTOR PARTICIPATION IN

FEDERAL WORK AUTHORIZATION PROGRAM (E-Verify)

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 City of Alpharetta 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) The 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 City of Alpharetta within five business days of receipt.

Federal Work Authorization User Identification Number Date of Authorization

Name of Contractor Name of Project

I hereby declare under penalty of perjury that the foregoing is true and correct.

Executed date ___________________ 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: _____________________________

(Notary Stamp)

AFFIDAVIT VERIFYING CONTRACTOR PARTICIPATION IN FEDERAL WORK AUTHORIZATION PROGRAM (E-Verify)

Federal Work Authorization User Identification Number:
Date of Authorization:
Name of Contractor:
Name of Project:

26-118 NORTHWINDS PKWY. BMP DESIGN

Executed date:
in:
state:
Printed Name and Title of Authorized Officer or Agent:
My Commission Expires:
Year:
Month:
Day:

File details come from the government source that posted it. Updated .