E_Verify Affidavit_Contractor.pdf

88 KB Posted

Attached to
FY27 SIDEWALK REPAIR & REPLACEMENT
Solicitation number
PE-66085-NONST-2027-000000095
Issued by
Fulton County, Georgia

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This is an E-Verify Affidavit required by the City of Alpharetta, Georgia for contractor participation in the FY27 Sidewalk Repair & Maintenance project. The affidavit verifies the contractor's compliance with O.C.G.A. § 13-10-91, which mandates federal work authorization verification. The project involves furnishing all materials, labor, and equipment for the complete construction of sidewalk repair and replacement, including demolition and disposal of existing concrete sidewalk, construction of new concrete sidewalk and handicap ramps, and related reconstruction work. The work locations are along Westside Parkway, Kimball Bridge Road, and Clubhouse Drive in Alpharetta, Georgia.

The contractor must register with and use the E-Verify federal work authorization program throughout the entire contract period, including any renewals or extensions, and must notify the City immediately if E-Verify usage ceases, as such cessation constitutes material breach of contract. Contractors are required to ensure all subcontractors also present compliant affidavits with the same E-Verify information and must submit copies of any affidavits, drivers' licenses, and identification cards required under O.C.G.A. § 13-10-91 to the City within five business days of receipt. The affidavit must be executed before a notary public and incorporated into the contract without further action or consent from the contractor.

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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: FY27 SIDEWALK REPAIR & MAINTENACE
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 .