E_verify affidavit.pdf

PDF 89 KB Posted

Attached to
2026 SAP Striping and Marking Project
Solicitation number
PE-77081-NONST-2026-000000007
Issued by
Douglas County, Georgia

About this file

This is an E-Verify Affidavit Form B submitted in compliance with O.C.G.A. 36-60-6(d) for the Elbert County Board of Commissioners' 2026 SAP Striping and Marking Project in Georgia. The project involves furnishing all materials, labor, tools, equipment, and appurtenances necessary for striping and marking approximately 51.57 miles of various county roads. Sealed bids must be submitted by 4:00 p.m. on Thursday, May 7, 2026, with bids opened at that time. Faxed or emailed bids will not be accepted; bids must be sealed in an envelope with the words "A sealed bid" appearing on the outside. Bids will be awarded on May 11, 2026, at 5:30 p.m. Interested parties should contact Ryan Wright at 706-283-2000 or rwright@elbertga.us for additional information and specifications.

All bidders are required to comply with the Systematic Alien Verification of Entitlements (SAVE) program and the federal E-Verify program. The affidavit form provided allows private employers with fewer than 100 employees to declare exemption from E-Verify registration requirements under O.C.G.A. 13-10-90. The Elbert County Board of Commissioners reserves the right to reject any and all bids not in conformity with the stated instructions and retains the authority to cancel the bid opening or anticipated purchase. The form must be executed under penalty of perjury, notarized, and submitted by an authorized officer or agent of the employer.

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Text version

E-VERIFY AFFIDAVIT

FORM B

Private Employer of Compliance Pursuant to O.C.G.A. § 36-60-6(d)

By executing this affidavit, the undersigned private employer verifies that it is exempt from compliance with O.C.G.A. § 36-60-6, stating affirmatively that the individual, firm or corporation employs fewer than 100 employees and therefore, is not required to register with/or utilize 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. § 13-10-90.

Signature of Exempt Private Employer

Printed Name of Exempt Private Employer

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

Executed on ________, _______, 202___ 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 ______________, 202_____.

NOTARY PUBLIC

My Commission Expires: (SEAL)

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