E_Verify Affidavit _ NEW.pdf
PDF 92 KB Posted
- Attached to
- 2026 - 28 Portable Message Signs on Trailers (4)
- Solicitation number
- PE-33306-NONST-2027-000000026
- Issued by
- Georgia
About this file
This is an E-Verify Affidavit required by the Washington County Board of Commissioners in Georgia under O.C.G.A. 13-10-91(b)(1) for the 2026-28 Portable Message Signs on Trailers procurement. The affidavit serves as a contractor compliance document and does not specify project timelines, quantities beyond the four portable message signs on trailers referenced in the related contract opportunity, response dates, bid meetings, or award dates. The document establishes that the contractor must be registered with and authorized to use the federal E-Verify work authorization program throughout the entire contract period.
The affidavit requires contractors to provide their federal work authorization user identification number and date of authorization, and obligates them to ensure all subcontractors used for physical performance of services also comply with E-Verify requirements. No pricing terms, set-aside provisions, incumbent information, or funding sources are addressed in this affidavit document, as it functions solely as a verification mechanism to confirm contractor compliance with Georgia's employment authorization requirements prior to contract execution.
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Other files
| File | Type | Posted |
|---|---|---|
| 2026 Invitation to Bid Portable message signs.docx | DOCX document | |
| 2026 Portable Message Sign 4 x 8 Specs.docx | DOCX document | |
| Bidding Check List.docx | DOCX document | |
| W_9 Form.pdf | ||
| SAVE Affidavit _ NEW.pdf |
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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 (Washington County Board of Commissioners)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
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 .