E_Verify Contractor Affidavit.pdf
PDF 19 KB Posted
- Attached to
- Body Worn and Squad Camera Systems
- Solicitation number
- PE-66218-NONST-2024-000000002
- Issued by
- Candler County, Georgia
About this file
This document is an E-Verify Contractor Affidavit required by the City of Kingsland under O.C.G.A. § 13-10-91(b)(1). The affidavit verifies that the contractor is registered with the City of Kingsland and is authorized to use and uses the federal work authorization program known as E-Verify, or any subsequent replacement program, in accordance with applicable laws. The contractor further attests that it will continue to use the federal work authorization program throughout the contract period and will only contract with subcontractors who present a similar affidavit. The affidavit requires the contractor to provide its federal work authorization user identification number and date of authorization.
The document does not contain any information about a specific contract opportunity, product or service requirements, response dates, award process, pricing terms, set asides, funding sources, or other salient details. It is solely focused on the contractor's obligations regarding the use of the E-Verify program.
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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, has registered with City of
Kingsland, and 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 ______, ___, 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: _________________________________
File details come from the government source that posted it. Updated .