E_Verify _ Contractor Affidavit.pdf
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- Solicitation number
- PE-63110-NONST-2024-000000002
- Issued by
- Clayton County, Georgia
About this file
This document is a Contractor Affidavit and Agreement related to the Clayton County Board of Education contract. The affidavit requires the contractor to verify its compliance with Georgia law regarding the use of the federal E-Verify program to confirm the legal employment status of its workers. The contractor must continue to use E-Verify throughout the contract period and ensure any subcontractors also comply with the E-Verify requirements. The affidavit requires the contractor to provide its federal work authorization user identification number and date of authorization.
The document does not contain information about the specific products, services, quantities, response dates, or contract term. It is focused solely on the contractor's legal obligations regarding employment verification.
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Text version
CONTRACTOR AFFIDAVIT AND AGREEMENT
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 for services on behalf of Clayton County Board of Education. (name of public employer), 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 sub-contractors 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
Clayton County Board of Education 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
Date of Authorization
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:
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