Elberton South Oliver RFB.pdf

Electric Capital Improvement Project South Oliver line rehabilitation

GEFA Grid Resilience Grant Project Request for Bids

October 23, 2026

The City of Elberton hereby invites qualified contractors to submit bids for the South Oliver Line Rehabilitation, an Electric Capital Improvement Project for the Elberton Utilities Electric Division. The applicable terms, conditions, specifications, and project requirements are included in the accompanying bid documents. Bidders are responsible for reviewing and complying with all requirements set forth therein.

This project is funded in whole or in part with federal financial assistance from the U.S.

Department of Energy under Section 40101(d) of the Infrastructure Investment and Jobs Act, administered by the Georgia Environmental Finance Authority (GEFA). Pursuant to O.C.G.A. § 36-91-22(d), federal procurement procedures apply to this project and govern where they conflict with O.C.G.A. Chapter 36-91. Bidders must comply with the federal requirements in these bid documents, including Davis-Bacon prevailing wage requirements, Build America, Buy America requirements, and the Federal Contract Provisions in Exhibit B.

Sealed bids must be submitted to the City Clerk’s Office, City Hall, P.O. Box 70, 203 Elbert Street, Elberton, GA 30635, no later than 2:00 p.m. on Wednesday December 2, 2026. Bids received after the specified deadline will not be accepted.

Each bid must be accompanied by a bid bond or certified check equal to five percent (5%) of the total bid price. The successful bidder must furnish a performance bond and a payment bond, each equal to one hundred percent (100%) of the contract price, before the contract is executed.

The City of Elberton reserves the right to reject any or all bids, waive informalities or minor irregularities in the bidding process, and take any other action deemed to be in the best interest of the City. Submission of the lowest bid does not guarantee contract award or acceptance of the bid. The City reserves the right to evaluate bids in accordance with the requirements and criteria established in the bid documents and applicable law.

The City of Elberton conducts its procurement and bidding processes on an equal opportunity basis. All interested and qualified parties are invited to submit bids, subject to compliance with applicable federal, state, and local laws, regulations, and procurement requirements.

BID DEADLINE:

Wednesday, December 2, 2026

2:00 p.m.

203 Elbert Street

P. O. Box 70 Elberton, Georgia 30635-0070

Devan Seawright City Clerk 706-213-3100 dseawright@cityofelberton.net

BID SUMMARY

The City of Elberton is soliciting bids for labor and equipment to re-work and re-build an existing three-phase electrical line including wire, poles, and the change of primary wire size.

GENERAL SCOPE – LABOR AND EQUIPMENT

The City of Elberton intends to rehabilitate and reconstruct a section of its electric distribution system. The project consists of approximately 8,100 linear feet of three-phase primary electrical distribution line.

The scope of work includes, but is not limited to, the replacement of existing utility poles, the upgrading of existing primary conductors to a larger conductor size, and all associated labor, equipment, incidental materials not furnished by the City, and construction activities necessary to complete the project. The distribution line right-of-way generally parallels State Highway 77 and Mineral Springs Road.

All work shall be performed in accordance with the Electric Cities of Georgia (ECG) distribution construction standards or equivalent standards approved in writing by the City’s Electric Distribution Manager, and in compliance with the National Electrical Safety Code, OSHA 29 CFR 1926 Subpart V, and 29 CFR 1910.269.

Bidders shall submit a total project cost that includes all labor and equipment necessary to complete the work as specified.

Upon award of the contract by the Elberton City Council, the successful bidder shall be prepared to execute the construction contract, attached hereto as Exhibit A, which incorporates Exhibit B (Federal Contract Provisions), Exhibit C (Davis-Bacon Wage Determination), and Exhibit D (Georgia E-Verify Affidavits), within ten (10) days following the award, together with the required performance and payment bonds and certificates of insurance.

The successful bidder shall commence work within forty-five (45) calendar days of receipt of the Notice to Proceed and shall complete all work within one hundred eighty

(180) calendar days from the date of the Notice to Proceed.

The Notice to Proceed will not be issued until GEFA has concurred in the award and all required federal approvals and environmental clearances have been obtained.

MANDATORY LABOR COMPLIANCE REQUIREMENTS

This project is funded through the Georgia Environmental Finance Authority (GEFA) and is subject to GEFA and U.S. Department of Energy funding requirements, including the Davis-Bacon Act (40 U.S.C. 3141 et seq.) and its regulations at 29 CFR Parts 1, 3 and 5, the Contract Work Hours and Safety Standards Act (40 U.S.C. 3701 et seq.), and mandatory use of the LCPtracker labor compliance system.

Compliance with these requirements is a material condition of the contract. The successful bidder shall be responsible for understanding, implementing, and maintaining compliance with all applicable labor standards, certified payroll reporting requirements, documentation requirements, and other conditions imposed by GEFA and incorporated into the project contract.

The contractor shall ensure that all subcontractors performing work on the project are informed of these requirements and comply with all applicable provisions. The prime contractor shall be responsible for coordinating and monitoring subcontractor compliance throughout the project.

Wage Determination. The applicable Davis-Bacon general wage determination for Elbert County, Georgia is attached as Exhibit C. Laborers and mechanics employed by the contractor and all subcontractors shall be paid not less than the wage rates and fringe benefits in that determination. The City will confirm the wage determination ten

(10) days before bid opening and will issue an addendum if it has been modified.

Certified Payrolls. The contractor and each subcontractor shall submit weekly certified payrolls, with the signed Statement of Compliance, through LCPtracker within seven (7) days after the end of each pay period; post the Davis-Bacon poster (Form WH-1321) and the wage determination at the job site; make employees available for interviews;

and keep payroll records for three (3) years after project completion. The City may withhold from payments any amounts needed to cover wage underpayments.

Flow-Down. The Davis-Bacon contract clauses at 29 CFR 5.5(a), the Contract Work Hours and Safety Standards Act clauses at 29 CFR 5.5(b), and the provisions of Exhibit B shall be included in every subcontract at any tier.

BUILD AMERICA, BUY AMERICA (BABA) REQUIREMENTS

This project is an infrastructure project subject to the Build America, Buy America Act (Pub. L. 117-58, Sections 70901–70927) and 2 CFR Part 184. All iron and steel, manufactured products, and construction materials permanently incorporated into the project must be produced in the United States unless a waiver has been approved by the U.S. Department of Energy.

This requirement applies to all materials furnished by the contractor, including incidental materials. The contractor shall submit manufacturer or supplier certifications of BABA compliance for each such item before installation and shall certify BABA compliance with each pay application. Non-compliant materials will not be accepted or paid for.

FEDERAL CONTRACT PROVISIONS

The Federal Contract Provisions in Exhibit B are incorporated into this solicitation and the resulting contract and must be included in all subcontracts. Where any federal provision conflicts with another provision of the bid documents, the federal provision governs.

MATERIALS

Poles, pole line hardware, conductor and related materials will be provided by the City of Elberton. Incidental materials not furnished by the City shall be furnished by the Contractor and are included in the bid price. All Contractor-furnished materials must meet the Build America, Buy America requirements of this bid. The Contractor shall receive, store and safeguard City-furnished materials. Removed conductor and hardware shall be returned to the City’s designated yard. Removed poles shall be disposed of by the Contractor in accordance with applicable law unless the City elects to retain them.

PERMITS

The City of Elberton will obtain required Georgia Department of Transportation permits for this project. Contractor shall be responsible for obtaining and maintaining all required utility locate requests through Georgia 811. Contractor shall comply with all conditions of the GDOT permit and shall provide traffic control in accordance with the Manual on Uniform Traffic Control Devices (MUTCD).

SITE CONDITIONS AND COORDINATION

Joint Use Attachments. Existing poles carry third-party communications attachments.

The City will notify attaching entities of each pole replacement. The Contractor shall coordinate its schedule with those transfers, shall not remove an existing pole until all third-party attachments have been transferred, and shall remove the existing pole within 30days after the final transfer. Delays caused solely by third-party attachers will be grounds for an extension of time but not additional compensation.

Outages and Switching. All switching will be performed or authorized by City personnel. Planned outages shall be scheduled with the Electric Distribution Manager at least [72] hours in advance, and the City will notify affected customers.

Safety. The Contractor shall comply with OSHA 29 CFR 1926 Subpart V, 29 CFR 1910.269, and the National Electrical Safety Code, and shall submit a site-specific safety plan before the Notice to Proceed.

Right-of-Way, Restoration and As-Builts. The Contractor shall perform any right-of-way clearing needed for construction [unless performed by the City], restore disturbed areas to their original condition..

Insurance. Before execution of the contract, the Contractor shall furnish certificates of insurance naming the City as additional insured, with at least the following limits:

commercial general liability, $1,000,000 per occurrence and $2,000,000 aggregate;

automobile liability, $1,000,000 combined single limit; workers’ compensation at statutory limits with employer’s liability of $1,000,000; and umbrella liability of $5,000,000.

FOR QUESTIONS:

For questions concerning the bid process of the City of Elberton, please contact:

Devan Seawright, City Clerk 706-213-3100 dseawright@cityofelberton.net

For questions concerning the technical specifications of this project, please contact:

Brad Alexander, Electric Distribution Manager 706-213-3100 balexander@cityofelberton.net

All questions must be submitted in writing by email to the City Clerk no later than 2:00 p.m. on Wednesday, November 18, 2026. Answers will be issued only by written addendum to all plan holders. Oral answers are not binding.

BID CONDITIONS/INSTRUCTIONS TO BIDDERS

These conditions are an integral part of this bid, and the vendor must comply with them.

1. Vendor must bid on the following Bid Response forms and as requested.

2. Alternate bids are not requested and will not be considered.

3. Each bid must be accompanied by a bid bond or certified check equal to five percent

(5%) of the total bid price. Bids without the required bid security will be rejected as non-responsive.

4. All costs (including labor, equipment, supervision, mobilization, traffic control, incidental materials, bonds, insurance, taxes, and the cost of complying with the federal requirements of these bid documents) must be included in the total bid price as stated on the Bid Response forms.

5. The City of Elberton reserves the right to accept or reject any or all bids, reserves all rights granted to it by law, and reserves the right to waive formalities and to take such action as is consistent with applicable federal and state law.

6. Each bidder/contractor must sign the bid with his/her signature and shall give his/her full business address on the form provided in this bid.

7. No portion of this bid may be subcontracted without the prior written approval of the

City. It may be in the best interest of the awardee to subcontract some parts of any job; however, the contractor will be held responsible by the City for the quality, delivery and all terms of conditions of this bid. All subcontracts shall include the federal provisions required by these bid documents. Each subcontractor must provide a Georgia E-Verify subcontractor affidavit and must not be debarred, suspended or otherwise excluded from federal programs.

8. The City of Elberton operates on an equal opportunity basis in its bidding policy.

Bidding is open to all interested parties, in compliance with national, state and local laws.

9. Bids may be accepted by mail, overnight courier, or hand delivered. Bids must be sealed and properly marked on the outside of the envelope as “Attn: City Clerk; Bid for South Oliver Line Rehabilitation – GEFA Grid Resilience Grant Project.”

10. No late bids will be accepted.

11. Bids will be opened and read publicly at City Hall, 203 Elbert Street, Elberton, GA

30635 at 2:00 p.m. on the designated date.

12. No bid award will be made at the time of the opening. The successful bidder will be contacted immediately following bid approval by the Elberton City Council. Vendors may contact the City Clerk’s Office at 706-213-3100 who wish to know the result of the bid award.

13. Payment and Retainage.

Payment will be made monthly on approved pay applications for work completed, less retainage of ten percent (10%), reduced as provided in O.C.G.A. § 13-10-81 once fifty percent (50%) of the work is complete. Each pay application must be accompanied by the certified payrolls for the period and the Contractor’s BABA certification. Quick-pay discounts will not be considered in the award.

14. The City of Elberton is exempt from all federal excise tax and state sales and use taxes. However, depending upon the situation, the vendor or contractor may not be exempt from such taxes and the City of Elberton is making no representation as to any such exemption.

15. Exceptions.

The bidder shall furnish a statement on company letterhead giving a complete description of all exceptions to the terms, conditions and specifications. Failure to furnish the statement will mean that the bidder agrees to meet all requirements of the terms, conditions and specifications.

16. Pre-bid Conference.

A pre-bid conference is not mandatory. However, all bidders are encouraged to contact the electric distribution manager of Elberton Utilities to schedule an appointment to see the project site and to see first-hand the scope of the project.

Please contact Brad Alexander, Electric Distribution Manager, at 706-213-3100 or balexander@cityofelberton.net to schedule an appointment.

17. References.

The City, prior to or after receipt of the contractor’s bid, shall have the right to research work performed by the contractor. This research effort will be conducted by City personnel and its representatives, which may include site visits and interviews with anyone involved in such projects. Bidders must attach a list of at least three (3) references for overhead distribution construction projects of similar scope completed within the last five (5) years, with owner contact information. To be found responsible, a bidder must demonstrate satisfactory past performance, adequate crews and equipment to complete the work within the contract time, an acceptable safety record (including its Experience Modification Rate), integrity and business ethics, and the ability to comply with federal labor and certified payroll requirements. Bidders that are debarred, suspended or otherwise excluded in

SAM.gov are not eligible for award.

18. Contractor Responsibilities.

The contractor will be required to provide a responsible on-site superintendent, assign qualified persons to the work, provide the equipment required to do the assigned task or accomplish the work, maintain records of expenditures, deliverables and progress, submit required reports on schedule, and maintain a clear line of communication for prompt resolution of problems.

19. Area of Project. The area of the project is located both inside and outside the City

Limits of Elberton, Georgia. Bidders are encouraged to visit the site before submitting a bid.

20. Georgia E-Verify Affidavit. Each bidder must submit with its bid a notarized contractor affidavit under O.C.G.A. § 13-10-91, including its E-Verify user identification number (Exhibit D). Bids without the affidavit will be rejected. Each subcontractor must provide a subcontractor affidavit, and the Contractor shall furnish copies to the City within five (5) business days of receipt.

21. Bonds. The successful bidder shall furnish a performance bond and a payment bond, each equal to one hundred percent (100%) of the contract price, issued by a surety licensed to do business in Georgia and listed on U.S. Treasury Circular 570, as required by O.C.G.A. §§ 36-91-70 and 36-91-90 and 2 CFR 200.326.

22. Bid Validity. Bids shall remain firm for ninety (90) days after bid opening.

23. Federal Exclusion Check. Before award, the City will confirm in SAM.gov that the apparent low bidder is not debarred, suspended or otherwise excluded.

PROJECT SPECIFICATIONS

Ten PDF files are attached to this bid packet and are incorporated herein by reference.

Each PDF file contains a detailed map of the area and specifications for the work to be performed.

If you are unable to print the PDF file in a size that is easily read or useful, a full size printed copy can be obtained during an on-site visit. Please contact Brad Alexander at balexander@cityofelberton.net to request a full size copy.

BID RESPONSE FORM

Part 1: BID CERTIFICATION

I hereby certify that this bid has been prepared and submitted independently, without any prior understanding, agreement, or connection with any corporation, firm, or individual submitting a bid for the same materials, supplies, equipment, or services, and that this bid is submitted in good faith, without collusion, fraud, or other improper conduct.

I further certify that this bid complies with or exceeds all specifications and requirements set forth in the bid documents. I acknowledge that collusive bidding is prohibited under applicable state and federal laws and may result in criminal penalties, including fines and imprisonment, as well as civil liability and damages.

By submitting this bid, I agree to comply with all terms, conditions, specifications, and requirements contained in the bid documents and to honor the prices and commitments set forth in this submission. I further certify that I am duly authorized to execute this certification and submit this bid on behalf of the bidder.

Bidder: _____________________________________________________

Address: _____________________________________________________

City/State/Zip: _____________________________________________________

Phone No.: _____________________________________________________

E-Verify ID: _____________________________________________________

E-mail: _____________________________________________________

Print Name: _____________________________________________________

Sign Name: _____________________________________________________

Title: _____________________________________________________

Date Certified: _____________________________________________________

Part 2: PRICING AND TERMS

State the bid price for Project ________________

State maximum time this bid will be in force (minimum 90 days) ________________

State earliest possible start date ________________

Acknowledge 180-day contract time (initial) ________________

Please attach additional information, exceptions, and reference information to this form.

Unit Prices

The following unit prices will be used to price additions to or deletions from the work.

They are included in, not added to, the lump sum price.

Set new pole, each (by class and height per drawings) $__________

Remove existing pole, each $__________

Frame three-phase structure, each (by type per drawings) $__________

Install primary conductor, per circuit foot $__________

Remove existing conductor, per circuit foot $__________

Install down guy and anchor, each $__________

Rock excavation adder, per pole hole $__________

Transfer City-owned equipment (transformer, switch, service), each $__________

Traffic control, per day $__________

Part 3: FEDERAL AND STATE CERTIFICATIONS

By signing Part 1, the bidder further certifies that:

(a) Debarment. Neither the bidder nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency (2 CFR Parts 180 and 901), and the bidder will not subcontract with any such party.

(b) Lobbying. No federal appropriated funds have been or will be paid to any person to influence or attempt to influence an officer or employee of any federal agency, a

Member of Congress, or an employee of a Member of Congress in connection with this contract, and the bidder will disclose any lobbying paid with non-federal funds on

Standard Form LLL (31 U.S.C. 1352).

(c) Davis-Bacon. The bidder has reviewed the wage determination in Exhibit C, will pay not less than those rates, will submit weekly certified payrolls through LCPtracker, and is not ineligible for award under 40 U.S.C. 3144(b) or 29 CFR 5.12.

(d) Build America, Buy America. All iron, steel, manufactured products and construction materials furnished by the bidder will comply with the Build America, Buy America Act unless covered by an approved waiver.

(e) Telecommunications. The bidder will not provide telecommunications or video surveillance equipment or services prohibited by 2 CFR 200.216.

(f) E-Verify. The bidder has attached a notarized contractor affidavit under O.C.G.A. §

13-10-91.

Required with bid: signed Bid Response Form (Parts 1–3); 5% bid bond; E-Verify contractor affidavit; references and qualifications; list of proposed subcontractors;

statement of exceptions, if any.

NO BID RESPONSE

City of Elberton City Clerk P.O. Box 70 203 Elbert Street Elberton, GA 30635 Fax No. 706-213-3125 Email: dseawright@cityofelberton.net

Complete this form if you do NOT intend to respond to this bid request. Failure to do this may result in your firm being removed from our bid list for this service.

NAME OF BID:___________________________ OPENING DATE: ______________

1. Specifications too tight (please explain) ____________________

2. Specifications are unclear (explain below). ____________________

3. We are unable to meet specifications. ____________________

4. Insufficient time to respond. ____________________

5. Our schedule would not permit us to perform within ____________________ the required time.

6. We do not offer this product or service. ____________________

7. Remove us from your bidder’s list for this particular ____________________ commodity or service.

8. Keep our name on your bidder’s list for future ____________________ reference.

9. Other (specify below). ____________________

FURTHER REMARKS (e.g., name, address, phone or fax changes)

COMPANY NAME: ___________________________ DATE: ____________________

NAME/TITLE: _________________________ SIGNATURE: ____________________

EXHIBIT B – FEDERAL CONTRACT PROVISIONS

The following provisions apply to the contract for the South Oliver Line Rehabilitation, which is funded with federal financial assistance from the U.S. Department of Energy through GEFA. Where any of these provisions conflicts with another contract provision, these provisions govern.

1. Remedies. If the Contractor breaches the contract, the City may pursue all administrative, contractual and legal remedies available, including withholding of payment, termination, and recovery of damages.

2. Termination. The City may terminate the contract for cause on written notice if the Contractor fails to perform and does not cure within ten (10) days, and may terminate for convenience on written notice, in which case the Contractor will be paid for work properly performed through the termination date.

3. Nondiscrimination. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin, and shall comply with Title VI of the Civil Rights Act of 1964 and all other applicable federal nondiscrimination laws, and with any nondiscrimination terms required by GEFA.

4. Davis-Bacon and Related Acts; Contract Work Hours and Safety Standards Act.

The clauses at 29 CFR 5.5(a) and 5.5(b), as amended effective October 23, 2023, are incorporated into this contract in full and attached as Attachment B-1. The Contractor shall pay not less than the wage rates in Exhibit C, pay overtime at one and one-half times the basic rate for hours over forty (40) in a workweek, submit weekly certified payrolls through LCPtracker, and include these clauses in every subcontract.

5. Clean Air Act and Federal Water Pollution Control Act. The Contractor shall comply with all applicable standards, orders and regulations issued under the Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act (33 U.S.C.

1251 et seq.), and shall report violations to the City, GEFA, the U.S. Department of Energy and the U.S. Environmental Protection Agency.

6. Debarment and Suspension. This contract is a covered transaction under 2 CFR Parts 180 and 901. The Contractor shall verify that it and its subcontractors are not excluded and shall include this requirement in each lower-tier covered transaction.

7. Byrd Anti-Lobbying Amendment. The Contractor shall file the certification required by 31 U.S.C. 1352 and disclose any lobbying with non-federal funds. Each tier shall certify to the tier above.

8. Prohibited Telecommunications and Video Surveillance. The Contractor shall not provide or use covered telecommunications or video surveillance equipment or services described in 2 CFR 200.216.

9. Build America, Buy America and Domestic Preferences. The Contractor shall comply with the Build America, Buy America Act, 2 CFR Part 184, and 2 CFR 200.322, and shall provide supplier and manufacturer certifications as required by these bid documents.

10. Procurement of Recovered Materials. The Contractor shall comply with 2 CFR

200.323 and Section 6002 of the Solid Waste Disposal Act, where applicable.

11. Small, Minority and Women’s Business Enterprises. When subcontracting, the Contractor shall take the affirmative steps listed in 2 CFR 200.321 to ensure that small and minority businesses, women’s business enterprises, and labor surplus area firms are used when possible.

12. Access to Records and Retention. The City, GEFA, the U.S. Department of Energy, the DOE Inspector General, and the Comptroller General of the United States shall have access to the Contractor’s books, documents, papers and records related to this contract. The Contractor shall retain all such records for three (3) years after final payment and closeout, or longer if an audit or claim is pending.

13. Performance of Work in the United States. All direct labor under this contract shall be performed in the United States unless DOE approves otherwise in writing.

14. Whistleblower Protections. The Contractor shall comply with 41 U.S.C. 4712 and shall not require employees to sign confidentiality agreements that restrict lawful reporting of waste, fraud or abuse.

15. No Federal Obligation; False Statements. The federal government is not a party to this contract and has no obligation to the Contractor. The Contractor acknowledges that 31 U.S.C. Chapter 38 (Administrative Remedies for False Claims and Statements) applies to its actions under this contract.

16. Flow-Down. The Contractor shall include the provisions of this Exhibit B in every subcontract at any tier.

EXHIBIT C – DAVIS-BACON WAGE DETERMINATION

"General Decision Number: GA20260064 05/18/2026 State: Georgia Construction Types: Heavy

Counties: Georgia Counties of Chattooga, Elbert, Fannin, Franklin, Gilmer, Gordon, Greene, Hart, Jackson, Lumpkin, Polk, Stephens, Towns and White

Non-collectively bargained prevailing wage and fringe benefits rates within this general wage determination were revised pursuant to 29 CFR 1.6(c)(1) on 12/13/2024.

Modification Number Publication Date 0 01/02/2026 1 05/18/2026

SUGA2012-094 08/11/2012

Rates Fringes TRUCK DRIVER: DUMP TRUCK.................................................$ 16.41 2.93 OPERATOR: LOADER.................................................................$ 21.77 0.00 OPERATOR: GRADER/BLADE...................................................$ 25.82 1.81

OPERATOR: BACKHOE/EXCAVATOR/TRACKHOE…..............$ 24.89 0.00

LABORER: PIPELAYER..............................................................$ 16.08 0.00

LABORER: COMMON OR GENERAL.........................................$ 15.19 0.00

ELECTRICIAN...............................................................................$ 28.40 0.52

CEMENT MASON/CONCRETE FINISHER..................................$ 19.30 2.43

CARPENTER (FORM WORK ONLY)...........................................$ 20.51 0.01

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

NOTE: Other rates may be applicable to the scope of work on this project. Contractor must abide by all rates applicable to the work.

EXHIBIT D – GEORGIA E-VERIFY AFFIDAVITS

Contractor Affidavit under O.C.G.A. § 13-10-91(b)(1)

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 public employer 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) 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 public employer within five business days of receipt.

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:

Subcontractor Affidavit under O.C.G.A. § 13-10-91(b)(3) By executing this affidavit, the undersigned subcontractor 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 under a contract with (name of contractor) on behalf of (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 subcontractor will continue to use the federal work authorization program throughout the contract period and the undersigned subcontractor will contract for the physical performance of services in satisfaction of such contract only with sub-subcontractors who present an affidavit to the subcontractor with the information required by O.C.G.A. § 13-10-91(b).

Additionally, the undersigned subcontractor will forward notice of the receipt of an affidavit from a sub-subcontractor to the contractor within five business days of receipt. If the undersigned subcontractor receives notice that a sub-subcontractor has received an affidavit from any other contracted sub-subcontractor, the undersigned subcontractor must forward, within five business days of receipt, a copy of the notice to the contractor. Subcontractor 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 Subcontractor

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: