EXHIBIT E _ MANDATORY E_VERIFY AFFIDAVIT.docx
DOCX document 192 KB Posted
- Attached to
- Impact Fee Study for Hall County
- Solicitation number
- PE-77129-NONST-2026-000000034
- Issued by
- Hall County, Georgia
About this file
This document is a Mandatory E-Verify Affidavit from Hall County Government's Financial Services Purchasing Division in Gainesville, Georgia, requiring contractors to verify compliance with state labor verification regulations (O.C.G.A. 13-10-91). The affidavit mandates that contractors register with and continuously use the federal E-Verify work authorization program throughout the contract period, including any renewals or extensions, and notify the public employer if they cease using the program.
The affidavit requires contractors to ensure all subcontractors also comply with E-Verify requirements and acknowledge that ceasing to use the federal work authorization program constitutes a material breach of contract. Contractors must submit copies of required affidavits, drivers' licenses, and identification cards to Hall County within five business days of receipt. The document includes spaces for the contractor to provide their Federal Work Authorization User ID, authorization date, project name, and requires notarization to validate the affidavit's legal standing.
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Other files
| File | Type | Posted |
|---|---|---|
| EXHIBIT B _ CONTRACT FOR SERVICES_FY2026.docx | DOCX document | |
| EXHIBIT F _ MANDATORY ETHICS AFFIDAVIT.docx | DOCX document | |
| EXHIBIT A _ MANDATORY BID RESPONSE SHEET.docx | DOCX document | |
| EXHIBIT G _ MANDATORY SCORED QUESTIONS.xlsx | XLSX spreadsheet | |
| Attachment A _ Fees Outside of Gainesville.pdf | ||
| 46_018 IMPACT FEE STUDY _ FINAL.docx | DOCX document | |
| EXHIBIT C _ MANDATORY COST PROPOSAL WORKSHEET.xlsx | XLSX spreadsheet | |
| EXHIBIT D _ BLANK W_9 FORM.pdf | ||
| Attachment B _ Fees Inside Gainesville.pdf |
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Text version
Hall County Government
FINANCIAL SERVICES
PURCHASING DIVISION
POST OFFICE DRAWER 1435
GAINESVILLE, GA 30503
t: 770.535.8270 | f: 770.531.6711
FINANCIAL SERVICES DIRECTOR
Taylor Samples, CPA
ASSISTANT FINANCE DIRECTOR
Elizabeth White
PURCHASING MANAGER
Andy Penick
EXHIBIT E
MANDATORY E-VERIFY AFFIDAVIT
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; and,
b) The Contractor will continue to use the federal work authorization program throughout the contract period, including any renewal or extension thereof; and,
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; and,
d) The Contractor understands that ceasing to utilize the federal work authorization program constitutes a material breach of contract; and,
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); and,
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 (5) business days of receipt.
Federal Work Authorization User ID Number Date of Authorization Name of Contractor Name of Project
Name of Public Employer: Hall County, Georgia
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: ______________________ image1.jpeg image10.jpeg image2.png
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