Exhibit I Subcontractor Affidavit.docx
DOCX document 19 KB Posted
- Solicitation number
- PE-72600-NONST-2024-000000010
- Issued by
- Talbot County, Georgia
About this file
This document is an Exhibit "I" Subcontractor Affidavit related to the Progressive Design-Build Services for 2024 Sewer Implementation 2024-022 contract opportunity in Spalding County, Georgia. The affidavit requires subcontractors engaged in the physical performance of services under the contract to verify their compliance with Georgia's E-Verify requirements, including registering and using the federal work authorization program. Subcontractors must also ensure their sub-subcontractors also meet the E-Verify requirements, and provide notification to the contractor upon receipt of such affidavits.
The Progressive Design-Build Services contract opportunity includes Phase 1 Preconstruction Services and Phase 2 Final Design, Construction, and Commissioning Services. Phase 1 Services involve planning, surveying, assessment, alternatives analysis, permitting, detailed design, constructability reviews, value engineering, and cost estimating, which will allow the Design-Builder to develop a Proposal and Guaranteed Maximum Price (GMP) for Phase 2 services for consideration by the Spalding County Water & Sewerage Facilities Authority.
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Text version
EXHIBIT “I”
STATE OF ____________ COUNTY OF ___________ SUBCONTRACTOR AFFIDAVIT AND AGREEMENT 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 Spalding County Water & Sewerage Facilities Authority in Spalding County, Georgia 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 (5) 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 (5) 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 _________, 2024 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 ______________, 2024.
_________________________________ NOTARY PUBLIC [NOTARY SEAL]
My Commission Expires: _________________________________
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