Form B. GA. Security and Immigration Subcontractor.pdf
PDF 164 KB Posted
- Solicitation number
- 25ITB1482633A-JWT
- Issued by
- Georgia
About this file
This document is a Georgia Security and Immigration Subcontractor Affidavit for Fulton County Government, specifically Form B designed to verify compliance with Georgia state law O.C.G.A. 13-10-91. The form requires a subcontractor to affirm that they have registered and are participating in a federal work authorization program for verifying employee eligibility, which applies to physical performance of services under a contract where labor or services exceed $2,499.99.
The affidavit serves as a legal verification mechanism for subcontractors working on public contracts, mandating that they use electronic verification systems like the EEV/Basic Pilot Program to confirm the work authorization status of newly hired employees. The form must be completed by an authorized officer or agent of the subcontractor, signed, and notarized, with specific provisions excluding certain licensed professionals such as those licensed under Titles 26 or 43 or by the State Bar of Georgia.
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Other files
| File | Type | Posted |
|---|---|---|
| Form A. Georgia Security and Immigration.pdf | ||
| REQSL1500166.pdf |
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Text version
STATE OF GEORGIA
COUNTY OF FULTON
FORM B: GEORGIA SECURITY AND IMMIGRATION SUBCONTRACTOR AFFIDAVIT
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 services1 under a contract with [insert name of prime contractor] _______________________________________________behalf of Fulton County Government has registered with and is participating in a federal work authorization program*,2 in accordance with the applicability provisions and deadlines established in O.C.G.A. 13-10-91.
EEV/Basic Pilot Program* User Identification Number
BY: Authorized Officer of Agent (Insert Subcontractor Name)
Title of Authorized Officer or Agent of Subcontractor
Printed Name of Authorized Officer or Agent
Sworn to and subscribed before me this ______ day of _________________, 20__.
Notary Public: ________________________________
County: _____________________________________
Commission Expires: __________________
1O.C.G.A.§ 13-10-90(4), as amended by Senate Bill 160, provides that “physical performance of services” means any performance of labor or services for a public employer (e.g., Fulton County) using a bidding process (e.g., ITB, RFQ, RFP, etc.) or contract wherein the labor or services exceed $2,499.99, except for those individuals licensed pursuant to title 26 or Title 43 or by the State Bar of Georgia and is in good standing when such contract is for service to be rendered by such individual.
2*[Any of the electronic verification of work authorization programs operated by the United States Department of Homeland Security or any equivalent federal work authorization program operated by the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603].
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