Immigration and Security Form revised.pdf

PDF 82 KB Posted

Attached to
Chattanooga Valley Elementary School Reroof Project
Solicitation number
PE-55462-NONST-2024-000000007
Issued by
Wilcox County, Georgia

About this file

This document is an Immigration and Security Form for contractors and individuals performing services for the Walker County Board of Education in Georgia. The form outlines the requirements for compliance with the Immigration Reform and Control Act of 1986 and the Georgia Security and Immigration Compliance Act. Contractors must either complete an E-Verify Contractor Affidavit, provide a valid driver's license or state-issued identification card, or submit a copy of a Georgia license if they are an individual licensed under Title 26, Title 43, or the State Bar of Georgia and are in good standing.

The related state and local contract opportunity is for the Chattanooga Valley Elementary School Reroof Project in Flintstone, Georgia. The Walker County Board of Education is soliciting sealed bids from general contractors for the reroof construction. A mandatory pre-bid meeting will be held on May 2, 2024, and bids are due by 2:00 P.M. on May 16, 2024. The bids will be publicly opened and read aloud, and no bid extensions will be made. Bid documents can be examined at the Southern A & Es office or requested through their online plan service.

View the file

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Consent to Release Info (01_2014_GKM).doc DOC document
A101___OVERALL_ROOF_PLAN_R1_AD1.pdf PDF
01920038_Final_Spec_Manual_04_10_2024.pdf PDF
Contract Affidavit A.pdf PDF
ADDENDUM__2_complete.pdf PDF
ADDENDUM__3_complete.pdf PDF
AffidavitOfNoncollusion_Offeror_(01_2014_GKM).doc DOC document
Notice of Advertisement _ CVE Reroof.docx DOCX document
A101___OVERALL_ROOF_PLAN_R2_AD2.pdf PDF
Standard Form Contract _ CVE Reroof.pdf PDF
ADDENDUM__1_Complete.pdf PDF
Performance Bond _ CVE Reroof.doc DOC document
Payment Bond _ CVE Reroof.doc DOC document
Bid form _ CVE Reroof.doc DOC document
Bid Bond General Contractor.doc DOC document
RFP for General Contractor _ CVE Reroof.docx DOCX document
01920038_Final_BidSet_Plans_04_10_2024.pdf PDF
GC Compensation Proposal Form _ CVE Reroof.doc DOC document
A501___DETAILS_R1_AD2.pdf PDF
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Text version

IMMIGRATION AND SECURITY FORM

Contractors and Individuals Performing Services for

Walker County Board of Education

Any contractor who contracts with Walker County Board of Education for the performance of services in which the fee for services or labor exceeds $2,499.99 must comply with the Federal work authorization program by signing and submitting an E-Verify Contractor Affidavit to Walker County Board of

Education unless:

1. the contractor has no employees and no intent to hire employees in which case the contractor must present an approved state-issued identification card or driver’s license. The driver’s license or identification card is acceptable only if it is issued by a state that verifies lawful immigration status prior to issuance; or

2. the contract is with an individual licensed under Title 26, Title 43 or the State Bar of Georgia who is in good standing and is performing the service. Subcontractors are held to the same requirement. A copy of the Georgia License issued under Title 26, Title 43 or the State Bar of

Georgia must be submitted with this form.

In order to insure compliance with the Immigration Reform and Control Act of 1986 (IRCA), Pub.L. 99-

603 and the Georgia Security and Immigration Compliance Act O.C.G.A. § 13-10-90 et. seq., Contractor must certify compliance by initialing one of the sections below:

_____The Contractor has employees and has attached completed Contractor Affidavit (Form A).

Subcontractor Affidavit (Form B) and Sub-subcontractor Affidavit (Form C) are also attached if applicable. W-9 Request for Taxpayer Identification Number is also attached.

_____The Contractor has no employees and has attached a copy of a valid driver’s license or other approved state-issued identification card. W-9 Request for Taxpayer Identification Number is also attached.

_____The Contractor is an individual licensed under Title 26, Title 43 or the State Bar of Georgia who is in good standing and is performing the service. Copy of Georgia license is attached. W-9 Request for

Taxpayer Identification Number is also attached.

Signature Title

By signing above, you are certifying that the representations made herein are true and correct.

Firm Name:___________________________________________________________________________

Street/Mailing Address: _________________________________________________________________

City, State, Zip Code: _________________________________________________________________

Telephone Number: _________________________________________________________________

Email Address: _________________________________________________________________

Sworn to and subscribed before me

This ____ day of _________________, 20____.

Notary Public

File details come from the government source that posted it. Updated .