Immigration Compliance Form.doc
DOC document 66 KB Posted
- Solicitation number
- PE-92200-RFP-2027-000000085
- Issued by
- Fulton County, Georgia
About this file
This is an Immigration Compliance Affidavit form required under Georgia's Security and Immigration Compliance Act (O.C.G.A. 13-10-91) for contractors performing services on the Building C Meeting Room Carpet Replacement Phase IV project for the Georgia World Congress Center Authority. The form serves as a verification mechanism ensuring that contractors engaged in physical performance of services have registered with and are authorized to use the federal E-Verify work authorization program. Contractors executing this affidavit confirm their current E-Verify enrollment and commit to maintaining compliance throughout the contract period. Additionally, contractors attest that they will only contract with subcontractors who provide similar compliance affidavits demonstrating E-Verify authorization.
The affidavit requires contractors to provide their federal work authorization user identification number and date of authorization, and must be executed under penalty of perjury before a notary public. This document is a mandatory compliance requirement for contract award and performance on this Georgia World Congress Center Authority project. No exceptions or waivers to this requirement are provided within the affidavit form itself.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Tax Compliance Form.pdf | ||
| Non Discrimination Certificate.doc | DOC document | |
| Supplier Data Form.doc | DOC document | |
| Hazard and Insurance Requirement.doc | DOC document | |
| Building C Meeting Room Carpet Scope.docx | DOCX document | |
| Non Influence Affidavit.doc | DOC document | |
| Proposal Certification Form.doc | DOC document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT CONTRACTOR AFFIDAVIT under O.C.G.A. § 13-10-91(b)(1)
Contract/Project Name: Building C Meeting Room Carpet Replacement Phase IV
By executing this affidavit, the undersigned contractor 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 on behalf of GEORGIA WORLD CONGRESS CENTER AUTHORITY 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 contractor will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical 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(b).
Contractor 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 (E-Verify Number)
Name of Contractor or Entity
Georgia World Congress Center Authority 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 SEAL]
Notary Public
My Commission Expires:
File details come from the government source that posted it. Updated .