Immigration Compliance Form.pdf

PDF 103 KB Posted

Attached to
Food and Beverage Operating Agreement
Solicitation number
PE-92200-RFP-2026-000000058
Issued by
Fulton County, Atlanta City, Georgia

About this file

This document is a Georgia Security and Immigration Compliance Act Contractor Affidavit for a Food and Beverage Operating Agreement with the Georgia World Congress Center Authority. The affidavit verifies the contractor's compliance with O.C.G.A. § 13-10-91, specifically affirming the use of the federal work authorization program known as E-Verify for employees performing services on behalf of the authority.

The affidavit requires the contractor to confirm ongoing compliance with work authorization requirements throughout the contract period, including ensuring that subcontractors also provide similar affidavits. The document is a legal verification form that must be signed by an authorized officer, notarized, and includes spaces for the federal work authorization user identification number, date of authorization, and other pertinent details to demonstrate legal employment verification compliance.

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Text version

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT

CONTRACTOR AFFIDAVIT under O.C.G.A. § 13-10-91(b)(1)

Contract/Project Name: FOOD AND BEVERAGE OPERATING AGREEMENT

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 .