Immigration Compliance Form.pdf

PDF 104 KB Posted

Attached to
Building B Meeting Room Carpet Replacement Phase III
Solicitation number
PE-92200-RFP-2026-000000073
Issued by
Fulton County, Georgia

About this file

This is an Immigration Compliance Affidavit filed under Georgia's Security and Immigration Compliance Act (O.C.G.A. 13-10-91) for the Building B Meeting Room Carpet Replacement Phase III project administered by the Georgia World Congress Center Authority. The affidavit serves as a contractor attestation of compliance with federal work authorization requirements for the carpet replacement project. The contractor executing the affidavit must verify registration with and active authorization to use E-Verify or any subsequent federal work authorization program replacement. The contractor commits to continued use of the work authorization program throughout the contract period and requires all subcontractors to provide similar affidavits attesting to their compliance with the work authorization requirements.

The affidavit requires the contractor to provide its federal work authorization user identification number and date of authorization, with execution requiring the signature of an authorized officer or agent and notarization. The Georgia World Congress Center Authority has implemented a communication restriction for this procurement, prohibiting interested firms from communicating with Authority staff, consultants, or officials about the solicitation or scope except through formal question submission procedures outlined in the invitation for bid. Finalists and apparent awardees are further restricted from making public statements or press releases regarding their selection or award status, with violations subject to submittal rejection and loss of award consideration.

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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: BUILDING B MEETING ROOM CARPET REPLACEMENT PHASE III

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 .