Immigration Compliance Form.pdf

PDF 104 KB Posted

Attached to
On-Call Traffic Control Service
Solicitation number
PE-92200-RFP-2027-000000092
Issued by
Fulton County, Georgia

About this file

This is an Immigration Compliance Form Affidavit required by the Georgia World Congress Center Authority for the On-Call Traffic Control Service contract under Georgia's Security and Immigration Compliance Act (O.C.G.A. 13-10-91). The form verifies that contractors performing services for the Authority have registered with and are authorized to use the E-Verify federal work authorization program. Contractors must maintain E-Verify compliance throughout the entire contract period and ensure all subcontractors also comply with these requirements by providing completed affidavits. The affidavit requires the contractor to provide their federal work authorization user identification number and date of authorization, along with authorized officer signatures and notarization.

The Authority has established a communication restriction period that prohibits interested firms from communicating with Authority staff or officials regarding this solicitation from the time of advertisement until final award is made, with exceptions only for formal question submissions as outlined in the Invitation for Bid. Finalists and apparent awardees are further restricted from making public statements or press releases about their selection or award status. Violation of these communication restrictions may result in rejection of the respondent's submittal. The Authority reserves the right to reject any or all submittals, waive technicalities or irregularities, and cancel the procurement at any time.

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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: ON-CALL TRAFFIC CONTROL SERVICE

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:

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