NORCROSS E_Verify Subcontractor Affidavit.pdf
PDF 780 KB Posted
- Solicitation number
- PE-66780-NONST-2026-000000045
- Issued by
- Gwinnett County, Georgia
About this file
This is an E-Verify Subcontractor Affidavit form required by the City of Norcross, Georgia for the Cybersecurity Assessment, Compliance, & Governance Services contract opportunity. The affidavit ensures compliance with O.C.G.A. 13-10-91, which mandates federal work authorization verification for individuals and firms performing services under City of Norcross contracts. Subcontractors must register with and use the E-Verify federal work authorization program throughout the entire contract period and verify their compliance through this sworn statement. The form requires subcontractors to provide their federal work authorization user identification number and date of authorization, along with project and employer information. Additionally, subcontractors must ensure that any sub-subcontractors they engage also present compliant affidavits and must forward notice of receipt of sub-subcontractor affidavits to the primary contractor within five business days.
The affidavit must be executed under penalty of perjury by an authorized officer or agent of the subcontracting firm and notarized before a notary public. This document serves as a mandatory compliance requirement rather than a pricing or service delivery specification, ensuring that all workforce participants on City of Norcross contracts meet federal work authorization standards as established by Georgia law.
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Text version
By executing this affidavit, the undersigned subcontractor 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 under a contract with___________________________________on behalf of City of Norcross 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 subcontractor will continue to use the federal work authorization program throughout the contract period and the undersigned subcontractor will contract for the physical performance of services in satisfaction of such contract only with sub-subcontractors who present an affidavit to the subcontractor with the information required by O.C.G.A. § 13-10-91(b).
Additionally, the undersigned subcontractor will forward notice of the receipt of an affidavit from a sub-subcontractor to the contractor within five business days of receipt. If the undersigned subcontractor receives notice that a sub-subcontractor has received an affidavit from any other contracted sub-subcontractor, the undersigned subcontractor must forward, within five business days of receipt, a copy of the notice to the contractor. Subcontractor 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
Name of Subcontractor
Name of Project
Name of Public Employer
I hereby declare under penalty of perjury that the foregoing is true and correct
Signature of Authorized Officer/Agent Date Printed Name and Title of Authorized Officer/Agent
MUST BE COMPLETED BY NOTARY
SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF , 20
Executed in (City), (State)
NOTARY PUBLIC Signature My Commission Expires
65 Lawrenceville St. Norcross, GA 30071 [P] 770.448.2122 [F] 770.448.5945 www.norcrossga.net
E-Verify Subcontractor Affidavit O.C.G.A. § 13-10-91 (b)(3)
File details come from the government source that posted it. Updated .