NORCROSS E_Verify Subcontractor Affidavit.pdf
PDF 780 KB Posted
- Attached to
- Banking Services (RFP 26-09)
- Solicitation number
- PE-66780-NONST-2027-000000046
- Issued by
- Gwinnett County, Georgia
About this file
This document is an E-Verify Subcontractor Affidavit required by the City of Norcross, Georgia, in compliance with O.C.G.A. 13-10-91, for use in connection with RFP 26-09 Banking Services. The affidavit mandates that any subcontractor performing services under a contract with the City of Norcross must register with and actively use the federal E-Verify work authorization program throughout the entire contract period. The subcontractor is required to provide its federal work authorization user identification number and date of authorization, and must ensure that any sub-subcontractors also submit compliant affidavits. Subcontractors must forward notice of receipt of sub-subcontractor affidavits to the prime contractor within five business days and provide copies of any notices received regarding other sub-subcontractors within the same timeframe.
The affidavit must be executed by an authorized officer or agent of the subcontractor and notarized under penalty of perjury. The document requires completion of all designated fields including the name of the subcontractor, project name, and public employer, followed by notarization with the notary's signature, commission expiration date, execution city and state. This form is a mandatory compliance requirement for all subcontractors bidding on or working under City of Norcross contracts and serves as verification of adherence to Georgia's E-Verify employment authorization requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| Banking Services (RFP 26_09) Packet.pdf | ||
| SECURE AND VERIFIABLE DOCUMENTS.pdf | ||
| NORCROSS E_Verify Contractor Affidavit_1.pdf |
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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 .