NORCROSS E_Verify Subcontractor Affidavit.pdf

PDF 780 KB Posted

Attached to
Thrasher Park Lighting Enhancements (RFP PW 26-03)
Solicitation number
PE-66780-NONST-2026-000000038
Issued by
Gwinnett County, Georgia

About this file

This is an E-Verify Subcontractor Affidavit required by the City of Norcross, Georgia, pursuant to O.C.G.A. 13-10-91. The document establishes compliance requirements for subcontractors performing services under city contracts. Subcontractors must verify their registration with and authorization to use the federal E-Verify work authorization program prior to commencing work and must maintain this authorization throughout the contract period. The affidavit requires subcontractors to provide their federal work authorization user identification number and date of authorization.

The affidavit further obligates subcontractors to ensure that any sub-subcontractors engaged for physical performance of services also submit completed affidavits demonstrating E-Verify compliance. Subcontractors must forward notice of receipt of sub-subcontractor affidavits to the primary contractor within five business days. The document must be executed under penalty of perjury and notarized, with required signature blocks for both the authorized officer or agent of the subcontractor and the notary public. This requirement applies to all subcontractors and sub-subcontractors working on City of Norcross contracts and represents a mandatory employment authorization verification condition.

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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 .