Offer Document 10 _Subcontractor Affidavit un.pdf
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- Attached to
- Xpress Bus Wash Rehabilitation
- Solicitation number
- PE-99600-RFP-2027-000000004
- Issued by
- Clayton County, Georgia
About this file
This is a Subcontractor Affidavit document required by the Georgia Transportation Efficiency Authority (GTEA) for GTEA Solicitation No. 27-001 related to the Xpress Bus Wash Rehabilitation project in Forest Park, Georgia. The affidavit pertains to a Design-Build proposal for the rehabilitation of the bus wash operation at the Xpress South Operations maintenance facility located at 5250 Frontage Road, Forest Park, Georgia 30297 in Clayton County. Subcontractors executing this document must verify compliance with O.C.G.A. 13-10-91, confirming their registration with and authorization to use the federal E-Verify work authorization program or any subsequent replacement program for all individuals engaged in physical performance of services under the contract.
Subcontractors must provide their federal work authorization user identification number and date of authorization as part of the affidavit. The subcontractor must continue using E-Verify throughout the contract period and may only contract with sub-subcontractors who also present compliant affidavits. Additionally, the subcontractor is required to forward notice of receipt of sub-subcontractor affidavits to the prime contractor within five business days of receipt, and must similarly notify the prime contractor within five business days if notified that a sub-subcontractor has received an affidavit from another contracted sub-subcontractor. The affidavit must be executed by an authorized officer or agent and notarized to be valid.
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Text version
OFFER DOCUMENT #10 -SUBCONTRACTOR AFFIDAVIT UNDER O.C.G.A. § 13-10-91(b)(3) GTEA Solicitation No. 27-001
By executing this affidavit, the undersigned Proposer verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm or corporation which is engaged in in the physical performance of services on behalf of the Georgia Transportation Efficiency 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 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 Proposer
Name of Project
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 PUBLIC
My Commission Expires:
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