Offer Document 9 _ Contractor E_Verify Affida.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 an E-Verify Affidavit document required by the Georgia Transportation Efficiency Authority (GTEA) for Solicitation No. 27-001, which pertains to the Xpress Bus Wash Rehabilitation project located at 5250 Frontage Road, Forest Park, Georgia in Clayton County. The affidavit serves as the contractor's attestation of compliance with O.C.G.A. § 13-10-91, confirming that the proposer and all subcontractors engaged in the physical performance of services have registered with and are authorized to use the federal E-Verify work authorization program or any subsequent replacement program. The document requires the contractor to provide its federal work authorization user identification number and date of authorization, along with signatures from an authorized officer or agent notarized before a notary public.

The affidavit represents a mandatory compliance requirement rather than a pricing or service delivery document. Contractors must continue E-Verify enrollment throughout the contract period and are responsible for ensuring that all subcontractors provide similar affidavits demonstrating their E-Verify compliance and authorization. The document does not contain pricing terms, set-asides, funding information, or contract timelines; instead, it functions as a certification mechanism to ensure adherence to Georgia state law regarding worker authorization verification before contract execution.

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OFFER DOCUMENT #9 - E-VERIFY AFFIDAVIT

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 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

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:

T T

File details come from the government source that posted it. Updated .