RFP 2024_011 Demand Services Contract For Civ.pdf

NOTICE - REQUEST FOR QUALIFICATIONS with PRICE PROPOSAL

Date Issued: January 24, 2024 RFP #2024-11

Sealed submittals from firms will be received by the Purchasing Department of the Habersham County Commissioners on behalf of the Habersham Development Authority, at the Habersham County Government Center, 130 Jacob’s Way, Suite 302, Clarkesville, GA 30523 until 3:00 pm, legally prevailing time on Thursday, February 22, 2024 for:

Demand Services Contract for Civil Engineering Services

After the time and in a designated room and place, the names of the companies submitting proposals will be publicly read. No further information will be read, discussed or provided until the evaluation of all submittals is completed. No extension of the proposal period will be made other than by a formal written addendum.

Habersham County Development Authority is soliciting submissions requesting the following services to be performed on a task order basis by consulting firms to include (but not limited

to) concept report preparation and validation, utility plans, preparation of displays for public meetings, surveys and mapping, preliminary construction plans, final right-of-way plans (including staking of right-of-way), erosion control plans, structural plans, permit assistance, and final construction plans.

Qualification submittal documents may be obtained by going to our website at www.habershamga.com then click on Bids & Proposals. Click on the RFP 2024-11 to download the Bid Document. You can also contact us in the Purchasing Office at the Habersham County Government Center, 130 Jacob’s Way, Suite 302, Clarkesville, GA 30523 to obtain the information at no charge. This is the only official release site for this request for proposals or any addenda that may be issued for same.

All qualification submittals will be evaluated in accordance with applicable Habersham County rules, regulations and laws. Evaluation of firms submitting statements of qualification for this project will be based on qualifications, experience and performance on past projects along with references.

This proposal will be evaluated using a multi-step process. The first step is to evaluate the “qualification” submissions. Factors to be considered in the evaluation include:

qualifications of the professional staff, experience on similar services, performance on past contracts and references for the same services. This step will result in a “shortlist of qualified firms”. After the “short list” is compiled, the second step is to evaluate the hourly rate fee proposals. An hourly rate fee proposal is requested in a separate sealed envelope for the purpose of negotiating task orders to be assigned under this contract. If necessary, as a third step the County may schedule interviews of the “short listed” consultants.

HABERSHAM COUNTY COMMISSIONERS

PURCHASING DIVISION

CLARKESVILLE, GEORGIA

http://www.habershamga/

Bid Bond, Payment Bond and Performance Bond will not be required. Successful proposer will be required to provide insurance in the amount of at least ($1,000,000.00) one million dollars as required by paragraph 17 of the “Terms and Conditions” of these documents.

Your submittal must have a signature in its “original form”. Habersham County suggests this is provided on “Introductory Letter”. Firms should submit six (6) copies of qualifications one which should be marked as “original”.

No proposal may be withdrawn for a period of (60) sixty days after time has been called on the date of opening.

All questions should be directed to Tim Sims, CFO, Habersham County via email:

tsims@habershamga.com:

The County reserves the right to retain all proposals submitted and use any idea (s) in a proposal regardless of whether that proposal is selected. The Commissioners reserve the right to reject any or all proposals and to waive technicalities and informalities.

The County shall reserve the option to reject any or all proposals, in whole or part, or to select any proposer to complete the described Work. Award of Contract will not be solely based on low proposal, but also on quality, references and other subjective criteria as the County may deem necessary and as the County may determine at its sole discretion. The Undersigned Proposer expressly understands that his proposal may be rejected by the County for any reason without liability on part of the County to the Undersigned Proposer.

Habersham County Board of Commissioners

Tim Sims Chief Financial Officer mailto:%20tsims@habershamga.com mailto:%20tsims@habershamga.com

Habersham County Development Authority Request for Proposal

#2024-11

Demand Services Contract for Civil Engineering Services

January 24, 2024

Table of Contents Page #

I. Introduction 5

II. Project Information 5

III. Scope of Services 5

IV. Content and Format of Proposals 6

V. Selection Process 7

VI. Terms and Conditions 8

Attachment A: Sample of contract 12

Attachment B: S.A.V.E. Document 13

INTRODUCTION

Habersham County Development Authority utilizes “On-Call” engineering services for various projects throughout the County. Possible projects could include road design, intersection / signal design, site development, surveying, structural design, etc. The contract for these services will be on an annual basis, with the possibility of four (4) additional one (1) year renewals.

SCOPE OF WORK

The selected consultant will be asked to perform various tasks as needs arise. The format for this contract shall be based on a proposal / work request authorization basis. Habersham County reserves the right to reject any and all proposals.

The selected consultant may be tasked to perform the following, but not limited to, under this contract:

1. Prepare construction documents (plans and specifications) for various projects.

2. Design roadway, intersection, and signal improvements on any Development Authority properties.

3. Provide recommendations for various Authority projects.

4. Provide structural design for various projects.

5. Prepare displays for public meetings.

6. Perform hydraulic modeling and design of storm water systems and possible roadways.

7. Perform topographic surveys, boundary surveys, site development plans, construction staking, property staking, etc.

8. Prepare erosion, sedimentation, and pollution control plans in accordance with local, state, and federal guidelines.

9. Coordinate with various agencies for permitting including, but not limited to, various Habersham County Municipalities, Georgia DOT, Georgia EPD, USACOE, FEMA, etc.

10. Attend Community and / or Public Meetings.

11. Other tasks as assigned.

CONTENT AND FORMAT OF PROPOSALS:

Proposals shall be bound and contain a maximum of 40 pages (cover page, section dividers, and “Notice of Professional Consultant Qualification” page (s) are not included in total). The following shall be addressed as a minimum, with sections tabbed with numbers as follows:

1. Introductory Letter: (10%)

a. Firm Name;

b. Address;

c. Contact Name;

d. Former Firm Names, Joint Venture Information, Out of State Offices, if applicable;

e. A clear and concise response as to why Habersham County should select your firm for this project;

Note: Failure to meet this requirement will be considered “non -responsive” and the entire submittal will be rejected.

2. Firm Experience and Workload: (30%)

a. A detailed description of similar projects successfully completed by the firm in the past three to five years and a detailed description of results of that work;

b. Cite specific contracts of a similar nature. A minimum of three (3) similar contracts is required. Include the name and telephone number of a contact person for each client who can verify the information provided;

c. Listing of all projects completed for Habersham County within the last five

(5) years;

d. Listing of current projects, percent complete, and total possible workload;

e. Gross income of the firm;

3. Firm Personnel Experience: (30%)

a. A listing of team personnel who will actually be assigned to perform substantial amount of the work;

b. Provide a resume and experience record for each person, including years of experience, education, and anticipated amount of time each will actually work on this project and location of each person;

c. At least one member of the design team must be registered as a professional engineer as appropriate to the scope of work, in their state of residence and in the State of Georgia;

4. Sub-Consultant Personnel Experience: (30%)

a. Names and addresses of any outside consultants or associates proposed to be involved in this contract;

b. Include each sub-consultant’s office location, experience, and qualifications as described above for firm’s personnel;

SELECTION PROCESS:

The selection process will include a Selection Committee. The committee will evaluate the proposals and qualifications presented by the interested consultants (Step One). The County will then evaluate the price proposals (Step Two). If necessary, the committee will schedule interviews of the “short-listed” consultants (Step Three). Any selection made as a result of this notice will be made without regard to race, color, religion, gender, or national origin.

OTHER INFORMATION:

Interested consultants shall submit six (6) copies, one (1) marked Original and five (5) marked copy; of qualifications in a sealed envelope. An hourly rate fee proposal shall be presented by “short listed” consulting firms at the time of the interviews. Proposals shall be submitted to the following address by Thursday, February 22, 2024 at 3:00 p.m.:

Mailing/Hand Delivery/FedEx/UPS/Courier Address Tim Sims, CFO, Habersham County

Habersham County Development Authority Habersham County Government Center

130 Jacob’s Way, Suite 302, Clarkesville, GA 30523

For any additional information about this contract, please contact Tim Sims, CFO, Habersham County at 706-839-0202 or tsims@habershamga.com.

mailto:tsims@habershamga.com

SUPPLEMENTARY TERMS AND CONDITIONS --- REQUEST FOR PROPOSALS

1. Changes: No change will be made to this Request for Proposals except by written modification by the County Purchasing Office. Requests for interpretation or changes must be in writing and received at least (10) ten calendar prior to the time set for opening of the proposals.

2. Signing of Proposal: Failure to sign your proposal in Introductory Letter will force your proposal to be declared as “Non-Responsive” and not considered for award.

3. Proposal Acceptance Time: Proposals requiring acceptance by the County in less than sixty

(60) calendar days could be rejected, unless so stated in Introductory Letter and accepted by the County.

4. Proposal Identification: All proposals submitted as a result of this Request for Proposals must be returned in a sealed envelope with the following information in the lower left-hand corner of the envelope: RFP # 2024-11 opening on February 22, 2024 @ 3:00 p.m.

5. Withdrawal of Proposals: Proposals may be withdrawn by written request only, if the request is received prior to the time and date set for the opening of proposals. Negligence on the part of the proposer in preparing his proposal confers no right of withdrawal or modification of his proposal after proposal has been opened. No proposal may be withdrawn for a period of ninety (90) days after time has been called on the date of opening.

6. Bonds:

a. Bid Bond: Not required.

b. Payment and Performance Bonds: Not required.

7. Site Inspections: The County will assume no responsibility for representations or understandings concerning conditions made by its officers or employees unless included in this Request for Proposal. A site inspections are not a mandatory requirement to submit a proposal and is not required for this RFP.

8. Award of Contract: Award will be made to that responsible proposer whose proposal, conforming to the Request for Proposals, will be most advantageous to the County; price and other factors considered. The County reserves the right to reject any and/or all proposals submitted and to waive any technicalities or minor irregularities in proposals received. A written award, mailed (or otherwise furnished) shall be deemed to result in a binding contract without further action by either party. Contract (s), if awarded, will be on a lump sum basis or individual item basis, whichever is found to be in the best interest of Habersham County.

9. Non-Discrimination: The vendor, in accepting this contract, attests that he is in compliance with the nondiscrimination clause contained in Section 202 of Executive Order 11246, as amended, relative to equal employment opportunity for all persons without regard to race, color, religion, sex, or national origin, and the implementing rules and prescribed by the Secretary of Labor, which is incorporated herein by reference.

10. Exceptions to Specifications: Any award resulting from this Request for Proposals shall bind the proposer to all terms, conditions, and specifications set forth in this Request for Proposals.

Proposers whose proposals do not conform should so note on separate page if necessary and / or on the Bid Schedule. While the County reserves the right to make an award to a nonconforming proposer, when in the best interest of the County, such awards will not be readily made, and proposers are urged to conform to the greatest extent possible. No exceptions will be considered to have been taken by proposer unless it is properly set out as provided above. No exception will be deemed to have been taken by the County unless incorporated in an award resulting from this Request for Proposals and so stated.

11. Proposal Results: Interested parties may request, in writing, bid tabulation by sending a self-addressed, stamped envelope with their request to: Habersham County Purchasing Division, P.O.

Drawer 1435, Gainesville, Georgia 30503.

12. Payment: Payments will be made upon all items completed each month or completion of all work and acceptance by the County on invoices submitted and approved by the proper Authority representative within (30) thirty days receipt of invoice unless Paragraph 16 applies. Invoices are to be submitted to:

swatts@habershamga.com or mail to Habersham County Board of Commission

Attn: Financial Services 130 Jacob’s Way

Clarkesville, GA 30523

12.1: Itemize all invoices in full. Mail the original and one copy of your invoice to the address above.

Each invoice is to include the following minimum information:

1. Date Invoice is Submitted; 5. County Department;

2. Purchase Order Number; 6. Item (s) or Service;

3. Payment Terms; 7. Quantity of each Item or Service;

4. Date of Transaction; 8. Proposal Price of each Item or Service with any discounts;

Invoices received with any of the required information listed above missing will not be considered as a “correct invoice”. All invoices submitted will be closely monitored for accuracy. Any invoice found to be incorrect will be returned to vendor for correction.

12.2: Vendor must furnish delivery receipt with invoice identifying that this order has been delivered in accordance with specifications, quantities, and price as set forth on the purchase order. A County employee’s signature must appear on the delivery receipt or invoice.

12.3: Items on this order are exempt from Federal Excise Tax and Georgia Sales and Use tax. A certificate will be furnished if requested. The County is exempt from taxes but the successful proposer shall pay all taxes required of him by law and County cannot exempt others from tax.

12.4: Payment terms and provisions herein or otherwise found within the contract documents supersede all provisions of the Georgia Prompt Pay Act (House Bill 837; 13 O.C.G.A. Chapter 11 Et.

Seq.).

13. Retainage: Not applicable

14. Discounts: Prompt payment discounts offered for a period of less than fifteen (15) days will not be considered in determining the low proposer on this Request for Proposals. However, such discounts, when offered, will be taken provided payment is made within the time specified. Time, in connection with discounts for prompt payments, will be computed from the date of acceptance of work for which payment is claimed, or the date the correct invoice is received by the county, whichever is later.

15. Inquiries regarding Payment: All inquiries regarding payment of invoices are to be directed to Accounts Payable (706 )839-0202 or: purchasing@habershamga.com.

16. Execution of Contract: Subsequent to the award, the successful proposer will be presented with a contract. Contract is to be executed within ten (10) calendar days of “Notice of Award”. The date of presentation shall be deemed to be the postmark date. The successful proposer’s proposal and this Request for Proposals shall be incorporated into the contract, except to the extent that this Request for Proposals conflicts with the contract, in which case the provisions of the contract shall take precedent.

mailto:swatts@habershamga.com mailto:purchasing@habershamga.com

17. Certificate of Insurance: The professional agrees to procure all of the insurance specified below:

17.1. Workers’ Compensation Insurance for all employees who are engaged in the work under the contract.

17.2. Public Liability and Motor Vehicle Liability Insurance - The professional shall take out and maintain during the life of this contract, such Public Liability and Motor Vehicle Liability insurance as shall protect him while performing work covered by this contract from claims for damages which may arise from operations by himself or by any other person directly or indirectly employed by him and the amounts of such insurance shall be as follows:

17.2.1. Public Liability Insurance in an amount not less than $1,000,000.00 on account of one occurrence.

17.2.2. Motor Vehicle Liability Insurance on all motor vehicles owned, leased or otherwise used by the professional in an amount not less than $500,000.00 (combined single limit) for bodily injury including death and property damage combined.

17.3 Professional Liability Insurance - The professional shall procure and maintain during coverage in the amount not less than $1,000,000.00.

17.4. The insurance company must be licensed to do business in the state of Georgia.

17.5. The professional shall furnish to Habersham County, a Certificate of Insurance covering the work as required above as evidence that the insurance required will be maintained in force for the entire duration of the work performed under this agreement.

17.6. The cancellation of any policy of insurance required by this agreement shall meet the requirements of notice under the laws of the State of Georgia as presently set forth in

OCGA 33-24-44.

17.7. Each policy of insurance required under this agreement shall provide for notice requirements under the laws of the State of Georgia as set forth in OCGA 33-24-44 and by endorsement shall provide that the County will receive a copy of said notice of cancellation.

17.8. A Certificate of Insurance with a cancellation provision which provides for less notice than that required by OCGA 33-24-44, or which provides that failure to give the written notice will not Impose any responsibility upon the insurer, will be considered as an endorsement of the referred to in the certificate and shall constitute a basis for insurance rejection of the insurance by the County.

17.9. In addition to its agreement to obtain and maintain the insurance as set forth herein above, the professional agrees to indemnify and hold harmless the County, its officers, agents and employees from any and all claims against the County, its officers, agents, and employees, which arise out of any act or omission of the professional or any consultant employed by the professional or any of their officers, agents or employees, and any and all claims which result from any condition created or maintained by the professional or any consultant employed by the professional or any of their officers, employees or agents, which condition which a result of work performed under the contract.

18. Inclusion: All items and / or services standard, expected, necessary, and / or routine to such a project as this and not actually stated in this Request for Proposals will be the responsibility of the successful proposer to provide at no other cost to the County unless so stated on the successful proposer’s proposal as additional cost items and accepted by the County at the time of the award and/or contract.

19. Regulatory Agencies: Successful proposer will be responsible for all required permits or license required by regulatory agency of the city, county, state, or federal governments. Further, successful proposer will be responsible for meeting all requirements of any regulation (s) or guideline (s) of any of the said governments or any independent agency recognized by said governments as publisher of any such regulation (s) or guideline (s).

20. Independent Contractors: The proposer represents to Habersham County that he is fully experienced and properly qualified to perform the functions provided herein and that he is properly equipped, organized, and financed to perform such functions. The proposer shall finance his own operations hereunder, shall operate as an independent contractor and not as an agent of Habersham County and nothing contained in this Request for Proposals or a contract resulting from same shall be construed to constitute the proposer or any of his employees, servants, agents, or subcontractors as a partner, employee, servant, or agent of the County nor shall either party have any authority to bind the other in any respect; it being intended that each shall remain an independent contractor.

21. Assignment of Contractual Rights: It is agreed that the successful proposer will not assign, transfer, convey, or otherwise dispose of a contract that results from this Request for Proposals or his right, title, or interest in or to the same, or any part thereof, without written consent of the County.

22. Starting Time: Work will commence within ten (10) calendar days after being issued a “Notice to Proceed” on the project and commence in a routine, orderly manner until completion and acceptance by the County.

23. Indemnity: Successful proposer agrees, if entering into a contract as a result of this Request for Proposals, to defend, indemnify, and hold harmless Habersham County from any and all courses of action or claims of damages arising out of or related to proposer’s performance or actions or those of his employees or agents, under said contract.

24. Termination: Pursuant to O.C.G.A 36-60-13, if applicable, any contract resulting from this Request for Proposals, if not sooner terminated pursuant to the provisions of termination contained herein, is terminable by the Board of Commissioners of Habersham County, Georgia on December 31 of each calendar year during the term of said contract, except that said contract shall be renewed automatically on such date, and without any lapse, unless positive action is taken to terminate said contract by the board in a public meeting and such action entered in the official minutes of the Habersham County Commission.

25. Appropriation of Funds: Initial contract and any continuation contract (s) will terminate immediately and absolutely at any such time as there are no appropriated and otherwise unobligated funds available to satisfy the County’s obligations under said contract (s).

26. Cancellation for Cause: Should either party fail to comply with the terms and conditions of this contract, the aggrieved party must give, in writing, to the other party any complaint for noncompliance to the terms and conditions of this contract. The other party shall have fifteen (15) calendar days to correct the matter. If corrected to the satisfaction of both parties within the fifteen

(15) calendar days and stated in writing, then the contract will continue uninterrupted. Failure to correct the matter will result in termination of this contract at the end of thirty (30) calendar days following the date of the initial letter of complaint.

27. Anti-Discrimination Clause: “Habersham County does not discriminate against any person because of race, color, religion, national origin, or handicap in employment or service provided."

28. Changes to Contract: No change will be made to this contract except by written modification by the Contracts Administrator.

29. Questions: All questions concerning this Request for Proposal should be directed to the buyer whose name appears on the cover page unless otherwise directed.

Attachment A: Sample of Contract

(Note: This sample form will be filled out at time of Award. Do not submit at this time)

STATE OF GEORGIA CONTRACT RFP #2024-11

COUNTY OF HABERSHAM

Demand Services for Civil Engineering Services

This agreement, made and entered into this the day of __________, 2024, by and between the Development Authority of Habersham County, Georgia (Hereinafter referred to as “County”) and ____________________________________________________ hereafter referred to as “Contractor”).

Witnesseth:

Whereas, the Development Authority intends to contract to provide Demand Services Contract for Civil Engineering Services per the Proposal RFP # 2024-11 herein referred to as the “Project” and has entered into an agreement for the necessary services provided by the project and whereas, the Contractor desires to perform the project and for the contract costs as detailed.

Habersham County’s Request for Proposals # 2024-11 issued on January 24, 2024 for Professional Engineering (Demand) Services for Civil Engineering Services, the Proposer’s Response (All originals are on file in the Habersham County Purchasing Division, Habersham County Government Center, 130 Jacob’s Way, Suite 302, Clarkesville, GA 30523), and this contract are all incorporated into and made a part of this agreement by reference.

Attachment A: All terms and conditions Attachment B: Contractor’s response Attachment C: Contractors cost data Attachment D: Any other documents

If any paragraph, sub-paragraph, sentence, clause, phrase, or any portion of this agreement be declared invalid or unconstitutional by any court of competent jurisdiction or if the provisions of any part of this agreement as applied to any particular situation or set of circumstances shall be declared invalid or unconstitutional, such invalidity shall not be constructed to affect the portions of this agreement not so held to be invalid, or the application of this agreement to other circumstances not so held to be invalid. It is hereby declared to be the intent of the parties to this agreement to provide for separate and divisible parts, and to hereby adopt any and all parts hereof as may not be held invalid for any reason.

In witness whereof, the parties hereto have hereunto set their hands and affixed their seals the day and year first above written.

Subscribed and sworn to in Habersham County, Georgia our presence this _____ day of ______________, 2024 By:______________________ Ty Akin, Chairman Notary Public Board of Commissioners Commission expires: __________

Subscribed and sworn to in Contractor our presence this _____ day of ______________, 2024 By:______________________ Name Notary Public Title Commission expires: __________

Attachment B

S.A.V.E Program Affidavit

Systematic Alien Verification for Entitlements (SAVE) Program Office of U.S. Citizenship and Immigration Service (USCIS).

Background

Pursuant to the “Georgia Security and Immigration Compliance Act,” Habersham County cannot contract for the physical performance of services unless the contractor registers and participates in the federal work authorization program to verify information of all new employees. Neither may any contractor or sub-contractor enter a contract with the County in connection with the physical performance of services unless the contractor or sub-contractor registers and participates in the federal work authorization program to verify information of all new employees. O.C.G.A. § 13-10-91. Each contractor is urged to fill out the affidavit below stating they comply with this Georgia Compliance Act before Habersham County can legally accept the bids from each contractor/vendor.

To register for the E-Verify Program visit www.uscis.gov .Your bid will not be accepted without this E-Verify Number.

Procedure

Affirmative language will be set forth in contracts for the performance of services regarding the above requirement. The County will require an affidavit from a contractor showing its compliance with the requirements of O.C.G.A. § 13-10-91 at the time a contract for the performance of physical services is executed. The contract shall include language referencing this obligation and providing that failure to supply an affidavit evidencing such compliance (or to continue to meet the statutory obligation during the life of the contract) shall constitute a material breach of the contract. Upon notice of such breach, the contractor shall be entitled to cure the breach within ten (10) days and provide evidence of such cure. Should the breach not be cured, the County should be entitled to all available remedies, including termination of the contract and damages.

See affidavit on following page http://www.uscis.gov/

S.A.V.E Program Contractor Affidavit under O.C.G.A. § 13-10-91(b)(1)

Office of U.S. Citizenship and Immigration Service (USCIS).

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm or corporation which is contracting with Habersham County, Georgia, has registered and is participating in a federal work authorization program* (an electronic verification of work authorization program operated by the U.S. Department of Homeland Security or any equivalent federal work authorization program operated by the U.S. Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform And Control Act of 1986 (IRCA), in accordance with the deadlines established in the referenced statute.

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 (E-Verify) number and date of authorization are as follows:

*The applicable federal work authorization program as of the effective date of the statute is the E-Verify Program of the Systematic Alien Verification for Entitlements (SAVE) Program Office of U.S. Citizenship and Immigration Service (USCIS).

To register for the E-Verify Program visit www.uscis.gov .your bid will not be accepted without this E-Verify Number.

Name of Contractor Contractor’s/Vendor’s E-Verify #

Signature of Authorized Officer or Agent Date of Authorization

Printed Name/Title of Authorized Officer Name of Project

Subscribed and sworn before me on this the ______ day of _______________, 20______

Notary Public My Commission Expires:_________________ http://www.uscis.gov/

S.A.V.E Program Sub-Contractor Affidavit under O.C.G.A. § 13-10-91(b)(4)

Office of U.S. Citizenship and Immigration Service (USCIS).

By executing this affidavit, the undersigned sub-contractor 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 for __________________________ on behalf of Habersham County, Georgia, has registered and is participating in a federal work authorization program (an electronic verification of work authorization program operated by the U.S. Department of Homeland Security or any equivalent federal work authorization program operated by the U.S. Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform And Control Act of 1986 (IRCA), in accordance with the deadlines established in the referenced statute.

Furthermore, the undersigned sub-contractor will continue to use the federal work authorization program throughout the contract period and the undersigned sub-contractor will contract for the physical performance of services in satisfaction of such contract only with sub-contractors who present an affidavit to the contractor with the information required by O.C.G.A. § 13-10-91(b). The undersigned sub-contractor shall submit, at the time of such contract, this affidavit to Contractor. Additionally, the undersigned sub-contractor will forward notice of the receipt of any affidavit from a sub-subcontractor to sub-contractor.

Sub-contractor hereby attests that its federal work authorization user identification (E-Verify) number and date of authorization are as follows:

Name of Sub-Contractor Sub-Contractor’s/Vendor’s E-Verify #

Signature of Authorized Officer or Agent Date of Authorization

Printed Name/Title of Authorized Officer Name of Project

Subscribed and sworn before me on this the ______ day of _______________, 20______

Notary Public My Commission Expires:_________________