Security and Immigration AFfidavit.doc

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Attached to
RESURFACING OF LAKEVIEW DR, BROAD ST, CEDAR DR, BLUE JAY CT, QUAIL RIDGE DR, WOODPECKER LN, STAPLER
Solicitation number
PE-66298-NONST-2026-000000002
Issued by
Barrow County, Georgia

About this file

This is a Security and Immigration Compliance Affidavit required by the City of Nicholson, Georgia for a road resurfacing contract involving approximately 3.14 miles of recycled asphaltic concrete resurfacing and road repair across multiple streets including Lakeview Drive, Broad Street, Cedar Drive, Blue Jay Court, Quail Ridge Drive, Woodpecker Lane, Stapler Drive, New Hope Drive, Peach Street, and James Maxwell Road. Sealed bids for furnishing all materials, labor, tools, equipment, and appurtenances necessary to complete the project will be received by the City of Nicholson at 5488 US Highway 441 South until 9:00 a.m. on April 23rd, 2026. The project schedule includes a bid release on March 25th, 2026, a questions deadline of April 15th, 2026 at 3:00 p.m., answers to questions by April 20th, 2026 at 5:00 p.m., and bid opening on April 23rd, 2026 at 9:00 a.m. All work shall be completed in accordance with Plans, Special Provisions, and the latest editions of GDOT Standard Specifications, Supplemental Specifications, and the Manual on Uniform Traffic Control Devices. Contract documents, drawings, and specifications may be obtained from Irma Robles, City Clerk, at cityclerk@nicholson-ga.com or 706-757-3408.

All bidders must execute the Georgia Security and Immigration Compliance Act Affidavit, certifying compliance with O.C.G.A. 13-10-91 and confirming participation in the federal E-Verify work authorization program throughout the contract period. Bidders must further agree to contract only with subcontractors who present affidavits documenting their own E-Verify registration and authorization, and must maintain and provide verification records to the City of Nicholson upon subcontractor retention. The affidavit requires execution before a notary public and must include the EEV/E-Verify User Identification Number and date of authorization.

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Text version

PRIVATE

ADVANCE \D 2.10ADVANCE \D 10.50

SECTION 00421

Georgia Security and Immigration Compliance Act Affidavit Name of Contracting Entity:

By executing this affidavit, the undersigned person or entity verifies its compliance with O.C.G.A. 13-10-91, stating affirmatively that the individual, firm, or corporation which is contracting with City of Nicholson has registered with, is authorized to participate in, and is participating in the federal work authorization program commonly known as E-Verify*, in accordance with the applicable provisions and deadlines established in O.C.G.A. 13-10-91.

The undersigned person or entity further agrees that it will continue to use the federal work authorization program throughout the contract period, and it will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the undersigned with the information required by O.C.G.A. 13-10-91(b).

The undersigned person or entity further agrees to maintain records of such compliance and provide a copy of each such verification to the City of Nicholson at the time the subcontractor(s) is retained to perform such service.

EEV / E-Verify User Identification Number

Date of Authorization

BY: Authorized Officer or Agent

Date

(Name of Person or Entity)

Title of Authorized Officer or Agent

Printed Name of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE

DAY OF

20 .

[NOTARY SEAL]

My Commission Expires:

* or any subsequent replacement operated by the United States Department of Homeland Security or any equivalent federal work authorization program operated by the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603

END OF SECTION

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