Security and Immigration AFfidavit.doc
DOC document 35 KB Posted
- Attached to
- 2026 SAP Striping and Marking Project
- Solicitation number
- PE-77081-NONST-2026-000000007
- Issued by
- Douglas County, Georgia
About this file
This is a Security and Immigration Compliance Affidavit form required by Elbert County, Georgia, in conjunction with the 2026 SAP Striping and Marking Project. The affidavit serves as a mandatory compliance document for all bidders and contractors working on county projects. Contractors executing the affidavit verify their enrollment in and authorization to participate in the E-Verify federal work authorization program as mandated by O.C.G.A. 13-10-91. Sealed bids for the striping and marking project, which involves approximately 51.57 miles of various county roads, are due by 4:00 PM on Thursday, May 7, 2026, with bid opening and award scheduled for May 11, 2026, at 5:30 PM. All bidders are required to comply with both the E-Verify program and the Systematic Alien Verification of Entitlements (SAVE) program as conditions of eligibility.
The affidavit requires contractors to provide their E-Verify User Identification Number and authorization date, and mandates continued participation in the E-Verify program throughout the contract period. Contractors must also ensure that all subcontractors retained for work present their own completed affidavits demonstrating compliance with the same requirements. Contractors are obligated to maintain compliance records and provide copies of subcontractor verifications to the Elbert County Commissioner upon subcontractor retention. The document must be notarized and executed by an authorized officer or agent of the contracting entity. Elbert County reserves the right to reject any bids that do not conform to these instructions or to cancel the bid opening entirely.
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Other files
| File | Type | Posted |
|---|---|---|
| E_verify affidavit.pdf | ||
| 6 SEC 653.pdf | ||
| 2 Instruction to Bidder.doc | DOC document | |
| 5_B ss105.pdf | ||
| 5_C ss107.pdf | ||
| Corporate Certification.doc | DOC document | |
| 5 PROJECT MAP 2026.pdf | ||
| 3 BID FORM.doc | DOC document | |
| 1 COVER SHEET.doc | DOC document | |
| 5_A104.pdf | ||
| 5_F 150.pdf | ||
| 5_ SPECIAL PROVISION.docx | DOCX document | |
| 5_E ss109.pdf | ||
| 6 SEC 652.pdf | ||
| i_9 2027.pdf | ||
| 5_D ss108.pdf | ||
| BID BOND.doc | DOC document | |
| AGREEMENT.doc | DOC document | |
| 2 Invitation to Bid.doc | DOC document | |
| 4 WORK PLAN.pdf |
Show all 20
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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 Elbert County 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 Elbert County Commissioner 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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