Subcontractor affidavit (25).pdf
PDF 139 KB Posted
- Attached to
- 2026 Mowing and Litter Bid
- Solicitation number
- PE-64800-NONST-2026-000000060
- Issued by
- Douglas County, Georgia
About this file
This is a Subcontractor Affidavit form required by Douglas County Board of Commissioners under O.C.G.A. § 13-10-91(b)(3). The affidavit verifies that subcontractors engaged in physical performance of services on behalf of the county have registered with and are authorized to use the E-Verify federal work authorization program. Subcontractors must provide their federal work authorization user identification number and date of authorization as part of the affidavit execution. The form requires completion of the subcontractor name, project name, execution date, location, and authorized officer signature, followed by notarization. Subcontractors must continue using E-Verify throughout the contract period and may only contract with sub-subcontractors who also submit required affidavits.
Subcontractors are obligated to forward notice of affidavits received from sub-subcontractors to the primary contractor within five business days of receipt and must notify the contractor of any notices received from sub-subcontractors who have further contracted with additional sub-subcontractors within the same five-business-day timeframe. The affidavit is executed under penalty of perjury and must be notarized by a notary public. This requirement ensures compliance with Georgia state law regarding federal work authorization verification for all contracted service providers working on Douglas County projects.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Subcontractor Affidavit
O.C.G.A. § 13‐10‐91(b)(3)
By executing this Subcontractor Affidavit, the undersigned subcontractor 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 with ___________________________________ (name of contractor) on behalf of Douglas County Board of Commissioners 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 of receipt of an affidavit from any sub‐subcontractor that has contracted with a sub‐subcontractor, subcontractor shall forward, within five business days of receipt, a copy of such 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 Subcontractor: ____________________________________________________
Name of Project: ____________________________________________________
Name of Public Employer: Douglas County Board of Commissioners
I hereby declare under penalty of perjury that the forgoing 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 _________, 201____
NOTARY PUBLIC
My Commission Expires:
File details come from the government source that posted it. Updated .