Subcontractor affidavit (26).pdf
PDF 139 KB Posted
- Attached to
- INTERNAL CONTROLS AUDIT
- Solicitation number
- PE-64800-NONST-2025-000000061
- Issued by
- Douglas County, Georgia
About this file
This document is a Subcontractor Affidavit required by the Douglas County Board of Commissioners in accordance with O.C.G.A. § 13-10-91(b)(3). The affidavit serves as verification that subcontractors engaged in the physical performance of services on county contracts have registered with and are authorized to use the federal work authorization program E-Verify, or any subsequent replacement program. Subcontractors must attest that they will continue using E-Verify throughout the entire contract period and will only engage sub-subcontractors who have provided similar affidavits demonstrating their E-Verify compliance. Additionally, subcontractors are required to forward notice of receipt of affidavits from any sub-subcontractors to the prime contractor within five business days of receipt, with further notification requirements if sub-subcontractors have contracted with additional sub-subcontractors.
The affidavit requires the subcontractor to provide its federal work authorization user identification number, the date of authorization, the name of the subcontractor, the name of the project, and confirmation that the public employer is the Douglas County Board of Commissioners. The document must be executed by an authorized officer or agent of the subcontractor, declared under penalty of perjury, and notarized. No pricing terms, set-asides, funding sources, or contract duration are specified in this document, as it functions solely as a compliance verification instrument rather than a procurement or service agreement.
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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:
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