Subcontractor affidavit (28).pdf
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- Attached to
- Public Transit3rd Party Transportation Operator
- Solicitation number
- PE-64800-NONST-2026-000000062
- Issued by
- Douglas County, Georgia
About this file
This is a Subcontractor Affidavit form required by the Douglas County Board of Commissioners in accordance with O.C.G.A. § 13-10-91(b)(3). The document establishes compliance requirements for subcontractors performing services under county contracts, mandating that all subcontractors register with and actively use the federal E-Verify work authorization program throughout the entire contract period. Subcontractors must verify their federal work authorization user identification number and date of authorization on the form, and they are responsible for ensuring that any sub-subcontractors they engage also submit compliant affidavits. Additionally, subcontractors must forward notice of affidavit receipt from any sub-subcontractors to the primary contractor within five business days of receipt, with further notice requirements if sub-subcontractors have engaged additional sub-subcontractors.
The affidavit requires execution under penalty of perjury and must be notarized before a notary public. The form must include the subcontractor's name, the project name, and confirmation of the public employer as Douglas County Board of Commissioners. No pricing, award dates, contract terms, or renewal options are specified in this document, as it serves solely as a compliance verification instrument rather than a procurement solicitation or contract award notice. This affidavit represents a mandatory workforce verification requirement for all entities performing work on Douglas County contracts.
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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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