Subcontractor affidavit (37).pdf
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- Solicitation number
- PE-64800-NONST-2026-000000070
- Issued by
- Douglas County, Georgia
About this file
This is a Subcontractor Affidavit form required by the Douglas County Board of Commissioners in Georgia for the Bomar Road Improvements/Lee Road Extension Project (P.I.# 0019889), which involves Real Estate Services - Right-of-Way Appraisal Services. The affidavit documents compliance with O.C.G.A. § 13-10-91, requiring subcontractors to verify registration with and authorization to use E-Verify, the federal work authorization program. Subcontractors must certify their federal work authorization user identification number and authorization date on the form and attest that they will maintain E-Verify usage throughout the contract period. The form requires subcontractors to ensure any sub-subcontractors provide similar affidavits and to forward notices of receipt to the prime contractor within five business days. The affidavit must be executed by an authorized officer or agent and notarized before a notary public.
The document serves as a compliance mechanism rather than a pricing or contractual terms instrument. All subcontractors and sub-subcontractors working on the project must complete and submit this sworn affidavit under penalty of perjury. The form emphasizes Georgia's mandatory E-Verify requirement for all levels of subcontracting, establishing a cascading obligation throughout the contractor hierarchy to ensure federal work authorization compliance across the entire project workforce.
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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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