Fillable CITY OF WARNER ROBINS --Warner Robins, Georgia GEORGIA (City of Warner Robins)

Fill Online, Printable, Fillable, Blank CITY OF WARNER ROBINS --Warner Robins, Georgia GEORGIA (City of Warner Robins) Form

Use Fill to complete blank online CITY OF WARNER ROBINS (GA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CITY OF WARNER ROBINS --Warner Robins, Georgia GEORGIA (City of Warner Robins)

On average this form takes 4 minutes to complete

The CITY OF WARNER ROBINS --Warner Robins, Georgia GEORGIA (City of Warner Robins) form is 3 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Warner Robins

BROWSE CITY OF WARNER ROBINS (GA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CITY OF WARNER ROBINS
--Warner Robins, Georgia
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT - 1-
OCGA 13-10-90
“GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT
OCGA 13-10-91”
TO ALL VENDORS:
If you are providing service, performing work or delivering goods to the City of
Warner Robins the applicable Georgia Security and Immigration Compliance
documents found here must be completed, signed, notarized and submitted to the
Purchasing Office.
1) The City of Warner Robins shall comply with the Georgia Security and
Immigration Compliance Act OCGA 13-10-91 et. seq.,
2) In order to insure compliance with the Immigration Reform and Control Act of
1986 (IRCA), D.L. 99-603 and the Georgia Security and Immigration Compliance
Act OCGA 13-10-90 et. seq., the Contractor must initial one of the sections
below:
_____ Contractor has 500 or more employees and Contractor warrants that
Contractor has complied with the Immigration Reform and Control Act of 1986
(IRCA), D.L. 99-603 and the Georgia Security and Immigration Compliance Act by
registering with the Employment Eligibility Verification / Basic Program and verifying
information of all new employees; and shall execute any affidavits required by the
rules and regulations issued by the Georgia Department of Labor as set forth at Rule
300-10-1-.01 et. seq.
_____ Contractor has 100 to 499 employees and Contractor warrants that Contractor
has registered with the Employment Eligibility Verification / Basic Program to verify
information of all new employees in order to comply with the Immigration Reform
and Control Act of 1986 (IRCA), D.L. 99-603 and the Georgia Security and
Immigration Compliance Act; and shall execute any affidavits required by the rules
and regulations issued by the Georgia Department of Labor as set forth at Rule 300-
10-1-.01et.seq.
_____ Contractor has 99 or fewer employees and Contractor warrants that Contractor
has registered at with the Employment Eligibility Verification / Basic Program to
verify information of all new employees in order to comply with the Immigration
Reform and Control Act of 1986 (IRCA), D.L. 99-603 and the Georgia Security and
Immigration Compliance Act; and shall execute any affidavits required by the rules
and regulations issued by the Georgia Department of Labor as set forth as Rule 300-
10-1-.01et. seq.
CITY OF WARNER ROBINS
--Warner Robins, Georgia
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT - 2-
OCGA 13-10-90
3) In the event that the contractor employs or contracts with any subcontractor in
connection with a covered contract the contractor will secure from the
subcontractor attestation of the subcontractor’s compliance with O.C.G.A. § 13-
10-91 et seq. and Georgia Department of Labor Rule 300-10-1-.02 by the
subcontractor’s execution of the subcontractor affidavit shown in Georgia
Department of Labor Rule 300-10-1-.02 or a substantially similar affidavit.
4) Contractor agrees that, in the event the (insert your company’s name)
______________________________________________ employs or contracts with any
sub-contractor in connection with the covered contract under O.C.G.A. § 13-10-
91 and DOL Rule 300-10-1-.02, that (insert vendor’s company name)
_____________________________________________ will secure from each sub-
contractor the employee-number applicable to the sub-contractor.
5) Contractor agrees to provide the City of Warner Robins with all affidavits of
compliance as required by O.C.G.A. § 13-10-90 et seq. and Georgia Department of
Labor Rule 300-10-1-.02, 300-10-1-.03, 300-10-1-.07 and 300-10-1-.08.
CITY OF WARNER ROBINS
--Warner Robins, Georgia
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT - 3-
OCGA 13-10-90
“CONTRACTOR AFFIDAVIT AND AGREEMENT”
By executing this affidavit, the undersigned contractor verifies its compliance with
O.C.G.A. 13-10-91, stating affirmatively that the individual, firm or corporation
which is contracting with the City of Warner Robins has registered with and is
participating in federal work authorization program [any of the electronic verification
of work authorization programs 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], in accordance with the applicability provisions and
deadlines established in O.C.G.A. 13-10-91.
The undersigned further agrees that, should it employ or contract with any
subcontractor(s) in connection with the physical performance of services pursuant to
this contract with the City of Warner Robins, contractor will secure from such
subcontractor(s) similar verification of compliance with O.C.G.A. 13-10-91 on the
Subcontractor Affidavit provided in Rule 300-10-01-.08 or a substantially similar
form. Contractor further agrees to maintain records of such compliance and to
provide a copy of each such verification to the City of Warner Robins at the time the
subcontractor(s) is retained to perform such service.
_______________________________________________________
E-Verify Number /Basic Pilot Program User ID Number
______________________________________________________
BY: Authorized Officer or Agent (Contractor Name)
______________________________________________________
Title of Authorized Officer or Agent of Contractor
______________________________________________________
Printed Name of Authorized Officer or Agent
SUBSCRIBED AND SWORN BEFORE ME ON THIS THE
______ DAY OF _____________________, 20______
_______________________________________________
Notary Public
My Commission Expires: ______________________
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CITY OF WARNER ROBINS --Warner Robins, Georgia GEORGIA (City of Warner Robins)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 17 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document