Sharp PG-F211X - XGA DLP Projector Manual do Utilizador descarregar pdf (Página 12)

Gwinnett County Public Schools

Suwanee, Georgia

“SUBCONTRACTOR AFFIDAVIT”

By executing this 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), which has a contract with the Gwinnett County Board of Education, has

registered with and is participating in a 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.

____________________________________________

EEV/Basic Pilot Program User Identification Number

____________________________________________ ________________________

BY: Authorized Officer of Agent Date

(Subcontractor Name)

____________________________________________

Title of Authorized Officer or Agent of Subcontrator

____________________________________________

Printed Name of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE

______ DAY OF _____________________, 200___

___________________________________________

Notary Public

My Commission Expires: ______________________

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Sharp PG-F211X - XGA DLP Projector Manual do Utilizador Página 12