Sharp PG-F211X - XGA DLP Projector Bedienungsanleitung PDF herunterladen (Seite 11)

Gwinnett County Public Schools

Suwanee, Georgia

“CONTRACTOR AFFIDAVIT AND AGREEMENT”

By executing this affidavit, the undersigned contractor verifies its compliance with

O.C.G.A. 12-10-91, stating affirmatively that the individual, firm or corporation which is

contracting with the Gwinnett County Board of Education 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 Gwinnett County Board of Education, 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 Gwinnett County Board of Education at the time the

subcontractor(s) is retained to perform such service.

___________________________________________

EEV/Basic Pilot Program User Identification Number

___________________________________________ ________________________

BY: Authorized Officer or Agent Date

(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 _____________________, 200___

___________________________________________

Notary Public

My Commission Expires: ______________________

1 2 ... 6 7 8 9 10 11 12 13 14 15 16 ... 43 44

Keine Kommentare

Sharp PG-F211X - XGA DLP Projector Bedienungsanleitung Seite 11