2025-26 Trees Atlanta Smyrna Front Yard Program Agreement- Updated
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19 July 24, 2025 EXHIBIT C CONTRACTOR AFFIDAVIT UNDER O.C.G.A. § 13-10-91(b) (1) 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 engaged in the physical performance of services on behalf of the Smyrna 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 contractor will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical performance of services in satisfaction of such contrac t only with subcontractors who present an affidavit to the contractor with the information required by O.C.G.A. § 13 -10-91(b). Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows: _495 904____________________________________________________ Federal Work Authorization User Identification Number _06/01/2013_________________________________________________ Date of Authorization Trees Atlanta, Inc. Name of Contractor 2025-26 Smyrna Tree Planting Program___________ __ Name of Program _N/A_______________________________________________________ Name of Public Employer I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on _________________ in ___________ (city), __________ (state). ___________________________________________________________ Greg Levine / Executive Director SUBSCRIBED AND SWORN BEFORE ME THIS THE ______ DAY OF ________________ __________________________________________ NOTARY PUBLIC My Commission Expires: ______________________