2-Gen Bid Form 2-Everify Affidavit 04122025.pdf

PDF 130 KB Posted

Attached to
Fire Alarm Monitoring, Testing, Inspection and Repair Services (Annual Contract)
Solicitation number
BID 26-14
Issued by
Chatham County, Georgia

About this file

This is an E-Verify Affidavit form required by the Board of Public Education for the City of Savannah and the County of Chatham (SCCPSS) in Georgia for solicitation RFP 26-14 regarding Fire Alarm Monitoring, Testing, Inspection and Repair Services. The affidavit template is mandated under O.C.G.A. 13-10-91(b) and requires contractors to verify compliance with federal work authorization requirements. Contractors must attest that they are registered with and authorized to use E-Verify, or any subsequent replacement program, for verifying the work authorization status of employees performing services under any awarded contract. Contractors are required to provide their federal work authorization user identification number and date of authorization on the form. Additionally, contractors must commit to continuing E-Verify use throughout the contract period and to contract only with subcontractors who similarly provide affidavits demonstrating E-Verify compliance as required under O.C.G.A. 13-10-91(b).

The affidavit must be executed under penalty of perjury and include the bidder's legal name, signature, printed name, and title or position. The form requires notarization, with the notary public providing their signature, commission expiration date, and the date the document was sworn before them. Completion of this form is a mandatory submission requirement for all bidders responding to SCCPSS solicitations and serves as a prerequisite compliance document to verify contractor eligibility to perform work on behalf of the school district.

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Text version

Based on O.C.G.A. § 13-10-91 Affidavit Template-4/12/25

BOARD OF PUBLIC EDUCATION FOR THE CITY OF SAVANNAH AND THE COUNTY OF CHATHAM

SOLICITATION FORM 2

Contractor Affidavit Required by O.C.G.A. § 13-10-9l(b) (E-Verify Affidavit)

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 Savannah-Chatham County Public School System 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, if awarded a contract, and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract 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:

Federal Work Authorization User Identification Number Date of Authorization (E-Verify)

SCCPSS Solicitation Number and Name

The Board of Public Education for the City of Savannah and the County of Chatham Name of Public Employer

I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on

___________________, 20_________ in _____________________, and ___________________________ City State

Bidder’s Legal Name

By: ________________________________________ Signature

Printed Name

Title/Position

NOTARY: Subscribed and sworn before me on

This the _____day of _______________, 20_______

Notary public My commission expires

Solicitation Form 2

File details come from the government source that posted it. Updated .