2-Gen Bid Form 2-Everify Affidavit 04122025.pdf
PDF 130 KB Posted
- Attached to
- Cohesity Data Management and Security Platform
- Solicitation number
- Bid 26-31
- 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, Georgia, for the Cohesity Data Management and Security Platform procurement. The affidavit mandates that contractors comply with O.C.G.A. 13-10-91 by verifying registration with and authorized use of the federal E-Verify work authorization program. Contractors must provide their federal work authorization user identification number and date of authorization as part of the bid submission. Contractors are required to maintain continuous E-Verify compliance throughout the contract period if awarded and must ensure all subcontractors engaged in physical performance of services also provide affidavits demonstrating E-Verify compliance.
The affidavit must be executed under penalty of perjury and notarized, with the contractor's legal name, authorized signatory, title, and position clearly identified. The form requires completion of execution date, city, and state information, along with notary certification including the notary's commission expiration date. This compliance document serves as a prerequisite for bid consideration and establishes the contractor's commitment to workforce authorization verification requirements throughout the contract term.
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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
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