2-Gen RFP Form 2-Everify Affidavit 04122025.pdf
PDF 130 KB Posted
- Solicitation number
- RFP 27-02
- 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 (Savannah-Chatham County Public School System) in Georgia, issued pursuant to O.C.G.A. 13-10-91(b). The affidavit is a mandatory compliance document for contractors bidding on the Library Media Books / Materials and Support Services annual contract. By executing this form, contractors must verify that they are registered with and authorized to use the federal E-Verify work authorization program and commit to continued compliance throughout the contract period. Contractors must also attest that any subcontractors engaged in the physical performance of services will similarly present affidavits demonstrating their E-Verify authorization and compliance. The form requires contractors to provide their federal work authorization user identification number and date of authorization, along with the relevant solicitation number and name.
The affidavit must be executed under penalty of perjury and notarized by a notary public. Contractors are required to declare the date, city, and state where the affidavit is executed, and must provide their legal business name, authorized signatory name and title, and notary seal and commission expiration date. This form serves as a prerequisite compliance document in the contractor selection process and does not address pricing, set-asides, or contract funding details, as those elements are addressed in separate solicitation documents.
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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
Offeror’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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