2-Gen RFP Form 2-Everify Affidavit 04122025.pdf
PDF 130 KB Posted
- Solicitation number
- RFP 26-21
- Issued by
- Chatham County, Georgia
About this file
This document is a Contractor Affidavit form required by O.C.G.A. § 13-10-91, issued by the Board of Public Education for the City of Savannah and the County of Chatham (Savannah-Chatham County Public School System). The form is an E-Verify Affidavit that requires contractors to verify their compliance with federal work authorization program requirements when performing services for the school system. Contractors must affirm that they have registered with E-Verify, are authorized to use it, and will continue to use the program throughout the contract period.
The affidavit mandates that contractors attest to using E-Verify and will only subcontract with entities that can provide a similar affidavit. The document requires the contractor to provide their Federal Work Authorization User Identification Number and Date of Authorization, and includes spaces for the contractor's legal name, signature, printed name, title, and notarization. This form is part of the school system's effort to ensure that all contractors and subcontractors are compliant with employment verification regulations for work performed on behalf of the public school system.
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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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