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

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