2-Gen RFP Form 2-Everify Affidavit 04122025.pdf
PDF 130 KB Posted
- Solicitation number
- RFP C26-07
- 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 contractors bidding on the district's capital projects program management services solicitation. The affidavit template, based on O.C.G.A. 13-10-91, must be completed and submitted by all offerors as part of their proposal response. Contractors executing this form attest that they are registered with and authorized to use the federal E-Verify work authorization program and will continue using E-Verify throughout the contract period if awarded. Additionally, contractors commit to only engage subcontractors who similarly provide compliant E-Verify affidavits demonstrating their authorization status.
The affidavit requires contractors to provide their federal work authorization user identification number and date of authorization, execute the form under penalty of perjury before a notary public, and include identifying information such as the offeror's legal name, signature, printed name, and title. This compliance verification form is mandatory for all contractors seeking to provide physical performance of services on behalf of SCCPSS and serves as a prerequisite for contract award and execution.
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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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