2-Gen RFP Form 2-Everify Affidavit 04122025.pdf
PDF 130 KB Posted
- Solicitation number
- RFP 26-35
- 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) for solicitation participants. The affidavit confirms that contractors comply with O.C.G.A. 13-10-91, which mandates use of the federal E-Verify work authorization program. Contractors executing this form verify that they are registered with and authorized to use E-Verify, or any subsequent replacement program, and commit to maintaining E-Verify compliance throughout the contract period if awarded. Contractors must also ensure that any subcontractors engaged in physical performance of services have submitted similar affidavits with required information as specified under O.C.G.A. 13-10-91(b). This affidavit is a mandatory submission document for the Educational Materials and Supplies - Catalog Discounts solicitation for instructional, art, media center, medical, music/theatre, physical education/athletics, and science categories under an annual contract with the Savannah-Chatham County Public School System.
The affidavit requires contractors to provide their federal work authorization user identification number and date of authorization, execute the document under penalty of perjury, and have it notarized before submission. No pricing, set-asides, or funding information is contained within this compliance document. The form serves as a prerequisite certification that all bidders must complete and submit to demonstrate legal authorization to perform work within Georgia's jurisdiction.
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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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