2-Solicitation-Form-2-Everify-Affidavit.pdf
PDF 150 KB Posted
- Solicitation number
- RFP 26-29
- Issued by
- Chatham County, Georgia
About this file
This is a Contractor Affidavit Form required by Georgia Code O.C.G.A. 13-10-91 for the Board of Public Education for the City of Savannah and the County of Chatham (SCCPSS) in connection with a data cabling installation project at Jacob G. Smith Elementary School. The affidavit verifies that the bidding contractor has registered with and is authorized to use the federal E-Verify work authorization program and will continue to use it throughout the contract period. Contractors must provide their federal work authorization user identification number and date of authorization. All subcontractors engaged in the physical performance of services must also present compliant affidavits to the prime contractor prior to contract award.
The affidavit requires the contractor to execute the document under penalty of perjury, including the bidder's legal name, authorized signature, printed name, and title/position. Notarization of the affidavit is required, with the notary public providing the date of execution, commission expiration date, and notarial seal. This form is mandatory for all bidders responding to SCCPSS solicitations and serves as a compliance verification mechanism ensuring adherence to Georgia's E-Verify requirements for public construction and service contracts.
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Text version
Based on O.C.G.A. § 13-10-91 Affidavit – Construction Bid 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
Bidder’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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