3-Gen-Bid-Solicitation-Form-2-Everify-Affidavit-2-12-25.pdf
PDF 71 KB Posted
- Solicitation number
- Bid 27-05
- Issued by
- Chatham County, Georgia
About this file
This file is a Contractor Affidavit form required by O.C.G.A. 13-10-91(b) for the Board of Public Education for the City of Savannah and the County of Chatham (Savannah-Chatham County Public School System). The affidavit verifies contractor compliance with Georgia's federal work authorization requirements under the E-Verify program. Contractors executing this form must attest that they are registered with and authorized to use E-Verify or any subsequent replacement program in accordance with applicable state provisions. Contractors are required to maintain E-Verify authorization throughout the entire contract period and must ensure that any subcontractors engaged in the physical performance of services also present compliant E-Verify affidavits. The form requires contractors to provide their federal work authorization user identification number and date of authorization, along with the solicitation number and name.
The affidavit must be executed under penalty of perjury and notarized before a notary public. The contractor's legal representative must sign the document and provide their printed name and title/position. This form represents a mandatory compliance requirement for participation in the Document Destruction and Related Services contract solicitation with the Savannah-Chatham County Public School System. No specific pricing terms, contract duration, or other financial details are contained in this affidavit template, as it serves solely as verification of the contractor's eligibility to perform work based on federal work authorization status.
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Text version
Based on O.C.G.A. § 13-10-91 Affidavit Template-2/12/25
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
File details come from the government source that posted it. Updated .