3-Gen RFP Form 2-Everify Affidavit 04122025.pdf
PDF 130 KB Posted
- Attached to
- College and Career Readiness Platform
- Solicitation number
- RFP 26-25
- 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 in Georgia, mandated under O.C.G.A. 13-10-91(b). The affidavit serves as a contractor compliance verification document for solicitations issued by the Savannah-Chatham County Public School System. Contractors executing this form attest that they are registered with and authorized to use the federal E-Verify work authorization program, or any subsequent replacement program, and will continue such use throughout the contract period if awarded. Additionally, contractors commit to ensuring that any subcontractors engaged in the physical performance of services under the contract also present compliant E-Verify affidavits to the contractor prior to engagement.
The form requires contractors to provide their federal work authorization user identification number and date of authorization from E-Verify. The affidavit must be executed under penalty of perjury and include the contractor's legal name, authorized signature, printed name, title/position, execution date, and location. A notary public must witness and verify the sworn statement, with the notary's commission expiration date noted. This document represents a mandatory compliance requirement for all contractors bidding on Savannah-Chatham County Public School System contracts and must be submitted as part of the solicitation response package.
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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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