5-SNP Form 5 E-Verify 041222025.pdf
PDF 90 KB Posted
- Solicitation number
- BID 26-08
- Issued by
- Chatham County, Georgia
About this file
This is an E-Verify Affidavit form required by the Savannah-Chatham County Public School System (SCCPSS) for Bid 26-08, a School Nutrition Program - Cleaning Products annual contract in Georgia. The affidavit serves as vendor compliance documentation with O.C.G.A. 13-10-91(b), requiring vendors to verify that all individuals, firms, or corporations engaged in the physical performance of services have registered with and are authorized to use E-Verify, the federal work authorization program. Vendors must provide their federal work authorization user identification number and date of authorization on the form, commit to continued E-Verify compliance throughout the contract period if awarded, and ensure that any subvendors performing work also submit compliant affidavits.
The affidavit must be executed by an authorized officer or agent of the vendor and notarized before submission to the Board of Public Education for the City of Savannah and the County of Chatham. This document is a mandatory requirement for contract eligibility and represents the vendor's attestation under penalty of perjury that it maintains compliance with Georgia's employment eligibility verification requirements. No pricing, award dates, contract terms, or other commercial conditions are addressed in this compliance-focused attachment.
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Text version
Based on SCCPSS School Nutrition Template 4/12/25
ATTACHMENT H E-Verify Affidavit Vendor Affidavit Required by O.C.G.A. § 13-10-9l(b)
By executing this affidavit, the undersigned Vendor 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 Vendor will continue to use the federal work authorization program throughout the contract period, if awarded a contract, and the undersigned Vendor will contract for the physical performance of services in satisfaction of such contract only with sub Vendors who present an affidavit to the Vendor with the information required by O.C.G.A. § 13-10-91(b). Vendor 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
Name of Vendor
Name of Project
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
Signature of Authorized Officer or Agent
Printed Name and Title of Authorized Officer or Agent
SUBSCRIBED AND SWORN BEFORE ME ON
THIS THE _____DAY OF _________________, 20_______
NOTARY PUBLIC
My Commission Expires
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