5-SNP Form 5 E-Verify.pdf

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