7-SCCPSS-Construction-Solicitation-Form-2-Everify-Aff-4-12-25, 1.pdf

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Attached to
Butler Elementary School & Coastal Montessori Site Improvements
Solicitation number
Bid C27-05
Issued by
Chatham County, Georgia

About this file

This document 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) in Georgia. The affidavit serves as Solicitation Form 2 for the Butler Elementary School & Coastal Montessori Site Improvements construction project and verifies that bidding contractors comply with Georgia's E-Verify federal work authorization program requirements. Contractors executing this affidavit confirm their registration with and authorized use of E-Verify or any subsequent replacement program in accordance with applicable provisions and deadlines established under O.C.G.A. 13-10-91, and commit to maintaining such compliance throughout the contract period if awarded.

The affidavit requires bidders to provide their federal work authorization user identification number and date of authorization. Contractors must also ensure that any subcontractors hired for the physical performance of services submit affidavits containing the same information required by O.C.G.A. 13-10-91(b). The form requires execution under penalty of perjury and must be notarized, with fields for the bidder's legal name, authorized signature, printed name, title/position, and notary public certification including commission expiration date. No pricing terms, set-asides, incumbency information, or specific funding sources are addressed in this compliance affidavit form.

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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

File details come from the government source that posted it. Updated .