7-SCCPSS-Construction-Solicitation-Form-2-Everify-Aff-4-12-25.pdf
PDF 150 KB Posted
- Attached to
- CMR Services for Gamble Road Projects
- Solicitation number
- RFP C26-05 (ESPLOST)
- Issued by
- Chatham County, Georgia
About this file
This document is a Contractor Affidavit form from the Board of Public Education for the City of Savannah and the County of Chatham, specifically Solicitation Form 2, which is related to E-Verify compliance under O.C.G.A. § 13-10-91. The form requires contractors engaged in physical service performance for the Savannah-Chatham County Public School System (SCCPSS) to verify their registration and authorized use of the federal work authorization program known as E-Verify.
The affidavit mandates that contractors affirm they are registered with E-Verify, will continue using the program throughout the contract period, and will only subcontract with entities that can provide similar E-Verify compliance documentation. Contractors must provide their federal work authorization user identification number and date of authorization. The document requires a signature, printed name, title, and notarization, serving as a legal declaration under penalty of perjury that the information provided is true and correct.
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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 .