E_Verify Form.pdf
PDF 43 KB Posted
- Solicitation number
- PE-51800-RFP-2024-000000065
- Issued by
- Clayton County, Georgia
About this file
The document is an Affidavit required for a Guaranteed Energy Savings Performance Contract (GESPC) opportunity issued by the Board of Regents of The University System of Georgia on behalf of the University of Georgia. The GESPC seeks qualified Energy Services Companies (ESCOs) to conduct an investment grade audit and identify, engineer, design, install, maintain, and provide financing options for approved energy conservation measures at various University of Georgia facilities. The goal is to improve the designated facilities through guaranteed energy, operational, maintenance and capital cost avoidance savings, as well as new revenue sources. The contract will be awarded to the selected ESCO firm.
The ESCO must provide evidence of registration and authorization to use the federal E-Verify program, and agree to continue using it throughout the contract period. The ESCO must also require its subcontractors to provide similar affidavits. The GESPC opportunity covers facilities located in Clarke County and the Athens-Clarke County Unified Government (balance) jurisdiction in Georgia.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment G _ Guaranteed energy Savings Perf.pdf | ||
| Attachment F _GESPC_Investment_Grade_Audit_Ag.docx | DOCX document | |
| GESPC_RFP.pdf | ||
| GESPC _Addendum 1.pdf | ||
| GPR Shortlisting Notice University of Georgia.pdf | ||
| Sign in Sheet.pdf |
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Text version
Contractor Affidavit under O.C.G.A. § 13-10-91(b)(l)
The undersigned contractor ("Contractor") executes this Affidavit to comply with O.C.G.A § 13-10-91 related to any contract to which Contractor is a party that is subject to O.C.G.A. § 13-10-91 and hereby verifies its compliance with O.C.G.A. § 13-10-91, attesting as follows:
a) The Contractor has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program;
b) The Contractor will continue to use the federal work authorization program throughout the contract period, including any renewal or extension thereof;
c) The Contractor will notify the public employer in the event the Contractor ceases to utilize the federal work authorization program during the contract period, including renewals or extensions thereof;
d) The Contractor understands that ceasing to utilize the federal work authorization program constitutes a material breach of Contract;
e) The Contractor will contract for the 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(a), (b), and (c);
f) The Contractor acknowledges and agrees that this Affidavit shall be incorporated into any contract(s) subject to the provisions of O.C.G.A. § 13-10- 91 for the project listed below to which Contractor is a party after the date hereof without further action or consent by Contractor; and
g) Contractor acknowledges its responsibility to submit copies of any affidavits, drivers' licenses, and identification cards required pursuant to O.C.G.A. § 13-10-91 to the public employer within five business days of receipt.
Federal Work Authorization User Identification Number Date of Authorization
Name of Contractor Name of Project
Name of Public Employer
I hereby declare under penalty of perjury that the foregoing is true and correct.
Executed on _________, _____, 20_____ in _______________ (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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