Exhibit_B___Contractor_Affidavit (2).docx
DOCX document 15 KB Posted
- Solicitation number
- PE-51200-RFQC-2026-000000031
- Issued by
- Richmond County, Georgia
About this file
This is a Contractor Affidavit document required by the Board of Regents of the University System of Georgia for the Renovations to Interdisciplinary Research Building project at Augusta University. The affidavit certifies contractor compliance with O.C.G.A. 13-10-91(b)(1), specifically regarding federal work authorization verification through the E-Verify program. The contractor executing this document attests that it is registered with and authorized to use E-Verify or any subsequent replacement program in accordance with applicable state provisions and deadlines. The contractor commits to maintaining E-Verify usage throughout the entire contract period and further commits to contracting only with subcontractors who provide similar affidavits demonstrating their own E-Verify compliance. The document requires the contractor to complete identifying information including the federal work authorization user identification number, date of authorization, project number and description, contractor name, and the using agency information.
The affidavit must be executed before a notary public and signed by an authorized officer or agent of the contractor under penalty of perjury. This compliance document is a prerequisite for participation in the renovation project for the Interdisciplinary Research Center building at Augusta University, a 4-story plus basement facility housing wet lab-based research that requires environmental stability. The facility is experiencing temperature and humidity fluctuations that are negatively impacting research operations, and the University has initiated a building-wide HVAC assessment to establish a roadmap for necessary infrastructure improvements as part of its strategic growth plan.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit_A___Certification_Form_1 (1).docx | DOCX document | |
| Addendum 1.doc | DOC document | |
| NOIA.docx | DOCX document | |
| Exhibit_G___Proposer_s_Disclosure_Statement.doc | DOC document | |
| Addendum 3.doc | DOC document | |
| Exhibit_D___Preconstruction_Cost___Expenses_B.xlsx | XLSX spreadsheet | |
| SIGN IN SHEET.pdf | ||
| J_430 CM RFQ_RFP_.pdf | ||
| Score Sheets.pdf | ||
| Addendum 2.doc | DOC document | |
| Exhibit_E___General_Conditions_Breakdown.xlsx | XLSX spreadsheet | |
| Exhibit_C___CM_GC_Fee_Proposal.docx | DOCX document | |
| Exhibit_F___Project_Cost_Matrix.xlsx | XLSX spreadsheet |
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Text version
Exhibit B Contractor Affidavit under O.C.G.A. § 13-10-91(b)(1)
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 Board of Regents of the University System of Georgia for the use and benefit of Institution Name, Using Agency (public employer) 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 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
Name of Contractor
Project Number and Description Name of Project
Board of Regents of the University System of Georgia For the use and benefit of Institution Name 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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