Exhibit B _ Contractor Affidavit.docx

DOCX document 14 KB Posted

Attached to
2001-26 RFQP-CM/GC GTFI Bobby Dodd Stadium Fan Experience Renovation
Solicitation number
PE-50300-RFP-2025-000000226
Issued by
Fulton County, Georgia

About this file

This document is a Contractor Affidavit for the Board of Regents of the University System of Georgia, specifically for Georgia Institute of Technology (GTFI), related to the Bobby Dodd Stadium Fan Experience Renovation Project #0481-2025. The affidavit verifies the contractor's compliance with Georgia state law O.C.G.A. 13-10-91, specifically regarding the use of the federal E-Verify work authorization program for employment eligibility verification.

The affidavit requires the contractor to affirm that they are registered with and will continue to use the E-Verify program throughout the contract period, and will only subcontract with vendors who can provide similar verification. The document serves as a legal attestation that the contractor will adhere to state employment verification requirements for the stadium renovation project, with the contractor required to provide their federal work authorization user identification number and date of authorization. The document must be signed by an authorized officer, dated, and notarized to be considered valid.

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Text version

Exhibit E 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 Georgia Institute of Technology / GTFI, Using Agency (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). The 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 #0481-2025 Bobby Dodd Stadium Fan Experience Renovation Name of Project

Board of Regents of the University System of Georgia For the use and benefit of Georgia Institute of Technology / GTFI (Institution) Name of Employer I hereby declare under penalty of perjury that the foregoing is true and correct.

Executed on ___(day), ______________ (month), 20____ (year) 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:

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