Exhibit B _ Contractor Affidavit.docx
DOCX document 16 KB Posted
- Attached to
- UNG BR-68-2601-DB Poultry Instructional Center
- Solicitation number
- PE-47200-RFQ-2026-000000121
- Issued by
- Lanier County, Georgia
About this file
This is a Contractor Affidavit document executed under O.C.G.A. § 13-10-91(b)(1) between the Board of Regents of the University System of Georgia and the University of North Georgia regarding contract BR-68-2601 for the Poultry Instructional Center. The affidavit serves as verification of the contractor's compliance with Georgia state law regarding employment authorization. By executing this document, the contractor confirms that it has registered with and is authorized to use E-Verify, the federal work authorization program, and commits to continued use of E-Verify throughout the entire contract period. Additionally, the contractor agrees to contract only with subcontractors who provide similar affidavits demonstrating their E-Verify compliance and authorization.
The document requires the contractor to provide its federal work authorization user identification number and date of authorization prior to contract execution. The affidavit must be signed by an authorized officer or agent of the contractor and notarized, with execution occurring in a specified city and state on a designated date. This compliance documentation is a mandatory requirement under Georgia law for all contractors performing services on behalf of public employers in the state and serves as a prerequisite to contract award and performance.
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Other files
| File | Type | Posted |
|---|---|---|
| _UNG BR_68_2601_DB RFQ_RFP.pdf | ||
| Exhibit C _ DB Fee Proposal.docx | DOCX document | |
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit D _ Precon Cost and Expenses.xlsx | XLSX spreadsheet | |
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit G _ Proposer_s Disclosure Statement.doc | DOC document | |
| Exhibit E _ General Conditions Breakdown.xlsx | XLSX spreadsheet | |
| Egnyte Upload Instructions.pdf |
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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 University of North Georgia, 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
BR-68-2601
Poultry Instructional Center
Board of Regents of the University System of Georgia For the use and benefit of University of North Georgia 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:
File details come from the government source that posted it. Updated .