Exhibit B _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-47200-RFQ-2026-000000110
- Issued by
- Barrow County, Georgia
About this file
This is a Contractor Affidavit document issued under O.C.G.A. 13-10-91(b)(1) by the Board of Regents of the University System of Georgia for the benefit of Georgia College and State University, related to contract BR-65-2601 for Basketball/Softball Complex Upgrades. The affidavit serves as a compliance verification document that contractors must execute to confirm their participation in the federal work authorization program known as E-Verify or any subsequent replacement program. Contractors executing this affidavit attest that they are registered with and authorized to use E-Verify in accordance with applicable provisions and deadlines established under Georgia law. The document requires contractors to provide their federal work authorization user identification number and date of authorization.
The affidavit mandates that contractors continue using the federal work authorization program throughout the contract period and further requires that any subcontractors engaged for the physical performance of services must also present affidavits containing the information required under O.C.G.A. 13-10-91(b). The document must be executed under penalty of perjury by an authorized officer or agent of the contractor and notarized before a notary public. This compliance requirement is a standard prerequisite for contractors seeking to perform work on behalf of the University System of Georgia and demonstrates the state's commitment to verifying the work authorization status of all individuals engaged in contract performance.
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Other files
| File | Type | Posted |
|---|---|---|
| GCSU BR_65_2601 DB RFQ_RFP.pdf | ||
| Exhibit E _ General Conditions Breakdown.xlsx | XLSX spreadsheet | |
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit C _ DB Fee Proposal.docx | DOCX document | |
| Exhibit D _ Precon Cost and Expenses.xlsx | XLSX spreadsheet | |
| Egnyte Upload Instructions.pdf | ||
| BR_65_2601 Addendum No_ 2.pdf | ||
| GCSU BR_65_2601 Addendum No_ 1.pdf | ||
| GCSU_BR_65_2601 DB_NOIA.pdf | ||
| GCSU BR_65_2601 DB shortlist_gpr.pdf | ||
| Exhibit G _ Proposer_s Disclosure Statement.doc | DOC document | |
| BR_65_2601 DB AWARD.docx | DOCX document | |
| Exhibit A _ Certification Form.docx | DOCX document |
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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 Georgia College and State Univesity, 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-65-2601
Basketball/Softball Complex Upgrades
Board of Regents of the University System of Georgia For the use and benefit of Georgia College and State University 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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