Exhibit B _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-47200-RFQ-2026-000000125
- Issued by
- Fulton County, Georgia
About this file
This is a Contractor Affidavit document issued by the Board of Regents of the University System of Georgia for the benefit of Georgia Institute of Technology under contract BR-30-2602 GTRI 1906-430 South Hawks. The affidavit requires the contractor to verify compliance with O.C.G.A. 13-10-91(b)(1), which mandates registration with and use of the federal E-Verify work authorization program or any subsequent replacement program. The contractor must maintain E-Verify compliance throughout the entire contract period and ensure all subcontractors similarly comply with the statutory requirements by providing executed affidavits demonstrating their E-Verify authorization.
The contractor must provide its federal work authorization user identification number and date of authorization within the affidavit, which must be executed under penalty of perjury and notarized before submission. The document serves as a statutory requirement for employment eligibility verification in Georgia and binds the contractor to continuous compliance and enforcement of E-Verify protocols with all subcontractors engaged in the physical performance of services.
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Other files
| File | Type | Posted |
|---|---|---|
| Egnyte Upload Instructions.pdf | ||
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit G _ Proposer_s Disclosure Statement.doc | DOC document | |
| Exhibit C _ DB Fee Proposal.docx | DOCX document | |
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit D _ Precon Cost and Expenses.xlsx | XLSX spreadsheet | |
| Exhibit E _ General Conditions Breakdown.xlsx | XLSX spreadsheet | |
| _GIT BR_30_2602 DB GTRI 1906_final.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 Georgia Institute of Technology, 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-30-2602 GTRI 1906 - 430 South Hawks Project Name of Project
Board of Regents of the University System of Georgia For the use and benefit of Georgia Institute of Technology 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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