Exhibit B _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-50300-RFP-2027-000000319
- Issued by
- Fulton County, Georgia
About this file
This is a Contractor Affidavit executed under O.C.G.A. 13-10-91(b)(1) for the Board of Regents of the University System of Georgia on behalf of Georgia Institute of Technology. The affidavit pertains to Project No. 0269-2023, Chilled Water Distribution Replacement Klaus to College of Computing (CoC), and is required for the Construction Management services solicitation identified as Bid-Contract No. 2000-27. The project is located on the Georgia Institute of Technology campus in Atlanta, Georgia. The Request for Qualifications and Proposals (RFQP) was issued on July 7, 2026, with qualified respondents selected through a two-step process: Step 1 requires submission of Statements of Qualifications for initial screening, and Step 2 involves interviews and fee proposals from shortlisted firms.
By executing this affidavit, the contractor certifies compliance with federal work authorization requirements and E-Verify enrollment, committing to utilize the federal work authorization program throughout the contract period. The contractor must provide its federal work authorization user identification number and date of authorization, and agrees to contract only with subcontractors who similarly provide required affidavits demonstrating E-Verify compliance. The affidavit requires notarization and must be signed by an authorized officer or agent of the contracting firm, with declaration made under penalty of perjury.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit C _ CM_GC Fee Proposal.docx | DOCX document | |
| Exhibit D _ Preconstruction Cost_Expenses Bre.xlsx | XLSX spreadsheet | |
| _2000_27_ RFQP_CM Project 0269_2023 Chilled W.pdf | ||
| Exhibit G _ Proposer_s Disclosure Statement.doc | DOC document | |
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit E _ General Conditions_Breakdown.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 Georgia Institute of Technology, 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 No. 0269-2023 Chilled Water Distribution Replacement Klaus to CoC CM Svcs 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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