Exhibit B _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-50300-RFP-2027-000000320
- Issued by
- Fulton County, Georgia
About this file
This is a Contractor Affidavit document required by 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 2026-0005, which involves construction management services for the Global Learning Center at the College of Lifetime Learning, specifically for 1st and 4th floor renovation work. The contractor executing this document must verify compliance with federal work authorization requirements by confirming registration with and authorization to use E-Verify or any subsequent replacement program. The contractor is required to provide its federal work authorization user identification number and date of authorization, along with the executed and notarized affidavit signature.
The contractor affirms its commitment to use the federal work authorization program throughout the entire contract period and further obligates itself to contract only with subcontractors who have submitted the same affidavit with required information per O.C.G.A. § 13-10-91(b). The document must be executed by an authorized officer or agent of the contractor and notarized before a notary public, with execution date, location, and notary commission expiration date to be completed at the time of signing. This affidavit is a prerequisite compliance document that does not address pricing, payment terms, or project schedule details.
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Other files
| File | Type | Posted |
|---|---|---|
| _2001_27_ RFQP_CM GLC CoLL Renovation.pdf | ||
| Exhibit C _ CM_GC Fee Proposal.docx | DOCX document | |
| Exhibit E _ General Conditions_Breakdown.xlsx | XLSX spreadsheet | |
| Exhibit G _ Proposer_s Disclosure Statement.doc | DOC document | |
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit D _ Preconstruction Cost_Expenses Bre.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. 2026-0005 Global Learning Center, College of Lifetime Learning 1st & 4th FL Renovation 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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