Exhibit B _ Contractor Affidavit.docx
DOCX document 16 KB Posted
- Attached to
- DSC_J-472-DB - Utilities Upgrades, Phase 1
- Solicitation number
- PE-47200-RFQ-2027-000000148
- Issued by
- Ware County, Georgia
About this file
Exhibit B: Contractor Affidavit for DSC_J-472-DB Utilities Upgrades, Phase 1
This is a Contractor Affidavit document for Dalton State College in Dalton, Georgia, supporting the Design-Build Services request for Project No. J-472-DB, Utilities Upgrades, Phase 1. The affidavit serves as a formal declaration from the contractor regarding their qualifications, experience, and compliance with project requirements. The document establishes the contractor's commitment to meeting the technical and administrative standards necessary for executing the design-build utilities upgrade work at the college campus. This affidavit is a standard contractual requirement that validates the contractor's legal capacity to enter into the agreement and confirms their understanding of project obligations.
The affidavit requires the contractor to attest to various certification requirements, regulatory compliance, and performance capabilities essential to the design-build project delivery method. As part of the procurement process for this Georgia state and local contract opportunity, this document must be completed and submitted by interested contractors as verification of their eligibility and qualification to perform the utilities upgrades work. The affidavit typically includes sworn statements regarding the contractor's financial stability, insurance coverage, bonding capacity, and commitment to project schedules and specifications outlined in the solicitation documents.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit C _ DB Fee Proposal.docx | DOCX document | |
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit G _ Proposer_s Disclosure Statement.doc | DOC document | |
| DSC J_472_DB RFQ_RFP.pdf | ||
| Egnyte Upload Instructions.pdf | ||
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit D _ Precon Cost and Expenses.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 Dalton State College, 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
J-472 Utilities Upgrades Phase 1
Board of Regents of the University System of Georgia For the use and benefit of Dalton State College 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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