Exhibit B _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-50300-RFP-2027-000000330
- Issued by
- Fulton County, Georgia
About this file
This is a Contractor Affidavit form required under O.C.G.A. 13-10-91(b)(1) for the Board of Regents of the University System of Georgia, specifically for Georgia Institute of Technology. The affidavit pertains to Project No. 0535-2025, Architecture West Mechanical Systems Improvements, for which Construction Management/General Contractor (CM/GC) services are being procured. The contractor must verify compliance with Georgia's work authorization requirements by confirming registration with and authorized use of the federal E-Verify program or any subsequent replacement program. The contractor commits to maintaining E-Verify compliance throughout the entire contract period and requires all subcontractors to provide similar affidavits demonstrating their E-Verify authorization before engaging in physical performance of services.
The affidavit requires the contractor to provide its federal work authorization user identification number and date of authorization, and must be executed under penalty of perjury by an authorized officer or agent of the contractor. The document must be notarized, with the notary public indicating the date of execution and the expiration date of their commission. This compliance documentation is mandatory for all contractors and subcontractors performing work on this Georgia Institute of Technology project to ensure adherence to state employment eligibility verification requirements.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit C _ CM_GC Fee Proposal.docx | DOCX document | |
| Exhibit E _ General Conditions_Breakdown.xlsx | XLSX spreadsheet | |
| _2002_27_ 2025_0535 CM RFPQ R_dv2.pdf | ||
| Exhibit D _ Preconstruction Cost_Expenses Bre.xlsx | XLSX spreadsheet | |
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit G _ Proposer_s Disclosure Statement.doc | DOC document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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. 0535-2025 Architecture West Mechanical Systems Improvements CM/GC Services 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:
File details come from the government source that posted it. Updated .