Exhibit B _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Attached to
- GGC J-449-DB, Building B-Roof Replacement
- Solicitation number
- PE-47200-RFQ-2027-000000152
- Issued by
- Gwinnett County, Georgia
About this file
This is a Contractor Affidavit document prepared for Project No. J-449, Building B Roof Replacement at Georgia Gwinnett College in Lawrenceville, Georgia, involving the Board of Regents of the University System of Georgia as the public employer. The affidavit serves as a compliance verification form whereby contractors must confirm their enrollment in and authorized use of E-Verify, the federal work authorization program, in accordance with O.C.G.A. § 13-10-91(b)(1). Contractors executing this document are required to provide their federal work authorization user identification number and date of authorization, affirm their continued use of E-Verify throughout the contract period, and ensure that all subcontractors similarly present compliant affidavits demonstrating their E-Verify registration and authorization.
The affidavit must be executed and notarized, with the contractor's authorized officer or agent providing their signature, printed name, and title before a notary public. This document is a mandatory compliance requirement for contractors performing services on this design-build roofing replacement project and represents the state of Georgia's statutory requirement for federal work authorization verification in public contracting. The affidavit contains standard notarization elements including the date of execution, location (city and state), and notary commission expiration date.
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Other files
| File | Type | Posted |
|---|---|---|
| Egnyte Upload Instructions_6.pdf | ||
| Exhibit C _ DB Fee Proposal.docx | DOCX document | |
| Exhibit D _ Precon Cost and Expenses.xlsx | XLSX spreadsheet | |
| Exhibit G _ Proposer_s Disclosure Statement.doc | DOC document | |
| Exhibit E _ General Conditions Breakdown.xlsx | XLSX spreadsheet | |
| _GGC J_449 DB RFQ_RFP.pdf | ||
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit A _ Certification Form.docx | DOCX document |
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Text version
Exhibit B Project No. J-449 Georgia Gwinnett College, Lawrenceville, Georgia
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 Gwinnett 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-449 Building B Roof Replacement Name of Project
Board of Regents of the University System of Georgia For the use and benefit of Georgia Gwinnett 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:
File details come from the government source that posted it. Updated .