Exhibit E _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-47200-RFQ-2025-000000050
- Issued by
- Lamar County, Georgia
About this file
This document is an Exhibit E Contractor Affidavit related to a design professional services contract opportunity for Project No. J-432 DP Campuswide HVAC and Electrical Systems Renewal at Gordon State College in Barnesville, Georgia. The affidavit verifies the contractor's compliance with O.C.G.A. § 13-10-91 and the use of the federal E-Verify program for employment eligibility. The contractor must also ensure any subcontractors also provide the required affidavit. The project is being solicited by the Board of Regents of the University System of Georgia for the use and benefit of Gordon State College.
The document does not provide details on pricing, set asides, incumbents, funding sources, or other salient commercial terms. Any questions about the RFQ or project should be directed to Mr. R. Todd Griffin at robertg@gordonstate.edu.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| J_432 GSC DP RFQ _ ADDENDUM_1.pdf | ||
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Egnyte Upload Instructions.pdf | ||
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| _J_432 GSC Campuswide HVAC _ Elec Sys Renewal.pdf | ||
| Exhibit F _ Proposers Disclosure Statement.doc | DOC document | |
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit G _ 179D Allocation Agreement.doc | DOC document |
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Text version
Exhibit E 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 Gordon 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-432, Campuswide HVAC and Electrical Systems Renewal Name of Project
Board of Regents of the University System of Georgia For the use and benefit of Gordon 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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