Exhibit E_Contractor_Affidavit.docx

16 KB Posted

Attached to
Student Athletic Performance Center (SAPC) - Inspections & Testing
Solicitation number
PE-50300-RFP-2024-000000061
Issued by
Fulton County, Georgia

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This document is an Exhibit E Contractor Affidavit for a contract opportunity with the Georgia Institute of Technology, the Using Agency (public employer). The affidavit verifies the contractor's compliance with O.C.G.A. § 13-10-91, which requires the contractor to register with and use the federal E-Verify program to confirm the employment eligibility of its employees and any subcontractors engaged in the physical performance of services on the contract. The contractor must continue to use E-Verify throughout the contract period and ensure that any subcontractors also provide the required affidavit.

The contract is for Project No. 033-2020 Student Athletic Performance Center - Special Inspections & Materials Testing, with the Board of Regents of the University System of Georgia acting as the public employer. The affidavit requires the contractor to provide its federal work authorization user identification number and date of authorization.

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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 the 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/ Consultant

Project No. 033-2020 Student Athletic Performance Center – Special Inspections & Materials Testing
Name of Project

Board of Regents of the University System of Georgia, For the use and benefit of the 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 .