Exhibit E _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-54300-RFQC-2026-000000111
- Issued by
- Cobb County, Georgia
About this file
This is a Contractor Affidavit document required by the Board of Regents of the University System of Georgia on behalf of Kennesaw State University for Project No. 555-25-341, Sports & Recreation and Athletics Facilities Master Plans. The affidavit serves as verification of contractor compliance with O.C.G.A. 13-10-91, requiring that any individual, firm, or corporation engaged in physical performance of services must be registered with and authorized to use the federal E-Verify work authorization program. Contractors must provide their federal work authorization user identification number and date of authorization as part of the affidavit submission. The document must be executed by an authorized officer or agent of the contractor and notarized before a notary public.
The affidavit requires contractors to attest that they will continue using the E-Verify program throughout the entire contract period and will ensure that any subcontractors hired for physical performance of services similarly present compliant affidavits with required E-Verify documentation. The document is a mandatory compliance requirement for participation in University System of Georgia contracts and must be completed with the contractor's name, project number, project name, institution name, and executing authority details. Failure to provide this affidavit or verification of E-Verify authorization would render a contractor ineligible for contract award.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| H _ KSU Sports and Recreation EPR Report.pdf | ||
| G _ KSU_campus maps.pdf | ||
| Exhibit F _ Proposer_s Disclosure Statement.doc | DOC document | |
| Exhibit B _ Certificate of Insurance and Mino.docx | DOCX document | |
| I _ KSU Transportation Study_2025_10_1.pdf | ||
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit C _ Project Team Composition.docx | DOCX document | |
| Exhibit D _ Design Professional Fee Proposal .doc | DOC document | |
| I _ KSU Transportation Study_2025_10_2.pdf | ||
| 555_25_341_S_Rec Athletics MP_PC RFQ_RFP.pdf |
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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 (Institution Name), 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., and Project Name Name of Project
Board of Regents of the University System of Georgia For the use and benefit of (Institution Name)
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 .