Exhibit E _ Contractor Affidavit.docx
DOCX document 17 KB Posted
- Attached to
- CSU_J-465-PM - One Arsenal Place Renovation
- Solicitation number
- PE-47200-RFQ-2026-000000134
- Issued by
- Muscogee County, Columbus City, Georgia
About this file
This is a Contractor Affidavit document related to Project No. J-465, One Arsenal Place Renovation at Columbus State University in Columbus, Georgia, submitted to the Board of Regents of the University System of Georgia. The affidavit serves as compliance verification for Georgia state law O.C.G.A. 13-10-91(b)(1), requiring contractors engaged in the physical performance of services to register with and use the E-Verify federal work authorization program. The contractor must provide its federal work authorization user identification number and date of authorization upon execution of this document and maintain E-Verify compliance throughout the contract period.
The affidavit requires the contractor to commit to continuous use of E-Verify during the contract term and obligates the contractor to ensure that all subcontractors performing physical services also comply with the E-Verify requirements by submitting affidavits containing the information mandated by O.C.G.A. 13-10-91(b). The document must be executed under penalty of perjury, signed by an authorized officer or agent of the contractor, and notarized before submission. This affidavit is a mandatory compliance requirement for all contractors bidding on or performing work related to the One Arsenal Place Renovation project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit F _ Proposer_s Disclosure Statement.doc | DOC document | |
| Exhibit A _ RFQ Certification Form.docx | DOCX document | |
| Exhibit D _ PM Fee Proposal Form.xlsx | XLSX spreadsheet | |
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| _J_465 CSU PM RFQ_RFP.pdf | ||
| Egnyte Upload Instructions.pdf | ||
| Exhibit C _ Project Team Composition Form.docx | DOCX document |
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Text version
Exhibit A J-465 One Arsenal Place Renovation Columbus State University, Columbus, 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 Columbus State University, 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-465, One Arsenal Place Renovation Name of Project
Board of Regents of the University System of Georgia For the use and benefit of Columbus State University
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 .