Exhibit E _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-47200-RFQ-2026-000000138
- Issued by
- Fulton County, Atlanta City, Georgia
About this file
This is a Contractor Affidavit document related to Project No. J-458, the Daniel Guggenheim School of Aerospace Engineering at Georgia Institute of Technology in Atlanta, Georgia, involving the Board of Regents of the University System of Georgia as the public employer. The affidavit serves as a compliance verification document for contractors performing services on this project and requires contractors to attest to their registration with and authorization to use the federal E-Verify work authorization program in accordance with O.C.G.A. 13-10-91. Contractors executing this affidavit commit to continued use of E-Verify throughout the contract period and agree to contract only with subcontractors who similarly present compliant affidavits. The document requires contractors to provide their federal work authorization user identification number and date of authorization, along with signatures from an authorized officer or agent that must be notarized.
The affidavit contains no pricing terms, set-asides, funding information, or contract duration details, as it functions solely as a compliance and authorization verification instrument. This document is a mandatory exhibit for contractors bidding on or performing work related to the Daniel Guggenheim School of Aerospace Engineering design professional services project and reflects Georgia's legal requirements for contractor compliance with state employment authorization verification statutes.
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Other files
| File | Type | Posted |
|---|---|---|
| Egnyte Upload Instructions.pdf | ||
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit G _ 179D Allocation Agreement.doc | DOC document | |
| _GIT_J_458 DP RFQ_RFP.pdf | ||
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit F _ Proposers Disclosure Statement.doc | DOC document |
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Text version
Exhibit “E”
J-458, Daniel Guggenheim School of Aerospace Georgia Institute of Technology, Atlanta, 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 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
J-458 Daniel Guggenheim School of Aerospace Name of Project
Board of Regents of the University System of Georgia For the use and benefit of 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:_________________________________
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