Exhibit E _ Contractor Affidavit.docx
DOCX document 15 KB Posted
- Solicitation number
- PE-47200-RFQ-2026-000000139
- Issued by
- Terrell County, Georgia
About this file
This is a Contractor Affidavit document for Project J-477, Renovations for Student Success and Career Services, involving the Board of Regents of the University System of Georgia and Abraham Baldwin Agricultural College in Tifton, Georgia. The affidavit serves as a compliance verification tool requiring contractors to confirm their participation in the federal E-Verify work authorization program in accordance with O.C.G.A. 13-10-91(b)(1). Contractors executing this document affirm that they are registered with E-Verify, authorized to use the system, and will maintain such authorization throughout the contract period. Additionally, contractors commit to ensuring that all subcontractors engaged in the physical performance of services also present compliant affidavits demonstrating their own E-Verify registration and authorization.
The affidavit requires the contractor to provide their federal work authorization user identification number and date of authorization. The document must be executed before a notary public and signed by an authorized officer or agent of the contractor, with the notary completing attestation of the sworn statement. This document is a mandatory requirement for contract execution and reflects Georgia's statutory requirement for employment eligibility verification on public construction and service projects funded by the state.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A _ RFQ Certification Form.docx | DOCX document | |
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit D _ PM Fee Proposal Form.xlsx | XLSX spreadsheet | |
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| Exhibit F _ Proposer_s Disclosure Statement.doc | DOC document | |
| _ABAC J_477 PM RFQ_RFP.pdf | ||
| Egnyte Upload Instructions.pdf |
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Text version
Exhibit E J-477 Renovations for Student Success and Career Services Abraham Baldwin Agricultural College, Tifton, 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 Abraham Baldwin Agricultural 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-477 Renovations for Student Success and Career Services Name of Project
Board of Regents of the University System of Georgia For the use and benefit of Abraham Baldwin Agricultural 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:_________________________________
File details come from the government source that posted it. Updated .