Exhibit E _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Attached to
- CSU_J-465-DP One Arsenal Place Renovation
- Solicitation number
- PE-47200-RFQ-2026-000000142
- Issued by
- Muscogee County, Columbus City, Georgia
About this file
This is a Contractor Affidavit document for Project No. J-465, One Arsenal Place Renovation at Columbus State University in Columbus, Georgia, submitted under the authority of the Board of Regents of the University System of Georgia. The affidavit serves as a compliance verification document requiring the contractor to attest to enrollment in and active use of the federal E-Verify work authorization program in accordance with O.C.G.A. § 13-10-91(b)(1). The contractor must provide its federal work authorization user identification number and date of authorization on the form and commit to continuous use of E-Verify throughout the contract period.
The affidavit requires the contractor to ensure that all subcontractors engaged for physical performance of services also present compliant affidavits demonstrating their E-Verify registration and authorization. The document must be executed by an authorized officer or agent of the contractor and notarized, with the signature attesting under penalty of perjury that the information provided is true and correct. This affidavit is a mandatory compliance requirement for all contractors and subcontractors bidding on or performing work related to the One Arsenal Place Renovation project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit F _ Proposers Disclosure Statement.doc | DOC document | |
| _J_465 CSU OAPR 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 | |
| Egnyte Upload Instructions_6.pdf | ||
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit G _ 179D Allocation Agreement.doc | DOC document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Exhibit E Project No. 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 of 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
Project No. 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 .