Exhibit E _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Solicitation number
- PE-47200-RFQ-2026-000000144
- Issued by
- Cobb County, Georgia
About this file
This is a Contractor Affidavit document required for design professional services on Project No. J-467-DP, Renovations for Student Success and Construction Management Programs, submitted to the Board of Regents of the University System of Georgia for the benefit of Kennesaw State University in Marietta, Georgia. The affidavit serves as verification of the contractor's compliance with O.C.G.A. 13-10-91(b)(1) and confirms that the contractor has registered with, is authorized to use, and actively uses the federal E-Verify work authorization program or any subsequent replacement program in accordance with applicable provisions and deadlines. The contractor must maintain E-Verify usage throughout the contract period and is required to contract only with subcontractors who provide comparable affidavits demonstrating their own E-Verify compliance and authorization.
The affidavit requires the executing contractor to provide its federal work authorization user identification number and date of authorization, along with attestation under penalty of perjury that all statements are true and correct. The document must be executed before a notary public and signed by an authorized officer or agent of the contractor, with the notary providing their commission expiration date. This affidavit is a mandatory compliance document and does not address pricing, contract terms, or project-specific deliverables; rather, it establishes the legal foundation for contractor eligibility to perform work on the project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A _ Certification Form.docx | DOCX document | |
| _J_467 KSU SSCMP Reno DP RFQ.pdf | ||
| Egnyte Upload Instructions.pdf | ||
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Exhibit F _ Proposers Disclosure Statement.doc | DOC document | |
| Exhibit G _ 179D Allocation Agreement.doc | DOC document |
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Text version
Exhibit E J-467 Renovations for Student Success and Construction Management Programs Kennesaw State University, Marietta, 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 Kennesaw 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-467 Renovations for Student Success and Construction Management Programs Name of Project
Board of Regents of the University System of Georgia For the use and benefit of Kennesaw 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 .