Exhibit E _ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Attached to
- UNG, J-466-DP - Strickland Hall Renovation
- Solicitation number
- PE-47200-RFQ-2027-000000145
- Issued by
- Hall County, Georgia
About this file
This is a Contractor Affidavit document required for Project No. J-466, Strickland Hall Renovation at the University of North Georgia in Oakwood, Georgia, executed on behalf of the Board of Regents of the University System of Georgia. The affidavit serves as verification of the contractor's compliance with O.C.G.A. 13-10-91, which mandates federal work authorization verification through the E-Verify program or any subsequent replacement program. The contractor must register with and maintain authorization to use E-Verify throughout the entire contract period and is required to ensure that all subcontractors similarly present affidavits demonstrating their own E-Verify compliance in accordance with applicable provisions and deadlines established under Georgia law.
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, with the contractor's authorized officer or agent signing and printing their name and title. This affidavit is a mandatory compliance document that does not address pricing, payment terms, or contract scope details, but rather serves as a prerequisite attestation of legal workforce authorization status required for all contractors and subcontractors performing work on this University of North Georgia renovation project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Exhibit F _ Proposers Disclosure Statement.doc | DOC document | |
| Exhibit A _ Certification Form.docx | DOCX document | |
| Egnyte Upload Instructions.pdf | ||
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| Exhibit G _ 179D Allocation Agreement.doc | DOC document | |
| _J_466 UNG Strickland DP RFQ.pdf |
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Text version
Exhibit E Project No. J-466 Strickland Hall Renovation University of North Georgia, Oakwood, 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 University of North Georgia, 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-466, Strickland Hall Renovation Name of Project
Board of Regents of the University System of Georgia For the use and benefit of University of North Georgia
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 .