Exhibit E_ Contractor Affidavit.docx
DOCX document 14 KB Posted
- Attached to
- SGSC, J-476-DP Library Renovation
- Solicitation number
- PE-47200-RFQ-2027-000000157
- Issued by
- Columbia County, Georgia
About this file
This is a Contractor Affidavit document required by South Georgia State College (SGSC) for the J-476-DP Library Renovation project located in Douglas, Georgia. The affidavit serves as a formal declaration by the contractor regarding their qualifications, legal status, and compliance with applicable regulations. The document requires the contractor to attest to information such as their business entity type, authorization to conduct business in Georgia, and adherence to state and federal requirements. The affidavit must be completed and submitted as part of the design professional services proposal for this library renovation project, with specific submission instructions provided in the project documentation.
The affidavit establishes contractual accountability by requiring the contractor to certify truthfulness of all statements under penalty of perjury. This document is a standard prerequisite for contract award and helps ensure that selected design professionals meet basic legal and operational qualifications. The contractor must sign and notarize the affidavit or provide it as a sworn statement, depending on the specific requirements outlined in the RFQ documentation. Submission of a false or incomplete affidavit may result in proposal rejection or contract termination.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit B_ Certificate of Minority Form.docx | DOCX document | |
| Exhibit C_ Project Team Composition Form.docx | DOCX document | |
| Exhibit D_ DP Fee Proposal.doc | DOC document | |
| Exhibit G_ 179D Allocation Agreement.doc | DOC document | |
| Egnyte Upload Instructions.pdf | ||
| Exhibit A_ Certification Form.docx | DOCX document | |
| _SGSC J_476_DP RFQ_RFP.pdf | ||
| Exhibit F_ Proposers Disclosure Statement.doc | DOC document |
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Text version
Exhibit E J-476 – Library Renovation South Georgia State College, Douglas, 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 South Georgia State 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-476 Library Renovation Name of Project
Board of Regents of the University System of Georgia For the use and benefit of South Georgia State 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:_________________________________
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