Solicitation-Form-2-Everify-Affidavit.pdf
PDF 150 KB Posted
- Attached to
- Data Cabling for Hubert Middle School
- Solicitation number
- RFP 27-01
- Issued by
- Chatham County, Georgia
About this file
This is an E-Verify Affidavit form required by the Board of Public Education for the City of Savannah and the County of Chatham (SCCPSS) in Georgia for the Data Cabling for Hubert Middle School project. Contractors bidding on this low-voltage infrastructure project must execute this affidavit to verify compliance with O.C.G.A. 13-10-91, confirming that they are registered with and authorized to use the federal E-Verify work authorization program. The affidavit requires contractors to provide their federal work authorization user identification number and date of authorization, and mandates continued use of E-Verify throughout the contract period. Contractors are also required to ensure that all subcontractors used for physical performance of services present their own E-Verify affidavits demonstrating compliance with the same authorization requirements.
The affidavit must be executed under penalty of perjury and notarized before submission. Contractors must include their legal business name, authorized representative signature, printed name, and title/position, along with the execution date, city, and state. This document serves as a binding attestation that the contractor maintains current E-Verify authorization and will comply with federal work authorization verification requirements throughout the contract term. Failure to provide this affidavit or misrepresentation of E-Verify compliance status may result in contract disqualification or termination.
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Text version
Based on O.C.G.A. § 13-10-91 Affidavit – Construction Bid Template-4/12/25
BOARD OF PUBLIC EDUCATION FOR THE CITY OF SAVANNAH AND THE COUNTY OF CHATHAM
SOLICITATION FORM 2
Contractor Affidavit Required by O.C.G.A. § 13-10-9l(b) (E-Verify Affidavit)
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 Savannah-Chatham County Public School System 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, if awarded a contract, 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 (E-Verify)
SCCPSS Solicitation Number and Name
The Board of Public Education for the City of Savannah and the County of Chatham Name of Public Employer
I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on
___________________, 20_________ in _____________________, and ___________________________ City State
Bidder’s Legal Name
By: ________________________________________ Signature
Printed Name
Title/Position
NOTARY: Subscribed and sworn before me on
This the _____day of _______________, 20_______
Notary public My commission expires
Solicitation Form 2
File details come from the government source that posted it. Updated .