RFB No. 27-0006 Dragonfly Trail - River Road Segment

Location: Georgia
Posted: Aug 18, 2026
Due: Sep 23, 2026
Agency: State Government of Georgia
Type of Government: State & Local
Category:
  • Z - Maintenance, Repair or Alteration of Real Property
Solicitation No: PE-70662-NONST-2027-000000126
Publication URL: To access bid details, please log in.
Event ID Event Title Government Entity Start Date (ET) End Date (ET)
PE-70662-NONST-2027-000000126 RFB No. 27-0006 Dragonfly Trail - River Road Segment Columbus Consolidated Government
Aug 18, 2026 @ 02:21 PM
Sep 23, 2026 @ 02:30 PM
RFB No. 27-0006 Dragonfly Trail - River Road Segment

Start Date: Aug 18, 2026 @ 02:21 PM ET

End Date:
Sep 23, 2026 @ 02:30 PM ET

Event ID: PE-70662-NONST-2027-000000126
Event Type: Non-State Agency
Event Status: Open
Purchase Type: Non-State Agency
Category Type: Construction / Public Works
Government Type: city
Fiscal Year: 2027
Agency Site: Link


Description


SPECIFICATIONS POSTED: https://columbusga.gov/finance/bid-opportunities
This project consists of constructing a new trail beginning near Cascade Road in Columbus, Georgia. The trail will run south along River Road (SR 219) and continue west to the existing riverwalk at Lake Oliver Road. The project length is approximately 5,026 lf and includes a 10' wide concrete trail, pedestrian bridge, landscape improvements, stormwater improvements, and trail amenities. Additional work associated with the project includes minor demolition and clearing, erosion control, grading, and signage. Portions of the project are located on state right-of-way. A GDOT encroachment permit has been obtained by the City of Columbus. A dbe goal of 10% has been established for this project.

NIGP Codes
Code Description
91226 Construction, Hike and Bike Trail
91252 Maintenance and Repair, Hike and Bike Trails
91310 Construction: Airport Roadway, Runway and Taxiway
91313 Construction, Bridge and Drawbridge, Including Reconstruction and Rehabilitation
91315 Construction, Canal or Aquaduct
91316 Construction, Communication Equipment, Including Antenna Towers
91319 Construction, Curb and Gutter, Including Maintenance, Repair, and Removal Services
91323 Construction, Defense and Military Structure
91327 Construction, Highway and Road
91330 Construction, Industrial Pipeline Insulation, Including Maintenance, Repair and Installation
91336 Construction, Parking Lot and Alley
91338 Construction, Chilled Water Pipe Installation
91339 Construction, Pipe Culvert
91340 Construction, Pipeline, Including Aerial Crossings
91341 Construction, Power Lines, Including Installation, Maintenance and Repair Services
91344 Construction, Railroad
91345 Construction, Sewer and Storm Drain
91347 Construction, Sidewalk and Driveway, Including Pedestrian and Handicap Ramps
91348 Construction, Special Foundation
91350 Construction, Streets, Major and Residential, Including Reconstruction
91355 Construction, Tunnel
91356 Construction, Utility and Underground Projects
91357 Construction, Vaulted Sidewalk
91358 Construction, Viaduct (Includes Reconstruction)
91359 Construction and Upgrades, Wastewater Treatment Plant
91360 Construction, Water System, Plants, Main and Service Line
91361 Construction, Vertical, Concrete, Pour-In-Place, Form, Place, Finish
91362 Construction, Concrete, Pour-In-Place, Form, Place, Finish
91363 Lime Slurry Removal Services
91364 Maintenance and Repair: Airport Roadway, Runway and Taxiway
91365 Maintenance, Repair, and Removal Services, Antenna Tower and other Communication Equipment
91366 Maintenance and Repair, Bridges
91367 Maintenance, Repair, and Operation of Drawbridges
91368 Maintenance and Repair, Canal
91369 Maintenance and Repair, Defense and Military Structure
91371 Maintenance and Repair, Highway and Roads, Including Removal of Asphalt, Concrete, Bitumens, etc.
91375 Maintenance and Repair, Parking Lot and Alley
91377 Maintenance and Repair, Pipe Culvert
91378 Maintenance and Repair, Pipeline, Including Removal and Relocation
91381 Maintenance and Repair, Sewer and Storm Drain, Including Removal
91382 Maintenance and Repair, Sidewalk and Driveway, Including Removal
91384 Maintenance and Repair, Streets, Major and Residential
91388 Maintenance and Repair, Tunnel
91389 Maintenance and Repair, Utility and Underground Projects
91390 Maintenance and Repair, Viaduct
91391 Maintenance and Repair, Wastewater Treatment Plant
91392 Maintenance and Repair, Water System, Main and Service Line
91394 Paving and Resurfacing, Alley and Parking Lot
91395 Paving and Resurfacing, Highway and Road
91396 Paving and Resurfacing, Streets, Major and Residential
91216 Boring, Drilling, Testing, and Soundings Services, Including Concrete Coring
91219 Clearing and Grubbing Services
91220 Construction, Fire Protection: Fire Escapes, Fire and Smoke Barriers, Firestops
91221 Construction, Energy Related, All Types
91222 Construction, Equestrian Arena
91223 Construction, General: Backfill Services, Digging, Ditching, Road Grading, Rock Stabilization, etc.
91225 Construction, Golf Course
91227 Construction, Irrigation System
91229 Construction, Oil and Gas Refinery
91230 Construction, Power Plant
91231 Construction, Statues and Monuments
91232 Construction, Street Lighting
91233 Construction, Swimming Pool
91235 Construction, Tennis and Sports Court
91238 Construction Services, Hazardous Waste, Including Site Management
91240 Demolition Services
91242 Drilling and Boring Services, Horizontal Directional (HDD and HDB)
91244 Excavation Services
91250 Maintenance and Repair, Golf Course
91254 Maintenance and Repair, Oil and Gas Refinery
91256 Maintenance and Repair, Power Plant
91259 Maintenance and Repair, Statues and Monuments
91260 Maintenance and Repair, Street Lighting
91263 Maintenance and Repair, Swimming Pool, Including, Swimming Pool Water Treatment Services
91265 Maintenance and Repair, Tennis and Sport Court
91268 Monitoring Services, Structural
91273 Paver Block Installation
91275 Quality Control Testing Services for Construction
91276 Striping: Streets, Parking Facilities, Lane Divisions, Paint, etc.
91277 Real Estate Developers (Inactive, please see commodity code 918-89 effective January 1, 2016)
BuyerContact:

Heather Biddle
hscheuttig@columbusga.org

7062253071

Attachment Preview

REQUEST FOR BIDS: RFB No. 27-0006 Qualified contractors are requested to submit bids, subject to conditions and instructions as specified, for the following: DRAGONFLY TRAIL - RIVER ROAD SEGMENT (S.R. 219)
GENERAL SCOPE This project consists of constructing a new trail beginning near Cascade Road in Columbus, Georgia. The trail will run south along River Road (SR 219) and continue west to the existing riverwalk at Lake Oliver Road. The project length is approximately 5,026 lf and includes a 10' wide concrete trail, pedestrian bridge, landscape improvements, stormwater improvements, and trail amenities. Additional work associated with the project includes minor demolition and clearing, erosion control, grading, and signage. Portions of the project are located on state right-of- way. A GDOT encroachment permit has been obtained by the City of Columbus. A dbe goal of 10% has been established for this project.
DUE DATE SEPTEMBER 23, 2026 - 2:30 PM (Eastern) Responses must be submitted via OpenBids (formerly DemandStar) on or before the due date. A virtual opening will be held during the 3:00 PM hour of the due date. Responding vendors are not required but are invited to attend the opening. If you wish to attend the virtual opening, use one of the Microsoft Teams meeting options: Click here to join the meeting or call in (audio only) +1 478-239- 0725,,855808406# United States, Macon Phone Conference ID: 855 808 406# Find a local number | Reset PIN. Note: Columbus Consolidated Government is not responsible for technical issues that may arise during the virtual opening.
SUBMISSION REQUIREMENTS DemandStar is now OpenBids See Appendix A for Submission Requirements, Submission Requirements Checklist, and OpenBids Registration and Submission instructions.
INSTRUCTIONS TO OBTAIN SPECIFICATIONS This RFB document is considered a part of the Contract Documents (Plan Book). Plans, Specifications & Bid documents will be made available to Contractors via online download. To gain access to the bid documents, send the following information to Brennan Hoy at Hoy.Brennan@columbusga.org.
* Company Name * Contact Name * Contact Phone Number * Company Address * Contact Email
ADDENDA Any and all addenda will be posted on the Bid Opportunities page of the Finance Department/Purchasing Division, https://www.columbusga.gov/finance/Bid- Opportunities. Vendors are responsible for periodically visiting the web page for addenda, both before the due date and prior to submitting a bid.
NO BID RESPONSE If you are not interested in this solicitation, refer to page 3.
See Appendix A for Submission Requirements, Submission Requirements
Checklist, and OpenBids Registration and Submission instructions.

COLUMBUS CONSOLID ATED GOVERNMENT
Georgia's First Conso lidated Government
FINANCE DEPARTMENT
PURCHASING DIVISION 1111 1st AVENUE - 1st FLOOR, COLUMBUS, GEORGIA 31901
P. O. BOX 1340, COLUMBUS, GEORGIA 31902-1340
706-225-4087 | ColumbusGA.gov
August 18, 2026
REQUEST FOR BIDS: Qualified contractors are requested to submit bids, subject to conditions and instructions
as specified, for the following:
RFB No. 27-0006 DRAGONFLY TRAIL - RIVER ROAD SEGMENT
(S.R. 219)
GENERAL SCOPE This project consists of constructing a new trail beginning near Cascade Road in
Columbus, Georgia. The trail will run south along River Road (SR 219) and continue
west to the existing riverwalk at Lake Oliver Road. The project length is
approximately 5,026 lf and includes a 10' wide concrete trail, pedestrian bridge,
landscape improvements, stormwater improvements, and trail amenities. Additional
work associated with the project includes minor demolition and clearing, erosion
control, grading, and signage. Portions of the project are located on state right-of-
way. A GDOT encroachment permit has been obtained by the City of Columbus. A
dbe goal of 10% has been established for this project.
DUE DATE SEPTEMBER 23, 2026 - 2:30 PM (Eastern)
Responses must be submitted via OpenBids (formerly DemandStar) on or
before the due date. A virtual opening will be held during the 3:00 PM hour of
the due date. Responding vendors are not required but are invited to attend the
opening.
If you wish to attend the virtual opening, use one of the Microsoft Teams meeting
options: Click here to join the meeting or call in (audio only) +1 478-239-
0725,,855808406# United States, Macon Phone Conference ID: 855 808 406# Find
a local number | Reset PIN. Note: Columbus Consolidated Government is not
responsible for technical issues that may arise during the virtual opening.
SUBMISSION DemandStar is now OpenBids
REQUIREMENTS See Appendix A for Submission Requirements, Submission Requirements
Checklist, and OpenBids Registration and Submission instructions.
INSTRUCTIONS TO This RFB document is considered a part of the Contract Documents (Plan
OBTAIN Book). Plans, Specifications & Bid documents will be made available to Contractors
SPECIFICATIONS via online download. To gain access to the bid documents, send the following
information to Brennan Hoy at Hoy.Brennan@columbusga.org.
* Company Name * Contact Name * Contact Phone Number
* Company Address * Contact Email
ADDENDA Any and all addenda will be posted on the Bid Opportunities page of the Finance
Department/Purchasing Division, https://www.columbusga.gov/finance/Bid-
Opportunities. Vendors are responsible for periodically visiting the web page for
addenda, both before the due date and prior to submitting a bid.
NO BID RESPONSE If you are not interested in this solicitation, refer to page 3.
Andrea J. McCorvey,
Purchasing Manager
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 1 of 32

IMPORTANT INFORMATION
e-Notification
The City uses the Georgia Procurement Registry e-notification
system. You must register with GA@WORK (formerly Team
Georgia Marketplace) to receive future procurement notifications
via: https://doas.ga.gov/state-purchasing/getting-started-
supplier.
If you have any questions or encounter any problems while
registering, please contact the State Purchasing Division:
Telephone: 404-657-6000
Email: procurementhelp@doas.ga.gov
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 2 of 32

STATEMENT OF "NO BID SUBMISSION"
NOTIFY THE PURCHASING DIVISION IF YOU DO NOT INTEND TO SUBMIT A BID:
TO: Heather Biddle, Buyer
Email BidOpportunities@columbusga.org
We, the undersigned decline to submit a bid for RFB No. 27-0006, for River Road Segment (S.R.
219), for the following reason(s):
Specifications are too "tight", i.e. geared towards one brand or manufacturer (explain below).
There is insufficient time to respond.
We do not offer this product and/or service.
We are unable to meet specifications.
We are unable to meet bond requirements.
Specifications are unclear (explain below).
We are unable to meet insurance requirements.
Other (specify below)
Comments
COMPANY NAME:
AGENT:
DATE:
EMAIL:
TELEPHONE NUMBER:
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 3 of 32

either the mayor nor any member of the Columbus Council shall
submit any bid to the Consolidated Government, nor shall the mayor or any member of the Columbus Council
own or have a substantial pecuniary interest in any business that submits a bid to the Consolidated Government.
no member of any board or authority or commission or other
independent or subordinate entity of the Consolidated Government shall submit any bid to the Consolidated
Government or have a substantial pecuniary interest in any business that submits a bid to the Consolidated
Government if such bid pertains to the board or authority or commission on which such person holds such
membership.

GENERAL PROVISIONS
THE GENERAL PROVISIONS SHALL BE DEEMED AS PART OF THE BID SPECIFICATIONS. The provisions
of the Procurement Ordinance for the Consolidated Government of Columbus, Georgia, as adopted and amended
by Council, shall apply to all invitations for bids and award of all contracts and is specifically incorporated herein
by reference.
NOTICE TO VENDORS
Per Sec. 2-3.05 of the Procurement Ordinance, neither the mayor nor any member of the Columbus Council shall
submit any bid to the Consolidated Government, nor shall the mayor or any member of the Columbus Council
own or have a substantial pecuniary interest in any business that submits a bid to the Consolidated Government.
Per Sect. 2-3.06 of the Procurement Ordinance, no member of any board or authority or commission or other
independent or subordinate entity of the Consolidated Government shall submit any bid to the Consolidated
Government or have a substantial pecuniary interest in any business that submits a bid to the Consolidated
Government if such bid pertains to the board or authority or commission on which such person holds such
membership.
BID BOND SUBMISSION
Provide a bid surety in the form of a Cashier's Check, Certified Check, or Bid Bond payable to the Consolidated
Government of Columbus, Georgia in the amount of five percent (5%) of the sum of the bid submittal. If submitting
a check, responding vendors must include a copy of the instrument in their DemandStar submission and
mail the physical check. The exterior of the mailed package must display the bid number and bid name and be
addressed to 'Attention: Heather Biddle, Buyer', Columbus Consolidated Government, PO Box 1340, Columbus,
GA 31902. The bid security will be forfeited to the City if successful bidder fails to complete the firearms
transfer within ten (10) calendar days following completion of the required publication dates.
PERFORMANCE AND PAYMENT BONDS
The successful Bidder shall, without any additional cost to the City, furnish Performance and Payment Bonds, both
in the amount of one hundred percent (100%) of the total contract amount, within ten (10) calendar days after
notification of award. Such bond shall be issued from a reliable surety company, licensed to do business in the
state of Georgia and acceptable to the City.
BUSINESS LICENSE
The successful contractor shall submit a copy of the Business License (Occupation License) that is required to
conduct business at their location. If awarded the contract, the successful contractor must obtain a business license
from the City of Columbus. However, if the business is located in Georgia and has proof of being properly licensed
by a municipality in Georgia, and paid applicable occupation taxes in that city, the contractor will not be required
to pay occupation taxes in Columbus, GA. If you have questions regarding this requirement, please contact the
Revenue Division at 706-225-3780.
ADDENDA
Each Bidder must include the Addenda Acknowledgment form with their submittal; failure to do so may render the
Bidder's submittal non-responsive and ineligible for further consideration. The Purchasing Division will post any
and all addenda on the Bid Opportunities web page of Columbus Consolidated Government, at
https://www.columbusga.gov/finance/Bid-Opportunities. Bidders are responsible for periodically visiting the web
page, to check for addenda, prior to the bid due date and before submitting a bid.
EQUAL OPPORTUNITY
Columbus Consolidated Government in accordance with Title VI of the Civil Rights Act of 1964 and 78 Stat. 252,
42 USC 2000d-42 and Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of
the Secretary, part 21, Nondiscrimination in federally assisted programs of the Department of Transportation issued
pursuant to such Act, hereby notifies all bidders that it will affirmatively ensure that in any contract entered into
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 4 of 32

pursuant to this advertisement, minority business enterprises will be afforded full opportunity to submit bids in
response to this invitation and will not be discriminated against on the grounds of race, color, sex, or national origin
in consideration for an award.
REJECTION OF BIDS
The Columbus Consolidated Government reserves the right to reject any and all bids.
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 5 of 32

ALL CONTACT CONCERNING THIS SOLICITATION SHALL BE MADE THROUGH
THE PURCHASING DIVISION

DO YOU HAVE QUESTIONS, CONCERNS OR NEED
CLARIFICATION ABOUT THIS SOLICITATION?
COMMUNICATION CONCERNING ANY SOLICITATION CURRENTLY
ADVERTISED MUST TAKE PLACE IN WRITTEN FORM AND ADDRESSED TO
THE PURCHASING DIVISION.
ANY INQUIRY RECEIVED BY NOON (12:00 PM) EASTERN TIME, ON THE
FIFTH CALENDAR DAY PRIOR TO THE DATE FIXED FOR THE OPENING
OF BIDS, WILL BE GIVEN CONSIDERATION.
ALL QUESTIONS OR CLARIFICATIONS CONCERNING THIS SOLICITATION SHALL BE
SUBMITTED IN WRITING. THE CITY WILL NOT ORALLY OR TELEPHONICALLY
ADDRESS ANY QUESTION OR CLARIFICATION REGARDING BID/PROPOSAL
SPECIFICATIONS. IF A VENDOR VISITS OR CALLS THE PURCHASING DIVISION WITH
SUCH QUESTIONS, HE OR SHE WILL BE INSTRUCTED TO SUBMIT THE QUESTIONS IN
WRITING.
ALL CONTACT CONCERNING THIS SOLICITATION SHALL BE MADE THROUGH
THE PURCHASING DIVISION. BIDDERS SHALL NOT CONTACT CITY EMPLOYEES,
DEPARTMENT HEADS, USING AGENCIES, EVALUATION COMMITTEE MEMBERS OR
ELECTED OFFICIALS WITH QUESTIONS OR ANY OTHER CONCERNS ABOUT THE
SOLICITATION. QUESTIONS, CLARIFICATIONS, OR CONCERNS SHALL BE SUBMITTED
TO THE PURCHASING DIVISION IN WRITING. IF IT IS NECESSARY THAT A TECHNICAL
QUESTION NEEDS ADDRESSING, THE PURCHASING DIVISION WILL FORWARD SUCH
TO THE USING AGENCY, WHO WILL SUBMIT A WRITTEN RESPONSE.
THE PURCHASING DIVISION WILL FORWARD WRITTEN RESPONSES TO THE
RESPECTIVE BIDDER OR IF IT BECOMES NECESSARY TO REVISE ANY PART OF THIS
SOLICITATION, A WRITTEN ADDENDUM WILL BE ISSUED TO ALL BIDDERS.
THE CITY IS NOT BOUND BY ANY ORAL REPRESENTATIONS, CLARIFICATIONS, OR
CHANGES MADE TO THE WRITTEN SPECIFICATIONS BY CITY EMPLOYEES, UNLESS
SUCH CLARIFICATION OR CHANGE IS PROVIDED TO THE BIDDERS IN A WRITTEN
ADDENDUM FROM THE PURCHASING MANAGER.
BIDDERS ARE INSTRUCTED TO USE THE ENCLOSED "QUESTION/CLARIFICATION
FORM" TO FAX OR EMAIL QUESTION.
ANY REQUEST, AFTER A SOLICITATION HAS CLOSED AND PENDING AWARD, MUST
ALSO BE SUBMITTED IN WRITING TO THE PURCHASING DIVISION.
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 6 of 32

QUESTION/CLARIFICATION FORM
DATE:
TO: Heather Biddle, Buyer
Email BidOpportunities@ColumbusGA.org
RE: Drag onfly Trail - River Road Segment (S.R. 219) - RFB No. 27-0006
Questions and requests for clarification must be submitted by noon (12:00 PM) Eastern on the fifth calendar day
prior to the date fixed for the opening of bids.
From:
Company Name Website
Representative Email Address
Complete Address City State Zip
Telephone Number Fax Number
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 7 of 32

E-VERIFY AFFIDAVIT
Pursuant to O.C.G.A. 13-10-91, a public employer shall not enter into a contract for the
performance of services unless the contractor registers and participates in the federal work
authorization program. If a supplier is providing services under a contract with a total
compensation amount of $2,500 or greater, (even if such services will be performed outside of
the State of Georgia), DOAS requires a notarized affidavit from the supplier attesting to the
following:
(A) The affiant has registered with, is authorized to use, and uses the federal work authorization
program;
(B) The user identification number and date of authorization for the affiant;
(C) The affiant will continue to use the federal work authorization program throughout the
contract period; and
(D) The affiant 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 same
information required by subparagraphs (A), (B), and (C) of this paragraph.
Additional information regarding the State's E-Verify requirements can be found at:
https://www.audits2.ga.gov/wp-content/uploads/2021/10/13-10-91.pdf.
A completed, notarized/stamped E-Verify Affidavit must be included with sealed
proposal; failure to do so will render the firm's or individual's proposal non-responsive
and ineligible for award consideration.
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 8 of 32

A properly completed, stamped/notarized E-Verify Affidavit must be included with sealed proposal;
failure to do so will render the firm's proposal non-responsive and ineligible for further consideration.

CONTRACTOR 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 Columbus Consolidated Government 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:
Company ID Number (numerical, 4-7 digits) Date of Authorization
**See www.everify.gov to access your E-Verify Company Identification Number.
Name and Address of Contractor
Dragonfly Trail - River Road Segment (S.R. 219); RFB No. 27-0006
Name of Project
Columbus Consolidated Government
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:
A properly completed, stamped/notarized E-Verify Affidavit must be included with sealed proposal;
failure to do so will render the firm's proposal non-responsive and ineligible for further consideration.
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 9 of 32

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE"
Subcontractor Affidavit under O.C.G.A. 13-10-91(b)(3)
By executing this affidavit, the undersigned subcontractor 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 under a
contract with
_________________________________________________________
(Name of Contractor)
on behalf of Columbus Consolidated Government 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 subcontractor will continue to use the federal work authorization program throughout the
contract period and the undersigned subcontractor will contract for the physical performance of services in
satisfaction of such contract only with sub-subcontractors who present an affidavit to the subcontractor with
the information required by O.C.G.A. 13-10-91(b). Additionally, the undersigned subcontractor will forward
notice of the receipt of an affidavit from a sub-subcontractor to the contractor within five business days of
receipt. If the undersigned subcontractor receives notice that a sub-subcontractor has received an affidavit
from any other contracted sub-subcontractor, the undersigned subcontractor must forward, within five business
days of receipt, a copy of the notice to the contractor. Subcontractor hereby attests that its federal work
authorization user identification number and date of authorization are as follows:
Company ID Number (numerical, 4-7 digits) Date of Authorization
Columbus Consolidated Government
Name of Public Employer Name of Contractor
Dragonfly Trail - River Road Segment (S.R. 219) RFB No. 27-0006
Name of Project
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:
_________________________________
RFB No. 27-0006 Dragonfly Trail - River Road Segment (S.R. 219) Page 10 of 32

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