1-06g - PWEVF.pdf
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- Solicitation number
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- Issued by
- York County, Pennsylvania
About this file
This is a Public Works Employment Verification Form from the Commonwealth of Pennsylvania required for contractors and subcontractors on public works projects, specifically related to the North York Borough Storm Sewer Installation & Curb and Sidewalk Improvements Project in York County, Pennsylvania. The form must be completed and returned to the contracting public body prior to contract award. The project involves installing storm sewer inlet tops, boxes, and manholes, storm sewer piping, replacing concrete curbing and sidewalks, constructing ADA ramps, and installing a driveway apron. Sealed proposals will be received online via the PennBid Program until 10:00 A.M. on Monday, March 9, 2026, with bids to be opened and publicly displayed immediately thereafter. A bid bond or certified check equal to five percent of the bid amount must accompany each proposal, and the successful bidder must furnish performance and payment bonds each equal to one hundred percent of the contract price.
The form requires contractors and subcontractors to verify compliance with the Public Works Employment Verification Act through enrollment in the federal E-Verify Program operated by the United States Department of Homeland Security. All contractors must verify employment eligibility of each new hire within five business days of the employee start date and maintain documentation of E-Verify usage throughout the contract duration. The project is funded by the U.S. Department of Housing and Urban Development and is subject to the Davis-Bacon Act of March 3, 1931, as amended, requiring contractors to pay wages according to the U.S. Labor Department's Wage Decision. Section 3 of the Housing Act of 1968 provisions also apply. No bid may be withdrawn for 60 days after the bid opening, and North York Borough reserves the right to accept or reject any or all bids.
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| 6-231013 Con Plan 06.pdf | ||
| 5-NYB CDBG Bid Contract Documents 2-12-26.pdf | ||
| 7-231013 Con Plan 06.pdf | ||
| 3-231013 HOP Rev1 11-6-25.pdf | ||
| 2-05b -Sec. 3 Reqs and Forms.pdf | ||
| 4-05a - Bid Proposal.pdf |
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Text version
Street Address 2
City State Zip Code
Doing Business As:
(if different from Legal Name)
Commonwealth of Pennsylvania Public Works Employment Verification Form
Complete and return the form to the contracting Public Body prior to the award of the contract.
Company Legal Name: ___________________________________________________________
Mailing Address: ______________________________________________________
Check one: Contractor Subcontractor
Contracting Public Body: _________________________________________________________
Contract/Project Number: ________________________________________________________
Project Description: _____________________________________________________________
Project Location: _______________________________________________________________
Date Enrolled in E-Verify (MM/DD/YYYY): ___________________________________________ As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of today’s date, __________________________, our company is in compliance with the Public Works Employment Verification Act (‘the Act’) through utilization of the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security. To the best of my/our knowledge, all employees hired are authorized to work in the United States.
It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.
I,____________________________________________, authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.
Authorized Representative Signature Date of Signature
Printed Name: _________________________________________________________________
Phone Number: ______________________ Email: ____________________________________
Street Address 1
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| Contractor: Off |
| Subcontractor: Off |
| Contracting Public Body: |
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| Printed Name: |
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| Today's Date: |
| Name of Authorized Representative: |
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