1-E Verify agreement - fillable.pdf
PDF 103 KB Posted
- Solicitation number
- RFP 108-2026
- Issued by
- St. Louis County, Missouri
About this file
This is an E-Verify Agreement form required by the Special Administrative Board of the Transitional School District of the City of St. Louis (d/b/a St. Louis Public School System) for vendors seeking to contract with the District on the Clyde C. Miller High School Cosmetology and Barber instructional space renovation project. The agreement mandates that all vendors execute a Federal Work Authorization Program Affidavit and deliver it to the District prior to or concurrent with contract execution. Vendors must demonstrate active enrollment and participation in the E-Verify work authorization program for all employees performing services related to the project. The agreement requires vendors to affirm that they are not knowingly employing unauthorized aliens in connection with services provided to the District and to notify the District immediately of any cessation of E-Verify participation or any allegations of violations under Missouri Revised Statute 285.530.
Vendors must provide documentation of E-Verify participation through screen print-outs or equivalent evidence prior to contract execution or upon District request at any time thereafter. Non-compliance with any requirement of this agreement, including failure to maintain E-Verify enrollment, notify the District of participation changes, or comply with relevant state and federal regulations, constitutes material breach of the contract. The agreement requires authorized company representatives to sign and date the form, with printed names, titles, and company information provided.
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Text version
E-VERIFY AGREEMENT
Name of Vendor:______________________________________________________________________
a) Agrees to have an authorized person execute the “Federal Work Authorization Program
Affidavit” attached hereto and deliver the same to The Special Administrative Board of the Transitional School
District of the City of St. Louis (d/b/a St. Louis Public School System) (“District”) prior to or contemporaneously with the execution of a contract with the District;
b) Affirms it is enrolled in the “E-Verify” (formerly known as “Basic Pilot”) work authorization program of the United States, and are participating in E-Verify with respect to your employees working in connection with the services being provided (to the extent allowed by E-Verify), or to be provided, by your company to the District;
c) Affirms that it is not knowingly employing any person who is an unauthorized alien in connection with the services being provided, or to be provided, by your company to the District;
d) Affirms you will notify the District if you cease participation in E-Verify, or if there is any action, claim or complaint made against you alleging any violation of Missouri Revised Statute 285.530, or any regulations issued thereto;
e) Agrees to provide documentation of your participation in E-Verify to the District prior to or contemporaneously with the execution of its contract with the District (or at any time thereafter upon request by the District), by providing to the District an E-Verify screen print-out (or equivalent documentation) confirming your participation in E-Verify;
f) Agrees to comply with any state or federal regulations or rules that may be issued subsequent to this addendum that relate to Missouri Revised Statute 285.530; and
g) Agrees that any failure by your company to abide by the requirements a) through f) above will be considered a material breach of your contract with the District.
By: ______________________________________________________________________ (Signature)
Printed Name and Title: _______________________________________________________
For and on behalf of: ________________________________________________________ (Company)
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