1-E Verify agreement - fillable.pdf
PDF 103 KB Posted
- Attached to
- District Wide School Photography
- Solicitation number
- RFSQ 096-2026
- Issued by
- St. Louis City, 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 for districtwide school photography services. The agreement establishes mandatory compliance requirements for all vendors participating in the E-Verify federal work authorization program. Vendors must have an authorized representative execute the Federal Work Authorization Program Affidavit and deliver it to the district prior to or contemporaneously with contract execution. The vendor must affirm enrollment in E-Verify and confirm participation in the program for all employees working on district services, while also certifying that no unauthorized aliens are knowingly employed in connection with the services provided.
The vendor agrees to notify the district of any cessation of E-Verify participation or any actions, claims, or complaints alleging violations of Missouri Revised Statute 285.530. The vendor must provide documentation of E-Verify participation, including screen print-outs or equivalent evidence, prior to or contemporaneously with contract execution or upon request by the district. The vendor commits to compliance with all state and federal regulations relating to Missouri Revised Statute 285.530 that may be issued subsequent to this addendum. Any failure to comply with these requirements constitutes a material breach of the contract with the district. The agreement requires the vendor's authorized representative to sign and print their name and title, along with the company name.
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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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