1-E Verify agreement - fillable.pdf
PDF 103 KB Posted
- Solicitation number
- RFSQ 097-2026
- 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. The agreement mandates that all prospective vendors execute a Federal Work Authorization Program Affidavit and demonstrate enrollment and active participation in the E-Verify work authorization program prior to or concurrent with contract execution. Vendors must affirm they are not knowingly employing any unauthorized aliens in connection with services provided to the District and agree to notify the District of any cessation of E-Verify participation or any allegations of violations under Missouri Revised Statute 285.530. Documentation of E-Verify participation must be provided to the District before contract execution or upon request thereafter, presented as an E-Verify screen print-out or equivalent documentation.
Vendors are required to comply with all state and federal regulations and rules related to Missouri Revised Statute 285.530, both current and those issued subsequent to the agreement. Non-compliance with any of the enumerated requirements constitutes material breach of the contract with the District. The agreement is a fillable PDF form requiring signature and printed identification of an authorized company representative, establishing E-Verify participation as a mandatory contractual obligation for all vendors conducting business with St. Louis Public Schools.
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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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