14-E-Verify Form.pdf
PDF 153 KB Posted
- Attached to
- Police Station Improvements
- Solicitation number
- ITB No. 2026-010
- Issued by
- Palm Beach County, Florida
About this file
This is an E-Verify Compliance Form for the Town of Palm Beach, Florida, establishing employment eligibility verification requirements for contractors and subcontractors participating in the Police Station Improvements project. The Town requires all proposers to register with and utilize the E-Verify System (E-Verify.gov) to electronically verify employment eligibility of all newly hired workers beginning January 1, 2021. Proposers must ensure all workers and subcontractors are registered with E-Verify and must obtain signed affidavits from each subcontractor certifying they do not employ, contract with, or subcontract with unauthorized aliens as defined under Florida Statutes Section 448.095(1)(k). Subcontractor affidavits must be maintained for the duration of the subcontract and any extensions thereof.
The Town of Palm Beach reserves the right to terminate the contract if it has a good faith belief that the contractor has knowingly violated Florida Statutes Section 448.09(1). If a subcontractor violates this statute, the contractor must immediately terminate its contract with that subcontractor upon notification by the Town. Contractors whose contracts are terminated for violations shall be barred from future Town of Palm Beach contract awards for one year from the termination date and remain liable for any additional costs incurred by the Town resulting from termination. The form requires completion of contractor information including company name, contact details, federal identification number, and authorized signature.
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Text version
TOWN OF PALM BEACH
E-Verify Requirement
Town of Palm Beach - E-Verify Requirement
Proposer warrants and represents that it is in compliance with section 448.095, Florida Statutes, as may be amended, and that it: (1) is registered with the E-Verify System (E-Verify.gov), and beginning January 1, 2021, uses the E-Verify System to electronically verify the employment eligibility of all newly hired workers; and (2) has verified that all its proposer workers, subcontractors performing the duties and obligations of this CONTRACT are registered with the E-Verify System, and beginning January 1, 2021, uses the E-Verify System to electronically verify the employment eligibility of all newly hired workers.
Proposer shall obtain from each of its subcontractors an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an Unauthorized Alien, as that term is defined in section 448.095(1)(k), Florida Statutes, as may be amended. CONSULTANT shall maintain a copy of any such affidavit from a subcontractor for, at a minimum, the duration of the subcontract and any extension thereof. This provision shall not supersede any provision of this CONTRACT which requires a longer retention period.
TOWN OF PALM BEACH shall terminate this CONTRACT if it has a good faith belief contractor has knowingly violated Section 448.09(1), Florida Statutes, as may be amended. If the TOWN OF PALM BEACH has a good faith belief that contractor’s subcontractor has knowingly violated section 448.09(1), Florida Statutes, as may be amended, THE TOWN OF PALM BEACH shall notify contractor to terminate its contract with the subcontractor and contractor shall immediately terminate its contract with the subcontractor. If the TOWN OF PALM BEACH terminates this CONTRACT pursuant to the above, contractor shall be barred from being awarded a future contract by the TOWN OF PALM BEACH for a period of one (I) year from the date on which this CONTRACT was terminated. In the event of such contract termination, contractor shall also be liable for any additional costs incurred by the TOWN OF PALM BEACH as a result of the termination.
Company: _________________________ Name/Title: ________________________________
Address: _________________________________________________Zip:_________________
Phone Number: (____) _________________________ Fax: (____) _____________________
Federal ID#:________________________ Signature: _________________________________
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