2-E Verify agreement - fillable.pdf

PDF 103 KB Posted

Attached to
Tornado: Hickey Mitigation and Restoration
Solicitation number
RFP 089-2025
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) in Missouri for the Tornado: Hickey Mitigation and Restoration project. The agreement mandates that vendors executing contracts with the District must comply with federal work authorization requirements and the E-Verify employment eligibility verification program. All authorized representatives must execute a Federal Work Authorization Program Affidavit and submit documentation of E-Verify enrollment and participation prior to or concurrent with contract execution. Vendors must affirm active enrollment in E-Verify and compliance with the program for all employees performing services on behalf of the District, to the extent permitted by E-Verify regulations.

Vendors are required to certify that they are not knowingly employing any unauthorized aliens in connection with services provided to the District and must notify the District immediately if they cease E-Verify participation or face any actions, claims, or complaints alleging violations of Missouri Revised Statute 285.530. Vendors must provide E-Verify screen printouts or equivalent documentation upon request and commit to compliance with all current and future state and federal regulations related to work authorization. Failure to satisfy any of these requirements constitutes material breach of the contract with the District.

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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)

Printed Name and Title:
For and on behalf of:
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