2-Public Works Employment Verification Form.pdf
PDF 69 KB Posted
- Attached to
- Altoona Prospect Pool Swimming Pool Renovations
- Solicitation number
- Not on record
- Issued by
- Blair County, Allentown City, Pennsylvania
About this file
This is a Public Works Employment Verification Form issued by the Commonwealth of Pennsylvania for use by contractors and subcontractors on public works projects. The form applies to the City of Altoona's Department of Public Works for two concurrent projects: the 2025 Asphalt Crack and Joint Sealing Project and the Altoona Prospect Pool Swimming Pool Renovations. For the asphalt sealing project, sealed proposals are due electronically via PennBid by 10:00 A.M. on August 5, 2025, with a mandatory pre-bidder's conference scheduled for July 18, 2025, at 9:30 A.M. in the Bernard Joyce Conference Room at City Hall (1301 12th Street, Altoona, PA). For the pool renovation project, sealed proposals are due by 10:00 A.M. on May 5, 2026, with an on-site pre-bidder's conference at Prospect Pool (1201 2nd Avenue, Altoona, PA) on April 14, 2026, at 1:00 P.M. Work on both projects will be performed in accordance with current Pennsylvania Department of Transportation Publication 408 standards.
Bidders must submit a bid bond or certified check equal to 10 percent of their total bid amount, valid for 60 days from the bid opening date. As a condition of bidding, all contractors and subcontractors must verify compliance with the Public Works Employment Verification Act through the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security, confirming that all employees hired after January 1, 2013, are authorized to work in the United States. Contractors must utilize E-Verify for all new hires within five business days of the employee start date and maintain documentation of verification throughout the contract duration. The City of Altoona reserves the right to reject any or all bids and waive informalities. Bidders may not withdraw proposals within 60 days of the bid opening date. The pool renovation project is subject to prevailing wage rates as established by the Pennsylvania Department of Labor and Industry. Bidding documents are available at no cost through the PennBid platform.
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Text version
COMMONWEALTH OF PENNSYLVANIA
PUBLIC WORKS EMPLOYMENT VERIFICATION FORM
Date _______________________
Business or Organization Name (Employer)_________________________________________________
Address _____________________________________________________________________________
City _____________________________________ State_____________ Zip Code ________________
Contractor {dzōŎƻƴǘNJŀŎǘƻNJ όŎƘŜŎƪ ƻƴŜύ
Contracting Public Body _______________________________________________________________
Contract/Project No ___________________________________________________________________
Project Description ____________________________________________________________________
Project Location ______________________________________________________________________
As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of the above date, our company is in compliance with the Public Works Employment Verification Act
(‘the Act’) through utilization of the federal E‐Verify Program (EVP) operated by the United States
Department of Homeland Security. To the best of my/our knowledge, all employees hired post
January 1, 2013 are authorized to work in the United States.
It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.
I, _________________________, authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.
Authorized Representative Signature
| Date: |
| Address: |
| City: |
| State: |
| Zip Code: |
| Contracting Public Body: |
| ContractProject No: |
| Project Description: |
| Project Location: |
| Name: |
| Business or Organization Name - Employer: |
| Signature: |
| Check Box1: Off |
| Check Box2: Off |
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