25-8426_Form_3_Immigration_Certification.pdf
PDF 219 KB Posted
- Attached to
- Collection Agency Services
- Solicitation number
- 25-8426
- Issued by
- Collier County, Florida
About this file
This is an Immigration Certification Form (Form 3) required by Collier County, Florida for vendors submitting proposals in response to a Request for Proposals (RFP) for Collection Agency Services issued by the Emergency Medical Services Division. The certification mandates that all vendors must be enrolled in the E-Verify program at the time of proposal submission, with acceptable evidence consisting of either a copy of the completed E-Verify Company Profile page or a fully executed E-Verify Memorandum of Understanding. Vendors are required to attest to full compliance with applicable immigration laws, including the 1986 Immigration Act and its amendments, as well as Florida Statutes 448.095. The county anticipates this solicitation may result in contracts valued at approximately $940,000.00 historically, though this may not reflect future purchasing patterns.
Failure to provide proper E-Verify enrollment documentation will render a vendor's submission non-responsive and subject to rejection. Collier County reserves the right to unilaterally terminate any contract with a vendor found to knowingly employ unauthorized alien workers, constituting a violation of Section 274A(e) of the Immigration and Nationality Act. The form requires certification under penalties of perjury by a duly authorized corporate representative with signature authority, confirming awareness of and compliance with all E-Verify provisions and employment eligibility verification requirements administered by the Department of Homeland Security in partnership with the Social Security Administration.
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Text version
Version 2 9.2.25
Form 3: Immigration Certification
Vendors are required to be enrolled in the E-Verify program (https://www.e-verify.gov/), at the time of the submission of the Vendor’s proposal/bid. Acceptable evidence of your enrollment consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company which will be produced at the time of the submission of the Vendor’s proposal/bid. Failure to do so will result in the vendor’s submission being deemed non-responsive.
Collier County will not intentionally award County contracts to any Vendor who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act (“INA”).
Collier County may consider the employment by any Vendor of unauthorized aliens a violation of Section 274A (e) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the contract by Collier County.
Vendor attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent Amendment(s), that it is aware of and in compliance with the requirements set forth in Florida Statutes §448.095, and agrees to comply with the provisions of the Memorandum of Understanding with E-Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E-Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Vendor’s proposal/bid.
Under penalties of perjury, I certify that the information shown on this form is correct to my knowledge and a duly corporate authorized representative with signature authority.
Company Name: _________________________________________
Date: _____________________________
Signature: ____________________________________________ Title: _____________________________ https://www.e-verify.gov/
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| Date21_af_date: |
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