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 the Collier County Board of County Commissioners Procurement Services Division for RFP 25-8426, Collection Agency Services. The form establishes mandatory compliance requirements for vendors responding to the solicitation, mandating that all proposers be enrolled in the E-Verify program at the time of proposal submission. Acceptable evidence of enrollment includes either a completed E-Verify Company Profile page or a fully executed E-Verify Memorandum of Understanding from the Department of Homeland Security and Social Security Administration. Proposals lacking this documentation will be deemed non-responsive. The electronic proposal submission deadline is March 12, 2026, at 3:00 PM EST, with proposals remaining valid for 180 days. The initial contract term is three years with two optional one-year renewal periods available.
The certification form requires vendors to attest full compliance with the 1986 Immigration Act and subsequent amendments, Florida Statutes 448.095, and the employment eligibility verification requirements set forth in 8 U.S.C. Section 1324a(e) and Section 274A(e) of the Immigration and Nationality Act. Collier County will not intentionally award contracts to vendors knowingly employing unauthorized alien workers, and violation of these provisions constitutes grounds for unilateral contract termination. The form must be completed and signed under penalties of perjury by a duly authorized corporate representative with signature authority, including company name, date, signature, and title. This certification is one of multiple mandatory compliance documents required alongside the Vendor Declaration Statement, Conflict of Interest Certification, Reference Questionnaire, W-9 Form, and a Business Associate Agreement addressing HIPAA and state privacy law compliance.
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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/
| Company Name_3: |
| Date21_af_date: |
| Title_3: |
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