26-8680_Form_3_Immigration_Certification.pdf
PDF 172 KB Posted
- Solicitation number
- 26-8680
- Issued by
- Collier County, Florida
About this file
This is an Immigration Certification Form (Form 3) issued by the Collier County Board of County Commissioners Procurement Services Division in Florida for the Emergency/Disaster Stabilization and Recovery Services for Roadway Signs solicitation. The form establishes mandatory compliance requirements for all vendors submitting proposals or bids to Collier County. 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. Failure to provide this documentation will result in the vendor's submission being deemed non-responsive. The form applies to the roadway signs repair and installation services contract, which is intended to provide emergency response capabilities for damaged roadway signs in the event of an officially declared emergency.
Collier County will not intentionally award contracts to vendors who knowingly employ unauthorized alien workers, as this would constitute a violation of 8 U.S.C. Section 1324a(e) of the Immigration and Nationality Act. Vendors must attest to full compliance with all applicable immigration laws, specifically the 1986 Immigration Act and subsequent amendments, as well as Florida Statutes 448.095. Violation of the Employment Provisions contained in Section 274A(e) of the INA constitutes grounds for unilateral termination of the contract by Collier County. The form must be signed by a duly authorized corporate representative under penalties of perjury, certifying the accuracy of the information provided.
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Text version
Version 2 9.2.25
Procurement Services Division
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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