3-AmphCommCntrPh4-EVAF.pdf
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- Attached to
- AMPHITHEATER / COMMUNITY CENTER - PHASE 4
- Solicitation number
- Not on record
- Issued by
- Northampton County, Pennsylvania
About this file
This is a Public Works Employment Verification Form (EVAF) issued by the Commonwealth of Pennsylvania for use by Freemansburg Borough in Northampton County, PA. The form applies to the Amphitheater/Community Center - Phase 4 project, which consists of the design and construction of cast-in-place concrete retaining walls and concrete footings. Bids will be received online via PennBid until 11:00 AM on Thursday, October 1, 2026. A mandatory pre-bid meeting is scheduled for 10:00 AM on Thursday, September 17, 2026, at the Freemansburg Borough Building, 600 Monroe Street, Freemansburg, PA. The contractor must provide all supervision, personnel, labor, materials, machinery, equipment, tools, and associated work as indicated in the project plans, with the contractor assuming responsibility for any necessary geotechnical investigation for wall design.
Each bid must be accompanied by a bid bond in the amount of ten percent (10%) of the total bid price. Workers employed on this project must be paid federal Davis-Bacon wage rates as promulgated by the U.S. government through SAM.gov. Under the Public Works Employment Verification Act (43 P.S. 167.1 et. seq.), the contractor and any subcontractors must verify employment eligibility through the E-Verify Program (EVP) operated by the Department of Homeland Security within five (5) business days of each new employee's start date and maintain documentation of this verification. The contractor must submit the completed EVAF form prior to contract execution, acknowledging compliance with these requirements. No bid may be withdrawn within sixty (60) days of the opening date, and Freemansburg Borough reserves the right to reject all bids and waive any bidding informalities.
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PUBLIC WORKS EMPLOYMENT VERIFICATION ACT
In accordance with Act of July 5, 2012 (P.L. 1086, No. 127), known as the “Public Works Employment
Verification Act” (43 P.S. 167.1 et. seq.), CONTRACTOR and subcontractors (if any) shall verify employment eligibility. An employee is an individual hired by CONTRACTOR or a subcontractor for whom
CONTRACTOR or subcontractor is required by law to file a Form W-2 with the Internal Revenue Service. The
Act does not apply to material suppliers for projects.
CONTRACTOR and subcontractors shall participate in EVP and shall, subject to the requirements of Federal law governing the use of EVP, use EVP to verify employment eligibility of each new employee (EVP is the E-
Verify Program operated by the Department of Homeland Security that electronically verifies employment eligibility for employees). The Department of General Services of the Commonwealth shall post on its publicly accessible Internet website information regarding the requirements of Federal law governing the use of EVP. In conducting the verification required, CONTRACTOR and subcontractors shall not discriminate against an employee on the basis of race, ethnicity, color or national origin.
As a precondition of being awarded a contract for a Public Work, as defined in the Pennsylvania Prevailing
Wage Act, 43 P.S. 165.1 et. seq.; or with respect such a contract that was awarded prior to the effective date identified in Section 20 of the Act but has not yet been executed, prior to the execution of the contract, CONTRACTOR shall provide OWNER with a verification form described in Subsection (c) of Section 4, acknowledging its responsibilities under and its compliance with Section 3 of the Act. Contracts between
CONTRACTOR and subcontractors shall contain information about the requirements of the Act.
Prior to commencing work on a public works project, subcontractor(s) shall provide the OWNER with a verification form described in Subsection (c) of Section 4 of the Act acknowledging subcontractor’s responsibilities and compliance with Section 3 of the Act. Contracts between a subcontractor and its subcontractors shall contain information about the requirements of the Act.
The verification required by Section 4 of the Act shall be in a form prescribed by the Secretary of General
Services of the Commonwealth and shall be posted on the Internet, and shall comply with the following additional requirements:
(1) The statement shall include a certification that the information in the statement is true and correct and the individual signing the statement understands the submission of false or misleading information in connection with the verification shall subject the individual and the CONTRACTOR or subcontractor, as the case may be, to sanctions provided by law.
(2) The statement shall be signed by a representative of the CONTRACTOR or subcontractor, as applicable, who has sufficient knowledge and authority to make the representations and certifications contained in the statement.
(9/2026) 16-1124.044 (AmphCommCntrPh4-EVAF.pdf) EVAF-1
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
(9/2026) 16-1124.044 (AmphCommCntrPh4-EVAF.pdf) EVAF-2
| Date: |
| Business or Organization Name - Employer: |
| Address: |
| City: |
| State: |
| Zip Code: |
| Check Box1: Yes |
| Check Box2: Off |
| Contracting Public Body: Freemansburg Borough |
| ContractProject No: |
| Project Description: Amphitheater / Community Center - Phase 4 |
| Project Location: |
| Name: |
| Signature: |
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