3-E-Verify Affidavit.pdf
PDF 93 KB Posted
- Solicitation number
- 2026026-029
- Issued by
- Hillsborough County, Florida
About this file
This document is a Tampa Bay Water Contractor/Consultant/Vendor E-Verify Affidavit, which is a legal document requiring contractors to verify their compliance with Florida employment verification statutes. The affidavit requires the contractor to affirm that they are following state laws (Sections 448.09 and 448.095, Florida Statutes) regarding employment eligibility verification, specifically by registering and using the E-Verify system to confirm the work authorization of all employees.
The affidavit mandates that the contractor certify they have not had any contracts terminated by public employers for violating employment verification statutes in the past year, and commits to maintaining compliance throughout the contract term with Tampa Bay Water. The document requires the contractor to ensure that all subcontractors also comply with these statutes, and includes provisions for immediate notification to Tampa Bay Water if any contract termination occurs due to employment verification violations. The affidavit must be signed by an authorized representative, dated, and notarized to be considered valid.
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Text version
TAMPA BAY WATER
CONTRACTOR/CONSULTANT/VENDOR
E-VERIFY AFFIDAVIT
STATE OF ______________________
COUNTY OF ____________________
BEFORE ME, the undersigned authority, appeared __________________________, who first being duly sworn hereby swears or affirms as follows:
1. I make this affidavit on personal knowledge.
2. I am over the age of 18 years and otherwise confident to make this Affidavit.
3. I am the _____________________________________ of
_________________________________________________ (the
“Contractor/Consultant/Vendor”).
4. I am authorized by __________________________________ to make this Affidavit on behalf of Contractor/Consultant/Vendor.
5. Contractor/Consultant/Vendor acknowledges that Section 448.09, Florida Statutes, makes it unlawful for any person to knowingly employ, hire, recruit, or refer, for private or public employment, an alien who is not duly authorized to work in the United States.
6. Contractor/Consultant/Vendor acknowledges that Section 448.095, Florida Statutes, prohibits public employers, contractors, and subcontractors from entering into a contract unless each party to the contract registers and uses E-Verify.
7. Contractor/Consultant/Vendor is in compliance with the requirements of Sections
448.09 and 448.095, Florida Statutes.
8. Contractor/Consultant/Vendor understands it shall remain in compliance with the requirements of Sections 448.09 and 448.095, Florida Statutes, during the term of any contract with
Tampa Bay Water.
9. Contractor/Consultant/Vendor’s subcontractors are in compliance with the requirements of Sections 448.09 and 448.095, Florida Statutes.
10. Contractor/Consultant/Vendor shall ensure compliance with the requirements of
Sections 448.09 and 449.095, Florida Statutes, by any and all of its subcontractors.
11. Neither the Contractor/Consultant/Vendor, nor any subcontractor of
Contractor/Consultant/Vendor, has had a contract terminated by a public employer for violating
Section 448.095, Florida Statutes, within the year preceding the date of this Affidavit.
12. If the Contractor/Consultant/Vendor, or any subcontractor of
Contractor/Consultant/Vendor, has a contract terminated by a public employer for any such violation during the term of any contract with Tampa Bay Water, it shall provide immediate notice thereof to
Tampa Bay Water.
Signature of Affiant on behalf of Contractor/Vendor
By: __________________________________ As its: ________________________________ Dated: _______________________________
STATE OF ______________________
COUNTY OF ____________________
Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization, this _______ day of _________________________, 20___, by __________________________, on behalf of ____________________________, who is personally known to me or who has produced ___________________________ as identification.
Print Name: ___________________________ Notary Public of the State of Florida
My Commission Expires:
File details come from the government source that posted it. Updated .