4-004546 - Public Works Employment Verification Form.pdf
PDF 111 KB Posted
- Attached to
- Northwood Water Main Replacement
- Solicitation number
- Not on record
- Issued by
- Blair County, Pennsylvania
About this file
This is a Public Works Employment Verification Form submitted by a contractor or subcontractor to the Borough of Tyrone, Pennsylvania for the Northwood Water Main Replacement Project located in Tyrone Borough, Blair County. The form documents compliance with Pennsylvania's Public Works Employment Verification Act and confirms that the submitting company utilizes the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security. A voluntary pre-bid meeting was held on Thursday, March 18 at 10:00 AM at the Tyrone Borough Building located at 1100 Logan Avenue, and sealed bids were accepted online through PennBid.bonfirehub.com until 10:00 AM on Wednesday, April 8. The successful bidder must substantially complete the project within 120 calendar days of receipt of the Notice to Proceed. Bids remain open for 60 days from the date of bid opening, or up to 120 days if award is delayed by required governmental approvals, bond sales, or grant awards.
All contractors and subcontractors must comply with the Public Works Employment Verification Act by verifying that all employees hired after January 1, 2013 are authorized to work in the United States. New hires must be verified through the federal E-Verify Program within five business days of their start date, with documentation maintained for investigation or audit purposes. Bidders were required to submit a certified check or bid bond equal to 10% of the total bid amount, with bonds issued by a surety licensed in Pennsylvania. The successful bidder must furnish performance and payment bonds in the amount of 100% of the contract price. The contract is subject to the Pennsylvania Prevailing Wage Act, Federal Occupational Safety and Health Act (OSHA), Pennsylvania Act 229 of 2002, the One Call Act (Underground Utility Line Protection Law), the Pennsylvania Human Relations Act, and non-discrimination in employment and contract compliance regulations.
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Text version
COMMONWEALTH OF PENNSYLVANIA
PUBLIC WORKS EMPLOYMENT VERIFICATION FORM
Date
Business or Organization Name (Employer)
Address
City State Zip Code
Contractor
Subcontractor (check one)
Contracting Public Body Borough of Tyrone
Contract/Project No 1230002822
Project Description Northwood Water Main Replacement
Project Location Tryone Borough, Blair County, Tyrone, Pennsylvania
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 employees 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
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