4-E-Verify Form.pdf

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Attached to
Palm Tree Trimming and Pruning Services State and local contract opportunity
Solicitation number
ITB No. 2026-028
Issued by
Palm Beach County, Florida

About this file

This is an E-Verify Requirement Form issued by the Town of Palm Beach, Florida, establishing compliance mandates for contractors and subcontractors participating in town contracts. The form requires all proposers to be registered with the E-Verify System (E-Verify.gov) and to electronically verify the employment eligibility of all newly hired workers beginning January 1, 2021. Proposers must also verify that all workers and subcontractors performing contract duties are registered with E-Verify and comply with the same verification requirements. Additionally, proposers must obtain affidavits from each subcontractor affirming that the subcontractor does not employ, contract with, or subcontract with unauthorized aliens as defined under Florida Statutes Section 448.095(1)(k). Proposers must maintain copies of subcontractor affidavits for the duration of the subcontract and any extensions thereof.

The Town of Palm Beach reserves the right to terminate any contract if it has good faith belief that a contractor or subcontractor has knowingly violated Florida Statutes Section 448.09(1). In the event of contract termination due to E-Verify violations, the contractor shall be barred from receiving future Town contracts for one year from the termination date and shall be liable for any additional costs incurred by the Town as a result of the termination. The form requires the contractor to provide company name, contact information, address, phone number, fax number, Federal ID number, and authorized signature.

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Text version

TOWN OF PALM BEACH

E-Verify Requirement

Town of Palm Beach - E-Verify Requirement

Proposer warrants and represents that it is in compliance with section 448.095, Florida Statutes, as may be amended, and that it: (1) is registered with the E-Verify System (E-Verify.gov), and beginning January 1, 2021, uses the E-Verify System to electronically verify the employment eligibility of all newly hired workers; and (2) has verified that all its proposer workers, subcontractors performing the duties and obligations of this CONTRACT are registered with the E-Verify System, and beginning January 1, 2021, uses the E-Verify System to electronically verify the employment eligibility of all newly hired workers.

Proposer shall obtain from each of its subcontractors an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an Unauthorized Alien, as that term is defined in section 448.095(1)(k), Florida Statutes, as may be amended. CONSULTANT shall maintain a copy of any such affidavit from a subcontractor for, at a minimum, the duration of the subcontract and any extension thereof. This provision shall not supersede any provision of this CONTRACT which requires a longer retention period.

TOWN OF PALM BEACH shall terminate this CONTRACT if it has a good faith belief contractor has knowingly violated Section 448.09(1), Florida Statutes, as may be amended. If the TOWN OF PALM BEACH has a good faith belief that contractor’s subcontractor has knowingly violated section 448.09(1), Florida Statutes, as may be amended, THE TOWN OF PALM BEACH shall notify contractor to terminate its contract with the subcontractor and contractor shall immediately terminate its contract with the subcontractor. If the TOWN OF PALM BEACH terminates this CONTRACT pursuant to the above, contractor shall be barred from being awarded a future contract by the TOWN OF PALM BEACH for a period of one (I) year from the date on which this CONTRACT was terminated. In the event of such contract termination, contractor shall also be liable for any additional costs incurred by the TOWN OF PALM BEACH as a result of the termination.

Company: _________________________ Name/Title: ________________________________

Address: _________________________________________________Zip:_________________

Phone Number: (____) _________________________ Fax: (____) _____________________

Federal ID#:________________________ Signature: _________________________________

Company:
NameTitle:
Address:
Zip:
Phone Number:
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Fax:
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Federal ID:

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