6-Employment Verification.pdf
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- Attached to
- Leola Community Park
- Solicitation number
- Not on record
- Issued by
- Lancaster County, Pennsylvania
About this file
This is an Employment Verification document associated with Upper Leacock Township's 2026 Roadway Projects Contract No. 1 - Paving in Pennsylvania. The project involves milling approximately 34,780 square yards, applying 34,780 square yards of paving fabric, placing 1,655 tons of bituminous leveling course, and placing 3,310 tons of bituminous wearing course. Bids must be submitted online through PennBID no later than Tuesday, April 7, 2026, at 2:00 PM, at which time bids will become publicly available. Questions regarding the project must be submitted online via PennBID and must be received by 4:00 PM on Friday, April 3, 2026. No pre-bid meeting will be held for this project. A certified check or bid bond equal to ten percent of the total bid amount is required, and bonds must be issued by a surety licensed to conduct business in the Commonwealth of Pennsylvania.
The contract is subject to the Pennsylvania Prevailing Wage Act, Federal Occupational Safety and Health Act of 1970 (OSHA), Pennsylvania Act 229 of 2002, the Pennsylvania One Call Act (Underground Utility Line Protection Law), the Pennsylvania Human Relations Act, non-collusion affidavit requirements, and non-discrimination in employment and contract compliance regulations. Upper Leacock Township reserves the right to accept or reject any or all bids submitted for the project.
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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 {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
| Date: |
| Address: |
| City: |
| State: |
| Zip Code: |
| Contracting Public Body: |
| ContractProject No: |
| Project Description: |
| Project Location: |
| Name: |
| Business or Organization Name - Employer: |
| Signature: |
| Check Box1: Off |
| Check Box2: Off |
File details come from the government source that posted it. Updated .