6-Employment Verification.pdf
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- Solicitation number
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- York County, Pennsylvania
About this file
This is a Public Works Employment Verification Form issued by the Commonwealth of Pennsylvania for use by contractors and subcontractors on public works projects. The form is required for the Downtown Route 94/116/194 Traffic Congestion & Pedestrian Safety Improvements project being administered by Hanover Borough. The project involves traffic signal improvements and other related work in downtown Hanover, Pennsylvania. Bids for this project are being accepted online through PennBID until Tuesday, April 21, 2026, at 2:00 PM. A certified check or bid bond equal to 10 percent of the total bid amount is required. Questions regarding the project must be submitted online via PennBID no later than 4:00 PM on Friday, April 17, 2026.
The employment verification form requires all contractors and subcontractors to affirm compliance with the Public Works Employment Verification Act through participation in the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security. Contractors must verify that all employees hired after January 1, 2013, are authorized to work in the United States and commit to verifying the employment eligibility of all new hires within five business days of the employee start date using the federal EVP. Documentation confirming E-Verify usage must be maintained for investigation or audit purposes. The project is subject to additional requirements including Pennsylvania Prevailing Wage, OSHA conditions, Act 229 of 2002, the Pennsylvania One Call Act, the Pennsylvania Human Relations Act, noncollusion affidavit requirements, and non-discrimination in employment conditions. Hanover Borough Council reserves the right to accept or reject any or all bids submitted.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 3-MS944 Workers Comp Aff.pdf | ||
| 7-Hanover Borough Downtown Route Project Manual.pdf | ||
| 5-MS944 SPECIAL PROVISIONS.pdf | ||
| 1-MS944 Anti-Collusion Aff.pdf | ||
| 2-MS944 Contract.pdf | ||
| 4-BID BOND.pdf |
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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 .