6-PUBLIC WORKS EMPLOYMENT VERIFICATION FORM.pdf
PDF 109 KB Posted
- Solicitation number
- Not on record
- Issued by
- Pueblito Del Carmen Comunidad, Pennsylvania
About this file
This is a Public Works Employment Verification Form executed by Ridley Township in Delaware County, Pennsylvania for drainage improvements along Cedar and Holmes Road (Contract/Project No. 83000-115-119). The form serves as a contractor and subcontractor certification document confirming compliance with Pennsylvania's Public Works Employment Verification Act. All contractors and subcontractors performing work on this public works project must utilize the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security to verify employment eligibility for all employees hired after January 1, 2013. New hires must be verified within five business days of their start date throughout the contract duration, with documentation maintained for potential audits or investigations.
The authorized representative of the contracting entity attests under penalty of law that all information contained in the verification form is accurate and complete. Submission of false or misleading information subjects the contractor or subcontractor to legal sanctions. This employment verification requirement is mandatory for all public works contractors and subcontractors of any tier performing work under Ridley Township contracts and is a precondition for bid acceptance and contract award. The form represents a compliance checkpoint ensuring that only contractors demonstrating adherence to federal employment authorization requirements are permitted to perform work on township public works projects.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
COMMONWEALTH OF PENNSYLVANIA
PUBLIC WORKS EMPLOYMENT VERIFICATION FORM
Date
Business or Organization Name (Employer)
Address
City State_ Zip Code
Contractor Subcontractor ( c h e c k one)
Contracting Public Body Ridley Township
Contract/Project No 83000-115-119
Project Description Dra inage Improvements a long Cedar and Holmes Road in Ridley Township
Project Location Ridley Township, Delaware County, PA
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
File details come from the government source that posted it. Updated .