7-00 45 46 UPDATED Public Works Employment Verification Form.pdf

This is a Public Works Employment Verification Form submitted by the Borough of Mifflinburg in Union County, Pennsylvania for the Water System Reliability Improvements Project (Contract No. 002198.0475). The form documents employment verification requirements for public works contractors and subcontractors participating in the project. The form indicates submission by Shaylan Cobb and references typewritten text entries related to contract documentation 00 45 46-01. The document serves as evidence of compliance with Pennsylvania's prevailing wage requirements and federal E-Verify authorization protocols for confirming employee work eligibility on public works projects exceeding the $25,000 threshold.

All contractors and subcontractors must complete and submit the Public Works Employment Verification Form as part of their bid package, demonstrating enrollment in the Federal E-Verify system and authorization to employ workers in Pennsylvania. This form is mandatory for all bidders competing for either Contract No. 2026-02 (General Construction) or Contract No. 2026-03 (Electrical Construction) associated with the water system improvements project. The form must be submitted concurrently with other required bid documentation including Non-Collusion Affidavits, Equal Employment Opportunity Certifications, proof of Pennsylvania business authorization, and applicable contractor licenses. Failure to provide completed employment verification documentation may result in bid rejection or ineligibility for contract award.