7-Employment Verification.pdf
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- Attached to
- Walnut Alley Drainage Improvements Project
- Solicitation number
- Not on record
- Issued by
- Lehigh 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 specifically required for the 2026 Roadway Project – Contract No. 1 – Paving administered by Myerstown Borough. Contract 1 encompasses approximately 5,775 square yards of milling and 490 tons of bituminous wearing course, while Contract 2 includes approximately 2,750 square yards of bituminous seal coat with double application, and Contract 3 involves line striping and pavement markings on various roads within the Borough. Bids for all contracts must be submitted online through PennBID by Tuesday, March 31, 2026, at 2:00 PM, with a certified check or bid bond equal to 10 percent of the total bid required at submission. Questions must be submitted online by 12:00 PM on Friday, March 27, 2026, and will not be acknowledged thereafter.
As a condition of the contract, all contractors and subcontractors must verify compliance with the Public Works Employment Verification Act through the federal E-Verify Program operated by the United States Department of Homeland Security. Contractors must attest that all employees hired after January 1, 2013, are authorized to work in the United States and must verify employment eligibility of each new hire within five business days of the employee start date using the federal E-Verify Program. Documentation confirming E-Verify usage must be maintained throughout the contract duration for potential investigation or audit. The contract is subject to the Pennsylvania Prevailing Wage Act, OSHA regulations, Pennsylvania Act 229 of 2002, the One Call Act, the Pennsylvania Human Relations Act, noncollusion affidavit requirements, and non-discrimination in employment compliance regulations. Myerstown Borough Council reserves the right to accept or reject any or all bids.
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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 .