7j- Affidavit E-Verify Compliance.pdf
PDF 67 KB Posted
- Attached to
- Marine Turtle Conservation Program Services
- Solicitation number
- RFP2025-054
- Issued by
- Palm Beach County, Florida
About this file
This document is an Affidavit Pursuant to Florida Statute Section 448.095 issued by the City of Delray Beach, requiring vendors and contractors to verify employee work authorization through the E-Verify system. The affidavit mandates that any contractor or subcontractor must register with and use the E-Verify system to confirm the work authorization status of all new employees. Additionally, if a proposer enters into a contract with a subcontractor, they must obtain an affidavit from that subcontractor confirming they do not employ, contract with, or subcontract with unauthorized aliens.
The form requires vendors to provide detailed contact information, including vendor name, Federal Employer Identification Number (FEIN), authorized representative's name and title, address, phone number, and email address. By signing the document, the vendor's authorized representative certifies under penalties of perjury that they have read and understood the requirements, and that their company is compliant with the E-Verify system regulations. The document serves as a legal declaration of workforce authorization compliance for contractors seeking to do business with the City of Delray Beach.
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Text version
CITY OF DELRAY BEACH
Affidavit Pursuant to Fla. Stat. Section 448.095
Florida Statute §448.095 states that a public agency must require in any contract that the contractor, and any subcontractor thereof, register with and use the E-Verify system to verify the work authorization status of all new employees of the contractor or subcontractor.
As the officer or representative of the company, I certify that the company identified above:
1. is registered with the E-Verify System.
2. uses the E-Verify system to verify the work authorization status of all new employees of the contractor or subcontractor; and
3. If the Proposer enters into a contract with a subcontractor, the Proposer will require that the subcontractor provide the contractor with an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The contractor shall maintain a copy of such affidavit for the duration of the contract.
Under penalties of perjury, I declare that I have read the foregoing documents and the facts stated in it are true.
Signature: ______________________________________________________
(Authorized Signature)
Print Name and Title _____________________________________________
Date:__________________________________________________________
Vendor Name:
Vendor FEIN:
Vendor’s
Authorized
Representativ e
Name and Title:
Address:
City: State: Zip:
Phone Number:
Email Address:
File details come from the government source that posted it. Updated .