Attachment 11 Statement of Compliance Certificate Illegal Immigrants - Fillable Form.pdf

PDF 1 MB Posted

Attached to
DKX REROOF MUSEUM HANGAR AND REROOF OF MAINTENANCE BUILDING
Solicitation number
IFB-MKAA-0000000003
Issued by
Bradley County, Tennessee

About this file

This document is a Statement of Compliance Certificate for Illegal Immigrants form issued by the Metropolitan Knoxville Airport Authority (DKX) for the McGhee Tyson Airport Terminal Apron Expansion project in Alcoa, Tennessee, with the document dated September 30, 2022. The form requires contractors bidding on construction services to submit an affidavit certifying compliance with Chapter No. 878 (House Bill No. 111 and Senate Bill No. 411), which amends Tennessee Code Annotated Title 12, Chapter 4, Part I.

The certificate is specifically related to two separate bid items for reroofing projects: Item No. 1 involves reroofing the Museum Hangar, which includes selective demolition, metal roofing panels, coping, roof light panels, building insulation, and miscellaneous interior improvements, along with repair and painting of the hangar structural frame. Item No. 2 covers reroofing the Maintenance Building, involving similar scope elements such as selective demolition, metal roofing panels, coping, roof skylights, and building insulation. Contractors must complete and sign this compliance document as part of their bid submission, acknowledging their commitment to meeting the specified legal requirements regarding immigrant employment.

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Text version

MCGHEE TYSON AIRPORT TERMINAL APRON EXPANSION

ALCOA, TENNESSEE ISSUED FOR BID – SEPTEMBER 30, 2022

CERTIFICATE ILLEGAL IMMIGRANTS BF-45

STATEMENT OF COMPLIANCE CERTIFICATE ILLEGAL IMMIGRANTS

EACH CONTRACTOR BIDDING SHALL FILL IN AND SIGN THE FOLLOWING

This is to certify that have fully complied with all the requirements of Chapter No. 878 (House Bill No. 111 and Senate Bill No. 411) which serves to amend Tennessee Code Annotated Title 12, Chapter 4, Part I, attached herein for reference.

All Bidders for construction services on this project shall be required to submit an affidavit (by executing this compliance document) as part of their bid that attests that such Bidder shall comply with requirements of Chapter no. 878.

Signed:

State of

County of )

Personally appeared before me, the undersigned Notary Public, , the within named bargainor, with whom I am personally acquainted, and known to me to be the President/Owner/Partner (as applicable) of the

, Corporation, Partnership, Sole Proprietorship (as applicable) and acknowledged to me that he executed the foregoing document for the purposes recited therein.

Witness my hand, at office, this day of , 20_ .

Notary Public

My commission expires

Kalousek, John Rectangle

Image

Text Box Attachment No. 11

Text Box Attachment No. 11

MCGHEE TYSON AIRPORT TERMINAL APRON EXPANSION

ALCOA, TENNESSEE ISSUED FOR BID – SEPTEMBER 30, 2022

INTENTIONALLY LEFT BLANK

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State:
County of:
Contractor:
Name:
Name_2:
Company_1:
Company_2:
Month:
Year:
Date:

File details come from the government source that posted it. Updated .