Attachment 2 Notice to Participate.pdf

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Attached to
WALL CERTIFICATES/ WALLET CARDS
Solicitation number
DQ1 SJAA 2019000532 2
Issued by
Denver County, Denver City, Colorado

About this file

This is a Notice of Participation form issued by the Colorado Division of Labor, a department under the Colorado Department of Labor and Employment, regarding contractor participation requirements for public contracts for services with Colorado state agencies and political subdivisions. The notice establishes that as of May 13, 2008, all contractors entering into or renewing public service contracts must participate in either the federal E-Verify program or the Colorado Department of Labor and Employment Program. The form itself serves as the registration document for contractors who elect to participate in the state program rather than E-Verify. Contractors must complete the form in its entirety, including contractor business information, contracting agency details, contract specifics (number, dollar amount, effective date, and end date), and signature authorization from an authorized representative. The completed form must be submitted to the Colorado Division of Labor at the specified Denver address and included with the contract submitted to the contracting state agency or political subdivision.

Contractors who elect to participate in the Colorado Department of Labor and Employment Program agree to abide by all applicable provisions of Colorado State Senate Bill 08-193, which amended sections 8-17.5-101 and 102 of the Colorado Revised Statutes. Participating contractors consent to undergo random audits conducted by the Department as required by statute. The form includes fields for capturing contract dollar amounts and durations but does not specify pricing terms, set-asides, or funding sources, as this is a compliance and registration document rather than a procurement solicitation. This requirement applies broadly to all contractors regardless of contract size or type of services provided.

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Text version

NOTICE OF PARTICIPATION

IN THE

DEPARTMENT PROGRAM

FOR PUBLIC CONTRACTS FOR SERVICES

Colorado Division of Labor

633 17 th

Street, Suite 200

Denver, Colorado 80202-3660 Telephone: (303) 318-8441

Toll-Free: 1-888-390-7936 www.coworkforce.com/lab

Effective May 13, 2008, contractors who enter into or renew a public contract for services with Colorado state agencies or political subdivisions must participate in either the federal E-Verify program, OR the newly created Colorado Department of

Labor and Employment Program. The option to enroll in the new Department Program was created by Colorado State Senate

Bill 08-193, which amended 8-17.5-101 and 102, C.R.S.

If a contractor wishes to participate in the Colorado Department of Labor and Employment Program in lieu of utilizing the federal E-Verify program, the contractor or contractor’s representative must (among other requirements):

1) Sign and complete this form in its entirety and submit this form to the Colorado Division of Labor via mail or in-person to the address noted above, AND

2) Include this form with the contract to the contracting State agency or political subdivision.

Notice is hereby given of participation in the Colorado Department of Labor and Employment Program established pursuant to

8-17.5-102(5)(c)(I), C.R.S. The undersigned agrees to abide by all applicable provisions of this law, including consent to undergo random audits by the Department pursuant to 8-17.5-102(5)(c)(III), C.R.S.

Contractor Contact Information

CONTRACTOR / BUSINESS NAME

ADDRESS CITY, STATE, ZIP

PHONE

FAX

E-MAIL ADDRESS

Contracting State Agency or Political Subdivision Contact Information

STATE AGENCY OR POLITICAL SUBDIVISION NAME

CONTACT NAME AT AGENCY OR SUBDIVISION TITLE

ADDRESS CITY, STATE, ZIP

PHONE

FAX

Contract Information

CONTRACT NUMBER APPROXIMATE CONTRACT DOLLAR AMOUNT ($)

CONTRACT EFFECTIVE DATE CONTRACT END DATE

Contractor OR Contractor Representative Information (Individual Signing this Notification)

NAME TITLE

PHONE

FAX

CONTRACTOR / REPRESENTATIVE SIGNATURE DATE SIGNED

For official use only:

Claim #

Assigned to

For more information on this law, visit: www.coworkforce.com/lab/pcs http://www.coworkforce.com/lab http://www.coworkforce.com/lab/pcs

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