Attachment 2 - Notice to Participate- SCO Form- 2008.pdf

PDF 25 KB Posted

Attached to
Topper Bid
Solicitation number
DQ1 AADA 2016000735 6
Issued by
Denver County, Denver City, Colorado

About this file

This is a Notice of Participation form issued by the Colorado Division of Labor for contractors entering into or renewing public contracts for services with Colorado state agencies or political subdivisions. Effective May 13, 2008, the form documents a contractor's election to participate in the Colorado Department of Labor and Employment Program as an alternative to the federal E-Verify program, as established under Colorado State Senate Bill 08-193. Contractors must complete and sign the form in its entirety, submit it to the Colorado Division of Labor via mail or in-person, and include it with their contract submission to the relevant state agency or political subdivision. The form requires contractors to provide their business name, address, contact information, and the details of the contracting state agency or political subdivision, including contract number, approximate dollar amount, contract effective date, and contract end date.

By signing the Notice of Participation, the contractor agrees to comply with all applicable provisions of the law, including consent to random audits conducted by the Department. The form must be signed by an authorized contractor representative and dated. No specific pricing terms, set-asides, or funding sources are addressed in this document, as it serves solely as a compliance notification and enrollment mechanism for the Colorado Department of Labor and Employment Program rather than a contract with substantive commercial terms.

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Text version

Colorado Division of Labor 633 17th Street, Suite 200

Denver, Colorado 80202-3660 Telephone: (303) 318-8441 Toll-Free: 1-888-390-7936 www.coworkforce.com/lab

NOTICE OF PARTICIPATION

IN THE

DEPARTMENT PROGRAM

FOR PUBLIC CONTRACTS FOR SERVICES

For official use only:

Claim # ___________ Assigned to _______ For more information on this law, visit: www.coworkforce.com/lab/pcs

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

E-MAIL ADDRESS

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

E-MAIL ADDRESS

CONTRACTOR / REPRESENTATIVE SIGNATURE DATE SIGNED

http://www.coworkforce.com/lab

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