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

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Attached to
Truck Toppers and Bed Slides
Solicitation number
DQ1 AADA 2016001682 6
Issued by
Denver County, Denver City, Colorado

About this file

This is a Notice of Participation form from the Colorado Division of Labor requiring contractors entering into or renewing public contracts for services with Colorado state agencies or political subdivisions to comply with employee verification requirements. Effective May 13, 2008, contractors must participate in either the federal E-Verify program or the Colorado Department of Labor and Employment Program established under Colorado State Senate Bill 08-193. Contractors choosing to participate in the Colorado Department program must complete and sign this form, submit it to the Colorado Division of Labor at 633 17th Street, Suite 200, Denver, Colorado 80202-3660, and include the form with their contract submission to the contracting state agency or political subdivision. The form requires completion of contractor business information, contracting agency or political subdivision contact details, contract information including contract number and dollar amount, and signature authorization from the contractor or contractor representative.

Contractors participating in the Colorado Department of Labor and Employment Program agree to abide by all applicable provisions of 8-17.5-101 and 102, C.R.S., and consent to undergo random audits by the Department. This requirement applies to all public service contracts with state agencies and political subdivisions in Colorado. The form serves as official notification of program participation and must be properly completed and submitted for the contractor to maintain eligibility for public contract work in the state.

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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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