Attachment 3 - Contractor Affirmation- SCO Form- 2008.pdf
PDF 34 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 Contractor Affirmation form issued by the Colorado Division of Labor for use by contractors participating in the Department Program for public contracts for services under Colorado Revised Statutes 8-17.5-101 and 8-17.5-102. The form requires contractors to affirm compliance with federal employment eligibility verification requirements within twenty days of hiring any employee to perform work under a public contract for services. Contractors must provide a notarized written copy of the completed affirmation to the contracting state agency or political subdivision, documenting that they have examined the legal work status of newly hired employees, retained file copies of documents required by 8 U.S.C. Section 1324a, and have not altered or falsified employee identification documents. The form designates specific fields for employee information including name, date of birth, and date of hire, as well as contractor details such as business name, contract number, and contractor representative signature.
Contractors must maintain the completed affirmation and supporting employment eligibility documents for the duration of each employee's employment under the public contract. The form must be notarized and includes fields for the notary's official signature and commission expiration date. The affirmation may be substituted with another substantially similar form provided it contains all legally required elements and information. This affirmation requirement applies to all contractors bidding on or performing services under state and local public contracts in Colorado and serves as a compliance mechanism for the state's employment verification program.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1- Process Guide for Contractors- Agencies- SCO Form- 2008.pdf | ||
| DQ1-AADA-2016-735 Pickup Truck Toppers.pdf | ||
| Attachment 6 - Insurance Requirements.doc | DOC document | |
| Addendum_2 version 2.doc | DOC document | |
| Addendum_1.doc | DOC document | |
| Exhibit B - PO_Terms_&_Conditions_1-1-09.pdf | ||
| Attachment 5_ W-9.pdf | ||
| Attachment 2 - Notice to Participate- SCO Form- 2008.pdf | ||
| Attachment 4 - Vendor Disclosure Statement.doc | DOC document | |
| Addendum_3.doc | DOC document |
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Text version
Contractor Affirmation for the Department Program Required for use by contractors participating in the Department Program for public contracts for services
8-17.5-101 & 102, C.R.S.
The contractor shall provide a written, notarized copy of this affirmation to the contracting state agency or political subdivision.
DO NOT submit this affirmation to the Colorado Division of Labor unless specifically requested to do so.
Employee Name: ________________________________________________________________________ Date of Birth : ______________ Date of Hire: ______________ Last First M.I.
In accordance with 8-17.5-102, C.R.S., I have:
(Initial after each)
• Examined the legal work status of the above named employee: _____
• Retained file copies of documents required by 8 U.S.C. sec. 1324a.: _____
• Not altered or falsified the employee’s identification documents: _____
Contract Number: _________________________________________________________
Contractor / Business Name:_________________________________________________
Phone: ______________________________
Contractor or Contractor Representative Name: _________________________________
Contractor OR Contractor Representative Signature and Title: _________________________________________________________ Date Signed: _____________________
Subscribed and affirmed before me in the county of __________________, State of Colorado, this ______ day of _______________, 20____.
(Notary’s official signature)
(Commission expiration date)
8-17.5-102(5)(c)(II), C.R.S. A participating contractor shall, within twenty days after hiring an employee who is newly hired for employment to perform work under the public contract for services, affirm that the contractor has examined the legal work status of such employee, retained file copies of the documents required by 8 U.S.C. sec. 1324a, and not altered or falsified the identification documents for such employees. The contractor shall provide a written, notarized copy of the affirmation to the contracting state agency or political subdivision.
This affirmation and the documents required by 8 U.S.C. sec. 1324a will be retained by the contractor for the duration of the above named individual’s employment.
This affirmation is provided as a courtesy by the Colorado Division of Labor.
Another substantially similar affirmation may be used, provided that it contains the necessary elements and information as required by law.
Notary Seal
File details come from the government source that posted it. Updated .