Attachment%20A%20Attestation.pdf
PDF 44 KB Posted
- Attached to
- Facility Protection Services - UPDATED State and local contract opportunity
- Solicitation number
- RFP 32110-22726
- Issued by
- Davidson County, Tennessee
About this file
This is an attestation document related to RFP 71, requiring contractor certification regarding personnel compliance in contract performance. The attestation applies to a subject contract identified by contract number and contractor legal entity name, with corresponding Federal Employer Identification Number or Social Security Number. The contractor must attest and certify that it will not knowingly utilize illegal immigrants in performing the contract work and will not knowingly engage subcontractors who utilize illegal immigrants in contract performance.
The attestation must be executed by an individual with authority to contractually bind the contractor. If the signatory is not the contractor's chief executive or president, documentation evidencing the signatory's authority to bind the contractor must be attached. The document requires the printed name, title, and date of attestation from the authorized signatory.
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Text version
11‐14‐14 RFP
ATTACHMENT A
ATTESTATION RE PERSONNEL USED IN CONTRACT PERFORMANCE
If the attestation applies to more than one contract, modify this row accordingly.
SUBJECT CONTRACT NUMBER:
CONTRACTOR LEGAL ENTITY NAME:
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
(or Social Security Number)
If the attestation applies to more than one contract, modify the following paragraph accordingly.
The Contractor, identified above, does hereby attest, certify, warrant, and assure that the Contractor shall not knowingly utilize the services of an illegal immigrant in the performance of this Contract and shall not knowingly utilize the services of any subcontractor who will utilize the services of an illegal immigrant in the performance of this Contract.
CONTRACTOR SIGNATURE
NOTICE: This attestation MUST be signed by an individual empowered to contractually bind the Contractor. Attach evidence documenting the individual’s authority to contractually bind the Contractor, unless the signatory is the Contractor’s chief executive or president.
PRINTED NAME AND TITLE OF SIGNATORY
DATE OF ATTESTATION
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