Contractor's E-Verify Registration Waiver.pdf
PDF 123 KB Posted
- Attached to
- 5th District Court of Appeal Security Upgrades
- Solicitation number
- ITN-14562
- Issued by
- Leon County, Florida
About this file
This is an E-Verify Registration Waiver Certification form for contractors working with the Office of the State Courts Administrator (OSCA) in Florida on the 5th District Court of Appeal Security Upgrades project (ITN #2025-002). The form allows contractors to certify their exemption from E-Verify registration requirements under Florida Statutes sections 448.09 and 448.095 if they meet specific criteria: they are not engaged as employers hiring employees for compensation, are organized outside the United States with no domestic physical locations, or employ fewer than five employees and do not hire more than five employees in a calendar year. Contractors must complete the certification by providing their business legal name, address, and taxpayer identification number, then select the applicable exemption checkbox. A mandatory pre-proposal conference is scheduled for January 22, 2026, at 10:00 AM with site visits available January 22-23, 2026. Technical and cost replies are due February 11, 2026, at 4:00 PM, with cost volume opening on February 25, 2026. The contract commences April 10, 2026, with an initial one-year term and potential renewals for up to three additional years.
By signing the certification, contractors acknowledge they will not hire employees unauthorized to work in the United States and agree to notify the Contract Manager within ten calendar days of any change in employer status or hiring of employees. Failure to provide appropriate notifications will result in immediate contract termination. No specific pricing terms or budget amounts are outlined in this waiver form. The procurement requires vendors to be registered with the Florida Department of State and maintain comprehensive insurance coverage including commercial general liability, professional liability, builder's risk, and workers' compensation insurance, with a performance bond equal to the total contract amount. Funding is subject to legislative appropriation under chapter 2024-231, Laws of Florida, section 7, line 3302.
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Text version
CONTRACTOR’S E-VERIFY REGISTRATION CERTIFICATION
I, _____________________________________, am the owner or authorized representative of the business entity shown below. I hereby acknowledge on behalf of my business or business entity that I am aware of the requirement in sections 448.09 and 448.095, Florida Statutes, that every public employer, contractor, and subcontractor shall register with and use the E-Verify system to verify the work authorization status of all newly hired employees.
Business or Business Entity Legal Name:
Business or Business Entity Legal Address:
Business or Business Entity Taxpayer Identification Number:
I hereby certify that my business:
Is not engaged as an “employer” who hires individuals as an “employee” to perform labor or services in exchange for a salary, wages or other renumeration requiring the completion and submission of the U.S. Citizenship and Immigration Services Form I-9, “Employment Eligibility Verification”, does not pay employee salaries or wages, does not collect federal withholding taxes from any salaries or wages and submit them to the Internal Revenue Service, has no power to dictate or control an individual’s work duties and obligations, and does not supervise employees of subcontractors.
Is organized outside the United States and its territories and does not have any physical locations within the United States, and is not considered an “employer”, as described in the paragraph above.
Does not have more than five (5) employees at any given time and does not hire more than five
(5) employees in a calendar year.
For the reasons stated above, my business or business entity is not eligible to register with and cannot use the Department of Homeland Security E-Verify System.
By signing this certification, I agree not to hire employees who are not authorized to be employed in the United States pursuant to 8 U.S.C. s. 1324a(h)(3) at the time of employment or at any time throughout the term of the employment. I further acknowledge that I will notify the Contract Manager within ten
(10) calendar days of any change in the business entity status as an employer or if any employees are hired. I further acknowledge that the failure to make the appropriate notifications will result in the immediate termination of my contract.
I HEREBY CERTIFY THAT THE FOREGOING IS TRUE AND CORRECT.
Sole Proprietor/Authorized Representative
Printed Name
SCS-E-Verify Registration Waiver Certification v.1.00 rev 6/2024
| am the owner or authorized representative of the business: |
| Business or Business Entity Legal Name: |
| Business or Business Entity Legal Address: |
| Business or Business Entity Legal Address_2: |
| Business or Business Entity Legal Address_3: |
| Business or Business Entity Taxpayer Identification Number: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Text4: |
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