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 a Contractor's E-Verify Registration Waiver Certification form required by the Office of the State Courts Administrator (OSCA) for the 5th District Court of Appeal Security Upgrades project in Florida. The form allows contractors to certify exemption from E-Verify registration requirements under Florida Statutes sections 448.09 and 448.095. Contractors may claim exemption if they: (1) are not engaged as an employer requiring Form I-9 completion, do not pay employee salaries or withhold federal taxes, and do not control or supervise employees; (2) are organized outside the United States with no physical U.S. locations and are not considered employers; or (3) employ no more than five employees at any given time and do not hire more than five employees in a calendar year. The certification must be signed by the sole proprietor or authorized representative and include the business legal name, address, and taxpayer identification number.
By executing this certification, the contractor agrees not to hire unauthorized workers under 8 U.S.C. § 1324a(h)(3) and must notify the Contract Manager within ten calendar days of any change in employer status or if employees are hired. Failure to provide appropriate notification will result in immediate contract termination. This waiver is a mandatory compliance document for contractors bidding on the 5th District Court of Appeal Security Upgrades ITN #2025-002, with technical and cost replies due February 11, 2026, and contract commencement scheduled for April 10, 2026, with an initial one-year term and potential renewals for up to three additional years.
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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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