D-_Form_3_Immigration_Certification.pdf
PDF 172 KB Posted
- Attached to
- Design Services for Northeast Service Area Utility Infrastructure Improvements State and local contract opportunity
- Solicitation number
- 25-8615
- Issued by
- Collier County, Florida
About this file
This document is an Immigration Certification Form (Form 3) issued by the Procurement Services Division of Collier County, Florida. The form requires vendors submitting proposals or bids to be enrolled in the E-Verify program, which verifies employment eligibility. Vendors must provide proof of enrollment through a completed E-Verify Company Profile page or a fully executed Memorandum of Understanding at the time of proposal submission. Failure to do so will result in the vendor's submission being deemed non-responsive.
The form outlines Collier County's policy of not awarding contracts to vendors who knowingly employ unauthorized alien workers, in compliance with federal immigration laws and Florida Statutes §448.095. Vendors must attest to being fully compliant with immigration laws, specifically the 1986 Immigration Act and its amendments. The document requires vendors to agree to provide proof of enrollment in the Employment Eligibility Verification System (E-Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration. The form includes a certification section where a corporate authorized representative must sign under penalties of perjury, confirming the accuracy of the information provided.
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Text version
Version 2 9.2.25
Procurement Services Division
Form 3: Immigration Certification
Vendors are required to be enrolled in the E-Verify program (https://www.e-verify.gov/), at the time of the submission of the Vendor’s proposal/bid. Acceptable evidence of your enrollment consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company which will be produced at the time of the submission of the Vendor’s proposal/bid. Failure to do so will result in the vendor’s submission being deemed non-responsive.
Collier County will not intentionally award County contracts to any Vendor who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act (“INA”).
Collier County may consider the employment by any Vendor of unauthorized aliens a violation of Section 274A (e) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the contract by Collier County.
Vendor attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent Amendment(s), that it is aware of and in compliance with the requirements set forth in Florida Statutes §448.095, and agrees to comply with the provisions of the Memorandum of Understanding with E-Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E-Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Vendor’s proposal/bid.
Under penalties of perjury, I certify that the information shown on this form is correct to my knowledge and a duly corporate authorized representative with signature authority.
Company Name: _________________________________________
Date: _____________________________
Signature: ____________________________________________ Title: _____________________________ https://www.e-verify.gov/
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| Date21_af_date: |
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