E-Verify_Affidavit.pdf
PDF 69 KB Posted
- Attached to
- STAR Center Chiller 2 Replacement
- Solicitation number
- 23-1128-ITB-C
- Issued by
- Pinellas County, Florida
About this file
The document is an E-Verify Affidavit related to a Pinellas County contract for the STAR Center Chiller 2 Replacement project in Florida. The affidavit requires the contractor to certify compliance with Section 448.095 of Florida Statutes, specifically confirming that the company does not employ unauthorized aliens and has verified work authorization status through the E-Verify system for all employees hired on or after January 1, 2021. The affidavit must be signed, notarized, and include proof of E-Verify system registration.
The project involves a turn-key installation of a new 900-ton water-cooled chiller for the STAR Center's Central Energy plant, replacing a failed existing chiller. The primary objective is to maintain current operating conditions and provide reliable air conditioning for STAR Center tenants. While the affidavit does not provide specific pricing or funding details, it is a mandatory compliance document that contractors must complete to be eligible for the contract, demonstrating their commitment to legal employment practices and workforce verification.
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Text version
E-VERIFY AFFIDAVIT
E-VERIFY AFFIDAVIT
I hereby certify that ___________________________ [insert contractor company name] does not employ, contract with, or subcontract with an unauthorized alien, and is otherwise in full compliance with Section 448.095, Florida Statutes.
All employees hired on or after January 1, 2021 have had their work authorization status verified through the E-Verify system.
A true and correct copy of _______________________________ [insert contractor company name] proof of registration in the E-Verify system is attached to this Affidavit.
Signature:______________________________
Print Name:______________________________
Date:______________________________
Federal Work Authorization User Identification No.:_____________________________
Name of Pinellas County Contract and Contract No.:____________________________
STATE OF FLORIDA COUNTY OF ________________
The foregoing instrument was acknowledged before me by means of 1) physical presence __ or 2) online notarization ___, this __________________________ (date) by ____________________________ (name of officer or agent, title of officer or agent) of _____________________________________ (name of contractor company acknowledging), a __________________________________ (state or place of incorporation) corporation, on behalf of the corporation.
He/she is personally known to me or has produced __________________________________ (type of identification) as identification.
[Notary Seal]
Notary Public:_________________________________________
Name typed, printed, or stamped:_________________________________________
My Commission Expires:_________________________________________
File details come from the government source that posted it. Updated .