E-Verify_Affidavit.pdf
PDF 54 KB Posted
- Attached to
- Platting Services Continuing Contract State and local contract opportunity
- Solicitation number
- 25-066-RSQ
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This document is a Notarized Affidavit for Employment Eligibility Verification System (E-Verify) from the City of Fort Myers, located in Lee County, Florida. The affidavit requires vendors, bidders, and contractors to comply with Section 448.095 of the Florida Statutes regarding employment eligibility verification. Specifically, vendors must register with the E-Verify system, use it to verify work authorization status for all newly hired employees, and ensure that subcontractors also comply with these requirements.
The document outlines strict consequences for non-compliance, including termination as a vendor, disqualification from solicitation awards, denial of contract entry, or cancellation of active contracts. Subcontractors who knowingly violate the statute must have their subcontracts terminated immediately. The City of Fort Myers reserves the right to request supporting documentation at any time, and any challenges to termination must be filed within 20 calendar days of the termination date. This affidavit is specifically related to a Platting Services Continuing Contract, where surveying and mapping consultants will be selected through a competitive negotiation process.
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Text version
Notarized Affidavit
EMPLOYMENT ELIGIBILITY VERIFICATION SYSTEM (E-VERIFY) AFFIDAVIT
BY REGISTERING AS A VENDOR, SUBMITTING A RESPONSE TO A SOLICITATION, OR ENTERING INTO A CONTRACT, YOU ARE OBLIGATED TO COMPLY WITH THE PROVISIONS OF SECTION 448.095, FLA. STAT., "EMPLOYMENT ELIGIBILITY." FURTHER, BY YOUR REGISTRATION AS A VENDOR, RESPONSE TO A SOLICITATION, ENTERING INTO A CONTRACT, YOU AFFIRM AND REPRESENT THAT YOU ARE REGISTERED WITH THE E-VERIFY SYSTEM AND ARE USING SAME, AND WILL CONTINUE TO USE SAME AS REQUIRED BY SECTION 448.095, F.S. COMPLIANCE WITH SECTION 448.095 INCLUDES, BUT IS NOT LIMITED TO, UTILIZATION OF THE E-VERIFY SYSTEM TO VERIFY THE WORK AUTHORIZATION STATUS OF ALL NEWLY HIRED EMPLOYEES, AND REQUIRING ALL SUBCONTRACTORS TO PROVIDE AN AFFIDAVIT ATTESTING THAT THE SUBCONTRACTOR DOES NOT EMPLOY, CONTRACT WITH, OR SUBCONTRACT WITH, AN UNAUTHORIZED ALIEN. FAILURE TO COMPLY WILL LEAD TO TERMINATION AS A VENDOR, DISQUALIFYING YOU FOR AWARD OF A SOLICITATION, DENIAL OF ENTERING INTO A CONTRACT AND/OR, CANCELLATION OF AN ACTIVE CONTRACT, OR IF YOUR SUBCONTRACTOR KNOWINGLY VIOLATES THE STATUTE, THE SUBCONTRACT MUST BE TERMINATED IMMEDIATELY. ANY CHALLENGE TO TERMINATION UNDER THIS PROVISION MUST BE FILED NO LATER THAN 20 CALENDAR DAYS AFTER THE DATE OF TERMINATION.
STATE OF FLORIDA
COUNTY OF LEE
This ____________ day of ____________ 20___, _______________________, being first duly sworn, deposes and says that he or she is the authorized representative of ________________________ (Name of the contractor, firm or individual), maker of the attached request for bid, proposals, qualifications and/or any other solicitation released by the City of Fort Myers and that the bidder and any of its agents agree to abide by the City of Fort Myers Employment Eligibility Verification System requirements in regards to this solicitation.
AFFIANT
The foregoing instrument was acknowledged before me this of, 20__ by (name of person, officer, or agent, title of officer or agent), of (corporation or partnership, if applicable), a (state of incorporation or partnership, if applicable), on behalf of the (corporation or partnership, if applicable). He/She is personally known to me or has produced as identification.
Signature of person taking acknowledgment
Name typed, printed or stamped
(Title or Rank)
City of Fort Myers reserves the right to request supporting documentation at any time.
| COUNTY OF LEE: |
| 20: |
| undefined: |
| fill_4: |
| The foregoing instrument was acknowledged before me this of 20: |
| by: |
| corporation or: |
| name of person officer or agent title of officer or agent of: |
| partnership if applicable a: |
| corporation or partnership if applicable HeShe is: |
| personally known to me or has produced: |
| Name typed printed or stamped: |
| Text1: |
File details come from the government source that posted it. Updated .