E-Verify_Affidavit.pdf

This is an E-Verify Affidavit form required by Pinellas County, Florida for the Palm Harbor Recreation Center Addition general contractor solicitation. The affidavit serves as a compliance certification document whereby the contractor company attests that it does not employ, contract with, or subcontract with unauthorized aliens and maintains full compliance with Section 448.095, Florida Statutes. All employees hired on or after January 1, 2021 must have their work authorization status verified through the E-Verify system, with proof of the contractor's E-Verify system registration attached to the executed affidavit. The form requires the contractor's authorized representative to sign and print their name, provide the date of execution, and supply the Federal Work Authorization User Identification Number. The affidavit must be notarized by a Florida notary public, with the notary certifying either physical presence or online notarization of the contractor's representative, who must provide identification for verification purposes.

This affidavit is a mandatory compliance requirement for all bidders on the Palm Harbor Recreation Center Addition project. Contractors must complete and submit this document as part of their qualification and bid submission package to demonstrate adherence to federal work authorization requirements and Florida state employment law. The notarization requirement ensures the authenticity of the contractor's certification and serves as verification that the signatory is a duly authorized representative of the contracting entity. Failure to provide this completed and properly notarized affidavit may result in bid rejection or contract disqualification during the two-step qualification and bidding process scheduled for November 2025.