E-Verify_Affidavit.pdf
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- Solicitation number
- 26-0394-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is an E-Verify Affidavit form required by Pinellas County, Florida for contractors bidding on the Solid Waste Administration Building HVAC Renovation project (ITB-C #26-0394-ITB-C). The affidavit certifies that the contractor company does not employ, contract with, or subcontract with unauthorized aliens and is in full compliance with Florida Statute Section 448.095. All employees hired on or after January 1, 2021 must have their work authorization status verified through the E-Verify system. The document requires the contractor's signature, printed name, date, and Federal Work Authorization User Identification number, along with the Pinellas County contract name and number. The affidavit must be notarized before a Notary Public, with the notarization completed either through physical presence or online notarization. The contractor must attach a true and correct copy of proof of registration in the E-Verify system to the completed affidavit.
This form is a mandatory compliance requirement for all bidders on the HVAC renovation project. Contractors and all subcontractors must register with and use the E-Verify system in accordance with Florida Statute 448.095. The notarized E-Verify affidavit must be submitted as part of the contractor's qualification and bid documentation. Failure to provide this affidavit or proof of E-Verify system registration may result in bid rejection or contract disqualification.
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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 .