E-Verify_Affidavit.pdf
PDF 69 KB Posted
- Attached to
- Reconstruct Airport Perimeter Fence Phase 2-PIE
- Solicitation number
- 26-0618-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is an E-Verify Affidavit document required by the State of Florida in connection with the Reconstruct Airport Perimeter Fence Phase 2 project at St. Pete-Clearwater International Airport. The affidavit serves as a compliance document for contractors bidding on or performing work related to this airport security and safety enhancement project. The project involves the replacement of vulnerable fencing and gates with 8-foot tall prefabricated, non-scalable fencing topped with razor wire and wildlife deterrent skirts in various locations throughout the Air Operations Area to prevent unauthorized access by people and wildlife.
The E-Verify Affidavit requires contractors and their subcontractors to certify their enrollment in and compliance with the E-Verify employment eligibility verification system, in accordance with Florida's public records and employment verification requirements. This document is a mandatory compliance requirement for all bidders and potential awardees on this project and must be completed and submitted as part of the bid package or contract documentation to ensure that all workers employed on this airport security project are authorized to work in the United States.
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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 .