E-Verify_Affidavit.pdf
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- Attached to
- COMPREHENSIVE FEE STUDIES
- Solicitation number
- RFP2026-3
- Issued by
- Broward County, Florida
About this file
This is a Contractor/Vendor E-Verify Affidavit required by the City of Cooper City, Florida for participation in the Comprehensive Fee Studies contract opportunity. The affidavit serves as a sworn declaration of compliance with Florida Statutes Sections 448.09 and 448.095, which mandate that public employers, contractors, and subcontractors register with and utilize the E-Verify system to confirm employment authorization. The document must be completed by an authorized representative of the contracting firm, notarized, and submitted as part of the proposal package. Contractors are required to affirm that neither they nor any subcontractors have had a contract terminated by a public employer for E-Verify violations within the year preceding the affidavit's execution.
The affidavit establishes ongoing compliance obligations throughout the contract term, requiring contractors to maintain E-Verify registration, ensure all subcontractors comply with statutory requirements, and provide immediate written notice to the City if any contract termination occurs due to E-Verify violations during performance. Failure to comply with these requirements may result in contract termination or bid disqualification. The affidavit template allows for completion of identifying information such as the affiant's name, title, company name, notarization details, and execution date, and must be executed under oath before a Florida Notary Public.
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Text version
2607394v1
CONTRACTOR/VENDOR E-VERIFY
AFFIDAVIT
STATE OF ______________________
COUNTY OF ____________________
BEFORE ME, the undersigned authority, appeared __________________________, who first being duly sworn hereby swears or affirms as follows:
1. I make this affidavit on personal knowledge.
2. I am over the age of 18 years and otherwise confident to make this
Affidavit.
3. I am the _____________________________________ of
_________________________________________________ (the “Contractor/Vendor”).
4. I am authorized by __________________________________ to make this Affidavit on behalf of Contractor/Vendor.
5. Contractor/Vendor acknowledges that Section 448.09, Florida Statutes, makes it unlawful for any person to knowingly employ, hire, recruit, or refer, for private or public employment, an alien who is not duly authorized to work in the United States.
6. Contractor/Vendor acknowledges that Section 448.095, Florida Statutes, prohibits public employers, contractors, and subcontractors from entering into a contract unless each party to the contract registers and uses E-Verify.
7. Contractor/Vendor is in compliance with the requirements of Sections
448.09 and 448.095, Florida Statutes.
8. Contractor/Vendor understands it shall remain in compliance with the requirements of Sections 448.09 and 448.095, Florida Statutes, during the term of any contract with the City.
9. Contractor/Vendor’s subcontractors are in compliance with the requirements of Sections 448.09 and 448.095, Florida Statutes.
10. Contractor/Vendor shall ensure compliance with the requirements of
Sections 448.09 and 449.095, Florida Statutes, by any and all of its subcontractors.
11. Neither the Contractor/Vendor, nor any subcontractor of
Contractor/Vendor, has had a contract terminated by a public employer for violating
Section 448.095, Florida Statutes, within the year preceding the date of this Affidavit.
12. If the Contractor/Vendor, or any subcontractor of Contractor/Vendor, has a contract terminated by a public employer for any such violation during the term of any contract with the City, it shall provide immediate notice thereof to the City.
Signature of Affiant on behalf of Contractor/Vendor
By: __________________________________
As its: ________________________________
Dated: _______________________________
STATE OF ______________________
COUNTY OF ____________________
Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence or ☐ online notarization, this _______ day of _________________________, 20___, by __________________________, on behalf of ____________________________, who is personally known to me or who has produced ___________________________ as identification.
Print Name: ___________________________ Notary Public of the State of Florida
My Commission Expires:
File details come from the government source that posted it. Updated .