E-Verify_Document_Sample.pdf
PDF 705 KB Posted
- Attached to
- Electrical Equipment Repair and Rebuild Services
- Solicitation number
- 2022-ITB-039
- Issued by
- Lackawanna County, Washington
About this file
This is an E-Verify Declaration form from Pierce County, Washington, requiring contractors to enroll in the federal E-Verify program for county contracts exceeding specific monetary thresholds. The document outlines mandatory requirements for contractors bidding on public works projects over $100,000 or other county contracts over $25,000 with a contract duration greater than 120 days. Contractors must enroll in the E-Verify system, provide documentation affirming enrollment and participation, and ensure that all applicable subcontractors also comply with the requirement.
The declaration form requires contractors to certify under penalty of perjury that they are currently enrolled in the E-Verify system implemented on March 1, 2010, and will continue using it throughout the project's duration. Pierce County reserves the right to request a copy of the Memorandum of Understanding between the contractor and the Department of Homeland Security at any time, with failure to provide this document within 10 days potentially resulting in contract suspension. The form must be signed by an authorized representative of the bidding/proposing firm, demonstrating compliance with the county's workforce verification requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| Electrical_Equipment_Repair_and_Rebuild_Services.pdf | ||
| Contract_Compliance_-2022-ITB_039.docx | DOCX document | |
| General_Provisions.docx | DOCX document |
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Text version
SAMPLE
E-VERIFY DECLARATION
Firm Name:
Contract No.:
Pierce County requires that, as a condition for the award of any County contract for public works in excess of $100,000.00 or any other County contract in excess of $25,000.00, and the duration of the contract is greater than 120 days, the business entity or contractor shall enroll in the E Verify program, or its successor, and thereafter shall provide the County documentation affirming its enrollment and participation in the program. The requirement extends to every subcontractor meeting the same criteria. The Prime Contractor must provide certification of enrollment with bid submittal. The Prime Contractor is responsible for verification of every applicable subcontractor.
Pierce County reserves the right to require a copy of a Memorandum of Understanding between the Prime or any Subcontractor and Department of Homeland Security upon request at any time during the project verifying the contractor’s enrollment. Failure to provide this document could result in suspension of the project.
The Federal E-Verify Program is a web-based application that can be accessed at:
www.dhs.gov/everify.
The undersigned declares, under penalty of perjury under the laws of Washington that:
1. That the above named firm is currently enrolled in and using the E-Verify system implemented on March 1, 2010 as outlined in PCC 2.106.022 and will continue to use the E-Verify system for so long as work is being performed on the above named project.
2. I certify that I am duly authorized to sign this declaration on behalf of the above named bidder/proposer.
3. I acknowledge that Pierce County reserves the right to require a copy of the Memorandum of Understanding between the contractor listed above and the Department of Homeland Security certifying enrollment in the E-Verify program at any time. Failure to provide the required Memorandum of Understanding within 10 days of request could lead to suspension of this contract.
Dated at Washington this day of , 20
Signature
Printed Name
Title
END OF FORM
http://www.dhs.gov/everify
File details come from the government source that posted it. Updated .