E-Verify.pdf

PDF 476 KB Posted

Attached to
Invitation to Bid Parking Lot Rehabilitation (3)
Solicitation number
2025-PWP-014
Issued by
Marion County, Indiana

About this file

This is an E-Verify Affidavit document required by the City of Bloomington, Indiana for the Parking Lot Rehabilitation project bid opportunity. The affidavit requires the signatory, who must be an authorized representative of the bidding company, to affirm under oath that the company either has contracted or is seeking to contract with the City of Bloomington to provide services, or is a subcontractor on a City of Bloomington contract. The affidavit mandates that the company does not knowingly employ unauthorized aliens as defined under 8 United States Code 1324a(h)(3) and certifies that the company is enrolled in and actively participates in the E-Verify program. The document must be notarized, with the notary public providing signature, printed name, commission expiration date, and county of residence.

This affidavit is a compliance requirement for bidders on the City of Bloomington's Parking Lot Rehabilitation project involving three parking lots. Sealed bids must be submitted electronically through the OpenGov e-Procurement Portal by December 15, 2025 at 12:00 p.m., with a public bid opening scheduled for the same date. The project is scheduled to commence on June 1, 2026, with a 45-calendar-day completion timeline, weather permitting. All bidders must submit the completed E-Verify Affidavit along with other required documentation including State Form 96, Non-Collusion Affidavit, and contract compliance certification. Additionally, contractors must comply with the City of Bloomington's Living Wage Ordinance at a 2026 wage rate of $16.66 per hour, submit a drug testing program plan for bids exceeding $150,000, and provide performance and payment bonds equal to 100 percent of contract price for contracts of $200,000 or more.

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Text version

“AFFIDAVIT”

STATE OF _______________ )

) SS:

COUNTY OF _____________ )

E-VERIFY AFFIDAVIT

The undersigned, being duly sworn, hereby affirms and says that:

1. The undersigned is the ___________________ of _______________________________.

(job title) (company name)

2. The company named herein that employs the undersigned:

i. has contracted with or seeking to contract with the City of Bloomington to provide services; OR

ii. is a subcontractor on a contract to provide services to the City of Bloomington.

3. The undersigned hereby states that, to the best of his/her knowledge and belief, the company named herein does not knowingly employ an “unauthorized alien,” as defined at 8 United States Code

1324a(h)(3).

4. The undersigned herby states that, to the best of his/her belief, the company named herein is enrolled in and participates in the E-verify program.

Signature Printed Name

STATE OF _______________ )

) SS:

COUNTY OF _____________ )

Before me, a Notary Public in and for said County and State, personally appeared ___________________ and acknowledged the execution of the foregoing this _____ day of _____________________, 20____.

Notary Public’s Signature

Printed Name of Notary Public

My Commission Expires: __________________

County of Residence: _____________________

File details come from the government source that posted it. Updated .