E-verify Form (1).pdf
PDF 38 KB Posted
- Attached to
- SHELTER AND GUARD/GATE HOUSE WRAP PROJECT
- Solicitation number
- 147452
- Issued by
- Marion County, Indiana
About this file
This is an E-Verify Form Affidavit required under Indiana Code 22-5-1.7 for contractors entering into a Services Agreement with the Indiana state government regarding the Shelter and Guard/Gate House Wrap Project. The affidavit serves as a sworn certification by the contractor that the company does not employ unauthorized aliens, to the best of the signatory's knowledge and belief. The document requires the contractor's authorized representative to sign the affidavit before a notary public, with the notary providing their signature, commission expiration date, and county of residence.
This compliance document is a mandatory requirement for contract award and execution in Indiana and reflects the state's enforcement of federal employment verification standards. The affidavit does not contain pricing information, set-asides, funding amounts, or other substantive contract terms; rather, it functions as a prerequisite certification that contractors must complete and submit as part of the contracting process to demonstrate compliance with state labor law requirements regarding employment eligibility verification.
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Text version
E-verify Form
Affidavit re Ind. Code § 22-5-1.7 (E-Verify Program Requirements)
STATE OF ____________________ )
) SS:
COUNTY OF __________________ )
____________________________, having been duly sworn upon his/her oath, deposes and says that the “Contractor” named under the Services Agreement with
IAA, does not employ unauthorized aliens to the best of his/her knowledge and belief, and hereby signs this Affidavit to verify same where indicated below.
(Signature)
Subscribed and sworn by me, a notary public in and for said County and
State, on this ________ day of ______________________, 20____.
Notary Public:
(Signature)
My Commission Expires: My County of Residence:
File details come from the government source that posted it. Updated .