EVerify_Affidavit_(5-15-25).pdf
PDF 121 KB Posted
- Attached to
- Material Testing Services Continuing Contract
- Solicitation number
- 25-054-RSQ
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This is an Employment Eligibility Verification System (E-Verify) Affidavit required by the City of Fort Myers, Florida, as a condition of vendor registration, solicitation response, and contract entry. The affidavit mandates compliance with Section 448.095 of the Florida Statutes regarding employment eligibility verification. Vendors, contractors, and their authorized representatives must attest under oath before a notary public that they are registered with the E-Verify system and will maintain such registration for the duration of any contract. The affidavit applies to all newly hired employees and extends to all subcontractors, who must provide written attestation that they do not employ, contract with, or subcontract with unauthorized aliens. The document requires completion with specific information including the affiant's name and title, the contractor or firm name, the date of the affidavit, county of Lee, state of Florida, and notary acknowledgment with seal.
Non-compliance with E-Verify requirements results in significant penalties, including vendor termination, disqualification from solicitation awards, contract denial, or cancellation of active contracts. If a subcontractor knowingly violates the statute, the subcontract must be terminated immediately. The City of Fort Myers reserves the right to request supporting documentation from vendors at any time to verify compliance. Any challenge to termination under this provision must be filed within 20 calendar days of the termination date. This affidavit requirement applies to all solicitations released by the City of Fort Myers and is a mandatory precondition for participation in any competitive bidding process or contract award.
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Text version
Notarized Affidavit
EMPLOYMENT ELIGIBILITY VERIFICATION SYSTEM (E-VERIFY) AFFIDAVIT
BY REGISTERING AS A VENDOR, SUBMITTING A RESPONSE TO A SOLICITATION, OR ENTERING INTO A CONTRACT, YOU ARE OBLIGATED TO COMPLY WITH THE PROVISIONS OF SECTION 448.095, FLA. STAT., "EMPLOYMENT ELIGIBILITY."
FURTHER, BY YOUR REGISTRATION AS A VENDOR, RESPONSE TO A SOLICITATION, ENTERING INTO A CONTRACT, YOU AFFIRM AND REPRESENT THAT YOU ARE REGISTERED WITH THE E-VERIFY SYSTEM AND ARE USING SAME, AND WILL CONTINUE TO USE SAME AS REQUIRED BY SECTION 448.095, F.S. COMPLIANCE WITH SECTION 448.095 INCLUDES, BUT IS NOT LIMITED TO, UTILIZATION OF THE E-VERIFY SYSTEM TO VERIFY THE WORK AUTHORIZATION STATUS OF ALL NEWLY HIRED EMPLOYEES, AND REQUIRING ALL SUBCONTRACTORS TO PROVIDE AN AFFIDAVIT ATTESTING THAT THE SUBCONTRACTOR DOES NOT EMPLOY, CONTRACT WITH, OR SUBCONTRACT WITH, AN UNAUTHORIZED ALIEN. FAILURE TO COMPLY WILL LEAD TO TERMINATION AS A VENDOR, DISQUALIFYING YOU FOR AWARD OF A SOLICITATION, DENIAL OF ENTERING INTO A CONTRACT AND/OR, CANCELLATION OF AN ACTIVE CONTRACT, OR IF YOUR SUBCONTRACTOR KNOWINGLY VIOLATES THE STATUTE, THE SUBCONTRACT MUST BE TERMINATED IMMEDIATELY. ANY CHALLENGE TO TERMINATION UNDER THIS PROVISION MUST BE FILED NO LATER THAN 20 CALENDAR DAYS AFTER THE DATE OF
TERMINATION.
STATE OF FLORIDA
COUNTY OF LEE
This ____________ day of ____________ 20___, _______________________, being first duly sworn, deposes and says that he or she is the authorized representative of ________________________ (Name of the contractor, firm or individual), maker of the attached request for bid, proposals, qualifications and/or any other solicitation released by the City of Fort Myers and that the bidder and any of its agents agree to abide by the City of Fort Myers Employment Eligibility Verification System requirements in regards to this solicitation.
AFFIANT
The foregoing instrument was acknowledged before me this ___ day of ___________, 20__ by (name of person, officer, or agent, title of officer or agent), of
(state of incorporation or (corporation or partnership, if as
(corporation or partnership, if applicable), a partnership, if applicable), on behalf of the applicable). He/She is personally known to me or has produced identification.
Name of Notary typed, printed or stamped
Name typed, printed or stamped
(Title or Rank)
City of Fort Myers reserves the right to request supporting documentation at any time.
(Seal)
Signature of person taking acknowledgment
Notary Public Signature
File details come from the government source that posted it. Updated .