Exhibit_F-E-Verify_Affidavit_.pdf
PDF 118 KB Posted
- Solicitation number
- CC-5888-24/HSM
- Issued by
- Seminole County, Florida
About this file
This document is an Affidavit of E-Verify Requirements Compliance for Seminole County, Florida, specifically related to a Master Services Agreement for Trail Edge Restoration and Repairs (Project CC-5888-24/HSM). The affidavit requires the consultant/contractor to utilize the U.S. Department of Homeland Security's E-Verify system to verify employment eligibility for all new employees hired during the contract term, including requirements for subcontractors to do the same.
The document outlines critical compliance requirements under Section 448.095 of Florida Statutes, with significant consequences for non-compliance. Specifically, failure to verify employee work authorization constitutes a breach of the agreement, for which Seminole County may immediately terminate the contract without notice or penalty. The contractor would then be liable for any costs incurred by the county as a result of the breach. The form is designed to be completed and notarized, with spaces for the consultant/contractor's details, signature, and notary verification.
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Text version
Agreement Name:
Agreement Number:
AFFIDAVIT OF E-VERIFY REQUIREMENTS COMPLIANCE
The CONSULTANT/CONTRACTOR agrees to comply with section 448.095, Florida Statutes, and to incorporate in all subcontracts the obligation to comply with section 448.095, Florida Statutes.
1. The CONSULTANT/CONTRACTOR shall utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of all new employees hired by the CONSULTANT during the term of the Agreement and shall expressly require any subcontractors performing work or providing services pursuant to the Agreement to likewise utilize the U.S. Department of Homeland Security’s E- Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the Agreement term.
2. That the CONSULTANT/CONTRACTOR understands and agrees that its failure to comply with the verification requirements of Section 448.095, Florida Statutes or its failure to ensure that all employees and subcontractors performing work under Agreement Number are legally authorized to work in the United States and the State of Florida, constitutes a breach of this Agreement for which Seminole County may immediately terminate the Agreement without notice and without penalty. The CONSULTANT/CONTRACTOR further understands and agrees that in the event of such termination, the CONSULTANT/CONTRACTOR shall be liable to the county for any costs incurred by the County as a result of the CONSULTANT’S/CONTRACTOR’S breach. DATED this day of , 20 .
Consultant Name
By:
Print/Type Name:
Title:
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 (Full Name of Affiant).
Print/Type Name Notary Public in and for the County and State Aforementioned My commission expires:
E-Verify Affidavit Revised 5/19/2021
| Agreement Name: |
| Agreement Number: |
| and subcontractors performing work under Agreement Number: |
| the County as a result of the CONSULTANTSCONTRACTORS breach DATED this: |
| day of: |
| 20: |
| Consultant Name: |
| By: |
| PrintType Name: |
| Title: |
| STATE OF: |
| COUNTY OF: |
| Sworn to or affirmed and subscribed before me by means of: Off |
| physical presence OR: Off |
| day of_2: |
| by: |
| undefined: |
| PrintType Name_2: |
| My commission expires: |
| Signature1_es_:signer:signature: |
| Signature2_es_:signer:signature: |
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