Form_3_Immigration_Certification.pdf

PDF 172 KB Posted

Attached to
Roofing Preventative Maintenance and Repairs
Solicitation number
26-8650
Issued by
Collier County, Florida

About this file

This is an Immigration Certification form (Form 3) required by Collier County's Procurement Services Division for the Roofing Preventative Maintenance and Repairs contract opportunity in Florida. All vendors submitting proposals must be enrolled in the E-Verify program at the time of bid submission, with acceptable evidence consisting of either a completed E-Verify Company Profile page or a fully executed E-Verify Memorandum of Understanding. The form serves as vendor attestation of compliance with all applicable immigration laws, including the 1986 Immigration Act and its amendments, as well as Florida Statutes 448.095 and the requirements of the E-Verify Memorandum of Understanding operated by the Department of Homeland Security in partnership with the Social Security Administration. Failure to provide proof of E-Verify enrollment will result in the vendor's submission being deemed non-responsive.

Collier County will not award contracts to vendors who knowingly employ unauthorized alien workers, as such employment constitutes a violation of 8 U.S.C. Section 1324a(e) Section 274A(e) of the Immigration and Nationality Act. The county may consider employment of unauthorized aliens by any vendor grounds for unilateral contract termination. A duly authorized corporate representative must sign the certification under penalties of perjury, certifying the accuracy of the information provided. The related Roofing Preventative Maintenance and Repairs contract has historically involved county expenditures of approximately $2,120,000.00 over the current agreement term, though future spending patterns may vary.

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Text version

Version 2 9.2.25

Procurement Services Division

Form 3: Immigration Certification

Vendors are required to be enrolled in the E-Verify program (https://www.e-verify.gov/), at the time of the submission of the Vendor’s proposal/bid. Acceptable evidence of your enrollment consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company which will be produced at the time of the submission of the Vendor’s proposal/bid. Failure to do so will result in the vendor’s submission being deemed non-responsive.

Collier County will not intentionally award County contracts to any Vendor who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act (“INA”).

Collier County may consider the employment by any Vendor of unauthorized aliens a violation of Section 274A (e) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the contract by Collier County.

Vendor attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent Amendment(s), that it is aware of and in compliance with the requirements set forth in Florida Statutes §448.095, and agrees to comply with the provisions of the Memorandum of Understanding with E-Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E-Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Vendor’s proposal/bid.

Under penalties of perjury, I certify that the information shown on this form is correct to my knowledge and a duly corporate authorized representative with signature authority.

Company Name: _________________________________________

Date: _____________________________

Signature: ____________________________________________ Title: _____________________________ https://www.e-verify.gov/

Company Name_3:
Date21_af_date:
Title_3:

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