Form_3_Immigration_Certification.pdf
PDF 172 KB Posted
- Attached to
- Real Estate Services
- Solicitation number
- 25-8424
- Issued by
- Collier County, Florida
About this file
This is an Immigration Certification form required by Collier County, Florida's Procurement Services Division for vendor proposals and bids. All vendors submitting proposals must be enrolled in the E-Verify program at the time of submission, with acceptable evidence including a copy of the E-Verify Company Profile page or fully executed E-Verify Memorandum of Understanding. Failure to provide this documentation will result in the vendor's submission being deemed non-responsive. The form applies to the Real Estate Services solicitation, which seeks proposals from qualified firms to provide licensed real estate brokerage services for the county's anticipated real estate transactions exceeding $5,000,000 per Fiscal Year. All services must be performed by licensed brokers or licensed sales associates under broker supervision in compliance with Chapter 475, Florida Statutes, with contractor commissions and fees determined by the fee schedule submitted in response to the RFP and paid only upon successful completion of transactions.
Collier County will not intentionally award contracts to vendors who knowingly employ unauthorized alien workers in violation of 8 U.S.C. Section 1324a(e) and Section 274A(e) of the Immigration and Nationality Act. Vendors must attest to full compliance with all applicable immigration laws, including the 1986 Immigration Act and subsequent amendments, and Florida Statutes 448.095. Violation of these employment provisions constitutes grounds for unilateral contract termination by the county. The certification requires execution by a duly authorized corporate representative under penalties of perjury, with completion of company name, date, signature, and title fields.
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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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