Form_3_Immigration_Certification.pdf
PDF 172 KB Posted
- Attached to
- BIOSOLIDS HAULING SERVICES (GRANT FUNDED)
- Solicitation number
- 25-8403R
- Issued by
- Collier County, Florida
About this file
This is an Immigration Certification form issued by the Collier County Board of County Commissioners Procurement Services Division in Florida, requiring vendor compliance with E-Verify enrollment and federal immigration laws. All vendors submitting proposals or bids for county contracts must provide acceptable evidence of enrollment in the E-Verify program (consisting of either a copy of the company E-Verify profile page or fully executed Memorandum of Understanding) at the time of proposal submission; failure to provide this documentation will render the vendor's submission non-responsive. Vendors must attest under penalties of perjury that they are fully compliant with the 1986 Immigration Act and subsequent amendments, Florida Statutes 448.095, and all applicable immigration laws, and agree to comply with E-Verify's Memorandum of Understanding. The form requires signature from a duly authorized corporate representative with signature authority and includes fields for company name, date, signatory title, and related documentation references.
The Immigration Certification form is a mandatory compliance document for this solicitation (RFP 25-8403R for Biosolids Hauling Services with a May 7, 2026 submission deadline). Collier County will not award contracts to vendors who knowingly employ unauthorized alien workers, and such violations constitute grounds for unilateral contract termination. The county's historical annual spending for biosolids hauling services is approximately $3,700,000, with the initial five-year contract term including three optional five-year renewals requiring 18 months' notice for non-renewal. All proposers must submit the completed Immigration Certification form along with other mandatory documentation to be deemed responsive.
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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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