GC_and_Subcontractor_E-Verify_Affidavit_(07-12-23)CAO.pdf
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- Solicitation number
- 26-024EN-IFB
- Issued by
- Hillsborough County, Florida
About this file
E-Verify Affidavit Summary
This is a General Contractor and Subcontractor E-Verify Affidavit form required by the City of Plant City, Florida (acting as pass-through entity for Hillsborough County) for the North Woodrow Wilson Street Sidewalk Improvements CDBG project. The affidavit mandates that all general contractors and subcontractors verify employment eligibility through the E-Verify system in compliance with Florida Statutes Section 448.095(5) and federal law under 8 U.S.C. § 1324(h)(3). The form requires the authorized representative of the contracting company to affirm under oath that the company has registered with and used the E-Verify system to verify work authorization status for all new employees, ensuring no unauthorized aliens are employed on the job site. The affidavit must be notarized and executed by an authorized company representative before a Florida Notary Public.
Non-compliance with E-Verify requirements carries significant penalties, including contract termination, debarment from public contracts for a minimum of one year following termination, monetary fines for multiple violations, and the right to challenge termination within 20 calendar days of contract cancellation. Contractors and subcontractors must maintain copies of this affidavit throughout the contract duration and provide supporting documentation of E-Verify registration and compliance. The affidavit serves as the contractor's certification that employment verification obligations under federal and state law have been fulfilled prior to contract award and during the performance period.
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Text version
AFFIDAVIT
STATE OF FLORIDA:
COUNTY OF __________________________: SS
BEFORE ME, the undersigned authority, personally appeared the authorized representative for _________________________, who, upon first being duly sworn, deposes and says:
1. I am a General Contractor or Subcontractor, operating in the State of Florida under the business name, _____________________________ . I am the General Contractor for the not-for-profit agency ___________________________ (agency name) or Subcontractor for the General Contractor and have been working on a construction project located at ______________________ with our company staff.
2. I understand that my company must verify each employee’s employment eligibility to ensure that he/she is not an unauthorized alien- an individual who is not authorized under federal law to be employed in the United States, as described in 8 U.S.C. s. 1324 (h)(3).
3. I understand that Florida Statutes, Section 448.095(5) provides:
(5) PUBLIC AGENCY* CONTRACTING.
(a) A public agency must require in any contract that the contractor, and any subcontractor thereof, register with and use the E-Verify system to verify the work authorization status of all new employees of the contractor or subcontractor. A public agency or a contractor or subcontractor thereof may not enter into a contract unless each party to the contract registers with and uses the E-Verify system.
(b) If a contractor enters into a contract with a subcontractor, the subcontractor must provide the contractor with an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The contractor shall maintain a copy of such affidavit for the duration of the contract.
* “Public agency" means any office, department, agency, division, subdivision, political subdivision, board, bureau, commission, authority, district, public body, body politic, state, county, city, town, village, municipality, or any other separate unit of government created or established pursuant to law, and any other public or private agency, person, partnership, corporation, or business entity acting on behalf of any public agency.
3. I understand that Hillsborough County and the not-for-profit agency have an agreement that requires compliance with Florida Statutes Section 448.095(5) by any general contractor and/or any subcontractor working on this project.
4. I make this affidavit for the purpose of complying with Florida Statutes, Section 448.095 (5) and hereby swear that I have complied with the E-Verify System to ensure that unauthorized aliens are not working on the job site. I understand that failure to do so could result in any of the following including but not limited to, termination of my contract, a bar from being awarded a public contract for at least one (1) year after the date the contract was terminated, fines for multiple violations and the right to challenge a termination of the contract no later than 20 calendar days after the date on which the contract was terminated.
Affidavit Page Two
5. I further certify that I am authorized to sign on behalf of the company named above.
Affiant- Authorized Signer for General Contractor or Subcontractor
Business Name
SUBSCRIBED AND SWORN TO before me on the day of , 20 , by , the authorized representative of _________________, a Florida for profit corporation. He/She is personally known to me □ or has produced as identification. (type of identification)
NOTARY SEAL:
NOTARY PUBLIC, STATE OF FLORIDA
(Signature of Notary taking acknowledgement)
Name of Notary typed, printed or stamped
Commission Number/Expiration Date
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