Q-Statement of Compliance Certificate Illegal Immigrants - fillable.pdf

105 KB Posted

Attached to
TYS RW 5R-23L Rehab Project 2
Solicitation number
IFB-MKAA-0000000004
Issued by
Bradley County, Tennessee

About this file

Written by GovTribe AI ·

This document is a Certificate of Compliance for Illegal Immigrants form specific to Tennessee state procurement requirements, issued for the McGhee Tyson Airport Runway 5R-23L Rehabilitation - Project 2 in Alcoa, Tennessee. The certificate is designed to ensure contractors bidding on the project comply with Chapter No. 878 (House Bill No. 111 and Senate Bill No. 411), which amends Tennessee Code Annotated Title 12, Chapter 4, Part I regarding illegal immigrant employment regulations.

The form requires bidders to execute a compliance document attesting to their adherence to the specified legal requirements, with a notarized section for verification of the signatory's authority and identity. The document is part of the bid submission process for the airport runway rehabilitation project, issued on March 23, 2025, and mandates that all contractors provide an affidavit confirming their compliance with the state's legal standards concerning immigrant workforce regulations.

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CERTIFICATE ILLEGAL IMMIGRANTS B-35

STATEMENT OF COMPLIANCE CERTIFICATE ILLEGAL IMMIGRANTS

EACH CONTRACTOR BIDDING SHALL FILL IN AND SIGN THE FOLLOWING

This is to certify that have fully complied with all the requirements of Chapter No. 878 (House Bill No. 111 and Senate Bill No. 411) which serves to amend Tennessee Code Annotated Title 12, Chapter 4, Part I, attached herein for reference.

All Bidders for construction services on this project shall be required to submit an affidavit (by executing this compliance document) as part of their bid that attests that such Bidder shall comply with requirements of Chapter no. 878.

Signed:

State of

County of )

Personally appeared before me, the undersigned Notary Public, , the within named bargainor, with whom I am personally acquainted, and known to me to be the President/Owner/Partner (as applicable) of the

, Corporation, Partnership, Sole Proprietorship (as applicable) and acknowledged to me that he executed the foregoing document for the purposes recited therein.

Witness my hand, at office, this day of , 20_ .

Notary Public

My commission expires

MCGHEE TYSON AIRPORT

ALCOA, TENNESSEE

RUNWAY 5R-23L REHABILITATION - PROJECT 2

ISSUED FOR BID - MARCH 23, 2025

INTENTIONALLY LEFT BLANK

MCGHEE TYSON AIRPORT

ALCOA, TENNESSEE

RUNWAY 5R-23L REHABILITATION - PROJECT 2

ISSUED FOR BID - MARCH 23, 2025

Signed:
State:
County of:
Notary Public:
day:
month:
date:
name:
company:

File details come from the government source that posted it. Updated .