WORK_AUTHORIZATION_AFFIDAVIT_FOR_BUSINESS_ENTITIES.pdf
PDF 124 KB Posted
- Attached to
- PCC Sidewalk Slab Removal & Replacement FY 2026
- Solicitation number
- 25-0248-PW
- Issued by
- St. Louis County, Missouri
About this file
This is a Work Authorization Affidavit for Business Entities required by the City of Florissant, Missouri, for all contracts exceeding $5,000.00, specifically applicable to the PCC Sidewalk Slab Removal & Replacement FY 2026 project (Invitation for Bid #25-0248-PW). The project encompasses Portland Cement Concrete sidewalk removal and replacement within the Willow Creek subdivision, including three distinct line items: removal and replacement of 10,000 square feet of 4-inch PCC sidewalk, 250 square feet of 6-inch PCC approach sidewalk, and 200 square feet of PCC ADA sidewalk curb ramps across 79 separate work locations totaling approximately 1,189.33 square yards of concrete removal and 130.83 cubic yards of replacement material. All work must comply with Americans with Disabilities Act standards. The project release date is April 1, 2026, with a question submission deadline of April 22, 2026, and a mandatory bid response deadline of April 29, 2026, at 2:00 p.m. The contract term is 120 days from issuance of Notice to Proceed with no renewal options available. Award will be made to the lowest qualified bidder based on bidder responsibility and capability to complete the project.
The affidavit requires the contractor agent to attest under penalty of perjury that the contractor is enrolled and actively participating in a federal work authorization program such as E-Verify, maintains documentation of such participation, does not knowingly employ unauthorized aliens, and ensures all subcontractors comply with Missouri Revised Statute 285.530 regarding lawful work authorization. Subcontractors must provide written attestation or submit sworn affidavits confirming employee legal work status. The affidavit must be notarized and submitted as a mandatory compliance document. Prevailing wage rates established by the Missouri Department of Labor and Industrial Relations apply to all workers, ranging from $42.03 to $82.11 per hour depending on occupational classification. Contractors must maintain detailed certified payroll records subject to inspection and retain such records for one year following project completion. Additional requirements include comprehensive insurance coverage (Workers' Compensation minimum $1,000,000; General Liability minimum $1,000,000 each person/$3,000,000 aggregate; Automobile Liability minimum $1,000,000 each occurrence), a $500 bid security deposit, a 100 percent performance bond requirement, OSHA 10-hour construction safety training completion within 60 days of work commencement, a one-year guarantee period on workmanship and materials, monthly payments within 30 calendar days following invoice approval with 10 percent retainage until final completion, and liquidated damages of $300 per calendar day for delays beyond the contract completion date.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
WORK AUTHORIZATION AFFIDAVIT FOR BUSINESS ENTITIES
PURSUANT TO 285.530 R.S. Mo.
(FOR ALL CONTRACTS IN EXCESS OF $5,000.00)
I, , being duly sworn, attest and state, under penalty of perjury, as follows:
[Contractor Agent]
1. I am employed by and serve as the [Contractor] [Position with Contractor].
2. I hereby affirm enrollment and participation in a federal work authorization [Contractor's] program with respect to all employees working in connection with any goods or services provided to the City of
Florissant. Documentation of participation in a federal work authorization program is attached to this affidavit.
3. does not knowingly employ, hire for employment, or continue to employ an [Contractor] unauthorized alien in connection with the services being provided to the City of Florissant.
4. Furthermore, all subcontractors working on this contract for services to the City of Florissant shall affirmatively state in writing in their contracts with that they are not in violation of Section [Contractor]
285.530 1, R.S. Mo., and shall not thereafter be in violation. Alternatively, the subcontractor shall submit a sworn affidavit under penalty of perjury attesting that all employees are lawfully present in the United States.
Further Affiant Sayeth Not.
[Contractor Agent]
STATE OF MISSOURI
) ss.
COUNTY )
Subscribed and sworn to me, a notary public, this_ _day of _, 20 .
Notary Public
My commission expires:
File details come from the government source that posted it. Updated .