WORK_AUTHORIZATION_AFFIDAVIT_FOR_BUSINESS_ENTITIES.pdf

PDF 124 KB Posted

Attached to
Koch Park Soccer Field Installation
Solicitation number
25-0262-PR
Issued by
St. Louis County, Missouri

About this file

This is a Work Authorization Affidavit for Business Entities document related to the City of Florissant, Missouri's Koch Park Soccer Field Installation project. The affidavit serves as a certification requirement for business entities bidding on or participating in the construction project, which involves the installation of two new natural grass soccer fields at Koch Park located at 2303 Charbonier Road, Florissant, Missouri 63031. The project scope includes site grading, installation of a fully automated irrigation system, construction of ADA-accessible concrete sidewalks, perimeter fencing, drainage improvements, and turf establishment for Fields #1 and #3. As a work authorization affidavit, this document requires bidding entities to verify compliance with applicable employment and work authorization laws prior to contract award.

The affidavit functions as a prerequisite certification document that prospective contractors must complete and submit as part of their bid package. This form typically requires business entities to attest to their compliance with federal and state work authorization requirements, ensuring that all employees assigned to the project will be legally authorized to work in the United States. The document is integral to the bid submission process and serves as a protective measure for the City of Florissant to ensure contractor compliance with employment eligibility verification standards applicable to public works projects in Missouri.

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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 .