WORK_AUTHORIZATION_AFFIDAVIT_FOR_BUSINESS_ENTITIES.pdf

PDF 124 KB Posted

Attached to
Employee Apparel
Solicitation number
25-0264-PR
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. The affidavit pertains to the Employee Apparel contract opportunity, which involves the provision of citywide apparel and customization services on an as-needed basis. The City estimates purchasing approximately 600-800 apparel items annually, including t-shirts, performance wear, polos, sweatshirts, hooded sweatshirts, hats, and pants in various styles. The successful bidder must maintain inventory in sizes S-4XL, provide consistent pricing regardless of order quantity, and be capable of delivering embroidery, screen printing, logo, and vinyl lettering services. Standard delivery for in-stock items is required within 10 calendar days of purchase order receipt, with FOB Destination and freight prepaid terms.

The affidavit mandates that the contractor agent attest under penalty of perjury to enrollment in a federal work authorization program for all employees and certify that the contractor does not knowingly employ unauthorized aliens. All subcontractors must similarly affirm compliance with Missouri Section 285.530 R.S. Mo. through written statement in their contracts or sworn affidavit attesting that employees are lawfully present in the United States. Documentation of federal work authorization program participation must be attached to the affidavit and executed before a notary public. Pricing shall remain firm for the contract term, with separate itemization required for shipping, handling, setup, digitizing, embroidery, screen printing, and other customization costs. Payment terms are Net 30, and all manufacturer names, brands, and reorder numbers must be identified with prior written approval required for any substitutions.

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Other files

File Type Posted
Employee_Apparel.pdf PDF
Bid_Contract_Template.doc DOC document
Parks_Rebrand_white_text.png PNG image
Florissant_Performing_Arts_Center.png PNG image
City_Seal_Black.pdf PDF
Parks_Rebrand_black_text.png PNG image
General_Conditions.pdf PDF
Special_Conditions.pdf PDF
Instructions_to_Bidders.pdf PDF

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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 .