WORK_AUTHORIZATION_AFFIDAVIT_FOR_BUSINESS_ENTITIES_.pdf

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Attached to
Design and Planning Consultant - City Hall Plaza Project
Solicitation number
25-0271-ED
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 mandates that contractor agents attest under penalty of perjury that their organization is enrolled and participating in a federal work authorization program for all employees providing goods or services to the City of Florissant. The contractor must affirm that it does not knowingly employ, hire, or continue to employ unauthorized aliens in connection with services provided to the city. Additionally, all subcontractors must either include written statements in their subcontracts affirming compliance with Missouri Revised Statutes Section 285.530 or submit their own sworn affidavits attesting that all employees are lawfully present in the United States. The affidavit requires notarization and must include documentation of participation in a federal work authorization program.

This document applies to the City of Florissant's solicitation for a Design and Planning Consultant to provide planning, design, and engineering services for the City Hall Plaza Project. The affidavit serves as a compliance requirement ensuring that any selected consultant and their subcontractors maintain lawful work authorization for all personnel assigned to the project. Failure to comply with these work authorization requirements renders a contractor ineligible for contract award and may result in contract termination.

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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 .