AFFIDAVIT OF WORK AUTHORIZATION Sample Clauses

AFFIDAVIT OF WORK AUTHORIZATION. The contractor who meets the section 285.525, RSMo, definition of a business entity must complete and return the following Affidavit of Work Authorization. Comes now (Name of Business Entity Authorized Representative) as (Position/Title) first being duly sworn on my oath, affirm (Business Entity Name) is enrolled and will continue to participate in the E-Verify federal work authorization program with respect to employees hired after enrollment in the program who are proposed to work in connection with the services related to contract(s) with the State of Missouri for the duration of the contract(s), if awarded in accordance with subsection 2 of section 285.530, RSMo. I also affirm that (Business Entity Name) does not and will not knowingly employ a person who is an unauthorized alien in connection with the contracted services provided under the contract(s) for the duration of the contract(s), if awarded. In Affirmation thereof, the facts stated above are true and correct. (The undersigned understands that false statements made in this filing are subject to the penalties provided under section 575.040, RSMo.) Authorized Representative’s Signature Printed Name Title Date E-Mail Address E-Verify Company ID Number Subscribed and sworn to before me this of . I am (DAY) (MONTH, YEAR) commissioned as a notary public within the County of , State of (NAME OF COUNTY) , and my commission expires on . (NAME OF STATE) (DATE) Signature of Notary Date (Complete the following if you have the E-Verify documentation and a current Affidavit of Work Authorization already on file with the State of Missouri. If completing Box C, do not complete Box B.)
Sample 1Sample 2Sample 3See All (17)
AutoNDA by SimpleDocs
AFFIDAVIT OF WORK AUTHORIZATION. An Employer who meets the section 285.525 RSMo definition of a business entity must complete, sign in the presence of a notary public, and return the following Affidavit of Work Authorization: Comes now (Name of Business Entity Authorized Representative) as (Position/Title), first being duly sworn on my oath, to affirm that (Business Entity Name) is enrolled and will continue to participate in the E-Verify federal work authorization program with respect to employees hired after enrollment in the program who are proposed to work in connection with the services related to contract(s) with the State of Missouri for the duration of the contract(s), if awarded in accordance with subsection 2 of section 285.530 RSMo. I also affirm that (Business Entity Name) does not and will not knowingly employ a person who is an unauthorized alien in connection with the contracted services provided under the contract(s) for the duration of the contract(s), if awarded. In Affirmation thereof, the facts stated above are true and correct. The undersigned understands that false statements made in this filing are subject to the penalities provided under section 575.040 RSMo.
Sample 1
AFFIDAVIT OF WORK AUTHORIZATION. Pursuant to 285.530 RSMo, the Contractor must affirm its enrollment and participation in a federal work authorization program with respect to the employees proposed to work in connection with the services requested herein by  Having on file an AFFIDAVIT OF WORK AUTHORIZATION and DocuSign Envelope ID: 9E326740-01B6-426D-BF04-E8018FDF0FD4  Providing documentation as requested affirming the bidder’s enrollment and participation in a federal work authorization program with respect to the employees proposed to work in connection with the services requested herein.
Sample 1
AFFIDAVIT OF WORK AUTHORIZATION. The contractor who meets the section 285.525, RSMo definition of a business entity must complete and return the following Affidavit of Work Authorization. Comes now ____________________________________ (Name of Business Entity Authorized Representative) as _____________________________ (Position/Title) first being duly sworn on my oath, affirm _______________________________________________________________ (Business Entity Name) is enrolled and will continue to participate in the E-Verify federal work authorization program with respect to employees hired after enrollment in the program who are proposed to work in connection with the services related to contract(s) with the State for the duration of the contract(s), if awarded in accordance with subsection 2 of section 285.530, RSMo. I also affirm that ________________________________________________________________ (Business Entity Name) does not and will not knowingly represent as an eligible attendant, bill for services provided by, nor employ a person who is an unauthorized alien in connection with the contracted services provided under the contract(s) for the duration of the contract(s), if awarded. In Affirmation thereof, the facts stated above are true and correct. (The undersigned understands that false statements made in this filing are subject to the penalties provided under section 575.040, RSMo.) Authorized Representative’s Signature Printed Name Title Date _____________________________________ E-Mail Address Subscribed and sworn to before me this _____________ of ___________________. I am (DAY) (MONTH, YEAR) commissioned as a notary public within the County of ________________, State of (NAME OF COUNTY) _______________________, and my commission expires on _________________. (NAME OF STATE) (DATE) Signature of Notary Date EXHIBIT I, continued BOX C – AFFIDAVIT ON FILE - CURRENT BUSINESS ENTITY STATUS (Complete the following if you have the E-Verify documentation and an Affidavit of Work Authorization, dated and signed September 1, 2009 or after, already on file with the State of Missouri. If completing Box C, do not complete Box B.) I certify that ____________________________________________________ (Business Entity Name) MEETS the definition of a business entity as defined in section 285.525, RSMo pertaining to section 285.530, RSMo and have enrolled and currently participates in the E-Verify federal work authorization program with respect to the employees hired after enrollment in the program...
Sample 1
AFFIDAVIT OF WORK AUTHORIZATION. The grantee, subgrantee, contractor or subcontractor who meets the section 285.525, RSMo definition of a business entity must complete and return the following Affidavit of Work Authorization. Comes now (Name of Business Entity Authorized Representative) as (Position/Title) first being duly sworn on my oath, affirm (Business Entity Name) is enrolled and will continue to participate in the E-Verify federal work authorization program with respect to employees hired after enrollment in the program who are proposed to work in connection with the services related to (Bid/Grant/Subgrant/Contract/Subcontract) for the duration of the grant, subgrant, contractor, or subcontract, if awarded in accordance with subsection 2 of section 285.530, RSMo. I also affirm that (Business Entity Name) does not and will not knowingly employ a person who is an unauthorized alien in connection with the contracted services related to Authorized Representative’s Signature Printed Name Title Date Subscribed and sworn to before me this of . I am (DAY) (MONTH, YEAR) commissioned as a notary public within the County of , State of , and my commission expires on . Signature of Notary Date Sub-grantee: Grant Number: Date of Request: Requested Reimbursement 1. Payee 2. Budget Category 3. Grant Funds Requested 4. Match Funds Provided 5. Total (sum of 3 + 4) Total The Sub-grantee will be reimbursed for all allowable expenses and/or expenditures incurred or created in completion of the approved grant project. All requests for reimbursement and/or payment must be fully completed and signed by the Sub- grantee, identifying the amount or amounts of grant funds requested through MMSWMD and providing proof of all expenditures, such as invoices and canceled checks. This request must identify the Sub-grantee's share of matching funds and must provide proof of the Sub-grantee's payment of such matching funds before grant funds may be advanced.* Indicates payee qualifies as MBE/WBE as per Sec. 11 of the Financial Assistance Agreement. Grant Sub-grantee(s) I certify that to the best of my knowledge and belief the data above are correct and that all outlays were made or will be made in accordance with the sub-grant and that payment is due and has not been previously requested. Name Title
Sample 1

Related to AFFIDAVIT OF WORK AUTHORIZATION

  • Work Authorization By entering into this Agreement, the Judicial Council only authorizes the Criteria Architect to begin its Work on the Phase indicated on the Coversheet of the Agreement. The Judicial Council has the sole and unilateral right to authorize additional Phases, however, those authorizations will be made in the form of an amendment pursuant to this Agreement, authorizing the appropriate Phase and funding specified herein, which must be executed by the Criteria Architect and the Judicial Council. Work for additional Phases added to the Agreement by amendment will be authorized using Notice to Proceed. Criteria Architect is not authorized to begin any work or services marked “NYA” (Not Yet Authorized).

  • WORK AUTHORIZATIONS The State will issue work authorizations using the form included in Attachment D (Work Authorizations and Supplemental Work Authorizations) to authorize all work under this contract. The Engineer must sign and return a work authorization within seven (7) working days after receipt. Refusal to accept a work authorization may be grounds for termination of the contract. The State shall not be responsible for actions by the Engineer or any costs incurred by the Engineer relating to work not directly associated with or prior to the execution of a work authorization. Terms and conditions governing the use of work authorizations are set forth in Attachment A, General Provisions, Article 1.

  • Network Authorization For services that cannot be provided by a network provider, you can request a network authorization to seek services from a non-network provider. With an approved network authorization, the network benefit level will apply to the authorized covered healthcare service. If we approve a network authorization for you to receive services from a non- network provider, our reimbursement will be based on the lesser of our allowance, the non-network provider’s charge, or the benefit limit. For more information, please see the How Non-Network Providers Are Paid section.

  • Statement of Work The Statement of Work to which Grantee is bound is incorporated into and made a part of this Grant Agreement for all purposes and included as Attachment A.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!