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6E (1)
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02-14-12 Packet
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6E (1)
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11/1/2012 11:34:58 AM
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2/10/2012 11:43:02 AM
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EMPLOYMENT ELIGIBILITY VERIFICATION <br />STATE OF INDIANA ) <br />) SS. <br />ST. JOSEPH COUNTY ) <br />The Contractor affirms under the penalties of perjury that he /she /it does not knowingly employ an <br />unauthorized alien. <br />The Contractor shall enroll in and verify the work eligibility status of all his /her /its newly hired <br />employees through the E- Verify program as defined in IC 22- 5- 1.7 -3. The Contractor is not required to <br />participate should the E -Verify program cease to exist. Additionally, the Contractor is not required to <br />participate if the Contractor is self - employed and does not employ any employees. <br />The Contractor shall not knowingly employ or contract with an unauthorized alien. The Contractor sliall <br />not retain an employee or contract with a person that the Contractor subsequently learns is an <br />unauthorized alien. <br />The Contractor shall require his /her /its subcontractors, who perform work under this contract, to certify to <br />the Contractor that the subcontractor does not knowingly employ or contract with an unauthorized alien <br />and that the subcontractor has enrolled and is participating in the E- Verify program. The Contractor <br />agrees to maintain this certification throughout the duration of the term of a contract with a subcontractor. <br />The City may terminate for default if the Contractor fails to cure a breach of this provision no later than <br />thirty (30) days after being notified by the City. <br />Dated this 3 0 t h day of D e c. 2011 <br />DLZ INDIANA, LLC <br />to'IBgkbierr irn <br />-7 G <br />Signatur of Con ractor /Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this day of �J�� efn 20 <br />/ 1 <br />My Commission Expires <br />Notary Public <br />County of Residence S —Jo C P /y <br />F- E- Verity Affidavit—July 201 I.doc <br />
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