HomeMy WebLinkAboutSoils Database contract (executed) Midwest Geosciences Group,Inc.
CRC-2017
Appropriation#902-4341999;P.O.#100816
Contract Not To Exceed$4,975.00
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") is hereby made and entered into by
and between the Carmel Redevelopment Commission (hereinafter "CRC% and Midwest Geosciences Group, Inc.
(hereinafter"Professional'),
RECITALS
WHEREAS, the CRC Is responsible for the planning, development and redevelopment of certain economic
development areas located within the City limits or as otherwise authorized by law;and
WHEREAS, from time to time, CRC needs professional assistance in fulfilling its foregoing responsibilities;
and
WHEREAS, Professional is experienced in providing and desires to provide to CRC the professional services
("Services")referenced herein; and
WHEREAS, CRC desires to engage Professional as an independent contractor for the purpose of providing
to City the Services referenced herein;
NOW, THEREFORE, in consideration of the foregoing recitals and the covenants and conditions set forth
herein,CRC and Professional mutually agree as follows:
SECTION 1 INCORPORATION OF RECITALS
The foregoing Recitals are hereby incorporated into this Agreement and made a part hereof,
SECTION 2 SCOPE OF SERVICES
2.1 CRC desires to engage Professional as an independent contractor for the Services set forth in attached
Exhibit A, incorporated herein by this reference.
2.2 Professional understands and agrees that CRC may, from time to time, request Professional to provide
additional or modified Services to CRC. When CRC desires additional Services from Professional,the CRC
shall notify Professional of such additional Services desired, as well as the time frame in which same are to
be provided. Only after CRC has approved Professional's time and cost estimate for the provision of such
additional Services, has encumbered sufficient monies to pay for same, and has authorized Professional, in
writing, to provide such additional Services,shall such Services be provided by Professional to CRC.A copy
of the CRC's authorization documents for the purchase of additional Services shall be numbered and
attached hereto in the order in which they are approved by CRC,
2.3 Time is of the essence of this Agreement.
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Midwest Geosciences Group,Inc.
CRC-2017
Appropriation#902-4341999;P.O.#100816
Contract Not To Exceed$4,975.00
SECTION 3 CITY'S RESPONSIBILITIES
3.1 CRC shall provide such information as is reasonably necessary for Professional to understand the Services
requested.
3.2 CRC shall provide all data required for provision of Services. Professional may assume that all data so
provided is correct and complete.
3.3. CRC shall arrange for Professional to enter upon public and private property as reasonably required for
Professional to perform the Services.
3.4 CRC shall designate payment of the Services from CRC budget appropriation number 902-4341999 funds.
3.5 CRC shall designate the Mayor or his duly authorized representative to act on CRC's behalf on all matters
regarding the Services.
SECTION 4 PROFESSIONALS RESPONSIBILITIES
4.1 Professional shall perform the Services pursuant to the terms of this Agreement and within any applicable
time and cost estimate.
4.2 Professional shall coordinate with CRC its performance of the Services.
4.3 Professional shall provide the Services by following and applying at all times reasonable and lawful
standards as accepted in the industry.
SECTION 5 COMPENSATION
5.1 Professional estimates that the total price for the Services to be provided to CRC hereunder shall be no more
than Four Thousand Nine Hundred Seventy Five Dollars ($4,975.00) (the "Estimate"). Professional shall
submit an invoice to CRC no more than once every thirty (30) days for Services provided CRC during the
time period encompassed by such invoice. Invoices shall be submitted on a form containing the same
information as that contained on the Professional Services Invoice attached hereto as Exhibit B, incorporated
herein by this reference.CRC shall pay Professional for all undisputed Services rendered and stated on such
invoice within thirty five(35)days from the date of CRC receipt of same.
5.2 Professional agrees not to provide any Services to CRC that would cause the total cost of same to exceed
the Estimate,without CRC's prior written consent.
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Midwest Geoscie ices Group,Inc.
CRC-2017
Appropriation#902-4341999;P.O.#100816
Contract Not To Exceed$4,975.00
SECTION 6 TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Section 7.1
hereinbelow,this Agreement shall be in effect from the Effective Date through December 31, 2017,and shall,
on the first day of each January thereafter,automatically renew for a period of one(1)calendar year, unless
otherwise agreed by the parties hereto.
SECTION 7 MISCELLANEOUS
7.1 Termination
7,1.1 The obligation to provide all or any portion of the Services under this Agreement may be terminated
by CRC or Professional,without cause, upon thirty(30)days' notice.
7.1.2 The obligation to provide all or any portion of the Services under this Agreement may be terminated
by CRC,for cause,immediately upon Professional's receipt of CRC's"Notice To Cease Services."
7.1.3 In the event of full or partial Agreement termination, and as full and complete compensation
hereunder, Professional shall be paid for all such Services rendered and expenses incurred as of
the date of termination that are not in dispute, except that such payment amount shall not exceed
the Estimate.Disputed compensation amounts shall be resolved as allowed by law.
7.2 Binding Effect
CRC and Professional, and their respective officers, officials, agents, partners and successors in interest
are bound to the other as to all Agreement terms, conditions and obligations.
7.3 No Third Party Beneficiaries
Nothing contained herein shall be construed to give rights or benefits to anyone other than the parties
hereto.
7.4 Relationship
The relationship of the parties hereto shall be as provided for in this Agreement,and neither Professional nor
any of its agents, employees or contractors are CRC employees. Professional shall have the sole
responsibility to pay to or for its agents, employees and contractors all statutory, contractual and other
benefits and/or obligations as they become due. Professional hereby warrants and indemnities CRC for and
from any and all costs,fees, expenses and/or damages incurred by CRC as a result of any claim for wages,
benefits or otherwise by any agent,employee or contractor of Professional regarding or related to the subject
matter of this Agreement.This indemnification obligation shall survive the termination of this Agreement.
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{idwest Geosciences Group,Inc.
CRC-2017
Appropriation#902-4341999;P.O.#100816
Contract Not To Exceed$4,975.00
7.5 Insurance
Professional shall procure and maintain with an insurer licensed to do business in the State of Indiana such
insurance as is necessary for the protection of CRC and Professional from all claims under workers'
compensation, occupational disease and/or unemployment compensation acts, because of errors and
omissions, because of bodily injury, including, but not limited to, the personal injury, sickness, disease, or
death of any of Professional's employees, agents or contractors and/or because of any injury to or
destruction of property, including, but not limited to, any loss of use resulting therefrom. The coverage
amounts shall be no less than those amounts set forth on attached Exhibit C. Such insurance policies shall
not be canceled without thirty(30)days'prior written notice to CRC.
7.6 Liens
Professional shall not cause or permit the filing of any lien on any of CRC's property. In the event such a lien
is filed and Professional fails to remove it within ten(10)days after the date of filing, CRC shall have the right
to pay or bond over such lien at Professional's sole cost and expense.
7.7 Default
In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Professional's warranties; (b) fails to perform the Services as specified; (c) fails to
make progress so as to endanger timely and proper completion of the Services and does not correct such
failure or breach within five (5) business days after receipt of notice from CRC specifying same; or (d)
becomes insolvent, files, or has filed against it, a petition for receivership, makes a general assignment for
the benefit of creditors or dissolves, each such event constituting an event of default hereunder, CRC shall
have the right to terminate all or any part of this Agreement, without liability to Professional and to exercise
any other rights or remedies available to it at law or in equity.
7.8 Government Compliance
Professional agrees to comply with all laws, executive orders, rules and regulations applicable to
Professional's performance of its obligations under this Agreement, all relevant provisions of which being
hereby incorporated herein by this reference,to keep all of Professionals'required professional licenses and
certifications valid and current, and to indemnify and hold harmless CRC from any and all losses, damages,
costs, liabilities, damages, costs and attorney fees resulting from any failure by Professional to do so. This
indemnification obligation shall survive the termination of this Agreement.
7.9 Indemnification
Professional shall indemnify and hold harmless CRC and its officers,officials, employees and agents from all
losses, liabilities,claims,judgments and liens, including, but not limited to,all damages, costs,expenses and
attorney fees arising out of any intentional or negligent act or omission of Professional and/or any of its
employees, agents or contractors in the performance of this Agreement.This indemnification obligation shall
survive the termination of this Agreement.
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Midwest Geosciences Group,Inc.
CRC-2017
Appropriation#902-4341999;P.O.#100816
Contract Not To Exceed$4,975.00
7.10 Discrimination Prohibition
Professional represents and warrants that it and each of its employees,agents and contractors shall comply
with ail existing and future laws prohibiting discrimination against any employee, applicant for employment
and/or other person in the subcontracting of work and/or in the performance of any Services contemplated by
this Agreement with respect to hire, tenure, terms, conditions or privileges of employment or any matter
directly or indirectly related to employment, subcontracting or work performance hereunder because of race,
religion, color, sex,handicap, national origin, ancestry,age,disabled veteran status or Vietnam era veteran
status.This indemnification obligation shall survive the termination of this Agreement.
7.11 E-Verify
Pursuant to LC. §22-5-1.7 et seq., Professional shall enroll in and verify the work eligibility status of all of its
newly-hired employees using the E-Verify program, if it has not already done so as of the date of this
Agreement. Professional is further required to execute the attached Affidavit, herein referred to as Exhibit D,
which is an Affidavit affirming that:(i)Professional is enrolled and is participating in the E-verify program,and
(ii) Professional does not knowingly employ any unauthorized aliens. This Addendum incorporates by
reference,and in its entirety,attached Exhibit D.In support of the Affidavit, Professional shall provide the City
with documentation that it has enrolled and is participating in the E-Verify program.This Agreement shall not
take effect until said Affidavit is signed by Professional and delivered to the CRC's authorized representative.
Should Professional subcontract for the performance of any work under this Addendum, the
Professional shall require any subcontractor(s) to certify by affidavit that: (i) the subcontractor does not
knowingly employ or contract with any unauthorized aliens, and (ii) the subcontractor has enrolled and is
participating in the E-verify program. Professional shall maintain a copy of such certification for the duration
of the term of any subcontract. Professional shall also deliver a copy of the certification to the CRC within
seven(7)days of the effective date of the subcontract.
If Professional, or any subcontractor of Professional, knowingly employs or contracts with any
unauthorized aliens, or retains an employee or contract with a person that the Professional or subcontractor
subsequently learns is an unauthorized alien,Professional shall terminate the employment of or contract with
the unauthorized alien within thirty(30)days("Cure Period"). Should the Professional or any subcontractor of
Professional fail to cure within the Cure Period, the City has the right to terminate this Agreement without
consequence.
The E-Verify requirements of this Agreement will not apply,should the E-Verify program cease to exist.
7.12 Severability
If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent
jurisdiction, that provision shall be stricken, and all other provisions of this Agreement that can operate
independently of same shall continue in full force and effect.
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Midwest Geosciences Group,Inc.
CRC-2017
Appropriation#902-4341999;P.O.#100816
Contract Not To Exceed$4,975.00
7.13 Notice
Any notice,invoice,order or other correspondence required or allowed to be sent pursuant to this Agreement
shall be written and either hand-delivered or sent by prepaid U.S. certified mail, return receipt requested,
addressed to the parties as follows:
CITY:
Carmel Redevelopment Commission Douglas C.Haney
30 W.Main Street,Suite 220 Corporation Counsel
Carmel, Indiana 46032 One Civic Square
ATTENTION: Corrie Meyer Carmel, Indiana 46032
PROFESSIONAL:
Midwest Geosciences Group, Inc.
1950 Greyhound Pass Suite 18-200
Carmel, IN 46033
ATTENTION: Daniel Kelleher
Notwithstanding the above,CRC may orally provide to Professional any notice required or permitted by this
Agreement, provided that such notice shall also then be sent as required by this paragraph within ten (10)
business days from the date of such oral notice,
7.14 Effective Date
The effective date ("Effective Dates) of this Agreement shall be the date on which the last of the parties
hereto executes same.
7.15 Governing Law;Lawsuits
This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana,
except for its conflict of laws provisions, as well as by all ordinances and codes of the City of Carmel,
Indiana. The parties agree that, in the event a lawsuit is filed hereunder, they waive any right to a jury trial
they may have,agree to file such lawsuit in an appropriate court in Hamilton County, Indiana only,and agree
that such court is the appropriate venue for and has jurisdiction over same.
7.16 Waiver
Any delay or inaction on the part of either party in exercising or pursuing its rights and/or remedies hereunder
or under law shall not operate to waive any such rights and/or remedies nor in any way affect the rights of
such party to require such performance at any time thereafter.
7.17 Non-Assignment
Professional shall not assign or pledge this Agreement nor delegate its obligations hereunder without CRC's
prior written consent.
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Midwest Geosciences Group,Inc.
CRC-2017
Appropriation#902-4341999;P.O.#100816
Contract Not To Exceed$4,975.00
7.18 Entire Agreement
This Agreement contains the entire agreement of and between the parties hereto with respect to the subject
matter hereof, and no prior agreement, understanding or representation pertaining to such subject matter,
written or oral,shall be effective for any purpose. No provision of this Agreement may be amended,added to
or subtracted from except by an agreement in writing signed by both parties hereto and/or their respective
successors in interest. To the extent any provision contained in this Agreement conflicts with any provision
contained in any exhibit attached hereto,the provision contained in this Agreement shall prevail.
7.19 Representation and Warranties
Each party hereto represents and warrants that it is authorized to enter into this Agreement and that any
person or entity executing this Agreement on behalf of such party has the authority to bind such party or the
party which they represent,as the case may be.
7.20 Headings
Ali headings and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit,expand or otherwise alter the meaning of any provision hereof.
7,21 Advice of Counsel
The parties warrant that they have read this Agreement and fully understand it, have had an opportunity to
obtain the advice and assistance of counsel throughout the negotiation of same,and enter into same freely,
voluntarily,and without any duress,undue influence or coercion.
7,22 Personnel
Professional represents that it has,or will secure at its own expense,all personnel required in performing the
services under this agreement. Such personnel shall not be employees of or have any contractual
relationship with CRC.All of the services required hereunder will be performed by Professional or under his
supervision and all personnel engaged in the work shall be fully qualified to perform such services.
7.23 Records and Inspections
Professional shall maintain full and accurate records with respect to all matters covered under this
agreement for three(3)years after the expiration or early termination of this Agreement.CRC shall have free
access at all proper times to such records and the right to examine and audit the same and to make
transcripts there from,and to inspect all program data,documents,proceedings and activities.
7.24 Accomplishment of Project
Professional shall commence, carry on, and complete the project with all practicable dispatch, in a sound
economical and efficient manner, in accordance with the provisions thereof and all applicable laws. In
accomplishing the project, Professional shall take such steps as are appropriate to ensure that the work
involved is properly coordinated with related work being carried on within CRC's organization.
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Midwest Geosciences Group,Inc.
CRC-2017
Appropriation#902-4341999;P.O.#100816
Contract Not To Exceed$4,975.00
7.25 Iran Certification
Pursuant to LC.§5-22-16.5,the Professional shall certify that,in signing this Agreement, it does not engage
in investment activities within the Country of Iran.
7.26 Access To Public Records Act
Professional understands and agrees that any"public record",as that term is defined in Indiana Code 5-14-3-
2(m), as amended, that is related to the subject matter of this Agreement, whether the same is in the
possession or control of the Professional or the CRC, shall be subject to release under and pursuant to the
provisions of Indiana's Access to Public Records Act, as codified in Indiana Code 5-14-3-1, et seg., as
amended.
IN WITNESS WHEREOF,the parties hereto have made and executed this Agreement as follows:
Carmel Redevelopment Commission MIDWEST GEOSCIENCES GROUP, INC.
BY: BY:
/A- 1
�r L
William Hammer, P ide t Authorized Signat
Date: ( a r-1 t— I;7
Printed Name: L l /2/ �=
Title: rC7t' 1 '/
APPROVED FIDTrlN: '/ `2( (0V 3 5 6
Carmel Redeye t Commission Date: 2-Lit h cr ?o r )
C.-,
Date 10 - /8'- ' -7
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midwest
GEOSCIENCES1950 Greyhound Pass Suite 18-200 Carmel,IN 46033
wwwmfoWestgeo.com group
September 28, 2017
City of Carmel Redevelopment Commission
Attn: Corrie Meyer
30 West Main Street, Suite 220
Carmel, Indiana 48032
Subject: Proposal for Creating Subsurface Properties Database for Future
Project Efficiencies
Dear Corrie:
Thank you for the opportunity to offer this Letter Proposal in order to help the City of
Carmel with creating a geotechnical database. After our recent geotechnical project'
for the City, it became apparent that there is an appreciable amount of subsurface
data collected for the City from past projects, but it's not being utilized past it's
original purpose nor does ft currently related to any geologic context. Our Report
presented the geologic framework beneath Carmel for the first time at this scale and
a geotechnical database will serve the City well for future projects.
The Proposed Work is to create a database for the City that yields information
about past work locations, existing geotechnical properties and anticipated
subsurface conditions. The database will be a simple spreadsheet that is designed
for use by both the City's Geographic Information System (GIS) and accessible by
the public.
The Proposed Work will be accomplished by assessing and assigning
geotechnical properties from past reports into the geologic framework allowing
knowledge of the range in geotechnical properties at any given location and depth.
The City will benefit by (1) producing financial and technical efficiencies of avoiding
redundant future work, (2) creating value of past work, and (3) scoping new work with
expectations of findings, and (4) providing the City with a new GIS dataset that will
last past our generation.
The work duration is a few weeks after collecting a few more past project reports.
Compensation is based on a lump sum of$4,975.00 with assumptions: (1)the project
Subsurface Investigation and Geotechnical Report Carmel Redevelopment 69kV
Underground Relocation Project, 21 July 2017
s
8Bn'
fF
City of Carmel Redevelopment Commission
Proposal for Creating Subsurface Database for Future Project Efficiencies
September 26, 2017
will end by December 31, 2017, (2) the data does not exceed seven past reports, (3)
the spreadsheet database will be created in MS Excel.
On a personal level, it is an honor to contribute to the positive growth and
development of this great City of Carmel. Despite our pride to deliver the highest
quality of work, we are humbled at the opportunity to contribute this city's great
success and toward the,vision of Mayor Jim Brainard. Thank you again for this
opportunity.
Feel free to contact me anytime by telephone at 763.607.0092 or by email at
We are always available to answer any questions.
Yours truly,
Daniel Kelleher, PG, CIPM
President I Hydrogeologist
Indiana Licensed Professional Geologist
Carmel Resident
"E)o-lf8fr
EXHIBIT B
Invoice
Date:
Name of Company:
Address&Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and in detail) Hours
Provided Worked
GRAND TOTAL
Signature
Printed Name
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation&Disability Statutory Limits
Employer's Liability:
Bodily Injury by Accident/Disease: $100,000 each employee
Bodily Injury by Accident/Disease: $250,000 each accident
Bodily Injury by Accident/Disease: $500,000 policy limit
Property damage,contractual liability,
products-completed operations:
General Aggregate Limit(other than
Products/Completed Operations): $500,000
Products/Completed Operations: $500,000
Personal &Advertising Injury
Policy Limit: $500,000
Each Occurrence Limit: $250,000
Fire Damage(any one Fire): $250,000
Medical Expense Limit(any one person): $ 50,000
Comprehensive Auto Liability(owned,hired and non-owned)
Bodily Single Limit: $500,000 each accident
Injury and property damage: $500,000 each accident
Policy Limit: $500,000
Umbrella Excess Liability
Each occurrence and aggregate: $500,000
Maximum deductible: $ 10,000
EXHIBIT D
AFFIDAVIT
/Da �{'4e.
kl f ,being first duly sworn,deposes and says that
he/she is familiar with and has personal knowledge of the facts herein and,if called as a witness in this
matter, could testify as follows:
1. I am over eighteen(18)years of age and am competent to testify to the facts contained
herein.
2. I am now1 and at all times relevant herein have been employed by
/1/I C 1.41C.,4- 6Ct)S.c, tlegt es 6e`v le) (the"Employer")
in the position of ?r-e5 dc711- .
3. I am familiar with the employment policies,practices,and procedures of the Employer and
have the authority to act on behalf of the Employer.
4. The Employer is enrolled and participates in the federal E-Verify program and has
provided documentation of such enrollment and participation to the City of Carmel,
Indiana.
5. The Company does not knowingly employ any unauthorized aliens.
FURTHER AFFIANT SAYETH NOT.
EXECUTED on the �� day of 0 C r , 20/
1
Printed:_,,D1l'f e Il -t.--
I certify under the penalties for perjury under the laws of the United States of America and the State of
Indiana that the foregoing factual statements and representat. are true d correct.
Printed: --f -c�kk.- .-r---
T-Verily
Company ID Number: 1166645
THE E-VERIFY
MEMORANDUM OF UNDERSTANDING
FOR E-VERIFY EMPLOYER AGENTS
ARTICLE I
PURPOSE AND AUTHORITY
The parties to this agreement are the Department of Homeland Security (DHS) and Midwest
GeoSciences Group, Inc. (E-Verify Employer Agent). The purpose of this agreement is to set forth
terms and conditions which the E-Verify Employer Agent will follow while participating in E-Verify.
E-Verify is a program that electronically confirms an employee's eligibility to work in the United States
after completion of Form 1-9, Employment Eligibility Verification (Form 1-9). This Memorandum of
Understanding (MOU) explains certain features of the E-Verify program and describes specific
responsibilities of the E-Verify Employer Agent, the Employer, DHS, and the Social Security
Administration (SSA).
The Employer is not a party to this MOU; however, this MOU contains a section titled Responsibilities
of the Employer. This section is provided to inform E-Verify Employer Agents acting on behalf of the
Employer of the responsibilities and obligations their clients are required to meet. The Employer is
bound by these responsibilities through signing a separate MOU during their enrollment as a client of
the E-Verify Employer Agent. The E-Verify program requires an initial agreement between DHS and the
E-Verify Employer Agent as part of the enrollment process. After agreeing to the MOU as set forth
herein, completing the tutorial, and obtaining access to E-Verify as an E-Verify Employer Agent, the
E-Verify Employer Agent will be given an opportunity to add a client once logged into E-Verify. All
parties, including the Employer, will then be required to sign and submit a separate MOU to E-Verify.
The responsibilities of the parties remain the same in each MOU.
Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and
Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C.
§ 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, "Employment Eligibility
Verification"and Executive Order 12989, as amended, provide authority for Federal contractors and
subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain
employees working on Federal contracts.
ARTICLE II
RESPONSIBILITIES
A. RESPONSIBILITIES OF E-VERIFY EMPLOYER AGENT
1. The E-Verify Employer Agent agrees to provide to the SSA and DHS the names, titles, addresses,
and telephone numbers of the E-Verify Employer Agent representatives who will be accessing
Page 1 of 19 E-Verify MOU for E-Verify Employer Agents I Revision Date 06/01/13
-Ver
Company ID Number: 1166645
information under E-Verify and shall update them as needed to keep them current.
2. The E-Verify Employer Agent agrees to become familiar with and comply with the E-Verify User
Manual and provide a copy of the most current version of the E-Verify User Manual to the Employer so
that the Employer can become familiar with and comply with E-Verify policy and procedures.
The E-Verify Employer Agent agrees to obtain a revised E-Verify User Manual as it becomes available
and to provide a copy of the revised version to the Employer no later than 30 days after the manual
becomes available.
3. The E-Verify Employer Agent agrees that any person accessing E-Verify on its behalf is trained on
the most recent E-Verify policy and procedures.
4. The E-Verify Employer Agent agrees that any E-Verify Employer Agent Representative who will
perform employment verification cases will complete the E-Verify Tutorial before that individual initiates
any cases.
a. The E-Verify Employer Agent agrees that all E-Verify Employer Agent representatives will take
the refresher tutorials initiated by the E-Verify program as a condition of continued use of E-Verify,
including any tutorials for Federal contractors, if any of the Employers represented by the E-Verify
Employer Agent is a Federal contractor.
b. Failure to complete a refresher tutorial will prevent the E-Verify Employer Agent and Employer
from continued use of E-Verify.
5. The E-Verify Employer Agent agrees to grant E-Verify access only to current employees who need
E-Verify access. The E-Verify Employer Agent must promptly terminate an employee's E-Verify access
if the employee is separated from the company or no longer needs access to E-Verify.
6. The E-Verify Employer Agent agrees to obtain the necessary equipment to use E-Verify as required
by the E-Verify rules and regulations as modified from time to time.
7. The E-Verify Employer Agent agrees to, consistent with applicable laws, regulations, and policies,
commit sufficient personnel and resources to meet the requirements of this MOU.
8. The E-Verify Employer Agent agrees to provide its clients with training on E-Verify processes,
policies, and procedures. The E-Verify Employer Agent also agrees to provide its clients with ongoing
E-Verify training as needed. E-Verify is not responsible for providing training to clients of E-Verify
Employer Agents.
9. The E-Verify Employer Agent agrees to provide the Employer with the notices described in Article
II.B.1 below.
10. The E-Verify Employer Agent agrees to create E-Verify cases for the Employer it represents in
accordance with the E-Verify Manual, the E-Verify Web-Based Tutorial and all other published
E-Verify rules and procedures. The E-Verify Employer Agent will create E-Verify cases using
information provided by the Employer and will immediately communicate the response back to the
Employer. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is
again operational in order to accommodate the E-Verify Employer Agent's attempting, in good faith, to
Page 2 of 19 E-Verify MOU for E-Verify Employer Agents I Revision Date 06/01/13
E-Verily
Company ID Number: 1166645
make inquiries on behalf of the Employer during the period of unavailability.
11.When the E-Verify Employer Agent receives notice from a client company that it has received a
contract with the FAR clause, then the E-Verify Employer Agent must update the company's E-Verify
profile within 30 days of the contract award date.
12. If data is transmitted between the E-Verify Employer Agent and its client, then the E-Verify
Employer Agent agrees to protect personally identifiable information during transmission to and from
the E-Verify Employer Agent.
13. The E-Verify Employer Agent agrees to notify DHS immediately in the event of a breach of
personal information. Breaches are defined as loss of control or unauthorized access to E-Verify
personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or
via email at E-Verify@dhs.gov. Please use "Privacy Incident— Password" in the subject line of your
email when sending a breach report to E-Verify.
14. The E-Verify Employer Agent agrees to fully cooperate with DHS and SSA in their compliance
monitoring and evaluation of E-Verify, including permitting OHS, SSA, their contractors and other
agents, upon reasonable notice, to review Forms 1-9, employment records, and all records pertaining
to the E-Verify Employer Agent's use of E-Verify, and to interview it and its employees regarding the
use of E-Verify, and to respond in a timely and accurate manner to DHS requests for information
relating to their participation in E-Verify.
15. The E-Verify Employer Agent shall not make any false or unauthorized claims or references about
its participation in E-Verify on its website, in advertising materials, or other media. The E-Verify
Employer Agent shall not describe its services as federally-approved, federally-certified, or federally-
recognized, or use language with a similar intent on its website or other materials provided to the
public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify
Employer Agent services and any claim to that effect is false.
16. The E-Verify Employer Agent shall not state in its website or other public documents that any
language used therein has been provided or approved by DHS, USCIS or the Verification Division,
without first obtaining the prior written consent of DHS.
17. The E-Verify Employer Agent agrees that E-Verify trademarks and logos may be used only under
license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such
license, may not be used in any manner that might imply that the E-Verify Employer Agent's services,
products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with OHS,
USCIS, or E-Verify.
18. The E-Verify Employer Agent understands that if it uses E-Verify procedures for any purpose other
than as authorized by this MOU, the E-Verify Employer Agent may be subject to appropriate legal
action and termination of its participation in E-Verify according to this MOU.
B. RESPONSIBILITIES OF THE EMPLOYER
The E-Verify Employer Agent shall ensure that the E-Verify Employer Agent and the Employers
represented by the E-Verify Employer Agent carry out the following responsibilities. It is the E-Verify
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Employer Agent's responsibility to ensure that its clients are in compliance with all E-Verify policies and
procedures.
1. The Employer agrees to display the following notices supplied by DHS in a prominent place that is
clearly visible to prospective employees and all employees who are to be verified through the system:
a. Notice of E-Verify Participation
b. Notice of Right to Work
2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone
numbers of the Employer representatives to be contacted about E-Verify. The Employer also agrees to
keep such information current by providing updated information to SSA and DHS whenever the
representatives' contact information changes.
3. The Employer shall become familiar with and comply with the most recent version of the E-Verify
User Manual. The Employer will obtain the E-Verify User Manual from the E-Verify Employer Agent.
4. The Employer agrees to comply with current Form 1-9 procedures, with two exceptions:
a. If an employee presents a "List B" identity document, the Employer agrees to only accept"List
B" documents that contain a photo. (List B documents identified in 8 C.F.R. § 274a.2(b)(1)(B)) can
be presented during the Form 1-9 process to establish identity.) If an employee objects to the photo
requirement for religious reasons, the Employer should contact E-Verify at 1-888-464-4218.
b. If an employee presents a DHS Form 1-551 (Permanent Resident Card), Form 1-766
(Employment Authorization Document), or U.S. Passport or Passport Card to complete Form 1-9,
the Employer agrees to make a photocopy of the document and to retain the photocopy with the
employee's Form 1-9. The Employer will use the photocopy to verify the photo and to assist DHS
with its review of photo mismatches that employees contest. OHS may in the future designate
other documents that activate the photo screening tool.
Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right
to present any List A, or List B and List C, document(s)to complete the Form 1-9.
5. The Employer agrees to record the case verification number on the employee's Form 1-9 or to print
the screen containing the case verification number and attach it to the employee's Form 1-9.
6. The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to
complete, retain, and make available for inspection Forms 1-9 that relate to its employees, or from other
requirements of applicable regulations or laws, including the obligation to comply with the
antidiscrimination requirements of section 274B of the INA with respect to Form 1-9 procedures.
a. The following modified requirements are the only exceptions to an Employer's obligation to not
employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B
identity documents must have photos, as described in paragraph 4 above; (2)When an Employer
confirms the identity and employment eligibility of newly hired employee using E-Verify procedures,
the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1)(A) of
the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the
Employer receives a final nonconfirmation for an employee, but continues to employ that person,
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the Employer must notify DHS and the Employer is subject to a civil money penalty between $550
and $1,100 for each failure to notify DHS of continued employment following a final
nonconfirmation; (4) If the Employer continues to employ an employee after receiving a final
nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly
employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant
is civilly or criminally liable under any law for any action taken in good faith based on information
provided through the E-Verify.
b. DHS reserves the right to conduct Form 1-9 compliance inspections, as well as any other
enforcement or compliance activity authorized by law, including site visits, to ensure proper use of
E-Verify.
7. The Employer is strictly prohibited from creating an E-Verify case before the employee has been
hired, meaning that a firm offer of employment was extended and accepted and Form 1-9 was
completed. The Employer agrees to create an E-Verify case for new employees within three Employer
business days after each employee has been hired (after both Sections 1 and 2 of Form 1-9 have been
completed), and to complete as many steps of the E-Verify process as are necessary according to the
E-Verify User Manual. If E-Verify is temporarily unavailable, the three-day time period will be extended
until it is again operational in order to accommodate the Employer's attempting, in good faith, to make
inquiries during the period of unavailability.
8. The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support
of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual
does not authorize.
9. The Employer must use E-Verify (through its E-Verify Employer Agent) for all new employees. The
Employer will not verify selectively and will not verify employees hired before the effective date of this
MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as
described in Article II.B of this MOU.
10. The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative
nonconfirmations. The Employer must promptly notify employees in private of the finding and provide
them with the notice and letter containing information specific to the employee's E-Verify case. The
Employer agrees to provide both the English and the translated notice and letter for employees with
limited English proficiency to employees. The Employer agrees to provide written referral instructions
to employees and instruct affected employees to bring the English copy of the letter to the SSA. The
Employer must allow employees to contest the finding, and not take adverse action against employees
if they choose to contest the finding, while their case is still pending. Further, when employees contest
a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps
(see Article 1113 below) to contact DHS with information necessary to resolve the challenge.
11. The Employer agrees not to take any adverse action against an employee based upon the
employee's perceived employment eligibility status while SSA or DHS is processing the verification
request unless the Employer obtains knowledge (as defined in 8 C.F.R. § 274a.1(I))that the employee
is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated
verification system to verify work authorization, a tentative nonconfirmation, a case in continuance
(indicating the need for additional time for the government to resolve a case), or the finding of a photo
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mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work
authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest
the finding, and if he or she does so, the employee may not be terminated or suffer any adverse
employment consequences based upon the employee's perceived employment eligibility status
(including denying, reducing, or extending work hours, delaying or preventing training, requiring an
employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal
contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and
unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has
been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo
mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the
Employer can find the employee is not work authorized and terminate the employee's employment.
Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464-
4218 (customer service) or 1-888-897-7781 (worker hotline).
12. The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of
the INA as applicable by not discriminating unlawfully against any individual in hiring, firing,
employment eligibility verification, or recruitment or referral practices because of his or her national
origin or citizenship status, or by committing discriminatory documentary practices. The Employer
understands that such illegal practices can include selective verification or use of E-Verify except as
provided in part D below, or discharging or refusing to hire employees because they appear or sound
"foreign" or have received tentative nonconfirmations. The Employer further understands that any
violation of the immigration-related unfair employment practices provisions in section 274B of the INA
could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of
Title VII could subject the Employer to back pay awards, compensatory and punitive damages.
Violations of either section 274B of the INA or Title VII may also lead to the termination of its
participation in E-Verify. If the Employer has any questions relating to the anti-discrimination provision,
it should contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD).
13. The Employer agrees that it will use the information it receives from E-Verify (through its E-Verify
Employer Agent) only to confirm the employment eligibility of employees as authorized by this MOU.
The Employer agrees that it will safeguard this information, and means of access to it(such as PINS
and passwords), to ensure that it is not used for any other purpose and as necessary to protect its
confidentiality, including ensuring that it is not disseminated to any person other than employees of the
Employer who are authorized to perform the Employer's responsibilities under this MOU, except for
such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes.
14. The Employer agrees to notify DHS immediately in the event of a breach of personal information.
Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All
suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at
E-Verify@dhs.gov. Please use "Privacy Incident—Password" in the subject line of your email when
sending a breach report to E-Verify.
15. The Employer acknowledges that the information it receives through the E-Verify Employer Agent
from SSA is governed by the Privacy Act(5 U.S.C. § 552a(i)(1) and (3)) and the Social Security Act(42
U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any
purpose other than as provided for in this MOU may be subject to criminal penalties.
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16. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and
evaluation of E-Verify (whether directly or through their E-Verify Employer Agent), which includes
permitting DHS, SSA, their contractors and other agents, upon reasonable notice, to review Forms 1-9
and other employment records and to interview it and its employees regarding the Employer's use of
E-Verify, and to respond in a prompt and accurate manner to DHS requests for information relating to
their participation in E-Verify.
17. The Employer shall not make any false or unauthorized claims or references about its participation
in E-Verify on its website, in advertising materials, or other media. The Employer shall not describe its
services as federally-approved, federally-certified, or federally-recognized, or use language with a
similar intent on its website or other materials provided to the public. Entering into this MOU does not
mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false.
18. The Employer shall not state in its website or other public documents that any language used
therein has been provided or approved by DHS, USCIS or the Verification Division, without first
obtaining the prior written consent of DHS.
19. The Employer agrees that E-Verify trademarks and logos may be used only under license by
DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not
be used in any manner that might imply that the Employer's services, products, websites, or
publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify.
20. The Employer understands that if it uses E-Verify procedures for any purpose other than as
authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its
participation in E-Verify according to this MOU.
C. RESPONSIBILITIES OF FEDERAL CONTRACTORS
The E-Verify Employer Agent shall ensure that the E-Verify Employer Agent and the Employers
represented by the E-Verify Employer Agent carry out the following responsibilities if the Employer is a
federal contractor or becomes a Federal contractor. The E-Verify Employer Agent should instruct the
client to keep the E-Verify Employer Agent informed about any changes or updates related to federal
contracts. It is the E-Verify Employer Agent's responsibility to ensure that its clients are in compliance
with all E-Verify policies and procedures.
1. If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment
verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most
current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify
Supplemental Guide for Federal Contractors.
2. In addition to the responsibilities of every employer outlined in this MOU, the Employer understands
that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the
FAR it must verify the employment eligibility of any "employee assigned to the contract" (as defined in
FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer
may not reverify the employee through E-Verify.
a. An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract
award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of
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contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires
using E-Verify. The Employer must verify those employees who are working in the United States,
whether or not they are assigned to the contract. Once the Employer begins verifying new hires,
such verification of new hires must be initiated within three business days after the hire date. Once
enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees
assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an
employee's assignment to the contract, whichever date is later.
b. Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a
contract award must use E-Verify to begin verification of employment eligibility for new hires of the
Employer who are working in the United States, whether or not assigned to the contract, within
three business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal
contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90
days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who
are working in the United States, whether or not assigned to the contract. Such verification of new
hires must be initiated within three business days after the date of hire. An Employer enrolled as a
Federal contractor in E-Verify must begin verification of each employee assigned to the contract
within 90 calendar days after date of contract award or within 30 days after assignment to the
contract, whichever is later.
c. Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)),
state or local governments, governments of Federally recognized Indian tribes, or sureties
performing under a takeover agreement entered into with a Federal agency under a performance
bond may choose to only verify new and existing employees assigned to the Federal contract. Such
Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired
after November 6, 1986. Employers in this category must begin verification of employees assigned
to the contract within 90 calendar days after the date of enrollment or within 30 days of an
employee's assignment to the contract, whichever date is later.
d. Upon enrollment, Employers who are Federal contractors may elect to verify employment
eligibility of all existing employees working in the United States who were hired after November 6,
1986, instead of verifying only those employees assigned to a covered Federal contract. After
enrollment, Employers must elect to verify existing staff following DHS procedures and begin
E-Verify verification of all existing employees within 180 days after the election.
e. The Employer may use a previously completed Form 1-9 as the basis for creating an E-Verify
case for an employee assigned to a contract as long as:
i. That Form 1-9 is complete (including the SSN) and complies with Article 11.13.6,
ii. The employee's work authorization has not expired, and
iii. The Employer has reviewed the Form 1-9 information either in person or in
communications with the employee to ensure that the employee's Section 1, Form 1-9
attestation has not changed (including, but not limited to, a lawful permanent resident alien
having become a naturalized U.S. citizen).
f. The Employer shall complete a new Form 1-9 consistent with Article Il.A.6 or update the
previous Form 1-9 to provide the necessary information if:
i. The Employer cannot determine that Form 1-9 complies with Article 11.A.6,
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ii. The employee's basis for work authorization as attested in Section 1 has expired or
changed, or
iii. The Form 1-9 contains no SSN or is otherwise incomplete.
Note: If Section 1 of the Form 1-9 is otherwise valid and up-to-date and the form otherwise
complies with Article II.C.5, but reflects documentation (such as a U.S. passport or Form 1-551) that
expired after completing Form 1-9, the Employer shall not require the production of additional
documentation, or use the photo screening tool described in Article II.A.5, subject to any additional
or superseding instructions that may be provided on this subject in the E-Verify User Manual.
g. The Employer agrees not to require a second verification using E-Verify of any assigned
employee who has previously been verified as a newly hired employee under this MOU or to
authorize verification of any existing employee by any Employer that is not a Federal contractor
based on this Article.
3. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a
performance requirement under the terms of the Federal contract or subcontract, and the Employer
consents to the release of information relating to compliance with its verification responsibilities under
this MOU to contracting officers or other officials authorized to review the Employer's compliance with
Federal contracting requirements.
D. RESPONSIBILITIES OF SSA
1. SSA agrees to allow DHS to compare data provided by the Employer (through the E-Verify
Employer Agent) against SSA's database. SSA sends DHS confirmation that the data sent either
matches or does not match the information in SSA's database.
2. SSA agrees to safeguard the information the Employer provides (through the E-Verify Employer
Agent) through E-Verify procedures. SSA also agrees to limit access to such information, as is
appropriate by law, to individuals responsible for the verification of Social Security numbers or
responsible for evaluation of E-Verify or such other persons or entities who may be authorized by SSA
as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S.C. 1306(a)), and
SSA regulations (20 CFR Part 401).
3. SSA agrees to provide case results from its database within three Federal Government work days of
the initial inquiry. E-Verify provides the information to the E-Verify Employer Agent.
4. SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative
nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an
SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA
agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that
more than eight days may be necessary. In such cases, SSA will provide additional instructions to the
employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final
nonconfirmation to the E-Verify Employer Agent.
Note: If an Employer experiences technical problems, or has a policy question, the employer should
contact E-Verify at 1-888-464-4218.
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E. RESPONSIBILITIES OF DHS
1. DHS agrees to provide the Employer with selected data from DHS databases to enable the
Employer (through the E-Verify Employer Agent) to conduct, to the extent authorized by this MOU
a. Automated verification checks on alien employees by electronic means, and
b. Photo verification checks (when available) on employees.
2. DHS agrees to assist the E-Verify Employer Agent with operational problems associated with its
participation in E-Verify. DHS agrees to provide the E-Verify Employer Agent names, titles, addresses,
and telephone numbers of OHS representatives to be contacted during the E-Verify process.
3. DHS agrees to provide to the E-Verify Employer Agent with access to E-Verify training materials as
well as an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and
requirements for both SSA and OHS, including restrictions on the use of E-Verify.
4. DHS agrees to train E-Verify Employer Agents on all important changes made to E-Verify through
the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without
changes to E-Verify, DHS reserves the right to require E-Verify Employer Agents to take mandatory
refresher tutorials.
5. OHS agrees to provide to the Employer (through the E-Verify Employer Agent) a notice, which
indicates the Employer's participation in E-Verify. OHS also agrees to provide to the Employer anti-
discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair
Employment Practices (OSC), Civil Rights Division, U.S. Department of Justice.
6. DHS agrees to issue each of the E-Verify Employer Agent's E-Verify users a unique user
identification number and password that permits them to log in to E-Verify.
7. DHS agrees to safeguard the information the Employer provides (through the E-Verify Employer
Agent), and to limit access to such information to individuals responsible for the verification process, for
evaluation of E-Verify, or to such other persons or entities as may be authorized by applicable law.
Information will be used only to verify the accuracy of Social Security numbers and employment
eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting
requirements.
8. DHS agrees to provide a means of automated verification that provides (in conjunction with SSA
verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility
within three Federal Government work days of the initial inquiry.
9. DHS agrees to provide a means of secondary verification (including updating DHS records) for
employees who contest DHS tentative nonconfirmations and photo mismatch tentative
nonconfirmations. This provides final confirmation or nonconfirmation of the employees' employment
eligibility within 10 Federal Government work days of the date of referral to DHS, unless OHS
determines that more than 10 days may be necessary. In such cases, DHS will provide additional
verification instructions.
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ARTICLE III
REFERRAL OF INDIVIDUALS TO SSA AND DHS
The E-Verify Employer Agent shall ensure that the E-Verify Employer Agent and the Employers
represented by the E-Verify Employer Agent carry out the following responsibilities. It is the E-Verify
Employer Agent's responsibility to ensure that its clients are in compliance with all E-Verify policies and
procedures.
A. REFERRAL TO SSA
1. If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the
tentative nonconfirmation notice as directed by E-Verify. The Employer must promptly notify employees
in private of the finding and provide them with the notice and letter containing information specific to the
employee's E-Verify case. The Employer also agrees to provide both the English and the translated
notice and letter for employees with limited English proficiency to employees. The Employer agrees to
provide written referral instructions to employees and instruct affected employees to bring the English
copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take
adverse action against employees if they choose to contest the finding, while their case is still pending.
2. The Employer agrees to obtain the employee's response about whether he or she will contest the
tentative nonconfirmation as soon as possible after the Employer receives the tentative
nonconfirmation. Only the employee may determine whether he or she will contest the tentative
nonconfirmation.
3. After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as
directed by E-Verify. The Employer must record the case verification number, review the employee
information submitted to E-Verify to identify any errors, and find out whether the employee contests the
tentative nonconfirmation. The Employer will transmit the Social Security number, or any other
corrected employee information that SSA requests, to SSA for verification again if this review indicates
a need to do so.
4. The Employer will instruct the employee to visit an SSA office within eight Federal Government work
days. SSA will electronically transmit the result of the referral to the Employer(through the E-Verify
Employer Agent)within 10 Federal Government work days of the referral unless it determines that
more than 10 days is necessary.
5. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case
updates.
6. The Employer agrees not to ask the employee to obtain a printout from the Social Security
Administration number database (the Numident) or other written verification of the SSN from the SSA.
B. REFERRAL TO DHS
1. If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly
notify employees in private of the finding and provide them with the notice and letter containing
information specific to the employee's E-Verify case. The Employer also agrees to provide both the
English and the translated notice and letter for employees with limited English proficiency to
employees. The Employer must allow employees to contest the finding, and not take adverse action
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against employees if they choose to contest the finding,while their case is still pending.
2. The Employer agrees to obtain the employee's response about whether he or she will contest the
tentative nonconfirmation as soon as possible after the Employer receives the tentative
nonconfirmation. Only the employee may determine whether he or she will contest the tentative
nonconfirmation.
3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a
tentative nonconfirmation.
4. If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the
employee to contact DHS through its toll-free hotline (as found on the referral letter)within eight
Federal Government work days.
5. If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative
nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative
nonconfirmations, generally.
6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo
mismatch, the Employer will send a copy of the employee's Form 1-551, Form 1-766, U.S. Passport, or
passport card to DHS for review by:
a. Scanning and uploading the document, or
b. Sending a photocopy of the document by express mail (furnished and paid for by the employer).
7. The Employer understands that if it cannot determine whether there is a photo match/mismatch, the
Employer must forward the employee's documentation to DHS as described in the preceding
paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will
determine the photo match or mismatch.
8. DHS will electronically transmit the result of the referral to the Employer(though the E-Verify
Employer Agent)within 10 Federal Government work days of the referral unless it determines that
more than 10 days is necessary.
9. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case
updates.
ARTICLE IV
SERVICE PROVISIONS
A. NO SERVICE FEES
1. SSA and DHS will not charge the Employer or the E-Verify Employer Agent for verification services
performed under this MOU. The E-Verify Employer Agent is responsible for providing equipment
needed to make inquiries. To access E-Verify, an E-Verify Employer Agent will need a personal
computer with Internet access.
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Company ID Number: 1166645
ARTICLE V
MODIFICATION AND TERMINATION
A. MODIFICATION
1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the
SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all
parties.
2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify
checking against additional data sources and instituting new verification policies or procedures, will be
covered under this MOU and will not cause the need for a supplemental MOU that outlines these
changes.
B. TERMINATION
1. The E-Verify Employer Agent may terminate this MOU and its participation in E-Verify at any time
upon 30 days prior written notice to the other parties. In addition, any Employer represented by the
E-Verify Employer Agent may voluntarily terminate its MOU upon giving DHS 30 days' written notice.
2. Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the
E-Verify Employer Agent's participation in E-Verify, with or without notice, at any time if deemed
necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that
there has been a breach of system integrity or security by the E-Verify Employer Agent or the
Employer, or a failure on the part of either party to comply with established E-Verify procedures and/or
legal requirements. The Employer understands that if it is a Federal contractor, termination of this MOU
by any party for any reason may negatively affect the performance of its contractual responsibilities.
Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of
this by any party MOU may negatively affect the Employer's business.
3. An E-Verify Employer Agent for an Employer that is a Federal contractor may terminate this MOU
for that Employer when the Federal contract that requires its participation in E-Verify is terminated or
completed. In such cases, the E-Verify Employer Agent must provide written notice to DHS. If the
E-Verify Employer Agent fails to provide such notice, then that Employer will remain an E-Verify
participant, will remain bound by the terms of this MOU that apply to non-Federal contractor
participants, and will be required to use the E-Verify procedures to verify the employment eligibility of all
newly hired employees.
4. The E-Verify Employer Agent agrees that E-Verify is not liable for any losses, financial or otherwise,
if the E-Verify Employer Agent or the Employer is terminated from E-Verify.
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Company ID Number: 1166645
ARTICLE VI
PARTIES
A. Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and
SSA and DHS may adjust verification responsibilities between each other as necessary. By separate
agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU.
B. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive
or procedural, enforceable at law by any third party against the United States, its agencies, officers, or
employees, or against the E-Verify Employer Agent, its agents, officers, or employees.
C. The E-Verify Employer Agent may not assign, directly or indirectly, whether by operation of law,
change of control or merger, all or any part of its rights or obligations under this MOU without the prior
written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to
sublicense, assign, or transfer any of the rights, duties, or obligations herein is void.
D. Each party shall be solely responsible for defending any claim or action against it arising out of or
related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but
not limited to) any dispute between the Employer and any other person or entity regarding the
applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer.
E. The E-Verify Employer Agent understands that its participation in E-Verify is not confidential
information and may be disclosed as authorized or required by law and DHS or SSA policy, including
but not limited to, Congressional oversight, E-Verify publicity and media inquiries, determinations of
compliance with Federal contractual requirements, and responses to inquiries under the Freedom of
Information Act(FOIA).
F. The individuals whose signatures appear below represent that they are authorized to enter into this
MOU on behalf of the E-Verify Employer Agent and OHS respectively. The E-Verify Employer Agent
understands that any inaccurate statement, representation, data or other information provided to DHS
may subject the Employer or the E-Verify Employer Agent, as the case may be, its subcontractors, its
employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001
and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension.
G. The foregoing constitutes the full agreement on this subject between DHS and the E-Verify
Employer Agent.
If you have any questions, contact E-Verify at 1-888-464-4218.
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,... 1000
Company ID Number: 1166645
Approved by:
E-Verify Employer Agent Employer
Midwest GeoSciences Group, Inc.
Name (Please Type or Print) Title
Daniel L Kelleher
Signature Date
Electronically Signed 02/03/2017
Department of Homeland Security—Verification Division
Name (Please Type or Print) Title
USCIS Verification Division
Signature Date
Electronically Signed 02/03/2017
Page 15 of 19 E-Verify MOU for E-Verify Employer Agents(Revision Date 06/01/13
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Company ID Number: 1166645
Information Required for the E-Verify Program
Information relating to your Company:
Midwest GeoSciences Group, Inc.
Company Name
1950 Greyhound Pass
Suite 18-200
Carmel, IN 46033
Company Facility Address
Company Alternate Address
County or Parish HAMILTON
Employer identification Number 412164336
North American Industry 541
Classification Systems Code
Parent Company
Number of Employees 1 to 4
Number of Sites Verified for 1
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-VerIfy
Company ID Number: 1166645
Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in
each State:
INDIANA 1 site(s)
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V rif
e
n �
Company ID Number: 1166645
Information relating to the Program Administrator(s)for your Company on policy questions or
operational problems:
Name Daniel L Kelleher
Phone Number (763)607-0092
Fax Number
Email Address dan@midwestgeo.com
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Company ID Number: 1166645
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