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Contract 2020-008A ACity of Casselberry f Procurement and Contract Management Division 95 Triplet Lake Drive, Casselberry, Florida 32707 Phone: 407-262-7700, Ext. 1142 j orocurement(&casselberrv.orq RFP-2019-0467 — SANITARY SEWER, MANHOLE, AND LIFT STATION WET WELL REHABILITATION AMENDMENT #1 THIS Amendment is made by and between the CITY OF CASSELBERRY, a municipal corporation existing under the laws of the State of Florida, 95 Triplet Lake Drive, Casselberry, Florida 32707, hereinafter referred to as the "CITY", and GRANITE INLINER, 2531 Jewett Lane, Sanford, Florida 32771 hereinafter referred to as the "CONTRACTOR". WITNESSETH: WHEREAS, the CITY desires to maintain the professional services of the CONTRACTOR to continue to provide and perform Sanitary Sewer, Manhole and Lift Station Wet Well Rehabilitation, as further described in Agreement RFP-2019-0467, approved by the CITY COMMISSION, on June 10, 2019, between the CITY and the CONTRACTOR; and WHEREAS, pursuant to the original agreement, the covenants, terms, and provisions of the Agreement may be modified by way of written instrument, mutually accepted by the parties; and WHEREAS, the purpose of this Amendment is to extend the Term_ NOW, THEREFORE, in consideration of the mutual covenants, terms, and provisions contained herein, the parties agree as follows: SECTION 1 TERM The Agreement is hereby extended one (1) year to June 9, 2023, and may be renewed for an additional one (1) year period. SECTION 5 COMPENSATION No changes to Compensation. SIGNATURE PAGE TO FOLLOW PF408A 1 6/2021 City of Casseiberry I Procurement and Contract Management Division 95 Triplet Lake Drive, Casselberry, Florida 32707 Phone: 407-262-7700, Ext. 1142 1 procurementnaasselberrv.orq RFP-2019-0467 — SANITARY SEWER, MANHOLE, AND LIFT STATION WET WELL REHABILITATION IN WITNESS WHEREOF, the parties hereto, by their duly authorized representatives, have executed this Agreement effective the 1<-,��^day of n ,-,<LL`- , AD 2022. ,,�1111111J�JJ E INL/n. ''C� rr w SEAL -e n May 1, 2002 /4'01AN p JJJJI! CITY OF CASSELBERRY, FLORIDA Cheryl L. Olson Digitally signed by Cheryl L. Olson By: Date: 2022.03.21 14:06:17-04'00' Cheryl Olson Procurement Manager G TE IN I ER By: Print. Daniel Banken Title: District Manager For a corporation: STATE OF FLORIDA COUNTY OF SEMINOLE �� zt 13� ''L7 The foregoing instrument was acknowledged before me by means of N physical presence or ❑ online notarization, this by Daniel Banken as District Manager of Granite Inliner, LLC an Indiana corporation, on behalf of the corporation. He/she is personally known to me or has produced ,)v('Ic as identification. [Notary Seal] My Commission Expires: I N �? 0,—gj,, ary Public Jacob Smith Name typed, printed or stamped ,.+� • JACOB D. SMITH Notary Public, Stale of Fkxida * *� Commission No. GG247708 Commission Expires 10103/2022 PF-408A 2 612021 City of Casselberry I Procurement and Contract Management Division 95 Triplet Lake Drive, Casselberry, Florida 32707 Phone: 407-262-7700, Ext. 1142 1 a rocurement6casselberrv.orq RFP-2019-0467 — SANITARY SEWER, MANHOLE, AND LIFT STATION WET WELL REHABILITATION Exhibit "A" Contractor E-Verify Affidavit I hereby certify that Granite Inliner, LLC [insert contractor company name] does not employ, contract with, or subcontract with an unauthorized alien, and is otherwise in full compliance with, section 448.095, Florida Statutes_ All employees hired on or after January 1, 2021 have had their work authorization status verified through the E- Verify system. A true and correct co Granite Inliner`s [insert contractor company name] proof of registration in the E-Verify st ihs to 7'oAffidavit. Print Name. Daniel Banken Date: March 15, 2022 STATE OF FLORIDA COUNTY OF SEMINOLE The foregoing instrument was acknowledged before me by means of 0 physical presence or ❑ online notarization, this 15th day of March by Daniel Banken as District Manager of Granite !miner, LLC , an Indiana corporation on behalf of the corporation. He/she is personally known to me or has produced 1jt-" (' as identification. al" [Notary Sea[] ita- y Public Jacob Smith Name typed, printed or stamp My Commission Expires: c.,l < 4' i �0k� JAC08 D. SMITH Notary Public, State of Florida * * Cornmisslnn Na. G 01 Commission Expires 10103/2022 PF-408A 3 512021 City of Casselberry { Procurement and Contract Management Division 95 Triplet Lake Drive, Casselberry, Florida 32707 Phone: 407-262-7700, Ext, 1142 1 procurement an.casselberrv.orq RFP-2019-0467 — SANITARY SEWER, MANHOLE, AND LIFT STATION WET WELL. REHABILITATION Exhibit "A" Contractor E-Verify Affidavit I hereby certify that Granite Inliner, LLC [insert contractor company name] does not employ, contract with, or subcontract with an unauthorized alien, and is otherwise in full compliance with, section 448.095, Florida Statutes. All employees hired on or after January 1, 2021 have had their work authorization status verified through the E- Verify system. A true and correct copy of Granite Inliner's E-Verify sys 'v ail e this Affidavit_ Print Name: Daniel Banken Date: March 15, 2022 STATE OF FLORIDA COUNTY OF SEMINOLE [insert contractor company name] proof of registration in the The foregoing instrument was acknowledged before me by means of 0 physical presence or ❑ online notarization, this 15th day of March by Daniel Banken as District Manager of Granite Iniiner, LLC , an Indiana corporation, on behalf of the corporation. He/she is personally known to me or has produced tv_j as identification. [Notary Seal] o otary Public Jacob Smith Name typed, printed or stamps My Commission Expires: ci.Tr-r 3 z-& JAC06 D. SMITH i— Notary Public, Stale of Fwda * w CofnMMion No. GG247708 Commission Expires 10/03/2022 P F-4OBA 1 612021 EmployerWizard Page I of I E-Verif Employment Eligibility Verification fo.- any t, hetp .. - . Home Company information i USA �� S. wercoma UW OD Last Login Susie Fernandez SFERNAND 154:44PM-0&1112013 Log Out MY Cases New Case View Cases Company tame: Granite Construction INC And Subsidiaries Search Cases Company ID Number. 9282 My profile Doing Business As (DBA) Edit Pra51a Name: Change Password DUNS Number: Change Security Questions Physical Location: Mailing Address: My Company Address 1: 585 West Reach Street Address 1; P-O. Sox 60085 Edit Company Profile Address 2: Address 2: Add New User City; Watsonville City: Watsonville View Existing Users State: CA State: CA Close Company Account Zip Cade: 95076 Zip Coder 95077 County: SANTA CRUZ My Reports View Reports Additional Information: My Resources Employer Identification Number: 770239383 View Essential Resources Total Number of Employees: 5.000 to 9,999 Take Tutorial Parent Organization: GRANITE CONSTRUCTQN INCORPORATED View User Manual Administrator: Organization Designation: Contact Us Employer Category: Eedera€ Contraotorwith FAR E-Verify Clause Federal Contractor Category: None of these categories apply Employees being verified: All new hires and all existing employees -assigned to a Federal contract NAICS Code: 2373 - HIGHWAY, STREET, AND BRIDGE CONSTRUCTION 1i Total Hiring Sites: 57 Total Points of Contact: v U.S. Department of Homelaria Security - www.ors.pov ll.S. Citizenship and Immigration Services - wvror.uscis.pav AP.Cessitsirty Download Viewers Company 1D Number; 9282 ARTICLE I PURPOSE AND AUTHORITY This Memorandum of Understanding (MOU) sets forth the points of agreement between the Social Security Administration (SSA), the Department of Homeland Security (DHS) and Granite Construction IncorRorated (Employer) regarding the Employer's participation in the Employment Eligibility Verification Program (E-Verify). E-Verify is a program in which the employment eligibility of all newly hired employees will be confirmed after the Employment Eligibility Verification Form (Form 1-9) has been completed. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (URIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). ARTICLE H FUNCTIONS TO BE PERFORMED A. RESPONSIBILITIES OF THE SSA I. Upon completion of the Form 1-9 by the employee and the Employer, and provided the Employer complies with the requirements of this MOU, SSA agrees to provide the Employer with available information that allows the Employer to confirm the accuracy of Social Security Numbers provided by all newly hired employees and the employment authorization of U.S. citizens. 2. The SSA agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employer's participation in the E-Verify program. The SSA agrees to provide the Employer with names, titles, addresses, and telephone numbers of SSA representatives to be contacted during the E-Verify process. 3. The SSA agrees to safeguard the information provided by the Employer through the E- Verify program procedures, and to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security Numbers and for evaluation of the E-Verify program or such other persons or entities who may be authorized by the 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). 4. SSA agrees to establish a means of automated verification that is designed (in conjunction with DHS's automated system if necessary) to provide confirmation or tentative nogconfirmation of U.S. citizens' employment eligibility and accuracy of SSA records for both citizens and aliens within 3 Federal Government work days of the initial inquiry. Company ID Number: 9282 5. SSA agrees to establish a means of secondary verification (including updating SSA records as may be necessary) for employees who contest SSA tentative nonconfirmations that is designed to provide final confirmation or nonconfirmation of U.S. citizens' employment eligibility and accuracy of SSA records for both citizens and aliens within 10 Federal Government work days of the date of referral to SSA, unless SSA deterrnincs that more than 10 days may be necessary. In such cases, SSA will provide additional verification instructions. B. RESPONSIBILITIES OF THE DEPARTMENT OF HOMELAND SECURITY I. Upon completion of the Form 1-9 by the employee and the Employer and after SSA verifies the accuracy of SSA records for aliens through E-Verify, DHS agrees to provide the Employer access to selected data from DHS's database to enable the Employer to conduct: • Automated verification checks on newly hired alien employees by electronic means, and • Photo verification checks (when available) on newly hired alien employees. 2. DHS agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employer's participation in the E-Verify program. DHS agrees to provide the Employer names, titles, addresses, and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the Employer a manual (the E-Verify Manual) containing instructions on E-Verify policies, procedures and requirements for both SSA and DHS, including restrictions on the use ofE-Verify.. DHS agrees to provide training materials on E-Verify. 4. DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in the E-Verify program. DHS 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, and U.S. Department of Justice. 5. DHS agrees to issue the Employer a user identification number and password that permits the Employer to verify information provided by alien employees with DHS's database. 6. DHS agrees to safeguard the information provided to DHS by the Employer, and to limit access to such information to individuals responsible for the verification of alien employment eligibility and for evaluation of the E-Verify program, or to such other persons or entities as may be authorized by applicable Iaw. Information will be used only to verify the accuracy of Social Security Numbers and employment eligibility, to enforce the Immigration and Nationality Act and federal criminal laws, and to ensure accurate wage reports to the SSA. 7. DHS agrees to establish a }Weans of automated verification that is designed (in conjunction with SSA verification procedures) to provide confirmation or tentative nonconfi oration of employees' employment eligibility within 3 Federal Government work days of the initial inquiry. Company ID Number: 9282 8. DHS agrees to establish a means of secondary verification (including updating DHS records as may be necessary) for employees who contest DHS tentative nonconfirmations and photo non -match tentative nonconfrmations that is designed to provide final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification instructions. C. RESPONSIBILITIES OF THE EMPLOYER 1. The Employer agrees to display the notices supplied by DHS in a prominent place that is clearly visible to prospective employees. 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 regarding E-Verify. The Employer agrees to become familiar with and comply with the E-Verify Manual. 4. The Employer agrees that any Employer Representative who will perform employment verification queries will complete the E-Verify Tutorial before that individual initiates any queries. A. The employer agrees that all employer representatives will take the refresher tutorials initiated by the E-Verify program as a condition of continued use of E- Verify. B. Failure to complete a refresher tutorial will prevent the employer from continued use of the program. 5. The Employer agrees to comply with established .Form 1-9 procedures, with two exceptions: • 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 S C_F.R. § 274a.2 (b) (1) (B)) can be presented during the Form I-9 process to establish identity). • If an employee presents a DHS Form I-551 (Permanent Resident Card) or Form I-766 (Employment Authorization Document) to complete the Form I-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee's Form I-9. The employer will use the photocopy to verify the photo and to assist the Department with its review of photo non -matches that are contested by employees. Note that employees retain the right to present any List A, or List B and List C, documentation to complete the Form I-9. DHS may in the future designate other documents that activate the photo screening tool. 6. The Employer understands that participation in E-Verify does not exempt the Employer from the 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, except for the following modified requirements applicable by reason of the Employer's participation in E- Verify: (1) identity documents must have photos, as described in paragraph 5 above; (2) a Company ID Number: 9282 rebuttable presumption is established that the Employer has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the bring of any individual if it obtains confirmation of the identity and employment eligibility of the individual in compliance with the terms and conditions of E-Verify ; (3) the Employer must notify DHS if it continues to employ any employee after receiving a final nonconfirmation, and is subject to a civil money penalty between $500 and $1,000 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) the Employer is subject to a rebuttable presumption that it has knowingly employed an unauthorized alien in violation of section 274A(a)(1)(A) if the Employer continues to employ any employee after receiving a final nonconfirmation; and (5) no person or entity participating in E-Verify is civilly or criminally liable under any law for any action taken in good faith on information provided through the confirmation system. DHS reserves the right to conduct Form I-9 compliance inspections during the course of E-Verify, as well as to conduct any other enforcement activity authorized by law. 7. The Employer agrees to initiate E-Verify verification procedures within 3 Employer business days after each employee has been hired (but after both sections I and 2 of the Form I-9 have been completed), and to complete as many (but only as many) steps of the E-Verify process as are necessary according to the E-Verify Manual. The Employer is prohibited froin initiating verification procedures before the employee has been hired and the Form I-9 completed. If the automated system to be queried is temporarily unavailable, the 3-day time period is 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. In all cases, the Employer must use the SSA verification procedures first, and use DHS verification procedures and photo screening tool only after the the SSA verification response has been given. 8. The Employer agrees not to use E-Verify procedures for pre -employment screening of job applicants, support for any unlawful employment practice, or any other use not authorized by this MOU. The Employer must use E-Verify for all new employees and will not verify only certain employees selectively. The Employer agrees not to use E-Verify procedures for re - verification, or- for employees hired before the date this MOU is in effect. The Employer understands that if the Employer uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and the immediate termination of its access to SSA and DHS information pursuant to this MOU. 9. The Employer agrees to follow appropriate procedures (see Article III.B. below) regarding tentative nonconfirmations, including notifying employees of the finding, providing written referral instructions to employees, allowing employees to contest the finding, and not taking adverse action against employees if they choose to contest the finding. Further, when employees contest a tentative nonconfirmation based upon a photo non -match, the Employer is required to take affirmative steps (see Article HI.B. below) to contact DHS with information necessary to resolve the challenge. 10. The Employer agrees not to take any adverse action against an employee based upon the employee's 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 (1)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification to verify work authorization., a tentative nonconfirmation, or the finding of Company ID Number: 9282 a photo non -snatch, does not mean, and should not be interpreted as, an indication that the employee is not work authorized. In any of the cases listed above, the employee must be provided the opportunity to contest the finding, and if he or she does so, may not be terminated or suffer any adverse employment consequences 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 non -match, then the Employer can find the employee is not work authorized and take the appropriate action. 11. The Employer agrees to comply with section 274B of the INA by not discriminating unlawfully against any individual in hiring, firing, or recruitment or referral practices because of his or her national origin or, in the case of a protected individual as defined in section 27413(a)(3) of the INA, because of his or her citizenship status. The Employer understands that such illegal practices can include selective verification or use of E-Verify, discharging or refusing to hire eligible employees because they appear or sound "foreign", and premature termination of employees based upon tentative nonconfirmations, and that any violation of the unfair immigration -related employment practices provisions of the INA could subject the Employer to civil penalties pursuant to section 274B of the INA and 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 1-800-255-7688 or I-800-237-2515 (TDD). 12. 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 Norm 1-9. 13_ The Employer agrees that it will use the information it receives from the SSA or DHS pursuant to E-Verify and this MOU only to confirm the employment eligibility of newly -hired employees after completion of the Form 1-9. The Employer agrees that it will safeguard this information, and means of access to it (such as FINS 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. 14. The Employer acknowledges that the information which it receives 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)), and that 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. 15. The Employer agrees to allow DHS and SSA, or their authorized agents or designees, to make periodic visits to the Employer for the purpose of reviewing E-Verify -related records, i.e., Forms 1-9, SSA Transaction Records, and DHS verification records, which were created during the Employer's participation in the E-Verify Program. In addition, for the purpose of evaluating E-Verify, the Employer agrees to allow DHS and SSA or their authorized agents or designees, to interview it regarding its experience with E-Verify, to interview employees hired during E-Verify use concerning their experience with the pilot, and to make employment and E-Verify related records available to DHS and the SSA, or their designated agents or designees. Failure to comply with the terms of this paragraph may lead DHS to terminate the Employer's access to E-Verify_ Company ID Number. 9282 ARTICLE III REFERRAL OF INDIVIDUALS TO THE SSA AND THE DEPARTMENT OF HOMELAND SECURITY A. REFERRAL TO THE SSA 1. If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the tentative nonconfirmation notice as directed by the automated system and provide it to the employee so that the employee may determine whether he or she will contest the tentative nonconfirmation. 2. The Employer will refer employees to SSA field offices only as directed by the automated system based on a tentative taonconfirmation, and only after the Employer records the case verification number, reviews the input to detect any transaction errors, and determines that the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security Number to SSA for verification again if this review indicates a need to do so. The Employer will determine whether the employee contests the tentative nonconfirmation as soon as possible after the Employer receives it. 3. If the employee contests an SSA tentative nonconfirmation, the Employer will provide the employee with a referral letter and instruct the employee to visit an SSA office to resolve the discrepancy within 8 Federal Government work days. The Employer will make a second inquiry to the SSA database using E-Verify procedures on the date that is 10 Federal Government work days after the date of the referral in order to obtain confirmation, or final nonconfirmation, unless otherwise instructed by SSA or unless SSA determines that more than 10 days is necessary to resolve the tentative nonconfrtnation.. 4. The Employer agrees not to ask the employee to obtain a printout from the Social Security Number database (the Numident) or other written verification of the Social Security Number from the SSA. B. REFERRAL TO THE DEPARTMENT OF HOMELAND SECURITY I _ If the Employer receives a tentative nonconf ination issued by DHS, the Employer trust print the tentative nonconfirmation notice as directed by the automated system and provide it to the employee so that the employee may determine whether he or she will contest the tentative nonconfirmation. 2. If the Employer finds a photo non -match for an alien who provides a document for which the automated system has transmitted a photo, the employer must print the photo non -match tentative nonconfirmation notice as directed by the automated system and provide it to the employee so that the employee may determine whether he or she will contest the finding. 3_ The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation received from DNS automated verification process or when Company ID Number-. 9282 the Employer issues a tentative nonconfurnation based upon a photo non -match. The Employer will determine whether the employee contests the tentative uonconfirmation as soon as possible after the Employer receives it. 4. If the employee contests a tentative nonconfirmation issued by DHS, the Employer will provide the employee with a referral letter and instruct the employee to contact the Department through its toll -free hotline within 8 Federal Government work days. 5. If the employee contests a tentative nonconfirmation based upon a photo non -match, the Employer will provide the employee with a referral letter to DHS. DHS will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo non -match, the Employer will send a copy of the employee's Form 1-551 or Form I- 766 to DHS for review by: • Scanning and uploading the document, or • Sending a photocopy of the document by an express mail account (furnished and paid for by DHS). 7. The Employer understands that if it cannot determine whether there is a photo match/non-match, the Employer is required to forward the employee's documentation to DHS by scanning and uploading, or by sending the document as described in the preceding paragraph, and resolving the case as specified by the Immigration Services Verifier at DHS who will determine the photo match or non -match. ARTICLE IV SERVICE PROVISIONS The SSA and DHS will not charge the Employer for verification services performed udder this MOU. The Employer is responsible for providing equipment needed to make inquiries. To access the E-Verify System, an Employer will need a personal computer with Internet access. ARTICLE V PARTIES This MOU is effective upon the signature of all parties, and shall continue in effect for as long as the SSA and DHS conduct the E-Verify program unless modified in writing by the mutual consent of all parties, or terminated by any party upon 30 days prior written notice to the others. Any and all system enhancements to the E-Verify program by DHS or SSA, including but not limited to the E-Verify checking against additional data sources and instituting new verification procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. DHS agrees to train employers on all changes made to E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify manual. Even. Company ID Number: 9282 without changes to E-Verify, the Department reserves the right to require employers to take mandatory refresher tutorials. Termination by any party shall terminate the MOU as to all parties. The SSA or DHS may terminate this MOU without prior notice 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 Employer, or a failure on the part of the Employer to comply with established procedures or legal requirements. 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 they may determine. 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 Employer, its agents, officers, or employees. 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. The employer understands that the fact of 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, and responses to inquiries under the Freedom of Information Act (FOIA). The foregoing constitutes the full agreement on this subject between the SSA, DHS, and the Employer. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer and DHS respectively. To be accepted as a participant in E-Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E-Verify Operations at 888464- 42I8. Employer Granite Construction Incorporated Name (Please type or print) Si H f� ?. R-,9. Title f f(3 A` Datt i Department of Homeland Security — Verification Division Company ID Number: 9282 USC1S Verification Division Name (Please type or print) Title Electronically Signed 09/13/2004 Signature Date Company ID Number: 9282 INFORMATION REQUIRED FOR THE E-VERIFY PROGRAM Information relating to your Company: Company Name: Granite Construction Incorporated Company Facility Address: 585 West Beach Street Watsonville, CA 95076 Company Alternate Address: P-0, Box 50055 Watsonville, CA 95077 County or Parish: SANTA CRUZ Employer Identification Number: 770239383 North American Industry Classification Systems Code: 2373 Parent Company: 5,000 to Number of Employees: 9,999 Number of Sites Verified for: 56 Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State • ARIZONA I site(s) • UTAH I site(s) • MARYLAND I site(s) • WASHINGTON 6 site(s) • NEW MEXICO I site($) • NEVADA 3 site(s) • MINNESOTA 2 site(s) • CALYFORNIA 23 site(s) • 'TEXAS 4 site(s) FL.OPJDA 4 site($) ♦ MISSOURI 2 site(s) • ALASKA 2 site(s) • OREGON 2 site(s) • PENNSYLVANIA I site(s) • NEW YORK I site(s) • NORTH CAROLINA 2 site(s) Company ID Number: 9282 Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name: Susie Fernandez Telephone Number: (831) 761 - 4794 Fax Number: (831) 768 - 4491 E-mail Address: Susie.Fernandez@gcinc.com