Leased Employee Affidavit. (if Applicable) shall be completed and submitted with your proposal OR marked “Not Applicable.”
Leased Employee Affidavit. (Submit if Applicable)
Leased Employee Affidavit. ☐ None of the services in the Scope of Services will be provided on County property. Continue to “Form 5. ☐ All or a portion of the services in the Scope of Services will be provided on County property. If selected, select an option below: ☐ The Subrecipient will not be using an employee leasing arrangement and therefore is not obligated to complete the below Leased Employee Affidavit pursuant to Article 19 of this Agreement. Continue to “Form 5.” ☐ The Subrecipient will be using an employee leasing arrangement and therefore hereby executes the following affidavit: LEASED EMPLOYEE AFFIDAVIT The undersigned hereby certifies on behalf of the Subrecipient, that:
