Attachment J, PUR 1808 Common Carrier or Contracted Carrier Attestation Form.docx

DOCX document 31 KB Posted

Attached to
Mail Services
Solicitation number
RFP-10992
Issued by
Florida

About this file

This is an attestation form (Attachment J, Form PUR 1808) required by the Florida Department of Management Services for common carriers or contracted carriers participating in a Mail Services contract opportunity. The form requires carriers to declare they will not knowingly transport unauthorized aliens into Florida except for detention, removal, or departure purposes. The form must be submitted when executing, amending, or renewing a contract with a governmental entity.

The document is a single-page form that requires the carrier's name, a printed name of the representative, their title, signature, and date. The form falls under Florida Statute section 908.111 and administrative code 60A-1.020, F.A.C. No pricing terms, set-asides, or funding requirements are included in this form.

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Text version

Attachment J

COMMON CARRIER OR CONTRACTED CARRIER ATTESTATION FORM

(PUR 1808)

This form must be completed by a Common Carrier or contracted carrier and submitted to the Governmental Entity with which a Contract being is executed, amended, or renewed. Capitalized terms used herein have the definitions ascribed in section 908.111, F.S.

_____________________(Name of Common Carrier or contracted carrier) is not willfully providing and will not willfully provide any service during the Contract term in furtherance of transporting a person into this state knowing that the person is an Unauthorized Alien, except to facilitate the detention, removal, or departure of the person from this state or the United States.

Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.

Printed Name: ___________________________

Title: ________________________

Signature: _______________________________ Date: ________________

PUR 1808 (08/22) Page 1 of 1 60A-1.020, F.A.C.

File details come from the government source that posted it. Updated .