Attachment J, PUR 1808 Common Carrier or Contracted Carrier Attestation Form.pdf
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- Attached to
- Mail Services V2
- Solicitation number
- RFP-11858
- Issued by
- Leon County, Florida
About this file
The document is a Common Carrier or Contracted Carrier Attestation Form (PUR 1808) related to Florida state government procurement regulations. The form is designed for carriers to certify compliance with state requirements regarding the transportation of unauthorized aliens, specifically affirming that the carrier will not willfully provide services that facilitate transporting unauthorized individuals into the state, except in cases involving detention, removal, or departure.
The attestation form requires the carrier to declare under penalties of perjury that they understand and will comply with the stated prohibition. It includes fields for the carrier's printed name, title, signature, and date of execution. The form is part of a formal procurement process governed by Florida Administrative Code section 60A-1.020 and references Florida Statute 908.111, indicating it is a mandatory certification for carriers entering into contracts with governmental entities in the state of Florida.
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Text version
PUR 1808 (08/22) Page 1 of 1 60A-1.020, F.A.C.
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: ________________
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