Attachment_K-PUR_1808_Common_Carrier_or_Contracted_Carrier_Attestation_Form.docx
DOCX document 19 KB Posted
- Attached to
- Liquefied Petroleum (LP) Gas
- Solicitation number
- ITB-13635
- Issued by
- Florida
About this file
This document is an Attachment K Common Carrier or Contracted Carrier Attestation Form from the state of Florida, specifically referencing section 908.111, F.S. and administrative code 60A-1.020, F.A.C. The form is designed to be completed by common carriers or contracted carriers when executing, amending, or renewing a contract with a governmental entity.
The attestation requires the carrier to declare that they will not willfully provide transportation services to an unauthorized alien, except to facilitate detention, removal, or departure from the state or United States. The form mandates a signature from an authorized representative, including their printed name, title, and date, under penalties of perjury. While the document does not specify a specific contract, procurement, or project details, it serves as a legal compliance document for carriers engaged in state-level contractual agreements.
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Text version
ATTACHMENT K
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 .