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

The document is an Attachment K Common Carrier or Contracted Carrier Attestation Form issued by the Florida Department of Management Services, specifically related to a Liquefied Petroleum (LP) Gas Invitation to Bid (ITB) No. 25-15111510-ITB. The procurement aims to establish a statewide contract for LP gas purchase, delivery, and related tank services across Florida's 67 counties, with two primary delivery groups: Bobtail Delivery (Group A) for deliveries up to 4,500 gallons and Transport Delivery (Group B) for deliveries over 4,500 gallons. The bid is due on September 23, 2025, at 2:00 PM ET, with an anticipated contract term beginning upon execution, and potential three-year renewals.

The solicitation requires vendors to provide pricing through a markup system based on the Hattiesburg Average propane price, with options for both customer-owned and vendor-owned tanks. Bidders must be licensed by the Florida Department of Agriculture and Consumer Services and comply with Gas Processors Association (GPA) 2140 standards. The evaluation will be based on the lowest responsive and responsible bidder for each county, with the Department potentially awarding up to three contracts per county if bids are within 20 percent of each other. The existing contract has an average annual agency spend of $6,012,981.85, though future purchasing volumes are not guaranteed. Vendors must be registered in the MyFloridaMarketPlace Vendor Information Portal, complete various compliance forms, and demonstrate ability to meet the state's procurement standards.

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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 .