Attachment K, PUR 1808 Common Carrier or Contracted Carrier Attestation Form.pdf

148 KB Posted

Attached to
Natural Gas Supply ITB
Solicitation number
ITB-13699
Issued by
Leon County, Florida

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This document is a Common Carrier or Contracted Carrier Attestation Form (PUR 1808) issued under Florida Administrative Code 60A-1.020. The form requires a carrier to attest that they will not willfully provide transportation services for an Unauthorized Alien during the contract term, except to facilitate the person's detention, removal, or departure from the state or United States.

The form is a legally mandated attestation that must be completed and submitted to a Governmental Entity when executing, amending, or renewing a contract. It requires the carrier to sign under penalties of perjury, declaring that they have read and affirm the statement's truthfulness. The document provides blank fields for the carrier's printed name, title, signature, and date of signing, and references Florida Statute section 908.111 for definitional terms.

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

[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: _________

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 is being executed, amended, or renewed. Capitalized terms used herein have the definitions ascribed in section 908.111, F.S.

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