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

PDF 148 KB Posted

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

About this file

This document is a Common Carrier or Contracted Carrier Attestation Form (PUR 1808) required by the State of Florida for use when executing, amending, or renewing contracts with governmental entities. The form must be completed and submitted by any common carrier or contracted carrier engaged in contract work with a Florida governmental entity. The form serves as a compliance document and does not specify particular products, services, quantities, response dates, site visits, or bidder meetings, as it is a standardized attestation requirement rather than a specific procurement solicitation.

The attestation requires the carrier to declare under penalties of perjury that it is not willfully providing and will not willfully provide any service during the contract term that would facilitate the transportation of an unauthorized alien into Florida, except for services related to detention, removal, or departure of such persons. The form requires the authorized representative of the carrier to provide their printed name, title, signature, and date of execution. The document references section 908.111, F.S., for the definitions of capitalized terms used in the attestation and is governed by Florida Administrative Code section 60A-1.020. No pricing, funding, or financial terms are specified in this attestation document.

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Text version

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 .