Attachment K, PUR 1808 Common Carrier or Contracted Carrier Attestation Form.pdf
PDF 128 KB Posted
- Attached to
- Natural Gas Supply ITB V2
- Solicitation number
- ITB-14666
- Issued by
- Florida
About this file
This is an attestation form (PUR 1808) required by the Florida Department of Management Services for common carriers or contracted carriers participating in state contracts. The form must be completed and submitted by any carrier executing, amending, or renewing a contract with a governmental entity in Florida. The attestation requires the carrier to declare under penalty of perjury that it will not willfully provide services to transport unauthorized aliens into Florida, except in cases facilitating detention, removal, or departure from the state or United States. The form requires completion of the carrier's name, printed name of the signatory, title, signature, and date before submission to the contracting governmental entity.
This attestation form applies to the Natural Gas Supply ITB V2 (Solicitation No. 25-83101601-ITB-V2) issued by the Florida Department of Management Services, Division of State Purchasing. The Department is establishing a state term contract for natural gas supply with the intent to make multiple statewide awards, though it reserves the right to award to one or multiple bidders by region or to make no award based on the state's best interests. Interested vendors must submit responses through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network. The procurement officer for this solicitation is Alyssa Wallace, Purchasing Analyst, and all inquiries should reference the solicitation number in email subject lines. Vendors are responsible for monitoring the Vendor Information Portal throughout the procurement process for updates and decisions related to this solicitation.
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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 .