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

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Attached to
Natural Gas Supply ITB
Solicitation number
ITB-16439
Issued by
Florida

About this file

This file is the PUR 1808 Common Carrier or Contracted Carrier Attestation Form, a mandatory document required by the Florida Department of Management Services in conjunction with the Natural Gas Supply ITB (Invitation to Bid) issued by the State of Florida. The attestation form must be completed and submitted by any common carrier or contracted carrier executing, amending, or renewing a contract with the state. The form serves as a compliance certification for the Natural Gas Supply ITB, which seeks to establish a statewide term contract for natural gas supply, with the State intending to award to one bidder or make no award as determined in the best interest of the State. John Nordmeyer, Purchasing Analyst Supervisor with the Florida Department of Management Services Division of State Purchasing, serves as the procurement officer and can be contacted at 850-921-7874 or John.Nordmeyer@dms.fl.gov for solicitation inquiries. Interested vendors must submit responses through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network and monitor the Vendor Information Portal (VIP) throughout the procurement process.

The PUR 1808 form requires the carrier to attest under penalties of perjury that it is not willfully providing and will not willfully provide any service during the contract term in furtherance of transporting unauthorized aliens into Florida, except to facilitate detention, removal, or departure of such persons from the state or United States. The attestation must be signed by an authorized representative with printed name, title, and date. This compliance certification is a mandatory prerequisite for contract execution and reflects Florida's statutory requirements under section 908.111, F.S., and rule 60A-1.020, F.A.C. Any protest of the agency decision must be filed with the Agency Clerk within the timeframe prescribed in section 120.57(3), Florida Statutes.

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Text version

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

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: ________________

Attachment L

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