Attachment M - PUR 1808 Common Carrier or Contracted Carrier Attestation Form.pdf
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- Attached to
- Motor Vehicles ITB
- Solicitation number
- ITB-15031
- Issued by
- Leon County, Florida
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PUR 1808 Common Carrier or Contracted Carrier Attestation Form Summary
This attestation form is required by the Florida Department of Management Services for common carriers and contracted carriers executing, amending, or renewing state contracts, specifically in connection with the Motor Vehicles ITB (ITB No. 25-25100000-ITB). The form serves as a certification document that must be completed and submitted by the carrier as part of the bid response process for the statewide motor vehicle supply contract. The attestation is binding for the entire contract term and requires the authorized representative of the carrier to declare under penalty of perjury that the company will not willfully provide transportation services that knowingly facilitate the movement of unauthorized aliens into Florida, except in cases where such transportation is necessary to facilitate detention, removal, or departure of the person from the state or United States.
The form requires completion of basic information fields including the carrier's name, printed name and title of the authorized signatory, signature, and date of execution. This certification aligns with Florida Statutes section 908.111 and Administrative Code 60A-1.020 and is a mandatory responsive requirement for bidders participating in the Motor Vehicles ITB, which involves the supply of new and unused motor vehicles across seven categories with an anticipated annual spend of approximately $28 million and a contract term of two years with options for up to two additional one-year renewal periods.
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Text version
PUR 1808 (08/22) Page 1 of 1 60A-1.020, F.A.C.
Attachment M
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: ________________
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