Common_Carrier_Attestation_02.05.2025.pdf

This is a Common Carrier Attestation form required by Pinellas County, Florida for Request for Proposal 26-0251, which solicits employee benefits concierge and health navigation services. The attestation mandates that contractors confirm compliance with Florida Statute 92.525 and section 908.111, Florida Statutes, by attesting that they will not knowingly transport unauthorized aliens into Florida during the contract term, except to facilitate detention, removal, or departure from the state or United States. The form defines "common carrier" as any person, firm, or corporation that undertakes to transport persons or commodities for hire as a regular business and offers services to all customers. An authorized representative of the contractor must execute the attestation under penalties of perjury, providing their signature, printed name, date, Federal Work Authorization User Identification Number, and the name and number of the Pinellas County contract. The County reserves the right to terminate the associated agreement for cause if the contractor is found in violation of the attestation.

This attestation form is one of several mandatory certifications and compliance requirements that contractors must complete prior to award of the benefits concierge and health navigation services contract. The RFP requires proposals from qualified vendors by March 5, 2026, at 3:00 p.m., with the contract effective August 1, 2026, for an initial five-year term with two optional twelve-month renewal periods. Additional required documentation includes HIPAA Business Associate Agreements, Foreign Countries of Concern Affidavits, Human Trafficking Affidavits, Florida Division of Corporations registration, E-Verify compliance verification, and certificates of insurance demonstrating Cyber Risk Liability coverage of $5,000,000 per occurrence and Professional Liability coverage of $1,000,000.