Common_Carrier_Attestation_02.05.2025.pdf

PDF 112 KB Posted

Attached to
26-0449-RFP Rapid Rehousing Fiscal Administration & Service Provider Collaborative Program
Solicitation number
26-0449-REQ
Issued by
Pinellas County, Florida

About this file

This document is a Common Carrier Attestation form required by Pinellas County, Florida for the Rapid Rehousing (RRH) Program procurement (26-0449-RFP). The attestation obligates contractors to comply with Florida Statute 908.111 and 92.525, confirming that they will not willfully provide services to transport unauthorized aliens into Florida during the contract term, except to facilitate detention, removal, or departure. An authorized representative of the contractor must execute the attestation under penalty of perjury, providing their signature, printed name, date, Federal Work Authorization User Identification Number, and the name and contract 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 this attestation. This form is a mandatory compliance requirement for all responding organizations to the RRH Program RFP, with proposals due April 21, 2026, at 3:00 p.m. The initial contract term will be thirty-six months from award with options for two additional twelve-month renewal periods.

The Common Carrier Attestation serves as a compliance verification mechanism with no direct pricing impact or funding implications. This is one of several mandatory compliance documents required from all proposers, alongside Foreign Country of Concern Affidavits, Human Trafficking Affidavits, E-Verify requirements, and proof of registration with the Florida Division of Corporations. Failure to provide a completed and notarized attestation would render a proposal non-compliant with solicitation requirements. The total RRH Program budget of $1,340,000 is allocated for direct client financial assistance and program operations, with the contract funded on a cost-reimbursement basis for actual, allowable, and allocable costs. Successful contractors must maintain specified insurance coverage, all required licenses, and submit annual financial audits or Form 990s, with Pinellas County retaining full monitoring and audit rights throughout the contract term.

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Text version

COMMON CARRIER ATTESTATION

In accordance with section 908.111, Florida Statutes, the undersigned, on behalf of ___________________________ (the “Contractor”), attests and agrees they are in conformity with Florida Statute § 92.525 and 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.

For purposes of this Attestation, the Contractor is a “Common carrier” if it is a person, firm, or corporation that undertakes for hire, as a regular business, to transport persons or commodities from place to place, offering his or her services to all such as may choose to employ the common carrier and pay his or her charges.

The undersigned must be an authorized representative of the Contractor who can execute this Attestation on the Contractor’s behalf.

Under penalties of perjury, I _________________, declare that I have read the foregoing Common Carrier Attestation and that the facts stated in it are true.

Signature:______________________________

Print Name:______________________________

Date:______________________________

Federal Work Authorization User Identification No.:_____________________________

Name of Pinellas County Contract and Contract No.:____________________________

COMMON CARRIER TERMINATION

The County reserves the right to terminate the associated agreement, for cause, if the Contractor is found in violation of its attestation above.

https://www.lawinsider.com/clause/attestation https://www.lawinsider.com/clause/attestation

Print Name:
Date:
Federal Work Authorization User Identification No:
Name of Pinellas County Contract and Contract No:
Contractor:
Name:
Contractor Signature_es_:signer:signature:

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