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 is a Common Carrier Attestation form required by Pinellas County, Florida for the Rapid Rehousing (RRH) Fiscal Administration & Service Provider Collaborative Program (RFP 26-0449-RFP). The attestation requires all responding organizations to certify compliance with Florida Statute 908.111 and 92.525, confirming that the contractor will not knowingly transport unauthorized aliens into Florida during the contract term, except to facilitate their detention, removal, or departure from the state or United States. An authorized representative of the contractor must execute the attestation under penalties of perjury, providing their signature, printed name, date, and Federal Work Authorization User Identification Number. The form also requires identification of the Pinellas County contract name and number. The RFP deadline is April 21, 2026, at 3:00 p.m., with questions due by April 7, 2026, at 10:00 a.m. The initial contract term is thirty-six months from award with options for two additional twelve-month renewal periods.

The Common Carrier Attestation is a mandatory compliance requirement for all proposers responding to the RFP. Pinellas County reserves the right to terminate the associated agreement for cause if the contractor is found in violation of the attestation. The total RRH Program budget is $1,340,000, consisting of up to $600,000 for direct client financial assistance and approximately $740,000 for program operations. The contract is funded on a cost-reimbursement basis for actual, allowable, and allocable costs, with approximately $588,600 designated for the Rapid Rehousing Service Provider and $155,250 for the Fiscal Administrator. All contractors must also comply with additional mandatory requirements including Foreign Country of Concern Affidavits, Human Trafficking Affidavits, E-Verify registration, and Florida Division of Corporations registration.

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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 .