Common_Carrier_Attestation_02.05.2025.pdf
PDF 112 KB Posted
- Attached to
- Indigent Burial and Cremation Services
- Solicitation number
- 26-0292-RFP
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
Common Carrier Attestation - Pinellas County Indigent Burial and Cremation Services
This is a Common Carrier Attestation form required by Pinellas County, Florida, for the Indigent Burial and Cremation Services contract (RFP 26-0292-RFP). The attestation mandates that contractors comply with Florida Statute 92.525 and Section 908.111, confirming they will not knowingly transport unauthorized aliens into Florida during the contract term, except to facilitate detention, removal, or departure. The document applies to any person, firm, or corporation that undertakes transportation services for hire as a regular business. An authorized contractor representative must execute the attestation under penalty of perjury, providing signature, printed name, date, Federal Work Authorization User Identification Number, and the Pinellas County contract name and number. The contract term spans five years from the date of award with no renewal options specified in the documentation.
The County reserves the right to terminate the agreement for cause if the contractor violates the Common Carrier Attestation. This requirement is one of several compliance mandates bidders must satisfy, including submission of Foreign Countries of Concern Affidavits, Human Trafficking Affidavits, and HIPAA Business Associate Agreements. The attestation form serves as a contractual safeguard aligned with Florida's immigration compliance statutes and must be completed as part of the overall bid submission process. No specific pricing, set-asides, incumbent information, or funding sources are addressed within the attestation document itself, though the overall contract includes an annual funding estimate not exceeding $550,000 with pricing capped at $30,000 total annual bid amount.
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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 .