Common_Carrier_Attestation_02.05.2025.pdf
PDF 112 KB Posted
- Solicitation number
- 26-0363-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Common Carrier Attestation form required by Pinellas County, Florida for the Fiscal Year 2027 Pavement Preservation Package 3 contract opportunity. The attestation applies to contractors who qualify as common carriers under Florida law, defined as persons, firms, or corporations that undertake transportation services for hire as a regular business. The form requires an authorized contractor representative to attest under penalties of perjury that they will comply with Florida Statute 92.525 and 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 attestation must be completed and signed by an authorized contractor representative and include the contractor's name, the Federal Work Authorization User Identification Number, the Pinellas County contract name and number, the date, and the contractor's signature. Pinellas County reserves the right to terminate the associated agreement for cause if the contractor is found in violation of this attestation. This requirement applies to all common carrier contractors bidding on or performing work related to the pavement preservation package, which consists of four paving locations including one arterial and three local group projects totaling approximately 38.92 lane miles of roadway throughout Pinellas County.
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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: |
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