Common_Carrier_Attestation_02.05.2025.pdf
PDF 112 KB Posted
- Attached to
- FY2026 Airfield Pavement Rehabilitation
- Solicitation number
- 26-0722-ITB-C
- Issued by
- Pinellas County, Florida
About this file
This document is a Common Carrier Attestation form required by Pinellas County, Florida for contractors engaged in transportation services under county contracts. The attestation obligates contractors to comply with Florida Statute 92.525 and section 908.111, Florida Statutes, by confirming 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 must be executed by an authorized representative of the contractor and requires completion of contractor identification information, including the contractor's name, the Pinellas County contract name and number, Federal Work Authorization User Identification Number, and the authorized representative's printed name, signature, and date of execution.
The attestation serves as a compliance and integrity requirement for county contracts, with the provision that Pinellas County reserves the right to terminate the associated agreement for cause if the contractor violates the attestation provisions. The form includes a declaration under penalties of perjury, requiring the authorized representative to certify the truthfulness of the stated facts. This attestation applies to the FY2026 Airfield Pavement Rehabilitation project, which involves repair of distressed asphalt airfield pavements using available maintenance budget funds.
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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 .