Common_Carrier_Attestation_02.05.2025.pdf
PDF 112 KB Posted
- Attached to
- Ridgecrest YMCA Elevator Modernization
- Solicitation number
- 26-0529-ITB-C
- Issued by
- Pinellas County, Florida
About this file
This is a Common Carrier Attestation form required by Pinellas County, Florida for the Ridgecrest YMCA Elevator Modernization contract. The attestation pertains to compliance with Florida Statute 908.111 and requires contractors to confirm they are in conformity with Florida Statute 92.525. The contractor must attest that it will not knowingly provide services to transport unauthorized aliens into Florida during the contract term, except to facilitate detention, removal, or departure from the state or United States. The form defines "common carrier" as any person, firm, or corporation that transports persons or commodities for hire as a regular business, offering services to the public for compensation. The project involves modernizing an existing 2001 KONE hydraulic elevator located at the Ridgecrest YMCA at 1801 119th Street North, Largo, Florida 33778.
An authorized representative of the contracting entity must execute the attestation under penalty of perjury, providing their signature, printed name, date, and Federal Work Authorization User Identification Number. The form requires identification of the specific Pinellas County contract name and contract number. Pinellas County reserves the right to terminate the associated agreement for cause if the contractor is found in violation of the attestation. This attestation form serves as a compliance document that must be completed and submitted as part of the bidding or contracting process for this elevator modernization project.
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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 .