Common_Carrier_Attestation_02.05.2025.pdf
PDF 112 KB Posted
- Attached to
- Pinellas County Health Program Evaluation Services State and local contract opportunity
- Solicitation number
- 25-0913-RFP
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is a Common Carrier Attestation form for Pinellas County, Florida, designed to comply with Florida Statute § 908.111 and § 92.525. The attestation requires a contractor to certify that they will not knowingly transport unauthorized aliens during the contract term, except to facilitate their detention, removal, or departure from the state or United States. The document defines a "common carrier" as a person, firm, or corporation that provides transportation services for hire on a regular business basis.
The form requires an authorized representative of the contractor to sign under penalties of perjury, declaring the truthfulness of the statements. The document includes fields for the contractor's signature, printed name, date, Federal Work Authorization User Identification Number, and the specific Pinellas County contract details. Notably, the county reserves the right to terminate the associated agreement if the contractor is found in violation of the attestation, providing a clear enforcement mechanism for compliance with the immigration-related provisions.
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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 .