Common_Carrier_Attestation_02.05.2025.pdf
PDF 112 KB Posted
- Attached to
- Notice of Intent to Sole Source: Uninterrupted Power Supply Battery Maintenance and Replacement Services
- Solicitation number
- 26-0024-N
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Common Carrier Attestation form required by Pinellas County, Florida for Contract No. 26-0024-N, which pertains to Liebert Power Products Uninterrupted Power Supply Battery Maintenance and Replacement Services. The attestation is executed in accordance with Florida Statute 908.111 and obligates the contractor to confirm compliance with Florida Statute 92.525, which prohibits knowingly transporting unauthorized aliens into the state during the contract term, except to facilitate their detention, removal, or departure. The form requires signature and certification by an authorized representative of the contractor under penalties of perjury, including submission of a Federal Work Authorization User Identification Number. Contractors must submit responses via OpenGov Procurement platform, with all questions directed through the Question & Answer section within that system.
The County reserves the right to terminate the associated agreement for cause if the contractor violates the attestation requirements. Contractor registration with OpenGov Procurement at https://procurement.opengov.com/signup is mandatory to participate in County solicitations. Addenda to this solicitation will be posted to the procurement portal, and receipt of addenda confirmation is required. The Pinellas County Board of County Commissioners Purchasing Division, directed by Merry Celeste, CPPO, CPPB, NIGP-CPP, authorized this notice of intent to sole source. Technical support for OpenGov Procurement is available through phone, email, or chat during extended business hours, with vendor guides available online.
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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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