FORM 13-PUR 1808 COMMON CARRIER OR CONTRACTED CARRIER ATTESTATION.pdf

PDF 196 KB Posted

Attached to
MyFloridaNet-3 Core Services - ITN
Solicitation number
ITN-12980
Issued by
Clay County, Leon County, Polk County, Florida

About this file

This document is a Common Carrier or Contracted Carrier Attestation Form (Form 13 - PUR 1808) for the MyFloridaNetwork-3 project issued by the Florida Department of Management Services under Invitation to Negotiate (ITN) No. DMS-24/25-260. The form is a mandatory attestation required for carriers participating in the contract, specifically focused on ensuring that carriers will not willfully provide transportation services to unauthorized aliens during the contract term, except to facilitate their detention, removal, or departure from the state or United States.

The attestation form requires a carrier to declare under penalties of perjury that they understand and will comply with the specified legal requirements. The form includes spaces for the carrier to provide their printed name, title, signature, and date of signing. While the document does not provide specific details about the MyFloridaNetwork-3 Core Services, it represents a standard compliance document that must be completed as part of the contract execution, amendment, or renewal process for the state of Florida's networking services procurement.

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ITN No.: DMS-24/25-260 Page 1 of 2 MyFloridaNet-3 Core Services

FORM 13 – PUR 1808 COMMON CARRIER OR CONTRACTED CARRIER ATTESTATION

4050 Esplanade Way Tallahassee, FL 32399-0950

850-488-2786

Ron DeSantis, Governor Pedro Allende, Secretary

FORM 13 – PUR 1808 COMMON CARRIER OR CONTRACTED CARRIER

ATTESTATION FORM

FOR

MyFloridaNetwork-3

ITN NO: DMS-24/25-260

THE STATE OF FLORIDA

DEPARTMENT OF MANAGEMENT SERVICES

ITN No.: DMS-24/25-260 Page 2 of 2 MyFloridaNet-3 Core Services

FORM 13 – PUR 1808 COMMON CARRIER OR CONTRACTED CARRIER ATTESTATION

COMMON CARRIER OR CONTRACTED CARRIER ATTESTATION FORM

(PUR 1808)

This form must be completed by a Common Carrier or contracted carrier and submitted to the Governmental Entity with which a Contract being is executed, amended, or renewed. Capitalized terms used herein have the definitions ascribed in section 908.111, F.S.

[Name of Common Carrier or contracted carrier] 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.

Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.

Printed Name:

Title:

Signature: Date:

File details come from the government source that posted it. Updated .