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

PDF 196 KB Posted

Attached to
MyFloridaNet-3 ITN
Solicitation number
ITN-16760
Issued by
Florida

About this file

This is a Common Carrier or Contracted Carrier Attestation Form (PUR 1808) issued by the State of Florida Department of Management Services for ITN No. DMS-26/27-025 related to MyFloridaNetwork-3. The form serves as a compliance declaration that must be completed and submitted by any common carrier or contracted carrier executing, amending, or renewing a contract with a governmental entity. The attestation requires the carrier to certify under penalties of perjury that it will not knowingly or willfully provide transportation services for unauthorized aliens into Florida during the contract term, except to facilitate detention, removal, or departure of such persons from the state or United States.

The form requires the carrier's authorized representative to provide their printed name, title, signature, and date of execution. This attestation is a mandatory compliance requirement under Florida Statute Section 908.111 and must be included as part of the contract documentation. No specific pricing terms, set-asides, contract duration, or renewal options are outlined in this form, as it functions solely as a regulatory compliance attestation document rather than defining substantive contract terms or service requirements.

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Text version

ITN No.: DMS-26/27-025 Page 1 of 2

PUR 1808

4050 Esplanade Way Tallahassee, FL 32399-0950

850-488-2786

Ron DeSantis, Governor Tom Berger, Secretary

FORM 13 – PUR 1808 COMMON CARRIER OR CONTRACTED CARRIER

ATTESTATION FORM

FOR

MyFloridaNetwork-3

ITN NO: 26/27-025

THE STATE OF FLORIDA

DEPARTMENT OF MANAGEMENT SERVICES

ITN No.: DMS-26/27-025 Page 2 of 2

PUR 1808

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 .