Form 5 - Common or Contracted Carrier.docx
DOCX document 28 KB Posted
- Attached to
- Emergency Fuels State and local contract opportunity
- Solicitation number
- RFP-12351
- Issued by
- Leon County, Florida
About this file
This document is Form 5, a Common or Contracted Carrier Attestation Form (PUR 1808) intended for use with governmental entities in Florida. The form requires a carrier to formally attest that they will not willfully provide transportation services to an unauthorized alien during the contract term, except to facilitate the person's detention, removal, or departure from the state or United States. The form includes standard fields for the carrier's printed name, title, signature, and date of attestation.
The form appears to be a standard compliance document for carriers engaging in contracts with Florida governmental entities, specifically addressing immigration-related transportation restrictions. It is designed to ensure that carriers operating under state contracts affirm their commitment to not knowingly transport unauthorized individuals. The form is part of Florida's administrative code (60A-1.020, F.A.C.) and references statutory definitions from section 908.111 of Florida Statutes, indicating a legal mechanism for verifying carrier compliance with state transportation and immigration guidelines.
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Text version
Form 5
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:
PUR 1808 (08/22) Page 1 of 1 60A-1.020, F.A.C.
File details come from the government source that posted it. Updated .