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
Form 5 is a Common or Contracted Carrier Attestation Form issued by the Florida state government for state contract opportunities. The document requires carriers to formally attest that they will not willfully provide transportation services to unauthorized aliens during the contract term, except to facilitate detention, removal, or departure. While the form itself does not contain extensive details about a specific contract, it represents a standard compliance document that carriers must complete when executing, amending, or renewing government contracts in Florida.
This attestation form is part of Florida's broader legal framework (specifically referencing section 908.111, F.S.) designed to ensure contractors' compliance with state immigration and transportation regulations. Carriers must sign the document under penalties of perjury, confirming the truthfulness of their statements, and provide their printed name, title, signature, and date of execution. The form is part of the state's procurement documentation (referenced as PUR 1808) and aligns with administrative code 60A-1.020, F.A.C., demonstrating Florida's structured approach to contractor verification and legal compliance.
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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 .