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STATE OF FLORIDA ) <br />COUNTY OF Miami -Dade ) <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />ANTI -KICKBACK AFFIDAVIT <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br />will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a <br />commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or <br />by an officer of the corporation. <br />By: _-- <br />Leyvis Quintana - President <br />Title: <br />The <br />March <br />of person] <br />Azulei <br />executed]. <br />foregoing instrument <br />20 19 , by <br />as President <br />o. Inc. <br />AFFIX NOTARY STAMP HERE: <br />was acknowledged before me this 5 day of <br />Leyvis T. Quintana [name <br />Alexandra R06(1911" <br />.. ,; Cilmmission # GGi#3 <br />a4 � Expires: February, <br />•fr•` - Bonded tt+ru Aaron "`.+ ' <br />[type of authority], for <br />[name of party on behalf of whom instrument was <br />Na ry P blit —State of Florida <br />Alexandra Rodriguez <br />Print or Type Commissioned Name <br />Personally Known xx OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 Of 8 <br />