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<br /> +Urr market value under an arm's length agreement, shall be a prime facie case that one person
<br /> controls another person. A person who knowingly enters into a joint venture with a person who
<br /> Iliw has been convicted of a public entity crime in Florida during the preceding 36 months shall be
<br /> 1, considered an affiliate.
<br /> + r 11.5. I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural
<br /> person or entity organized under the laws of any state or of the United States with the legal power to
<br /> 40, enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or
<br /> services let by a public entity, or which otherwise transacts or applies to transact business with a public
<br /> entity. The term "persons" includes those officers, directors, executives, partners, shareholders,
<br /> Ir employees, members, and agents who are active in management of any entity.
<br /> "fir 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity
<br /> lawsubmitting this sworn statement. (Indicate which statement applies.)
<br /> 'err Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners,
<br /> shareholders, employees, members, or agents who are active in the management of the entity, nor any
<br /> Mir affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br /> 1989.
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<br /> 1111, The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
<br /> shareholders, employees, members, or agents who are active in the management of the entity, or an
<br /> 'IMr' affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br /> 1989.
<br /> iv
<br /> liar The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
<br /> shareholders, employees, members, or agents who are active in the management of the entity, or an
<br /> lair affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br /> 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of
<br /> ter Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the
<br /> liv State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer
<br /> determined that it was not in the public interest to place the entity submitting this sworn statement on the
<br /> 1111► convicted vendor list. (Attach a copy of the final order.)
<br /> lir I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE
<br /> lir PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE)ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND,
<br /> THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I
<br /> +Irr ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO
<br /> A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA
<br /> STATUTES, FOR CATEGORY TWO OF ANY, CHANGEI_ THE IfybbRMATION CONTAINED IN THIS FORM.
<br /> ler By: C__,*,
<br /> err e
<br /> ilfrr (Signa) / /_
<br /> aeras U
<br /> liew (Printed Name)/ L
<br /> r'r, fiP'l-i l
<br /> lir (Title) �j
<br /> '�' Sworn to and subscribed before me this I Z'" day of /1416'' 20 ( I , by
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<br /> ter (AFFIX NOTARY STAMP HERE)
<br /> l ;,f;Z;µ'v'd�.;,, LINET SANCHEZ SI a tt ��
<br /> n., Notary Public—S e of Florida g C_ Commission 159830 ����,. = My Comm.E fres Mar 4,2022
<br /> lir , of • Bo trod National Notary Assn. 11110Perso Iry Kn3wr" OF215roduced Identification
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