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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 rhe or any member of nay firm or <br />by an officer of the corporation. I f <br />By: <br />Title: <br />PRESIDENT <br />J. JURADO <br />The foregoing instrument was acknowledged before me this _ 6th - day of <br />August 1 Zp 20 f by LUIS J. JURADO [name <br />of person], as PRESIDENT _ [type of authority], for <br />PREMIERE DESIGN SOLUTIONS, INC, [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />t 1111Y1A�eY'�1y Ana L. Salazar <br />.y Comm. I GG956638 <br />Expires, Feb, 9, 2024 <br />Bonded Thru Aaron Notary <br />4ak*&91111 <br />N Lary Public — State of Florida <br />ANA L. SALAZAR <br />Print or Type Commissioned Name <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />DLCEMBER 28, 2010 <br />