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STATE OF FLORIDA ) <br />COUNTY OF Broward <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 />The foregoing instrument <br />November 20 20 by <br />of person], as <br />President <br />Sagaris Corp <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />,,ry►�r Notory PubIle 6 s e of Flo tla <br />�Y Hemld "0',, dl <br />My Commlula D4 p86170 <br />ar ExPlree d3HgIi07B <br />was acknowledged before me this 16th day of <br />Mehrdad Mahmoudi [name <br />[name of party <br />_ [type <br />of <br />authority], <br />for <br />behalf <br />of <br />whom <br />instrument <br />was <br />otary Public —State of Florida <br />Print or Type Commissioned Name <br />Personally Known � OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 OT 8 <br />