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CCC Bid Submittal _Golden Shore Street Lighting
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(20-09-01) Golden Shores Street Lighting
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CCC Bid Submittal _Golden Shore Street Lighting
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11/17/2020 4:56:38 PM
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yONnr rs,rr <br />of s <br />A � <br />h <br />n <br />C,�y'F�� HO tiW <br />or suR � <br />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 />Juan Carlos Jurado <br />Title: General Manager <br />The foregoing instrument was acknowledged before me this 13 day of <br />October , 20 20 by Juan Carlos Jurado [name <br />of person], as General Manager [type of authority], for <br />Continental Construction USA LLC [name of party on behalf of whom instrument was <br />executed]. <br />r_�2y►91011Fl:6-101raul0aa:» <br />Notary Public — State of Florida <br />Jose Gomez ,>_� <br />Print or Type Commissioned Name <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2014 7 of 8 <br />JOSE GOMEZ <br />MY COMMISSION 4 GG 916406 <br />Ida° <br />'t r e EXPIRES: September 24, 2023 <br />'FPF�FP;` <br />Bonded Thru Notary Public underwriters <br />
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