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market value under an arm's langth 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 />has been cpnvicted of a public entity crime in Florida during the preceding 36 months shall be
<br />considered an affiliate.
<br />5. 1 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 Slates with the legal power to
<br />enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or
<br />cervices let by a public entity, or which otherwise transacts or applies to transact business with a public
<br />entity- The term "persons" inoludes those officers, directors, executives, partners, shareholders,
<br />employees, members, and agents who are active in management of any entity.
<br />6. Based on inFormation and belief, the statement which I have marked below is true in relation tr] the entity
<br />subm"ting this sworn statemWnt. ;IndicUte which statement applies.)
<br />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 />affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July i,
<br />1989.
<br />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 manaremanl of the entity, or an
<br />affiliate of the entity has been charged with and convicted of a public anlity crime subsequent to July 1,
<br />1989,
<br />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 />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 Slate of
<br />Florida, {division of Administrative Hearings and the Final Order entered by the Hearing Officer of the
<br />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 swum statement an the
<br />convicted vendor list. (Attach a copy of the Final order.)
<br />1 UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE
<br />PUBLIC ENTITY 1DENTIRED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY QNLY AND,
<br />THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED- I,
<br />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 287.047, FLORIDA
<br />STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM,
<br />By:
<br />(Signature)
<br />John Ramsay
<br />(Printed Name)
<br />President & CEO
<br />(Title)
<br />Sworn to and subscribed before me this 7th clay of May 20 18 , by
<br />(AFFIX NOTARY STAMP HERE
<br />��; Alabama
<br />Kerr A l ,` ` 'r ~, Signature: Notary Public - State of-11!ladda_
<br />Notary PWir, N'Obila CAWIV. AL
<br />hey t ammis5 w Expires Sept 12.21016 _ -,~ �ce'rse A. Mei - -
<br />- L` -'; y : Pri^t or Type Commissioned Name
<br />Personally Known x 0R.>':oilucet,tdenlll'ica)ia+i�
<br />_ 1
<br />Type of Identificatlon Produced r' _
<br />3of10
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