Laserfiche WebLink
I <br />w <br />e <br />0 <br />ti <br />J <br />1 <br />a <br />e <br />0 <br />d <br />CONFLICT OF II4TEREST <br />City of Sunny Isles Beach <br />18074 Collins Avenue <br />Sunny 15le$ each, rt 93160 - <br />�.DD Telephane:R3OS] 947-0606 Ftx:1306) 94 9-3 113 <br />4r rr <br />- FLOY- Oti4* <br />rk O 104 FP <br />CONFLICT OF INTEREST STATEMENT <br />The award of any contract hereunder is subject to the provis;ons of Chapter 112r Ftarioa State Statutes, proposers <br />must disclose with their Bids, the name of any officer, director, partner, associate cr agent who is also an officer or <br />employee of the City of Sunny Islas Beach ar its agencies, <br />SPATE OF FLORIDA <br />COUNTYDF Mobile <br />BEFORE ME, the undersigned authority, personally appeared John Ramsay <br />who was duly sworn, ceposesr and states: <br />1, 1 am the President & CEO <br />office in <br />in Theodore. AL 355a2 <br />of CrowderGulf Joint Venture, Inc. with a local <br />and principal office <br />2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No, 18-04-02 <br />described as Uses* Dalxi Mianagernsa: and Disposal services , The Affiant has made diligent <br />inquiry and provides the information contained in this Affidavit based upon his own knowledge. <br />3, The A fiarnt states that only one submittal for the above Bid is being submitted and that the above <br />named entity has no financial intere5t in other entities Submitting Bids for the same project. <br />4. Neitherthe Affiant northe above named entity his directly or indirectly entered into any agreements <br />participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection <br />with the entity's submittal forthe above Bid- This statement restricts the discussion of pricing data until the <br />completion of negotiations if necessary and execution of the Contract for this project. <br />5- Neither the entity nor its affiliates, nor anyone associated with them, is presently Suspended or <br />otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. <br />6. Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict <br />of lnterr.st due to any other clients, contracts; Car property :ryterests for chis pmject. <br />7. 1 oErtify that no member al the entity s Ownership or management is presently applying for any <br />employee positloa or actively seeking an elected position with the City of Sunny Isles Beach, <br />a, I certify that no member of the entity's ownership Gr management, or staff has a crested interest in any <br />aspect of the City of Sunny Isles. Beach. <br />9- In the event that a conflict of interest is identified in the provision of services, I, an behalf of the above <br />named entity, will immediately notify the City of Sunny Isles Beach. <br />Dated thl 7th day of May - <br />John Ramsay, President & CEO <br />fFIANT Print nr Typc Namg and Title <br />7th---Nlayyf 8 <br />Sworn to and subscribed before me t#lii f 'r <br />8 Personally Known, OR -- - = <br />❑ Produced Identification - Type of Identification_ = <br />Alabama 1t -' <br />NOTARY PUBLIC STATE OF A �.' . F � _ KeaiaA N <br />'r'•�- . - . NOIary Mile, WAbj�. County, AL <br />r _ _ <br />S 01- iF hey co�mmiss Expires Sept I Z 2048 <br />