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(21-08-01) Utility Undergrounding Conversion for Golden Shores
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Last modified
9/28/2021 4:32:41 PM
Creation date
9/28/2021 4:15:29 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Golden Shores Utility Undergrounding
Bid No. (xx-xx-xx)
21-08-01
Project Type (Bid, RFP, RFQ)
Bid
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SJNNY !S< <br />or' Ffe <br />P <br />SE 99; _+ FAL <br />e 0= p Q SWC <br />�r or suK oa <br />STATE OF FLORIDA <br />COUNTY OF Broward <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />16070 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 />I <br />By: <br />Ric Pau - <br />Title: Senior Vice -President <br />The foregoing instrument was acknowledged before me this day of <br />September 01 2021 , by Eric Paul-Hus [name <br />of person], as Senior Vice -President [type of authority], for <br />Hypo, jr, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />U <br />CLIFFORD SPITZERlic • State of Floridasion M GG 938473Expires Dec 10,National Notary AO n3 <br />Notary Public — State of Florida <br />IAAIC� CSL/ dOLz ?�Oz <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />7of12 <br />
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