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SUNNY fsz <br />9 <br />ti n <br />a <br />FL oR�CPis�e <br />CITY OF SUS ANO <br />STATE OF FLORIDA ) <br />COUNTY OF Miami -Dade ) <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 />The foregoing instrument <br />September 1 20 21 , by <br />of person], as Vice President <br />Ferreira Construction Southern Division Co., Inc. <br />s:Kgcuted]. <br />$FF, IZNOTARY STAMP HERE: <br />x,� 2•.s <br />�y F n' p <br />W• 4> <br />}ipr1�; - Notary Public State of Flonad <br />O • e ` Yanira Ramos Ferro <br />' ��j . , • • My ComMission NN 072945 <br />Expires 12/19/2024 <br />/,!/IIIJJ <br />By: Danny Garcia <br />Title: Vice President <br />was acknowledged before me this 21St day of <br />Danny Garcia [name <br />[type of authority], for <br />[name of party on behalf of whom instrument was <br />Notary Public — Mate of Florida <br />Yanira Ramos Ferro <br />Print or Type Co missioned Name <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />7of12 <br />