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s�riNv is<F <br />O� reR <br />), Y <br />z <br />J yfS pP� T <br />-S.'P 97s F�pR1 <br />OF But, r�yo <br />STATE OF FLORIDA ) <br />COUNTY OF Orange ) <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 />By: Ian Reeves, AIA <br />Title: President <br />The foregoing instrument was acknowledged before me this 291h day of <br />November 2021 by Ian Reeves, AIA [name <br />of person], as President [type of authority], for <br />Architects Design Group I ADG, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />eP No" aubft Ska at RoM <br />Wote M Hevla <br />ErYP�O1101�03I7982� <br />Notary Public — State of Florida <br />Nicole Hevia <br />Print or Type Commissioned Name <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />7 of 8 <br />