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CONFLICT OF INTFRF.S'Y Cityof Sunny Isles Beach 18070011ins AveeVe Sunny Isles ext. FL 33160 Telephone 130SI 947-0606 FIR; 13091949.31:3 CONFUCT OF INTEREST STATEMENT The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the City of Sunny Isles Beach or Its agencies. STATE OF FLORIDA COUNTYOF MIAMIDADE BEFORE ME, the undersigned authority, personally appeared KLEIMER CRUZ who was duly sworn, deposes, and states: 1. 1 am the VICE PRESIDENT of BORE TECH UTILITIES AND MAINTENANCE, INC. with a local office in 19025 SW 194 AVE, MIAMI, FL 33187 and principal office in 19025 SW 194 AVE, MIAMI, FL 33187 2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 22-04-01 described as CITYWIDE FIBER NETWORK DEPLOYMENT . The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 3. The Affiant states that only one submittal for the above gid is being submitted and that the above named entity has no financial interest in other entities submitting Bids for the same project. 4. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity s submittal for the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations If necessary and execution of the Contract for this project. S. Neither the entity nor Its affiliates, nor anyone associated with them, is presently suspended or otherwise Ineligible from participation in contract letting by any local, State, or Federal Agency. 6. Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict of interest due to any other clients, contracts, or properly interests for this project. 7. 1 certify that no member of the entity's ownership or management is presently applying for any employee position or actively seeking an elected position with the City of Sunny Isles Beach. 8. 1 certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City of Sunny Isles Beach. 9. In the event that a conflict of interest is identified in the provision of services, 1, on behalf of the above named entity, will immediately notify the City of Sunny Isles Beach. Dated this 30 day of AY 20 22 y VICE PRESIDENT AFFIANT Print or Type Name and Title SwqKto and subscribed before me this Z L- _ day of v 0 20—U Personally Known, OR ❑ Produced Identification - Type oPsiontification STATE OF FLORIDA y oY •w Npary ema Slave of pol" 'LFSZi �• JailtyMyC Fernantlez Alines 3W 0,2 22 700692 Exwrsa 06l7d7e72