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oSuNNT /f,F <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 />STATE OF FLORIDA ) <br />1 COUNTY OF Miami -Dade ) <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br />1 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. 44t�� <br />Title: President a <br />The foregoing instrument was acknowledged before me this s day of <br />August , 20 14 , by Ignacio Serralta [name <br />of person], as President [type of authority], for <br />SRS Engineering, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />RALPH A. PERSDA <br />IW COMMISSION: EE188 88M <br />DXPIRES AtY 27.2018 <br />Non 7Y{017� .e,,, <br />No ry Public —State of Florida <br />Ralph A. Pereda <br />Print or Type Commissioned Name <br />' Personally Known X OR Produced Identification <br />Type of Identification Produced <br />1 XCEI R 2e, 2010 7 of 7 <br />