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O O O ■Y O O • CONFLICT OF INTEREST City of Sunny Isles Beach 16070 Cob Avenue _ Sunny Isies BeaC,. FL 33160 Teleonwe: (305) 947 -0606 Fez. (305) 949-3113 CONFLICT 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 COUNTY OF Miami -Dade BEFORE ME, the undersigned authority, personally appeared Rudy M. Ortiz, PE, CGC who was duty swum, deposes, and states: 18.1. 1 - am the President /CEO of CPS ConsuConts_ Inc. with a local office in Miami Lakes. Florda and principal office in Miami Lakes. Florida. 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 14 -07 -02 described as: Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has no financial interest in other entities submitting Bids for the same project. 16.4 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. 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project. 18.71 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. 16.8 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. 16.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will immediately notify the City of Sunny Isles Beach. �s 12th da of August , 201den Rudy M. Ortiz. PE CGC. President CEO Print or Type Name and Title Swam to and subscribed before me this 12h day of August , 2010. 14 .10 Personally Known OR 0 Produced Identification ; Type of Id ntifjcation � Q N � NOTARY PUBLIC STATE OF FLORIDA =Taber te of ileMa F 0939" 19 City of Sunny Isl es Beach 72 Conrinuing Frofessioncl Services for 3ngineeri ng rc'FQ No. I - -07 -02 August 12. 2014 R o J1i1C.oic..1C.