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STATE OF FLORIDA ) <br />COUNTY OF Miami -Dade ) <br />ANTI - KICKBACK <br />City of Sunny Isles Beach <br />13070 Cp Avenue <br />Sunny Isles Beam, FL 33160 <br />Telephone: (305) 967-0606 Fa : (305) 9 9­3113 <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 />Title: President /CEO <br />The foregoing instrument was acknowledged before me this 12th day of <br />August , 20 14 by Rudy M. Ortiz, PE, CGC [name <br />of person], as President /CEO [type of authority], for <br />CES Consulants, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />ran H.nry Pudic Sfeee f Flom. <br />LLeoa Taper g . Tab r FF 0BJ977 <br />AWW .07/1Vlo1B <br />pkary'Public —State of Florida <br />Leigha Taber <br />Print or Type Commissioned Name <br />Personally Known x OR Produced Identification <br />Type of Identification Produced <br />City of Sunny Isles Beach 74 <br />Cartinwng Professional Seraces for= ngineenrg C-95 <br />RFQ No. I a -07 i2 <br />August 12. 201 a co�s'.r.cas. nc. <br />