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SVNNT �,,F <br />�e <br />w A <br />V <br />To <br />. f0, <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 />STATE OF FLORIDA ) <br />COUNTY OF Palm Beach ) <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: <br />Title: Senior Vice President <br />The foregoing instrument was acknowledged before me this 12th day of <br />August , 20 14 , by Stephen C. Smith [name <br />of person], as Senior Vice President [type of authority], for <br />Craig A. Smith & Associates, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />.MMq Pudic Stall of Flonoa <br />aP Amanda J Kidwell <br />+,� a My Commission EE 850319 <br />°lppdn Enpires0112a 17 <br />Amanda J. Kidwell <br />Print or Type Commissioned Name <br />Personally Known x OR Produced Identification <br />Type of Identification Produced <br />DECE K,R29, x10 7of7 <br />Craig A. Smith & Associates, Inc. <br />RFQ No. 14 -07 -02 <br />Page 72 <br />