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(14-07-02) Continuing Professional Architectural and Engineering Services - Individulas Only CCNA
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Last modified
1/7/2015 12:01:39 PM
Creation date
8/22/2014 4:31:20 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Continuing Professional Architectural
Bid No. (xx-xx-xx)
14-07-02
Project Type (Bid, RFP, RFQ)
RFQ
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,eyvr alff <br />CONFLICT OF INTEREST <br />�I ti City of Sunny Isles Beach <br />Ie070Ceam A`tM1! <br />S 9! ti. FL 33180 <br />e..e Taepae. 1365) e47-0606 Fa (305) 0443113 <br />CONFLICT OF INTEREST STATEMENT <br />The award of arry contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers dust <br />disclose with their Bids, the muna of any officer, drecror, paroa, associate or agent who is also an officer or employee tithe <br />City of Sunny Islas Beach or its agencies. <br />STATE OF FLORIDA <br />COUNTYOF Miami -Dade �r7c'Y1 <br />BEFORE ME. the undersigned authority. personally appeared M1�h�ej Y16LAWCOQho was duly warn, <br />deposes, and states: <br />1 8.1. 1 am the Principal of <br />Sol -ARCH. Inc with a local office in 4917 SW 74th tT and principal once in <br />4917SW74th CT . <br />1 &2. The above named may is suhnWting a Bid for the City of Sunny Isles Beach, Bid No. 14 -07 -02 described <br />as: landscape Maintenance Services. The Affant has made diligent inquiry and provides the information cadatrad in this <br />Affidavit based upon his amen knowledge. <br />1 &3 The Affant states that only era submittal for the above Bid is being sutrnided and that the above named amity has <br />no financial interest in odor entities sulondt a Bids for the same prejKL <br />1 &4 Neither der Alfiat not the above naffed entity has directly a indrecty entered Into my agreement participated in <br />any collusion, or otherwise taken arty action in restraints of free competitive pricing in connection with der eradys submittal for <br />the above Bid. This smtenerd restricts the discussion of pricing data until the completion of negotiations if necessary and <br />exe bcn of the Contract for the project <br />1 &5Neitha the entity nor its affiliates, no any me associated with them, is presently suspended or otherwise ineligible from <br />participation in comma letting by arty local Sm4 or Federal Agency. <br />18.61,1eldle the amity, no its affiliates no any we associated with them have any potential conflict of interest due to any <br />other clients, calf acts, or property interests for dds project <br />1 &71 certify that no member of the erditys ownership or management is presently applying for my employee position a <br />ac"y making an elected position with the City of -%my Isles Beach. <br />1 &B I certify that no member of the entity's ownership a management, or staff has a vested interest in any aspect of the City <br />of Sunny Isles Beach. <br />1 &g In the event that a cml6d of interest is identified in the pra4sion of service; 1, on behalf of the above named entity, will <br />immediately notify the City of sunny Isles Beach. <br />Dated this /L day of A ✓S y 5 % . 201p, <br />Michael Fidueredo, Principal <br />AFFIANT Print or Type Name and Title <br />9yom to and subscribed before me dais yt day of 14 at ✓S . 201 <br />El Persmna%Known OR <br />❑ Produced Identification ; Type of Identification <br />NOTARY PUBLI B.�e'�'� <br />Noary Public Stet, of Ronda <br />,?`� Ma . Ja Conde <br />191a3 <br />MY Comnuaaion EE 2 <br />a <br />Expires 077248016 <br />elf swot 7a Ate 5 of 7 <br />
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