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FI'00da Stalate 1148,0915 dIrWq all public employars, lo dudiln gj rnup"4pali. gowihmmafts, io verify tits, <br />arrip la, Ment dilgiblfilly of all ngw:public arn*yees through the U,S. Depw1mem of Hom6lanSecuritySecurity'ss 15o.; <br />Verify,gyfdann; "d further proM, de3 I -hot a pulblic -emo ay no unfesart <br />ss ach py <br />byer m t crier into a conlra cc <br />tothei Dardr&&(A - Istwis wil IN and ua.e. the &Verif <br />- utter the -_- m. <br />.9 Y Ityabe <br />Florida Statuta 448.095 fufthar f3rwWas that if a, contractorenjers Em i Gonk 4 h ri , c- r� The <br />WLa -.aGL W11, a subco bra to The <br />subcontractor must poovid'a ft: e w-tmactar wnh Em affidavil:A lingthe the eu rawdly dbe � not e loy <br />[a M twni an mp <br />cadrac-1: with, or subcomact Wlh an'Unauthorized' elien. <br />in. Wordance with Florida Statute 448.095. gill contractars, dol" NAiineaswlffi the CdyOf SUhny [81sir" <br />Beachi mm, r± <br />eq rad to verify m*yee: ialgiblilly vaiftgj the. E-Verilly vystam, for all exisung aired new <br />Umployeas ,h 1 Ired by,the r <br />o.ntmc .3r durMg 1he canbract lorrri, RMhcanter'er, the mum aha re"ro aw <br />. . -tL - <br />mainuan the stalutofily mqk*d •sMdavft of I itssubowdrq spong -an o <br />ctamr It Is the, re, lbillty of the awarded vendor I <br />enwre compliance WNh F-Varify,requilternents (98 appk-Ahle)v Toe <br />mrolil In E-Verft am playipra, should viiu* <br />the E466.-fy wabsite and fill bw- the <br />Instrualons, Tba,-nirac on -t.m mii Last, as suaf, ralaln 1he. 1.9 FWMfwri <br />or Inspea, <br />- <br />ByafW., ng'Your'signature below PU hereby afrmn thal, pu will comply wilh:54airdy mquiremends-, <br />Date <br />Ell, M -J' <br />r Nalm <br />,I <br />jjrj?!E J57 <br />dmr�ff -p'W A Wribw I)FEIN) <br />I - of W H "-- op <br />Swarnba and subscribed Woe me cia this 11 is -12 a--dav ail <br />By ew-he # I <br />- --.e vaaa-ViE <br />Is pummity known to me <br />W'ftw- %-*Kv'POW SUN, a ftpda <br />Jet AdFWM Rio <br />WO <br />CxOrotki n*j OrIlle <br />D - <br />