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04 S�N�Y rS�FdB <br />� Y <br />n <br />u s <br />Crt'Y or 5Uµ �1pC <br />STATE OF FLORIDA <br />COUNTY OF Miami Dade <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 />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: a Lc <br />§'t" <br />Title: President <br />The foregoing instrument was acknowledged before me <br />May 202 3 by Gabrielle Benigni <br />of person], as President/Owner [hype <br />Disaster Program& Operations, Inc. [name of party on behalf of <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />ELIZABETH VALDES <br />,Notary Public -state of Florida <br />Commission k HH 356226 <br />%; r� . oF,,, My Commission Expires <br />'�a.. a.` May 09. 2027 <br />this 15t day of <br />[name <br />of authority], for <br />whom instrument was <br />Notary Public — State of Florida <br />Liz Valdes <br />Print or Type Commissioned Name <br />Personally Known V OR Produced Identification <br />Type of Identification Produced _ <br />DECEMBER 28, 2010 <br />