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(24-07-01) Construction of Intracoastal Sports Park
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WEST CONSTRUCTION
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West Construction
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Last modified
9/11/2024 1:12:42 PM
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9/11/2024 1:09:05 PM
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CONFLICT OF INTEREST <br />City of Sunny Isles Beach <br />1807 0 Collins A ve nue <br />Sunny Isles Beach, F L 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />CONFLICT OF INTEREST STATEMENT <br />The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes . Proposers must <br />disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the <br />City of Sunny Isles Beach or its agencies . <br />STATE OF FLORIDA <br />COUNTY OF PALM BEACH <br />BEFORE ME, the undersigned authority, personally appeared M atthew F. West , who was duly sworn , <br />deposes, and states: <br />18.1. I am the President of <br />West Construction, Inc. with a local office in Lantana FL and principal office in <br />Lantana,FL <br />18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No . 1TB 24-0?-0 1 described <br />as : *GelEleA Sf:leFes etFeet Li!!AliA!!. The Affiant has made diligent inquiry and provides the information contained in th is <br />Affidavit based upon his own knowledge. <br />18.3 The Affiant states that only one submittal for the abov e Bid is being submitted and that the abov e named entity has <br />no financial interest in other entities submitting Bids for the same project. <br />18.4 Neither the Affiant nor the above named entity has d irectl y or indirectly entered into any agreement, participated in <br />any collusion , or otherwise taken any action in restraints of free competiti ve pricing in connection with the entity's submittal for <br />the above Bid . This statement restricts the discussion of pricing data until the completion of negotiations if necessary and <br />execution of the Contract for this project. <br />18.5 Neither the entity nor its affiliates, nor any one associated w ith them , is presently suspended or otherwise ineligible from <br />participation in contract letting by any local, State, or Federal Agency. <br />18.6 Neither the entity, nor its affi liates, nor any one associated with them have any potential conflict of in terest due to any <br />other clients, contracts , or property interests for this project. <br />18.71 certify that no member of the entity's ownership or management is presently applying fo r any employee pos ition or <br />actively seeking an elected position with the City of Sunny Isles Beach. <br />18.8 I certify that no member of the entity's ownership or management, or staff has a vested interest in any aspe ct of the City <br />of Sunny Isles Beach . <br />18.9 In the event that a conflict of interest is identified in the provision of services , I, on behalf of the above named entity , will <br />immediately notify the City of Sunny Isles Beach . <br />AFFIA~ <br />Daffi~ <br />September 2 024 <br />Matth ew F . W es t, Pres ident · <br />Print or T ype Name and Title <br />Sy;orn to and subscribed before me this 6th day of September 2024. <br />i!I Personally Known r-OR <br />D Produced Identification · Ty ~ <br />NOTARY PUBLIC STATE OF FLORIDA <br />tt-1 P(/8. ~<f .••..•• ?i> RACQUEL J. BARRETT <br />* ~ * Commlssion#HH414820 ~ ,.. <br />~>-~ OF f~o~~ Expires June 26, 2027 <br />*Intracoastal Sports P ark
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