Laserfiche WebLink
STATE OF FLORIDA ) <br />) <br />COUNTY OF PALM B EACH ) <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) 94 9-3113 <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 />Matthew F. West <br />Title: President <br />The foregoing instrument was acknowledged before me this 6th day of <br />September 20~, by Matthew F. West [name <br />of person], as President [type of authority], for <br />West Construction, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />tl'Y P//8. ~\.••••. ri> RACQUEL J. BARRETT <br />• • * Co mmission# HH 414820 <br />I# "' :.;;..,.~ ~ Expires June 26, 2027 <br />~Off\.O <br />~~ <br />Notary Public -State of Florida <br />Racquel J. Barrett <br />Print or Type Commissioned Name <br />Personally Known ✓ OR Produced Identification ___ _ <br />Type of Identification Produced _____________ _ <br />DECEMBER 2 8 , 2010