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SUNNY /$I" <br />s <br />� n <br />OP <br />FLOP\ <br />°f ,uAffidavit of Compliance with Anti -Human Trafficking Laws <br />City of Sunny isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 <br />The undersigned, on behalf of the entity listed below ("Entity"), hereby attests, under penalty of <br />perjury, as follows: <br />1. Entity does not use coercion for labor or services as defined in Section 787.06, Florida <br />Statutes. (Source: § 787.06 (13), Florida Statutes — Human Trafficking). <br />2. The undersigned is authorized to execute this affidavit on behalf of Entity. <br />Date: �0 _ I - , 2�� <br />Entity: MBR Construction, Inc. <br />STATE OF V, -\ref i 6)-� <br />Signed: <br />Nam <br />Ichal'R. Boss <br />Title: President <br />COUNTY OF _ 4 <br />The foregoing instrument was acknowledged before me, by means ofphysical presence or b <br />online notarization, this \ day of O CA 20�, by <br />as for <br />who is personally known to <br />me or who has produced as identification. <br />Notary Public Signat re: <br />Print Name: <br />LL <br />WENDY BROCD2588004 <br />OMMISSION # St e <br />My commission expires: <br />