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STATE OF FLORIDA ) <br />COUNTY OF i kfY\�l <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: Patricia Bonilla _";_1 7�- <br />Title: CEO <br />The foregoing instrument acknowledged before me this 5 day of <br />20 2�, by <br />of person], as 'I -O [name <br />_( I -L '%r'vaV\ Cmn �� [type of authority], for <br />executed]. — [name of party on behalf of whom instrument was <br />AFFIX NOTAR45TAMP HERE: �- <br />��` '� Expires e�iy�i <br />4�0 121412028 C� f Notary Publ' S tE <br />!vette Vazquez Q �� <br />M Commission 4 <br />H 648394 ; Print or Type Commiss c <br />Personally kii'b1`+11wy OR Produced Identification <br />Type of Identification Produced -V-7 , ��,�li I <br />DECEMBER 28, 2010 <br />of Florida <br />U z <br />ed Name <br />