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SUNNY rS�R <br />iF F`09� Sit <br />C'rY OF SUN'NO <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: 0 <br />Title: President <br />The foregoing instrument was acknowledged before me this 27 day of <br />June , 20 25 , by Julio Ronquillo [name <br />of person], as President [type of authority], for <br />JCR Mechanical Contractor Inc [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP P H14' MAR '%"" <br />MY COMMISSION o <br />EXPIRES 6-20-2026 <br />"0 <br />r <br />I I l . <br />Stater . .. <br />Diana Martinez <br />Print or Type Commissioned Name <br />Personally Known ✓ "01T'7roduced Identification <br />Type of Identification Produced Known to me <br />DECEMBER 28, 2010 <br />