BetaJones Group, Inc., The Bid Document (38)

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CONFLICT OF INTEREST City of Sun ny Isles Beach 18070 Coll ins Avenue Sunny Isles Beach , FL 33160 Telephone: (305) 947-0606 Fax : (305) 949-3113 CONFLICT OF INTEREST STATEMENT The a ward of any contract hereunder is subject to the provis ions of Chapter 112, Flor ida State Statutes. Proposers must disclose with their Bids, the name of any officer, directo r, partner, associate or agent who is also an officer or employee of the City of Sunny Isles Beach or its agencies. STATE OF FLORIDA COUNTY O F MIAMI -DADE BEF ORE ME, the undersigned authorit y, personally appeared _L_u_is_A_._B_e_ta_lle_lu_z ____ , who was duly sworn, deposes, and states: 18.1. 1 am the P rin cipal of ..JT..Jh~e.......,B,e!w..lo.lta~J>Lo!ol.J..JnL.loe..,sL.L.loGo!Jr~oLiu.t..lpOL<-. .ul n...Lcw...._ __ with a loca l office in 80 1 Brickell Ave. Suite 800. Miami. FL 33131 and principal office in 801 Brickell Ave. Suite 800. Miami , Fl 33131 18.2. The abov e named entity is subm itti ng a Bid for the City of Sunny Isles Beach , Bid No. 26-07-01 described as : Golden Shores Street Lighting . The Affiant has made dili gent inquiry and provides the inform ation contained in this Affidavit based upon his own knowledge . 18.3 The Affiant states that only one subm ittal for the above Bid is being submitted and that the abov e named entity has no financial in terest in other entit ies subm itting Bids for the same project. 18.4 Ne ither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion , or othe rwi se taken any actio n in restraints of free competitive pricin g in connection with the entity's submittal for the above Bid. This statement restricts the d iscuss ion of prici ng data until the co mpletion of negotiations if necessary and execution of the Contract for this project. 18 .5 Neither the entity nor its affiliates, nor any one associated wi th them , is p resently suspended or otherwise ineligible from participation in contract letting by any local , State, or Federal Agency . 18.6 Neither the entity, nor its affil iates , nor any one associated with them have any potential conflict of interest due to any other clients , contracts, or property interests for this project. 18.7 I c ertify that no member of the entity's owner ship or management is presently apply ing for any employee position or actively seeking an elected position with the C1ty of Sunny Isles Bea ch . 18 .8 1 certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City of Sunny Isles Beach . ~--;r....,---...--..---.---...---.,--,r-r-......... ~· 202 6. M=~~'----'="'-'-""-.!....>.:..""""~"""""'""'z.... Lu is A. Be tallelu z. Pr incipal Pr int or Type Name and Title and subscribed before me th is 14th day of July , 2026. Personally Known OR Produced Identifi cation ; Type of Identification __________ _ NOTARY PUBLIC STATE OF FLORIDA DECEMBER 28 2010 S MICHEU.E LOPEZ Notary Public State of Florida Comm# HH334347 Expires 1/15/2027 82 The BetaJones Group/RFQ#26-07-01