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Public Entity Crimes market value under an arm's length agreement. shall be a prime facie case that one person controls another person. A person who knowingly enters into a pmt venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate 11.5. I understand that a "person' as defined in Para. 287.133(1Ne). Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts a applies to transact business with a public entity. The tens 'persons" includes those officers, directors. executives. partners, shareholders, employees. members, and agents who are active in management of any entity. 11.6. Based On information and belief, the statement which I have marked below is hue in relation to the entity submitting this swom statement. (Indicate which statement apples.) Neither the entity submitting this swom statement, nor any of irs officers, directors, executives, partners . shareholders employees, members. or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1. 1989. The entity submitting this swom statement, or one or more of its officers, directors.. executives, partners . shareholders. employees, members. or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1. 1989. The entity submitting this sworn statement_ or one or more of its officers, directors, executives, partners . shareholders.. employees, members. or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1. 1989. However, there has been a subsequent proceeding before a Heanng Officer of the State of Florida, Division of Admmistrabve Hearings and the Final Order entered by the Hearing Officer of the State of Florda, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this swom statement on the Convicted vendor list. (Attach a copy of the final order.) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY, CHANGEM7ITE-01FORMATION CONTAINED IN THIS FORM. BY (Signature) I/"*-, (Printed Name) F �— i rt Owe o, >R+ 6pom to ar � .uetore me this � i day of 0 t 21) by n BHn.O ru uM,eR<tP.it�ii:r.. aUl Signature: Notary Public - State of Florida Print or Type Commissioned Name Personally Known OR Produced Identification Type of Identification Produced J !x 1 (J L L ! I C F' 3d] 26