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Hypower, Inc.
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(15-12-02) Utility Undergrounding
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Hypower, Inc.
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Last modified
1/7/2016 4:18:25 PM
Creation date
1/7/2016 3:39:47 PM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Collins Ave. Utility Undergrounding
Bid No. (xx-xx-xx)
15-12-02
Project Type (Bid, RFP, RFQ)
Bid
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NON-DISCRIMINATION AFFIDAVIT <br /> I, the undersigned, hereby duly sworn, depose and say that the organization, business or entity <br /> represented herein shall not discriminate against any person in its operations, activities or delivery of <br /> services under any agreement it enters into with the City of Sunny Isles Beach.The same shall affirmatively <br /> comply with all applicable provisions of federal, state and local equal employment laws and shall not <br /> engage in or commit any discriminatory practice against any person based on race, age, religion, col! <br /> gender, sexual orientation, national origin, marital status, physical or mental dis ' politi : .ffiliationr <br /> any other factor which cannot be lawfully used as a basis for service delivery': <br /> By: C., <br /> Title: ,Ivisiora4anager/ <br /> t--- <br /> Sworn <br /> Sworn and subscribed before me this <br /> day 20S <br /> Notary Public S\i to Florida <br /> (Printed Name) <br /> My commission expires: I .ucauanKvuz <br /> MY C0MMISSION1 F7:937521 <br /> EXPIRES:July 9.2019 • <br /> Beaded Tku tbay qyk U atin <br /> 00300-24/26 <br />
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