Hypower, Inc. - Laserfiche WebLink

Home Browse Search

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 or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement (Indicate which statement applies). X Neither the entity submitting this sworn statement, nor any of its 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 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. _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 Hearing Officer of the State of Florida, 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 sworn 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 1 (ONE)ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND,THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHI IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE P :LIG ENTITY P R TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRE • DA •U P'•* ID D �'�' CTION 287.017, FLORIDA STATUTES FOR CATEGORY TW OF ANY C , RMATION CONTAINED IN THIS FORM. ( gna .re) Sworn to and subscribed before me this •ay of i,. _- , 2014 Personally nown- / OR Produced Identification Notary -u lic, S of Florida-At-Large My commission expires (Printed typed or stamped Commissioned name of notary public) JNXIVELME MARE mins:M9.2019 lemy wary Put&Uri 00300- 19/26