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Danella Utility Construction Inc.
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(15-12-02) Utility Undergrounding
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Danella Utility Construction Inc.
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Last modified
1/7/2016 4:17:12 PM
Creation date
1/7/2016 4:17:07 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, color, <br /> gender, sexual orientation, national origin, marital status, physical or mental disability, political affiliation or <br /> any other factor which cannot be lawfully used as a basis for service delivery. <br /> By: yy <br /> Title: ole.F— <br /> • b,.� <br /> Sworn and subscribed before me this <br /> 7.4, day oqt.,,.r7 , 20 /s- <br /> cary ublic, State of Florida <br /> • — <br /> (Printed Narng.katnLEONA ANN ODEN <br /> 1 _>> t _ Notary Public -State of Florida <br /> r. ••' •- MY Comm.Expires Aug 29.2018 <br /> My commisR`. =s. a „ r IT 11e2e3 <br /> ,, <br /> 4 . ."� Bade011rough National Nctary Assn. <br /> / 00300-24/26 <br />
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