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SVNNT/\/E <br /> J <br /> ; ,„ CONFLICT OF INTEREST <br /> I V <br /> K.t.-:- --,-- -:::,,I.•� City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> B </ • Fso—;:,v ..1/4, <br /> 'o. ,oma ' Sunny Isles Beach.FL 33160 <br /> Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ICONFLICT OF INTEREST STATEMENT <br /> The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must <br /> disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the <br /> I City of Sunny Isles Beach or its agencies. <br /> STATE OF FLORIDA <br /> COUNTY OF Broward <br /> eBEFORE ME, the undersigned authority, personally appeared Roderick Harvey, CPA, CVA who was duly sworn, <br /> deposes, and states: <br /> 118.1. I am the Managing Member of <br /> HCT CeNfiea Public Accountants BConsultants,LLC with a local office in Hollywood, Florida 33021 and principal office in <br /> Hollywood. Florida 33021 <br /> I 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 15-12-01 described <br /> as: Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this <br /> Affidavit based upon his own knowledge. <br /> I 18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has <br /> no financial interest in other entities submitting Bids for the same project. <br /> 18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in <br /> I any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for <br /> the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and <br /> execution of the Contract for this project. <br /> I 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from <br /> participation in contract letting by any local, State, or Federal Agency. <br /> 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any <br /> Iother clients,contracts,or property interests for this project. <br /> 18.71 certify that no member of the entity's ownership or management is presently applying for any employee position or <br /> actively seeking an elected position with the City of Sunny Isles Beach. <br /> I18.8 I certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City <br /> of Sunny Isles Beach. <br /> I 18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will <br /> immediately notify the City of Sunny Isles Beach. <br /> I D ted his - / • if December 2018. <br /> Pr App- Roderick Harvey, CPA, CVA <br /> AF ANT Print or Type Name and Title <br /> I Sworn to and subscribed before me.this :- of - -,r. 201 <br /> 0 Personally Known / OR <br /> O Produced Identification ;Type • •e ifica i <br /> dellr <br /> INOTARY PUBLIC STATE OF FLORI I . --mai <br /> 149.14i/b Ramona G.Sutton <br /> /l, yn <br /> COMMISSION�F9on91 <br /> -c / >- EXPIRES: July 19. 2011 <br /> ' P':'j WWW.AARONNOTARY.COM <br /> 1n1` <br /> DEt'FFe�sR 28,2.310 5 of 7 <br />