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I <br /> O�SVNN♦,„,1 <br /> I CONFLICT OF INTEREST <br /> V I1 'Z <br /> �: City of Sunny Isles Beach <br /> I <br /> ,�, 16070 Collins Avenue <br /> Ai: .._o. Sunny Isles Beach.FL 33160 <br /> c, 1v. 'sTelephone:(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 /> ICity of Sunny Isles Beach or its agencies. <br /> STATE OF FLORIDA <br /> COUNTY OF Miami- Dade <br /> IBEFORE ME, the undersigned authority, personally appeared Andrew S. Fierman , who was duly sworn, <br /> deposes, and states: <br /> 1 18.1. I am the Partner of <br /> Alberni Caballero & Herman, LLP with a local office in Coral Cables, FL and principal office in <br /> Coral Gables, Florida. <br /> ' 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 /> any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for <br /> I 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 /> 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from <br /> Iparticipation 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 /> other clients,contracts,or property interests for this project. <br /> 1 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 /> I 18.81 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 /> 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 /> I immediately notify the City of Sunny Isles Beach. <br /> Dated this 28 day of December 2010 2015 <br /> I AFFIANT Print or Type Name and Title <br /> Sworn to and subscribed before me this 28 day of December , 20.4. 2015 <br /> m Personally Known OR <br /> O Produced Identification ;Type of Identification <br /> NOTARY PUBLIC STATE OF FLORIDA <br /> ti; --- <br /> IIPEIM"mess a CASANOVA� ��,�'',�". MY COMMI6SIONi FF 031191 <br /> I <br /> '11- -- jai EXPIRES:February 10,2018 <br /> L..:.. .d'. Bonded TMe Notary Pude Urdenlir <br /> OECEu9Ea 26,2010 <br /> 5 of 7 9`""� <br /> I <br />