My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Grau & Assoc.
SIBFL
>
City Clerk
>
Bids-RFQ-RFP
>
RFP
>
RFP No. 15-12-01 Professional Auditing Services
>
Responses
>
Grau & Assoc.
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/11/2016 2:45:46 PM
Creation date
1/11/2016 2:45:33 PM
Metadata
Fields
Template:
CityClerk-Bids_RFP_RFQ
Project Name
Professional Auditing Services
Bid No. (xx-xx-xx)
15-12-01
Project Type (Bid, RFP, RFQ)
RFP
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
72
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Q _ <br /> uNNT�\� <br /> f <br /> i�� : � <br /> V _ ` n <br /> CONFLICT OF INTEREST <br /> Z <br /> City of Sunny Isles Beach <br /> \ _ 16070 Collins Avenue <br /> I 'vs sus oow Sunny Isles Beach,FL 33160 <br /> 'o. Yu ^T Telephone:(305)947-0606 Far(305)949-3113 <br /> ECONFLICT 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 /> O City of Sunny Isles Beach or its agencies. <br /> STATE OF FLORIDA <br /> COUNTY OF Palm Beach <br /> I BEFORE ME, the undersigned authority, personally appeared Antonio J. Grau who was duly sworn, <br /> deposes, and states: <br /> 18.1. I am the President of <br /> I Grau & Associates <br /> with a local office in Boca Raton. Florida and principal office in <br /> Rona Raton, Florida <br /> Professional <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 /> uditingle <br /> as: Lan4scapo-Mairuenancs Services. The Affiant has made diligent inquiry and provides the information contained in this <br /> (VICE'S Affidavit based upon his own knowledge. <br /> 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 /> 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 /> 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 /> II 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 )----A)----Al <br /> l day of 1)4)_QX4`--111/4RJ ' , 201€ 2015 , ^t <br /> Antnnin .I GranJC �i <br /> I AFFIANT <br /> Print or Type Name and Title <br /> Sworn to and subscribed before me this day of ,201-0. 2015 <br /> I Personally Known OR <br /> O Produced Identification : Type o Id ntificatio, y <br /> 1 <br /> _ Ali (t * • <br /> NOTARY - - - :.-t <br /> I/ 1 l,. y, FAWN STANFORD t <br /> ( F •�V- Notary Public-State of Florida <br /> ( i•• .?My Comm.Expires Sep 29,2016 <br /> ( Commission♦EE 2t3419 ( <br /> `�O�A ` Bonded Thrown National Notary Ann. <br /> DECEMBER 28,2010 ,I, 5 of 7 <br /> 0 <br />
The URL can be used to link to this page
Your browser does not support the video tag.