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0 <br /> 0 <br /> ® vsow.;sFf <br /> _ ANTI - KICKBACK <br /> — a . <br /> ® ` i• City of Sunny Isles Beach <br /> • ` 18070 Collins Avenue <br /> ® i <br /> , '� <br /> • w�t°o+` Sunny Isles Beach,FL 33160 <br /> ® Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ® ANTI-KICKBACK AFFIDAVIT <br /> ® STATE OF FLORIDA ) <br /> 0 COUNTY OF Broward ) <br /> ® I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br /> ® will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a <br /> ® commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or <br /> by an officer of the corporation. <br /> ® By: Dennis J. Giordano <br /> ® Title: President <br /> ® <br /> Apr; <br /> foregoing instrument was acknowledge before me this PI day of <br /> ® Apri ( , 20 /a , by Dennis ;O�aVlo [name <br /> ® of person], as Pres tcl e n- [type of authority], for <br /> Calvin)Crinrdano . /4 :.ccici-esl..Ta1c• [name of party on behalf of whom instrument was <br /> ® executed]. <br /> ® AFFIX NOTARY STAMP HERE: ("Rai_ <br /> ® MARTHA EVANS l•(�/ <br /> NOTARYPUBLIC-STATE EFEOM. <br /> COMMISSIQN A EE002677 Notary Public — State of Florida <br /> EXPIRES 6/21/2014 <br /> :oNOED TNRu 1481-NWTARY I <br /> ® N� nx4-6 _vans <br /> ® Print or Type Commissioned Name <br /> ® Personally Known ✓ OR Produced Identification <br /> ® Type of Identification Produced <br /> DECEMBER 28,2010 7 of <br />