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® VNNYli( <br /> a <br /> �FI <br /> ® =� ANTI - KICKBACK <br /> 11 <br /> )• City of Sunny Isles Beach <br /> ® <br /> es. <br /> 18070 Collins Avenue <br /> '• rxo" •`. Sunny Isles Beach,FL 33160 <br /> 0 <br /> Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ® ANTI-KICKBACK AFFIDAVIT <br /> 0 <br /> ® STATE OF FLORIDA ) <br /> ® COUNTY OF Broward ) <br /> a <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 /> • <br /> • By: elley Eichner, AICP <br /> ® Title: Senior Vice President <br /> ® nT <br /> ^--her, foregoing instrument was acknowledged before me this { b‘-clay of <br /> ® �� `� , 20 1& , by SAPBBey £rctiy12r [name <br /> ® of person], as _ Sr U:c r- Pres,c/e & t [type of authority], for <br /> Ord u)n �TiordArlo flssoc.)s,1c, [name of party on behalf of whom instrument was <br /> ® executed]. <br /> 0 <br /> ® AFFIX NOTARY STAMP HERE: <br /> ® MARTHA EVANS Notary'Public — State of Florida <br /> ppTARY RUBUC•STAT!OF FLORIDA <br /> ® <br /> COMMISSION#EE0025T1 Lk� SC <br /> vice K-S <br /> EXPIRES S/21/2014 <br /> io MO TMRU 1d8PNOTARYI 0.i l <br /> • Print or Type Commissioned Name <br /> a <br /> ® Personally Known ✓ OR Produced Identification <br /> • Type of Identification Produced <br /> • <br /> DECEMBER 28.2010 7 of 7 <br />