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<br /> A market value under an arm's length agreement, shall be a prime facie case that one person
<br /> controls another person. A person who knowingly enters into a joint venture with a person who
<br /> 0 has been convicted of a public entity crime in Florida during the preceding 36 months shall be
<br /> ® considered an affiliate.
<br /> 911.5. I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural
<br /> ® person or entity organized under the laws of any state or of the United States with the legal power to
<br /> enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or
<br /> 9 services let by a public entity, or which otherwise transacts or applies to transact business with a public
<br /> ® entity. The term "persons" includes those officers, directors, executives, partners, shareholders,
<br /> employees, members, and agents who are active in management of any entity.
<br /> ® 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity
<br /> ® submitting this sworn statement. (Indicate which statement applies.)
<br /> ® X Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners,
<br /> ® shareholders, employees, members, or agents who are active in the management of the entity, nor any
<br /> affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br /> ® 1989.
<br /> ® The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
<br /> ® shareholders, employees, members, or agents who are active in the management of the entity, or an
<br /> ® affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br /> 1989.
<br /> ® The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
<br /> ® shareholders, employees, members, or agents who are active in the management of the entity, or an
<br /> ® affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br /> 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of
<br /> ® Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the
<br /> ® State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer
<br /> determined that it was not in the public interest to place the entity submitting this sworn statement on the
<br /> ® convicted vendor list. (Attach a copy of the final order.)
<br /> ® I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE RACTING OFFICER FOR THE
<br /> ® PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS F R THAT PUBLIC ENTITY ONLY AND,
<br /> THAT THIS FORM IS VALID THROUGH DECEMBER 31 • THE CAL NDAR YEAR IN WHICH IT IS FILED. I
<br /> ® ALSO UNDERSTAND THAT I AM REQUIRED TO INFOR T E PUB IC ENTI Y PRIOR TO ENTERING INTO
<br /> A CONTRACT IN EXCESS OF THE THRESHOLD A •y T PRO IDED I' SECTION 287.017, FLORIDA
<br /> ® STATUTES, FOR CATEGORY TWO OF ANY, CHANGE 'OR'MATI• CONTAINED IN THIS FORM.
<br /> ® By AA'
<br /> ® (Signature) Alr
<br /> Jos-ph M. CLadino
<br /> 9 (Printed Name)
<br /> Presiden
<br /> ® (Title)
<br /> 0 Sworn to and subscribed before me this 23rd day of April , 20 12_, by
<br /> O. -
<br /> 0 (AFFIX NO A Y T
<br /> e2{..7..;_27eee_n_:__. .
<br /> ® .,r, NANCY MEDINA
<br /> p"e F; Notary Public•State of Florida Sig ture: otary Public—State of Florida
<br /> ® - s, , My Comm.Expires Nov 7.2014 /1/4111 CG/ McGI✓1A.
<br /> ® :dogcommission • EE 1O124 Print or T pe Commissioned Name
<br /> •-"•:!.°,; `' nnnded Through National Notary Assn.
<br /> O PersorTa"lly`Known OR Produced Identification
<br /> ® Type of Identification Produced
<br /> O 10/1998 3of7
<br />
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