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0 <br /> 0 SUNNY'St <br /> ® Oi/ �'�,etI <br /> ® ;/ .1;6_,,t, <br /> nb CONFLICT OF INTEREST <br /> V <br /> 0 cam, City of Sunny Isles Beach <br /> ® 18070 Collins Avenue <br /> `.�••'• rio0 ..1. Sunny Isles Beach,FL 33160 <br /> 0 o, .0 '� Telephone:(305)947-0606 Fax:(305)949-3113 <br /> 0 <br /> 0 CONFLICT OF INTEREST STATEMENT <br /> 0 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 /> 0 City of Sunny Isles Beach or its agencies. <br /> ® STATE OF FLORIDA <br /> COUNTY OF Miami-Dade <br /> 0 <br /> 0 BEFORE ME, the undersigned authority, personally appeared Jorge Ferrer , who was duly sworn, <br /> ® deposes, and states: <br /> 0 18.1. 1 am the Vice President of <br /> 0 Bermello Aiamil s Partners, Inc.with a local office in Broward, FL and principal office in <br /> Miami, FL . <br /> 0 <br /> 0 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 12-04-02 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 /> O <br /> 0 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 /> 0 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 /> Q 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 /> participation in contract letting by any local, State,or Federal Agency. <br /> 0 <br /> o 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 /> 0 actively seeking an elected position with the City of Sunny Isles Beach. <br /> 0 18.8! certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City <br /> 0 of Sunny Isles Beach. <br /> 0 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 /> to immediately notify the City of Sunny Isles Beach. <br /> I <br /> ® ted is 3 day of Ap61 L , 201,o IZ <br /> 0 Jorge lerrer <br /> 0 AFF Print or Type Name and Title <br /> ® wpm to and subscribed before me this day of ,20)6 I <br /> 13' Personally Known • OR <br /> 0 O Produced Identification ; Type of Identificati. <br /> / . <br /> ill <br /> 0 NOTARY PUBrw g,/,4%•c yr rGBJ Mb" be/ <br /> r... t. ANGEUCACAMACHO <br /> ® .r ts, MY COMMISSION l EE 1145[0 <br /> 0 a• %i EXPIRES:July21,2015 <br /> g?' ,..4 3ax�Thu Notary Pts Ude.rom <br /> 0 <br /> ® DECEMBER 28.2010 5 of 7 67 <br />