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0 <br /> 0 <br /> 0 <br /> 0 <br /> 0 Ii1p: <br /> OY '0 �( ANTI- KICKBACK <br /> • City of Sunny Isles Beach <br /> 78070 Colts gvanue <br /> ® % notvSonny 1St Beath,Ft 331130 <br /> 0cera.tun Telegglro:(305)947-0606 Fax(305)949-3113 <br /> • ANTI-KICKBACK AFFIDAVIT <br /> • <br /> • STATE OF FLORIDA• <br /> ) <br /> COUNTY OF Ura.il ) <br /> • <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 /> fb By: Tony Shahnami, PE,CxA <br /> 0 <br /> • Title: SGM President <br /> 0 <br /> • The foregoing instrument was ackno ledged before me this r?n(/l day of <br /> ® di , 2011-, by Tny oh4G,nant / [name <br /> of p rd'on], as �r-12rd-0 n r [type of authority], for <br /> a6m Ena/naQr,v15 [name of party on behalf of whom instrument was <br /> • executed]. <br /> • AFFIX NOTARY STAMP HERE: r n <br /> nµ, <br /> LAURIE STRANOIE PUOcfiS V lrah) <br /> NOta <br /> �;. NOTARY PUBLIC ry blit— State of Florida <br /> STATE OF FLORIDA <br /> • :. Comm#EE141665 1Glino cSIranel <br /> Expires 11/13/2015 <br /> • Print or Type Commission Name <br /> • <br /> • Personally Known OR Produced Identification <br /> ® Type of Identification Produced <br /> 0 <br /> 0 <br /> C <br /> cera.aER 2e.2010 7 017 <br /> S <br /> • 72 <br /> • <br />