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I <br /> y0NNr rr` <br /> o- n <br /> ' CONFLICT OF INTEREST <br /> V(- <br /> • •` City of Sunny Isles Beach <br /> •,�.= w. z. 18070 Co01ns Avenue <br /> ''•rto�� Sunny Isles Beach.Ft. 33160 <br /> C''or ,u. •`o, Telephone:(305)947-0606 Fax:(305)949-3113 <br /> 1 CONFLICT OF INTEREST STATEMENT <br /> 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 /> 1 City of Sunny Isles Beach or its agencies. <br /> STATE OF FLQRIDA <br /> COUNTY OF orange <br /> 1 BEFORE ME, the u ndersigned authority, personally appeared Daniel J. O'Keefe , who was duly sworn, <br /> deposes, and states: <br /> 1 18.1. I am the Shareholder of <br /> and principal office <br /> Moore Stephens Lovelace, P.A. with a loca I office in__Miami. Florida in <br /> Orlando. Florida . <br /> 15-12-01 <br /> 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. described <br /> as: T he Affiant has made diligent inquiry and provides the information contained in this <br /> Affidavit based upon his own knowledge Orofessional Auditing Services <br /> 1 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 /> 18.4 Neither the Affiant nor the a bove named entity has directly or indirectly entered into any agreement, participated in <br /> 1 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 /> execution of the Contract for this project. <br /> 1 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 /> 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any <br /> 1 other clients,contracts, or property interests for this project. <br /> 18.71 certify that n o member of the entity's ownership or ma nagement is presently applying for any employee position or <br /> actively seeking an elected position with the City of Sunny Isles Beach. <br /> I 18.8 I certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City <br /> of Sunny Isles Beach. <br /> 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 /> ® immediately notify the City of Sunny Isles Beach. <br /> ® this 2. Q day of 02(f r b r 2015. <br /> Daniel 1. O'Keefe, Shareholder <br /> A FIANT ...-1 Print or Type Name and Title <br /> r ^� b <br /> Sworn to and subscribed before me this fi i day of fJl ( � „n 0.-- , 2015. <br /> ),. ' Personally Known OR <br /> ® 0 Produced Identification ; Type of Identifi .lion <br /> ` <br /> • 1i , . �_ <br /> NOTA-i // / <br /> 1 Notary Public Staled Florida Ity Commission FF 213951 <br /> �or we F.xOrea 04/05/2019 <br /> I <br /> DECEUBFJR 28.2010 5 of 7 <br /> I S 1 <br />