Laserfiche WebLink
ANTI - KICKBACK <br /> is City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> 4.�� '•i 10+`00 Sunny Isles Beach,FL 33160 <br /> o. tow ' Telephone:(305)947-0606 Fax:(305)9433113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF ftOR DA ) <br /> South Caroina ) <br /> COUNTY OF York ) <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 /> By: <br /> Stephanie R3nsone <br /> Title: Sr. Customer Contrac Manager <br /> The foregoing instrument was acknowledged before me this 22nd day of <br /> August , 20 16 . by Stephanie Ransone [name <br /> of person], as Sr. Customer Contract Manager/Representative [type of authority], for <br /> Sunbelt Rentals, Inc. [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: r� <br /> Cc2a:� f c�. wt, Ru <br /> l:nnsuna Pasquarelli Notary Public — State of florida south Carolina <br /> tidart'Pt6c,state a sad cam <br /> Sly Conmision*es hele19,2025 '4f;s4i.-1n r-?���.,�.-s(i <br /> Print or Type Commissioned Name <br /> Personally Known X OR Produced Identification <br /> Type of Identification Produced n/a <br /> DECEMBER 28,2010 7 of 7 <br />