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<br />....... "'''''.''J ;)UUUIlLLlU~ UII:t :)wurn statement, or ant: or rnure: Ul ll:) UUl""~"3, UU'W""\."I.;3, 'l;;^C\..Ul1ves. <br />partners, shan:holJers, employees, members, or agents who are active in the management of the ~ntlly, or an <br />affiliate of the entIty has been charged with and convicted of a public entity crime subsequent to July I, 1989. <br /> <br />The entity submitting this sworn statement, or one or more of its officers, directors, executives, <br />partners, shareholders, cmployees, members, or agents who arc active in the management of the entity, or an <br />affiltate of the entity has been charged With and convicted of a public entity crime subsequent to July 1, 1989 <br />However, there has been a subsequent proceeding before a Heanng Officer of the State of Flonda, DiVision of <br />Administrative Heanngs and the Final Order entered by the H.:aring Officer of the State of Flonda, Division of . <br />Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not In the <br />public interest to place the entity submitting this sworn statement on the convicted vendor list (Attach a copy <br />of the final order) <br /> <br />[ UNDERSTAND TI-lA.T THE sUBrvnssloN OF THIS FOR!v1 TO THE CONTRACTING OFFICER FOR THE <br />PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABO'lE IS FOR THAT PUBLIC ENTITY ONLY AND, <br />THAT nns FORM IS VALID THROUGH DECEMBER 3\ OF THE CALENDAR YEAR fN WHICH IT [S FILED. <br />I ALSO UNDERST AND THAT I AAI REQUIRED TO iNFORM THE PUBLIC ENTITY PRIOR TO ENTERING <br />fNTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287017, FLORIDA <br />STATUTES, FOR C/\TEGORYTWOOF ANY, CHANGE rNTHE rNFORMAllONCONTAINED fNTHTS FORM <br /> <br />00456 - 3 <br /> <br />SIB <br />