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<br />SWORN STATEMENT PURSUANT TO SECTION 287.]33(3)(a)
<br />FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
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<br />THIS FORM MUST BE SIGNED AND SWORN TO rN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
<br />OFFICIAL AUTHORIZED TO ADMrNlSTER OA THS
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<br />I, This sworn statement is submitted to C i t y 0 f Sun n y Is 1 e s Be a c /lny
<br />Guillermo Quintero fur Vila & Son Landscaping Cor
<br />whose business address is 1 3901 N W 1 1 8 A v e n u e Me dIe y
<br />Florida 33178 FIN 59-2384066 and (if applicable) its Federal
<br />Employer Identification Number (FErN) is (IF the entity had no FErN, include the Social Security
<br />Number of the individual signing this sworn statement: N / A
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<br />2, I understand that a "public entity crime" as defined in Paragraph 287 133(1 )(g), Florida Statutes, means a
<br />violation of any state or federal law by a person with respcct to and directly related to the transaction of business
<br />with any public entity or with an agency or political subdivision of any other state or with the United States,
<br />including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or
<br />an agency or political subdivision of any other state of the United States and involving antitl1lst, fraud, theft,
<br />bribery, collusion, racketeering, conspiracy. or material misrepresentation,
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<br />3, ] understand that "convicted" or "conviction" as defmed in Para, 287,] 33(] )(b), Florida Statutes, means a
<br />fmding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal
<br />or state trail court of record relating to charges brought by indictment or infonnatlon aftcr .lull' 1, ] 989, as a
<br />result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere.
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<br />4, I understand that an "affiliate" as defmed in Para. 287,133( I )(a), Florida Statutes, means:
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<br />), A predccessor or successor of a person convicted of a public entity crime; or
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<br />2, Any entity under the control of any natural person who is active in the management of the entity and
<br />who has been convicted of a public entity crime, The tenn "affiliate" includes those officers, directors,
<br />executors, partners, shareholders, employees, members, and agents who are active in the management
<br />of an affiliate, Thc ownership by one person of shares constituting a controlling interest in another
<br />person, or a pooling of equipment or income among persons when not for fair market value under an
<br />arm's length agreement, shall be a prime facie case that one pcrson controls another person, A person
<br />who knowingly enters into a joint venture with a person who has been convicted of a public entity
<br />crime in Florida during the preceding 36 months shall be considered an affiliate
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<br />5, I understand that a "person" as defined in Para. 287, 133( 1)( e), Florida Statutes, means any natural person or
<br />entity organized under the laws of any state or of the United States with the legal power to enter into a binding
<br />Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public
<br />entity, or which otherwise transacts or applies to transact business with a public entity, The tenn "persons"
<br />includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are
<br />active in management of any entity,
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<br />6, Based on information and belief, the statement which I have marked below is true in relation to the entity
<br />submitting this sworn statement. (Indicate which statement applies,)
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<br />_~ Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives,
<br />partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any
<br />affiliate of the entity has been charged with and convicted ofa public entity crime subsequent to July I, 1989,
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<br />The entity submitting this sworn statement, or one or more of its officers, directors, executives,
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<br />00456 - 2
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