Laserfiche WebLink
<br />partners, shareholders, employees, members, or agents who are active in the management of the entity, or an <br />J fTit iate 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, employees, members, or agents who are active in the management of the entity, or an <br />affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July I, 1989, <br />However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of <br />AdminIstrative Hearings and the Final Order entered by the Hearing Officer of the State of Florida, Division <br />of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not ill <br />the public interest to place the entity submitting this sworn statement on the convicted vendor list, (Attach a <br />copy of the final order.) <br /> <br />I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE <br />PUBLIC ENTITY IDENTIFIED IN PARAGRAPH I (ONE) ABOVE IS FOR THA T PUBLIC ENTITY ONL Y AND, <br />THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED, <br />I ALSO UNDERSTAND THA T I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING <br />INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287,0 17, FLORIDA <br />Sf A TUTES, FOR CA TEGOR Y TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM <br /> <br />00456 - 3 <br /> <br />ft:;~ <br />;~ff) <br />'.~,,"I <br /> <br />~~, <br />r~ <br />k="./I <br />