Reso 2005-830 - Laserfiche WebLink

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SWORN STATLUENT UNDER SECTION 287.133(3)(A), FLORIDA STATUTES, ON THE PUBLIC ENTITY CRIMES (To be signed in the presence of a notary public or other officer authorized to administer oaths.) STATE OF Tennessee COUNTY Davidson Before me, the undersigned authority, personally appeared Donal d Mahaf f e~ who, being by me first duly swam, made the following statement: 1. Th.ebusinessaddressof 713 Melpark Drive, Nashville, TN 37204 (narneofProposer) SW~Fi:"ping Corpnr~rinn nr Arn~ric:a., Tile 2. My relationship to ~WP~"~ C~rpor~rinn ~~ Ameri~a. Tn~ (name 0 oposer) is Vic:~ President. (relationship such as sole proprietor, partner, president, vice president). 3. I understand that a public entity crime as defined in Section 287.133 of the Florida Statutes includes a violation of any state or fedcrallaw by a person with respect to and directly related to the transaction of business with any public entity in Florida or with an agency or political subdivision of any other state or with the agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or any such agency or political subdivision and involYing antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 4. I understand that "convicted" or "conviction" is defined by the statue to mean a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or infonnation after July 1, 1989, as a result of a jury verdict, Donjury trial, or entry of a plea of guilty or nolo contendere. 5. I lUlderstand that "affiliate'" is defined by the statute to mean (1) a predecessor or successor of a person or a corporation convicted of a public entity crime, or (2) and entity unch:r the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime, or (3) those officers, directors, executives, partners, shareholders, employees, members and agents who are active in the management of an affiliate, or (4) a person or corporation who knowingly entered into a joint ventw"e with a person who has been convicted of a public entity crime in Florida during the preceding 36' months. 6. Neither the Proposer or contractor nor any officer, director. executive, partner, shareholder, employee member or agent who is active in the management of the Proposer or contractor nor any affiliate of the Proposer or contractor has been convicted of a public entity crime subsequent to July 1,1989, _YES xx NO (please check the box that applied to paragraph 6. If answer is NO, go on and complete paragraph SIB