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<br />I . <br /> <br />SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), <br />FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES <br /> <br /> <br />THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY P BUC <br />OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. <br /> <br />1. <br /> <br />This sworn statement is submitted to The City of Sunny Isles Beach, Florida <br /> <br />by Henry T. Louden, President <br />[print indiviatiaPs name andtitie J <br /> <br />fur Tran Construction, Inc. <br />[print name of entity subm itting sworn statement} <br /> <br />, I <br />, I <br /> <br />whose business address is <br /> <br />1000 NW 54 Street <br /> <br />2. <br /> <br />I I <br />Miami, Florida 33127 <br /> <br />and (if applicable) its Federal Employer Identification Number (FEIN) is 65 - 081 6do ~ <br /> <br />(If the entity has no FEIN, include the Social Security Number of the individual signing th~sl sworn <br />statement:' , I <br /> <br />I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida ~Jatutes, <br />means a violation of any state or federal law by a person with respect to and directly relate~ to the <br />transaction of business with any public entity or with an agency or political subdivision pf any <br />other state or of the United States,. including, but not limited to, any bid or contract for gqods or <br />services to be provided to any public entity or an agency or political subdivision of any othtr state <br />or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, <br />conspiracy, or material misrepresentation. : I <br /> <br />I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1) (b),: Florida <br />Statues, means a finding of guilt or a conviction of a public entity crime, with or withOut an <br />adjudication of guilt, in any federal or state trial court of record relating to charges broulght by <br />indictment or information after July 1, ] 989, as a result of a jury verdict, nonjury trial, or e:nfry of a <br />plea of guilty or nolo contendere.: I <br /> <br />I understand that an "affiliate" as defined in Paragraph 287. 1 33(1) (a), Florida Statutes, means: <br /> <br />.) <br /> <br />3. <br /> <br />4. <br /> <br />1. A predecessor or successor of a person convicted of a public entity crime; or <br /> <br />5. <br /> <br />2. An entity under the control of any natural person who is active in the management of the entity <br />and who has been convicted of a public entity crime. The term "affiliate" includes those 'officers, <br />directors, executives, partners, shareholders, employees, members, and agents who are aqtive in <br />the management of an affiliate. The ownership by one person of shares constituting a con~ol1ing <br />interest in another person, or a pooling of equipment or income among persons when not for fair <br />market value under an arm's length agreement, shall be a prima facie case that one personj cbntrols <br />another person. A person who knowingly enters into a joint venture with a person who h~s been <br />convicted of a public entity crime in Florida during the preceding 36 months shall be co:nsidered <br />an affiliate. ; I <br /> <br />I understand that a "person" as defined in Paragraph 287.133(1) (e), Florida Statutes, m~~s any <br />natural person or entity organized under the laws of any state or of the United States with tlie legal <br />power to enter into a binding contract and which bids or applies to bid on contract~ for the <br />provision of goods or services let by a public entity, or which otherwise transacts or apw1ies to <br /> <br />Oct. 2007 <br />Form PUR 7068 (Rev. 06/11/92) <br /> <br />00402-1 <br />