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<br />SECTION 19 <br />CONFLICT OF INTEREST STATEMENT <br /> <br />STATE OF FLORIDA <br />COUNTY OF lJt:>,; 0<<2:- <br /> <br />BEFORE ME, the undersigned authority, personally appeared t--\.P< t-J...)l(;:.\...- Ac.~ l~"S <br />was duly sworn, deposes, and states: <br /> <br />, who <br /> <br />19.1. I am the ~0""6\,'-.)e.~') ~-,J~'-'UPP-.fL <br />~p...~\ V'-ND~A.p;;:, l--\Aw~t-JA.~with a local office in M \.A;N\.' fv <br />principal office in CA'-A'?,N~-2> . Ck . <br /> <br />of <br />and <br /> <br />19.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. <br />07-10-04 described as: Landscape Maintenance Services. <br /> <br />19.3. The Affiant has made diligent inquiry and provides the information contained in this Affidavit <br />based upon his own knowledge. <br /> <br />19.4. The Affiant states that only one submittal for the above bid is being submitted and that the <br />above named entity has no financial interest in other entities submitting bids for the same project. <br /> <br />19.5. Neither the Affiant nor the above named entity has directly or indirectly entered into any <br />agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive <br />pricing in connection with the entity's submittal for the above bid. This statement restricts the discussion <br />of pricing data until the completion of negotiations if necessary and execution of the Contract for this <br />project. <br /> <br />19.6. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or <br />otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. <br /> <br />19.7. Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict <br />of interest due to any other clients, contracts, or property interests for this project. <br /> <br />19.8. I certify that no member of the entity's ownership or management is presently applying for any <br />employee position or actively seeking an elected position with the City of Sunny Isles Beach. <br /> <br />19.9. I certify that no member of the entity's ownership or management, or staff has a vested interest <br />in any aspect of the City of Sunny Isles Beach. <br /> <br />19.10. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the <br />above named entity, will immediately notify the City of Sunny Isles Beach. <br /> <br />~.".YPII'f1. PAOLA C VILLANUEVA <br />~ MY COMMISSION # DD542526 <br />~-'(~.j EXPIRES: Apr. 19,2010 <br />(407) 398'{)153 Florida Notary SElIVica.com <br /> <br />Dated this () '~ day of ~~~e:.~~f\..., ,2007. <br />~ \. . . ~ ~ ""'-""",:>v'C:'-- ~\~~ ~.j~..hN'?"";)') <br />AFFIANTt Print or Type Name and Title <br /> <br />Sworn to and subscribed before me this dB- day of l' ]()\J <br />o Personally Known l OR <br />o Produced Identification ; Type of Identificat10n ,1 ) <br /> <br />~ \ (~DJ/( ( J' <br />NOTARY PUBUC SiAT)6F FLORIDA <br /> <br />De..)f.:-...p P,~Q,. <br /> <br />,2007. <br /> <br />PAGE 89 OF 92 <br />BID No, 07-10-04 <br />