Laserfiche WebLink
<br />SECTION 19 <br />CONFLICT OF INTEREST STATEMENT <br /> <br />STATE OF FLORIDA <br />COUNTY OF H4t\Ml- fJ/}(.)(; <br /> <br />BEFORE ME, the undersigned authority, personally appeared btl--fA N(/O Oca tf.D <br />was duly sworn, deposes, and states: <br /> <br />19.1. I am the Pat.>rtld-NT <br />"Pt..}"! 61t-1 ~ {r;l ,.r~~ f?e,.,." f ~..-JrJ ~c..\vith a local office in <br />principal office in rvc,AMt <br /> <br />, who <br /> <br />1'--11'" 1"1, <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 />Dated this 4- -f.b- day of ~ b6L <br />{)tt-t~rfPo A~ r.pa6~Y);:::>~I\l'l <br />AFFIANT Print or Type Name and Title <br /> <br />Sworn to and subscribed before me this ~ day of .be(L?/r'I~ <br />~ Personally Known 0 <br />o Produced Identification e of dentification <br /> <br />,2007. <br /> <br /> <br />,2007. <br /> <br />NOTARY PUBLIC STAT <br /> <br />m'-;"'v 1111" IA VALDES <br />! ~~ HolIIy PullIIc . Stlte of FIorIdI <br />! . . ! My ComIIlIaIon ExplreI ad 25, 2011 <br />\~ ~! ComminIon . DD 729259 <br />"";;f c. ..,.. <br />I"..f:(. BondlId TtlrllIql NIIIanII '*"-Y "-L <br /> <br />PAGE 89 OF 92 <br />BID No. 07-10-04 <br />