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<br />SECTION 21 <br />ANTI-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />) <br />COUN1Y OF ~ lAM! - ()Ft~ ) <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum <br />herein bid will be paid to any employees of the City of Sunny Isles Beach or its elected <br />officials as a commission, kickback, reward or gift, directly or indirectly by me or any <br />member of my firm or by an officer of the corporation. <br /> <br />By: <br /> <br />DaJp,,("~e 6T~ <br />rp~S(~~'1 <br /> <br />Title: <br /> <br />O The foregoing instrument was ackr;1owledged before me this t..) fl:::. day of <br />ttbtl-?tSll.- , 20 () '1-, by brf.--l)9rf/C?~ tl~ <br />[name of person], as PA.6<-tV~N\ [type of authority], for <br />w(~{)(l.. U;JN t?$~Y'(JoIc... ~ UUvrJ ~ f [name of party on behalf of whom instrument <br />was executed]. ~L' g <br /> <br /> <br />"m~~~"""" MARIA VAlDeS ~~ .f) 17 <br />~ ~ ~ <br />t. i Notary Public. Stale of Florida "" <br />~~ 'gMyCclmrnlllion&piraOct25.2011 .,.otary Public - ate of Florida <br />..,,'!fi0lln.~~ Commilllon. DO 729259 ' M JJR-dl vr-H.-() z::.--S <br />'Iii,i'" Bonded Through NIIonIl <br />NalIryAan. Print or Type Commissioned Name <br /> <br /> <br /> <br />Personally Known rx OR Produced Identification <br />Type of Identification Produced <br /> <br />END OF SECTION <br /> <br />PAGE 91 OF 92 <br />BID No. 07-10-04 <br />