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<br />1--- <br /> <br />SECTION 19 <br />CONFLICT OF INTEREST STATEMENT <br /> <br />STATE OF FLORIpA .- <br />COUNTY OF I~O t:: <br /> <br />BEFORE ME, the undersigned authority, personally appeared A1I.iteJ.. ~h4/ Jln20 , who <br />was duly sworn, deposes, and states: <br /> <br />19.1. I am the Ge11~l !:L4~1!!IZ of <br />VI /.4 ~ SeH G4-N~~. toW' with a local office in ,.,,/ A'~ 1/ r 4-/JtY 'lid and <br />principal office in ~f)~SI SII.J ~/~ sr.~ F/4. <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 />S JJec. <br />Dated this day of , 2007. <br />~ ~ :>> ~6n~ J'(-H1~~ <br />AFFIANr -- Print or Type Name and Title <br /> <br />Sworn to and subscribed before me this C) \~ day of D( '( Cf\)\:Y' -,( <br />cgr Personally Known -----oR <br />o Produced Identification ; Type of Identification <br />~fr'XA l\ WI( I I "- <br />NOTARY PUBLIC STATE OF FLORIDA ) <br /> <br />,2007. <br /> <br />.\,\P"i/ <br />./, .'Y "" LuisJ Martinez <br />). <br />. f" _ I :,~:,'l #[HJ582718 <br />.~7[)ir2s: AI,G. 08,2010 <br />,.""..N AARONNoTARY.com <br /> <br />PAGE 89 OF 92 <br />BID No. 07-10-04 <br />