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<br />I <br /> <br />I <br /> <br />SWORN STATEMENT UNDER SECTION 287.133(3)(A), <br />FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES <br /> <br />I <br /> <br />THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF NOTARY PUBLIC OR OTHER <br />AFFICER AUTHORIZED TO ADMISTER OATHS. <br /> <br />I <br /> <br />I. <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />2. <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />This sworn statement is submitted to <br /> <br />City of Sunny Isles Beach <br />(print name of public entity) <br /> <br />by <br /> <br />Ramzi Asfour, P.E. ,Executive Vice President <br />(print individual's name and title) <br /> <br />for Tan!et En2ineerin2 Group, Inc. <br />(print name and entity submitting sworn statement) <br /> <br />whose business address is <br /> <br />8095 NW 12 St., Suite 105, Miami, FL 33126 <br /> <br />and (if applicable) its Federal Employer Identification Number (FEIN) is <br /> <br />65-0897965 <br /> <br />(If the entity has no FEIN, include the Social Security Number of the individual signing this sworn <br /> <br />statement: <br /> <br />.) <br /> <br />I understand that a "public entity crime" as defined in Paragraph 287.133(1 )(g), Florida Statutes, means <br />a violation of any state or federal law by a person with respect to and directly related to the transaction of <br />business with any business with any public entity or with an agency of political subdivision of any other <br />state or of the United States, including, but not limited to, any bid or contract for goods or services to be <br />provided to any public entity or an agency or political subdivision of any other state or of the United <br />States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material <br />misrepresentation. <br /> <br />3. <br /> <br />I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1 )(b), Florida Statutes, <br />means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, <br />in any federal or state trail court of record relating to charges brought by indictment or information after <br />July I, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contenders. <br /> <br />4. <br /> <br />I understand that an "affiliate" as defined in Paragraph 287 .133( I )(a), Florida Statutes, means: <br /> <br />I. A predecessor or successor of a person convicted of a public entity crime; or <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 active in <br />the management of an affiliate. The ownership by one person of shares constituting a controlling <br />interest in another person, or a pooling of equipment or income among persons when not far fair <br />market value under an arm's length agreement, shall be a prima facie case that one person <br />controls another person. A person who knowingly enters into a joint venture with a person who <br />has been convicted of a public entity crime in Florida during the preceding 36 months shall be <br />considered an affiliate. <br /> <br />5. <br /> <br />I understand that a "person" as defined in Paragraph 287.133(1 )(e), Florida Statutes. means any natural <br />person or entity organized under the laws of any state or of the United States with the legal power to <br />enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or <br />services let by a public entity, or which otherwise transacts or applies to transact businesses with a public <br />entity. The term "person" includes those officers, directors, executives, partners, with a public entity. The <br /> <br />~""Il T=-C <br />~ - I <br /> <br />TARGET ENGINEERING GROUP, INC. <br />