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RFP No. 10-07-01 Towing Services
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Downtown Towing
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Last modified
11/8/2010 10:43:03 AM
Creation date
11/8/2010 10:40:53 AM
Metadata
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CityClerk-Bids_RFP_RFQ
Project Name
Towing Services
Bid No. (xx-xx-xx)
10-07-01
Project Type (Bid, RFP, RFQ)
RFP
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<br />. <br />. <br />. <br />. <br />.. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />I. <br />I. <br />.. <br />. <br />. <br />.e <br />~. <br />8- <br />'e <br />I. <br />!. <br />I. <br />I. <br />I <br />'. <br />,e <br /> <br />I~ <br />'. <br />,. <br />. <br />. <br />. <br />. <br />.e <br />,. <br />. <br />. <br />. <br />,. <br />. ,..... <br />. ... <br />III <br /> <br />.- <br /> <br />SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) <br />FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES <br /> <br />TI-IIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY <br />PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. <br /> <br />1. This sworn statement is submitted <br />~ City of Sunny Isles Beach, Florirla <br /> <br />by Dagmar Del Rosal <br /> <br />fur Downtown Towing Company <br /> <br />whose business address is <br />15415 N.E. 21 Ave. North Miami Beach, FL.3~162 <br /> <br />and (if applicable) its Fcderal Employcr Identification Numbcr (FEIN) <br /> <br />liS 9 - 1 8 4 4 7 8 1 <br />(If the entity had no FEIN, include the Social Security Number of the individual signing this <br />sworn statement: <br /> <br />2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida <br />Statutes, mcans a violation of any state or fedcrallaw by a pcrson with rcspcct to and directly <br />relatcd to the transaction of business with any public entity or with an agcncy or political <br />subdivision of any other state or of the United States, including, but not limitcd to, any bid or <br />contract for goods or services to be provided to any public entity or an agency or political <br />subdivision of any othcr state or of the Unitcd Statcs and involving antitmst, fraud, theft, <br />bribery, collusion, racketcering, conspiracy, or material misrepresentation. <br /> <br />J. I understand that "convictcd" or "conviction" as defined in Paragraph 287.133(l)(b), Florida <br />Statutes means a finding of guilt or a conviction of a public entity crimc, with or without an <br />adjudication of guilt, in any fedcral or state trial court of record relating to charges brought by <br />indictment or information after July I, 1989, as a result of a jury verdict, nonjury trial, or entry <br />of a plea of guilty or nolo contenders. <br /> <br />4. I understand that an "affiliatc" as defined in Paragraph 287 . 133(1)(a), Florida Statutcs, means: <br /> <br />a. A predccessor or successor of a person convicted of a public entity crime; or <br /> <br />b. An entity under the control of any natural person who is active in the management of the <br />entity and who has been convicted of a public entity come. The term "affiliate" includes <br />those officers, directors, exccutives, partners, shareholders, employces, members, and <br />agcnts who arc active in the management of an affiliatc. Thc ownership by one person of <br />shares constituting a controlling interest in another pcrson, or a pooling of equipment or <br />incomc among pcrsons when not for fair market value under an arm's length agreement, <br />shall bc a prima facic case that one person controls another person. A person who <br />knowingly enters into a joint venturc with a pcrson who has becn convictcd of a public <br />entity crime in Florida during the prcceding 36 months shall bc considered an affiliate. <br /> <br />5. I understand that a "person" as defined in Paragraph 287.133(l)(e), Florida Statutcs, mcans any <br />natural person or entity organized under the laws of any state or of the United Statcs with the <br />legal power to entcr into a binding contract and which bids or applies to bid on contracts for <br /> <br />ATTACHMENT "F>> . <br /> <br />30 <br />
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