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R.J. Behar & Co.
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(10-04-01) Prof. Engineering Svcs.
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R.J. Behar & Co.
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Last modified
11/17/2010 2:22:25 PM
Creation date
11/17/2010 2:21:50 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Prof. Engineering Svcs.
Bid No. (xx-xx-xx)
10-04-01
Project Type (Bid, RFP, RFQ)
RFQ
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<br />6. Based on infomlation and belief. the statement which I have marked belo\v is true in a <br />relation to the entity submitting this sworn statement. (Please indicate which one (1) of the <br />following three (3) statements is applicable.) <br /> <br />L (1) Neither the entity submitting this sworn statement, nor any of its officers, directors, <br />executives, partners, shareholders, employees, members, or agents who are active in the <br />management of the entity, or any affiliate of the entity has been charged with and convicted of <br />a public entity crime within the past 36 months. <br /> <br />_(2) The entity submitting this sworn statement, or one or more of its officers, directors. <br />executives, partners, shareholders, employees, members, or agents who are active in the <br />management of the entity, or any affiliate of the entity has been charged with and convicted of <br />a public entity crime within the past 36 months. <br /> <br />(3) The entity submitting this sworn statement. or one or more of its officers, directors. <br />executives, partners, shareholders, employees, members, or agents who are active in the <br />management of the entity, or agents who are active in management of the entity, or any affiliate <br />of the entity has been charged with and convicted of a public entity crime within the past 36 <br />months. However, there has been a subsequent proceeding before a Hearing Officers of the <br />State of Florida, Division of Administrative Hearings and the Final Order by the Hearing <br />Officer detemlined that it was not in the public interest to place the entity submitting this sworn <br />statement on the convicted vendor list. (Attached is a copy of the final order.) <br /> <br />I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING <br />OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH I (ONE) ABOVE IS <br />FOR THE PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH <br />DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED AND FOR THE <br />PERIOD OF THE CONTRACT ENTERED INTO, WHICHEVER PERIOD IS LONGER. I <br />ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY <br />PRIOR TO ENTERING INTO A CONTRACT TN EXCESS OF THE THRESHOLD <br />AMOUNT PROVIDED TN SECTION 287.017, FLORIDA STATUTES FOR THE <br />CATEGORY TWO OF ANY CHANGE TN THE INFORMATION CONTAINED IN THIS <br />FORM. <br /> <br />3 [71- <br /> <br />SIGNA TURE OF AFFIANT <br /> <br />Robert J. Behar, PE <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida County of Broward <br />Sworn to and subscribed before me this 21st <br /> <br />day of May <br /> <br />.2010by <br /> <br />Robll-t- ) . ~ko. ( <br />~~ <br /> <br />Notary's Name Printed, Stamped or Typed <br /> <br />Notary Seal: <br /> <br />Personally Known: ~. <br /> <br />or Produced Identification <br /> <br />_ L1ZANNA KAOIR <br />~~~~.p MY COMMISSION #DD862979 <br />~ i J EXPIRES: MAY 13, 2013 <br />~'I'~ge; Bonded through 1 sl Slale Insurance <br /> <br />Identification Produced <br />
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