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<br />I. <br />I <br />I <br />I <br />I <br />1 <br />I <br />I <br />1 <br />I <br />1 <br />I <br />I <br />I <br />I <br />I <br />I <br />1 <br />I <br /> <br />facie case that one person controls another person. A person who knowingly <br />enters into a joint venture with a person who has been convicted of a public entity <br />crime in Florida during the preceding 36 months shall be considered an affiliate. <br /> <br />5. I understand that a "person" as defmed in Section 287.133(l)(e), Florida Statutes, <br />means any natural person or entity organized under the laws of any state or of the <br />United States with the legal power to enter into a binding contract and which bids or <br />applies to bid on contracts for the provision of goods or services let by a public entity, <br />or which otherwise transacts or applies to transact business with a public entity. The <br />term "person" includes those officers, directors, executives, partners, shareholders, <br />employees, members, and agents who are active in management of any entity. <br /> <br />6. Based on information and belief, the statement which I have marked below is true <br />in a relation to the entity submitting this sworn statement. (please indicate which <br />one (1) of the following three (3) statements is applicable.) <br /> <br />_ (1) Neither the entity submitting this sworn statement, nor any of its officers, <br />directors, executives, partners, shareholders, employees, members, or agents who are <br />active in the management of the entity, or any affiliate of the entity has been charged <br />with and convicted of 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, <br />directors, executives, partners, shareholders, employees, members, or agents who are <br />active in the management of the entity, or any affiliate of the entity has been charged <br />with and convicted of 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, <br />directors, executives, partners, shareholders, employees, members, or agents who are <br />active in the management of the entity, or agents who are active in management of the <br />entity, or any affiliate of the entity has been charged with and convicted of a public <br />entity crime within the past 36 months. However, there has been a subsequent <br />proceeding before a Hearing Officers of the State of Florida, Division of Administrative <br />Hearings and the Final Order by the Hearing Officer determined that it was not in the <br />public interest to place the entity submitting this sworn statement on the convicted <br />vendor list. (Attached is a copy of the final order.) <br /> <br />I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE <br />CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN <br />PARAGRAPH 1 (ONE) ABOVE IS FOR THE PUBLIC ENTITY ONLY AND, THAT <br />THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR <br />IN WHICH IT IS FILED AND FOR THE PERIOD OF THE CONTRACT ENTERED <br />INTO , WHICHEVER PERIOD IS LONGER. I ALSO UNDERSTAND THAT I AM <br />REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A <br />CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN <br />SECTION 287.017, FLORIDA STATUTES FOR THE CATEGORY TWO OF ANY <br />CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. <br /> <br />13 <br />