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LIVS Assoc.#4
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(10-04-02) Prof. Architectural Svcs.
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LIVS Assoc.#4
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Last modified
12/1/2010 9:47:15 AM
Creation date
12/1/2010 9:42:53 AM
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CityClerk-Bids_RFP_RFQ
Project Name
Prof. Architectural Svcs.
Bid No. (xx-xx-xx)
10-04-02
Project Type (Bid, RFP, RFQ)
RFQ
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<br />SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) <br />FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES <br /> <br />THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC <br />OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OA TI-IS. <br /> <br />I. This sworn statement is submitted to The Citv of Sunnv Isles Beach <br /> <br />by LlVS Associates <br /> <br />far RFO - 10-04-02 Professional Arch itectural Services <br /> <br />whose business address is 2121 Ponce de Leon Blvd, Suite 610, Coral, Gables, Florida 33134 <br /> <br />and (if applicable) its Federal Employer Identification Number (FEIN) is 59-2515590 <br />(IF the entity had no FEIN, include the Social Security Number oCthe individual signing this sworn statement: <br /> <br />2. I understand that a "public entity crime" as detined in Paragraph 287. I 33(1)(g), Florida Statutes, <br />means a violation of any state or federal law by a person with respect to and directly related to the <br />transaction of business with any public entity or with an agency or political subdivision of any <br />other state or of the United States, including, but not limited to, any bid or contract for goods or <br />services to be provided to any public entity or an agency or political subdivision of any other state <br />or of the United States and involving antitrust, fraud, theft. bribery, collusion, racketeering, <br />conspiracy, or material misrepresentation. <br /> <br />3. I understand that "convicted" or "conviction" as defined in Paragraph 287. I 33(1)(b), Florida <br />Statutes means a tinding of guilt or a conviction of a public entity crime, with or without an <br />adjudication of guilt. in any federal or state trial court of record relating to charges brought by <br />indictment or information after July 1, 1989, as a result of ajury verdict, nonjury trial, or entry of a <br />plea of guilty or nolo contenders. <br /> <br />4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: <br />a. A predecessor or successor of a person convicted of a public entity crime; or <br />b. 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 come. The term "affiliate" includes those <br />officers, directors, executives. partners, shareholders, employees, members, and agents \vho are <br />active in the management of an affiliate. The ownership by one person of shares constituting a <br />controlling interest in another person, or a pooling of equipment or income among persons <br />when not for f~lir market value under an arm's length agreement, shall be a prima f~lcie case that <br />one person controls another person. A person who knowingly enters into a joint venture with a <br />person who has been convicted of a public entity crime in Florida during the preceding 36 <br />months shall be considered an affiliate. <br /> <br />). I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any <br />natural person or entity organized undcr thc laws of any state or of the United States with the <br />legal power to enter into a binding contract and which bids or applies to bid on contracts for the <br />provision of goods or services let by a public entity, or which otherwise transacts or applies to <br />transact business with a public entity. The tcrm "person" includes those officers, directors, <br />executives. partners, shareholders. employees, members, and agents who are active in <br />management of any cntity. <br />
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