Reso 2010-1631 - Laserfiche WebLink

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. . ( ( 5. I understand that a "person" as defmed in Paragraph 287.1330)(e), Fl&nda Statutes, means any natural person or entity organi7.ed under the laws of any state o~ of the United S!Btes with the legal power t~ ~ into a binding c:ontract and whi~ bidf ,or applies. to bid on contracts for the provISIOn of goods or services let by a publIc entity, or which othelwise transacts or applies to transact business with a public e:ntiij. The term "person" includes those officers, directon, executives, partners, shareholdeR, employees, members, and agents who are active in management of any entity. ~ 6. Based on information and belief, the statement which I have marked belbw is true in a relation to the entity submitting this sworn statement. (please indicate wthch one (1) of the following three (3) statements is applicable.); ~j11) Neither the entity submitting this sworn statement. nor any Jt its officers, ~~, executives, partners, shareholders, employees, members, or agents ~ho are active in the management of the entity, or any affiliate of the entity has been chatged with and convicted of a public entity crime within the past 36 months.i _(2) The entity submitting this sworn statement. or one or more &f its offieen, directors, executives. partDIlrs. shareholden, employees. members, or agents ~ho are active in the management of the entity, or any affiliate of the entity has been chalged with and convicted of a public entity crime within the past 36 months.! _(3) The entity submitting this sworn statement. or one or more ~f its officers, directors, executives, partners, shareholders, employees, members, or agents ",ho are active in the management of the entity, or agents who are active in management of. the entity, or any affiliate of the entity bas been charged with and convicted of a publ~ entity crime within the past 36 months. However, there has been a subsequent ~g before a Hearing Officer of the State of Florida, Division of Mministrative HearinpJ and the Final Order by the Hearing Officer determined that it was not in the public in~t to place the entity submitting this sworn statement OD the convicted, vendor list (Attach~ is a copy of the final order.> I I UNDERSTAND THAT THE SUBMISSION OF nus FORM TO THE '" CONfRACflNG OFFICER FOR TIiE PUBUC BNTI1Y IDm. J J.l41Eu IN PARAGRAPH 1 (ONE) ABOVE lS FOR THE PUBUC ENTlTY ONL yIANo, THAT TIDS FORM IS VALID THROUGH DECEMBER. 31 OF TIlE CA.LBNDp YEAR IN WHlCH IT IS FlUID AND FOR TIlE PERIOD OF 1lIE CONTRACf BNTERED INfO , WHICHEVER. PFlUOD IS LONGER. I ALSO UNDERSTAND TIlAT I AM REQUIRED TO INFORM THE PUBUC ENTITY PRIOR TO ENTERING INTO A CGNTRAcr IN ~ EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECfION 287.017, FLORIDA STATUTES FOR THE CATEGORY TWO OF ANY CHANGE IN TIm INFO N CONTAINED IN TIllS FORM. J '{ i ~~("k1.nJO Ca~\b (\[P~Q~~\\~Qf) (Printed or Typed Legal Name of Aff'l8Dt) to ~ ! ..