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RFP No. 10-11-01 Landscape Maintenance Services
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Last modified
6/19/2012 4:44:36 AM
Creation date
12/21/2010 1:19:37 PM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Landscape Maintenance Svcs.
Bid No. (xx-xx-xx)
10-11-01
Project Type (Bid, RFP, RFQ)
RFP
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SECTION 18 <br />CONFLICT OF INTEREST STATEMENT <br />STATE OF FLOTUP.A <br />COUNTY OF <br />BEFORE ME, the undersigned authority, personally appeared who <br />was duly sworn, deposes, and states: <br />:::4 0 <br />18.1. I am .Ahe I i�% of <br />,(O►� to .C�Wc • with a local office in M /AUi k4-AeS . r2 _ and <br />principal office in <br />18.2. The above named entity is submitting a Proposal for the City of Sunny Isles Beach, Proposal No. <br />I0• 11- VI described as: Landscape Maintenance Services. The Affiant has made diligent inquiry <br />and provides the information contained in this Affidavit based upon his own knowledge. <br />18.3 The Affiant states that only one submittal for the above proposal is being submitted and that the <br />above named entity has no financial interest in other entities submitting proposals for the same project. <br />18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any <br />agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive <br />pricing in connection with the entity's submittal for the above proposal. This statement restricts the <br />discussion of pricing data until the completion of negotiations if necessary and execution of the Contract <br />for this project. <br />18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or <br />otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. <br />18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict <br />of interest due to any other clients, contracts, or property interests for this project. <br />18.7 I certify that no member of the entity's ownership or management is presently applying for any <br />employee position or actively seeking an elected position with the City of Sunny Isles Beach. <br />18.8 I certify that no member of the entity's ownership or management, or staff has a vested interest <br />in any aspect of the City of Sunny Isles Beach. <br />18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the <br />above named entity, will immediately notify the City of Sunny Isles Beach. <br />Dated thi of `�� , 2010. <br />Jka ilcxlfi <br />FF Print or Type Name and Title <br />S e rn to and subscribed before me this <br />d�du —(�_ day of ,•! , �lQ., , 2010. <br />Personally Known O n <br />O Produced Id ; voe_o 1den icakion/ / <br />�,%Y Pct9, Notary PubUC state -oT r,v,— <br />372 Greny Diaz <br />My Commission DD85Q-' A"F08tT TE F_ IDA <br />PAGE 102 OF 105 <br />PROPOSAL NO. <br />�6 <br />
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