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• • • • • SECTION 18 • CONFLICT OF INTEREST STATEMENT • STATE OF FLORIDA • COUNTY OF i01t I r • BEFORE ME, the undersigned authority, personally appeared who • was duly sworn, deposes, and states: • 18.1. I am the of —V-JA ,c , with a local office in /Yt �` -, - L��L and • principal office in :7 cT Ave.. • 18.2. The above named entity is submitting a Proposal for the City of Sunny Isles Beach, Proposal No. • 10- h -Cl described as: Landscape Maintenance Services. The Affiant has made diligent inquiry • and provides the information contained in this Affidavit based upon his own knowledge. • 18.3 The Affiant states that only one submittal for the above proposal is being submitted and that the • above named entity has no financial interest in other entities submitting proposals for the same project. • 18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any • agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for the above proposal. This statement restricts the • discussion of pricing data until the completion of negotiations if necessary and execution of the Contract for this project. • • 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. • • 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project. • 18.7 I certify that no member of the entity's ownership or management is presently applying for any • employee position or actively seeking an elected position with the City of Sunny Isles Beach. • 18.8 I certify that no member of the entity's ownership or management, or staff has a vested interest • in any aspect of the City of Sunny Isles Beach. • 18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the • above named entity, will immediately notify the City of Sun//n --y Isles Beach. • Dated thi day of / / �i'j'1 f� P i 0. -� f • AFFiA1Tr57T Print or Type Name and Title 0 j • Sworn to and subscribed before me this 3 day of E' ,ID C ✓—, 2010. O Personally Known OR • O Produced Identification ; Type of I entifcati • NOTARY PUBLIC STATE OF FLORIDA • ;?Qti�'ri "•, EILEEN DOMINGUEZ • ,, MY COMMISSION # DD 812645 �• a EXPIRES: August 7 2012 • of ad '` Bonded Thru Notary Publ c Underwriters t • PAGE 102 OF 105 • PROPOSAL NO. •