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RFP No. 10-11-01 Landscape Maintenance Services
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SFM #1
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Last modified
6/13/2012 7:00:14 AM
Creation date
12/21/2010 1:30:27 PM
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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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• <br />• <br />• <br />SECTION 20 <br />ANTI - KICKBACK AFFIDAVIT <br />STATE OF FLORIDA ) <br />COUNTY OF <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum <br />herein proposal will be paid to any employees of the City of Sunny Isles Beach or its <br />elected officials as a commission, kickback, reward or gift, directly or indirectly by me or <br />any member of my firm or by an officer of the corporation. <br />By: L <br />Title:_? <br />The %regoing i nstrument wad know) dged befor ',i me phis ��day of <br />i i - - rvl , zo.�, by <br />[name of person], as �_Y j': <�:�-1 e of authority], for <br />tc- =� [name of party on behalf of whom instrument <br />was executed]. <br />AFFIX <br />�: s °•,, EILEEN DOMINGUQ <br />MY COMMISSION # DD 812645 <br />EXPIRES: August 7, 2012 <br />Banded Thru Notary Public UnderwrMers <br />Notary Public __ tate of Florida <br />Print or Type Commissioned Name <br />Personally Known O 7-6ed Identifica ' m <br />Type of Identification Produced _4XI <br />PAGE 104 OF 105 <br />PROPOSAL N0. <br />END OF SECTION <br />
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