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Valley Crest Landscape Maint.
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RFP No. 10-11-01 Landscape Maintenance Services
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Valley Crest Landscape Maint.
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Last modified
6/12/2012 8:58:54 PM
Creation date
12/21/2010 1:50:00 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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SECTION 18 <br />CONFLICT OF INTEREST STATEMENT <br />STATE OF FLORIDA <br />COUNTY OF DApE <br />BEFORE ME, the undersigned authority, personally appeared who <br />was duly sworn, deposes, and states: <br />18.1. I am the fj(IANC" NLaNAt 6C-L of <br />VAUUEy GrtESI with a local office in Mt &M 1 and <br />principal office in 1A0A'LreS1Xat- <br />18.2. The above named entity is submitting a Proposal for the City of Sunny Isles Beach, Proposal No. <br />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 immedi notify the City of Sunny Isles Beach. <br />Dated f YJEGEM�G�- , 2010. <br />oC e7 �.aVID i iv6li — i3r�„aG <br />AFFIANT ,,P��riin�ntt or Type Name and Title <br />Sw to and subscribed before me this .(� day of , 2010. <br />II Personally Known OR <br />O Produced Identification ; Type dent) ication <br />,•1Pa °P�, CARiDAD LI ST F FLORID <br />? °+ Notary Public -State of Florida <br />•e My Comm. Expires Jun 21, 2013 —0 <br />Commission DD 894204 p <br />Bonded Through National Notary Assn. <br />VaileyCrest landscape Pylaint. <br />PAGE 102 OF 1115 <br />16400 NW 127th Ave, <br />PROPOSAL NO. Miami, FL 33018 -1051 <br />
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