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' SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) <br />FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES <br />' THIS FORM MUST BE SIGNED AND SWORN 'JO IN THE PRESENCE OF A NOTARY PUBLIC OR <br />OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. <br />' 1 . This sworn statement is submitted to the City of Sunny Isles Beach, Florida <br />by`A. Lawton Langford <br />' for Municipal Code Corporation <br />whose business address is P • O. Box 2235 <br />Tallahassee, FL 32316 -2235 <br />and (if applicable) its Federal Employer Identification Number (FEIN) is 59- 0649026 <br />' (IF the entity had no FEIN, include the Social Security Number of the individual signing this sworn <br />statement: <br />' 2. 1 understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a <br />violation of any state or federal law by a person with respect to and directly related to the transaction of <br />business with any public entity or with an agency or political subdivision of any other state or of the <br />' United States, including, but not limited to, any bid or contract for goods or services to be provided to any <br />public entity or an agency or political subdivision of any other state or of the United States and involving <br />antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. <br />' 3. 1 understand that "convicted" or "conviction' as defined in Paragraph 287.133(1)(b), Florida Statutes <br />means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in <br />any federal or state trial court of record relating to charges brought by indictment or information after July <br />' 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contenders. <br />4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: <br />' 1. A predecessor or successor of a person convicted of a public entity crime; or <br />2. An entity under the control of any natural person who is active in the management of the entity and <br />who has been convicted of a public entity come. The term "affiliate" includes those officers, <br />' directors, executives, partners, shareholders, employees, members, and agents who are active in the <br />management of an affiliate. The ownership by one person of shares constituting a controlling interest <br />in another person, or a pooling of equipment or income among persons when not for fair market value <br />under an arm's length agreement, shall be a prima facie case that one person controls another person. <br />A person who knowingly enters into a joint venture with a person who has been convicted of a public <br />entity crime in Florida during the preceding 36 months shall be considered an affiliate. <br />5. I understand that a "person' as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural <br />person or entity organized under the laws of any state or of the United States with the legal power to enter <br />into a binding contract and which bids or applies to bid on contracts for the provision of goods or services <br />let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The <br />' term "person' includes those officers, directors, executives, partners, shareholders, employees, members, <br />And agents who are active in manag ment of a entity. <br />uti, (q1, Zc,ti 1 <br />' ture Date <br />�'" "•� • <br />BONDED THRU TROY WN INSURANCE INOiana L Kam <br />part <br />CCY722eo EXPIRES <br />November 7, 2004 <br />�`� (�) ��) - v ` b /vd�y, �lrt 7 � � A': •:'h•' i�,�. � C <br />l Page 9 of 10 <br />Rfp 01 -06 -01 Codification Services 61710111:42 AM <br />