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<br />swonN STATEMENT PunSUANT TO SECTION 287.133(3)(a)
<br />FLOHIDA STATUTES, ON PUBLIC ENTITY CIUMES
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<br />THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
<br />OFHCIAL AUTHORIZED TO ADMINISTER OATHS,
<br />l. This sworn statcmcnt is submittcd to The City of Sunny Isles Beach
<br />by F.R. Aleman & Associates, Inc,
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<br />for RFQ No. 07-03-01 Professio_nal General Engineering Consultant
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<br />whosc busincss address is ,10305 NW 41 st Street, Suite 200, Miami, FL 33178
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<br />and (if applicablc) its Fcdcral Employcr Idcntification Number (FEIN) is 59-2751524
<br />(IF the entity had no FEIN. include the Social Sccurity Number of the individual signing this sworn statemcnt:
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<br />2, I understand that a "public cntity crimc" as defincd in Paragrapll 287,133(l)(g), Florida Statutcs. means a violation of
<br />any state or fcderal law by a person with respect to amI directly rclated to the transaction of business with any public
<br />cntity or with an agcncy or political subdivision of any other statc or of thc United Slates. including, but not limited tu.
<br />any bid or contract for goods or serviccs to be providcd to any public cntity or an agency or political subdivision of any
<br />othcr statc or of the United Statcs and involving antitrust, fraud, theft, bribery. collusion, rackctcering. conspiracy, or
<br />material misrepresentation,
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<br />3, I understand that "convicted" or "conviction" as defined in Paragraph 287,133(1)(b), Florida ~!1.!utes means a finding
<br />of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial
<br />court of record rclating to charges brought by indictment or information after July I. 1939. as a result of a jury verdict,
<br />nonjury trial. or entry of a plea of guilty or nolo contenders,
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<br />4, I understand that an "affiliatc" as defined in Paragraph 287,133(1)([1), Florida Statutcs, means:
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<br />a, A predeccssor or succcssor of a person convicted of a public entity crimc; or
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<br />b, An cntity under the control of any natural pcrson who is active in the managcment of the entity and who has been
<br />convicted of a public entity come. Thc term "affiliatc" includes those ofliccrs, directors, el\ecutivcs, partncrs,
<br />shareholders, employees, members, and agenL~ who are active in the management of an affiliate, The ownership
<br />by one pcrson of shares constituting a controlling interest in another person, or n pooling of equipmcnt or income
<br />among persons whcn not for fair market value under an arm's length agreement, shall be a prima facie case that
<br />one person controls another person, A person who kllowingly enters into a joint venture with a person who has
<br />been convicted of a public entity crime in Florida during the prcceding 3Ci 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 person or entity
<br />organized under the laWS~O~IY state or of the United States with the legal power to enter into a binding contract and
<br />which bids 'appl' s to bi.lf on cuntracts for the provision of goods or services let by a public entity. or which
<br />otherwise tr. lsas or pli' to transact business with a Jlublic entity, The tcrm "person" includes those officers.
<br />directors. Cl\ cut S, p rtne s. shareholders. employees, membcrs, ano agents who are active in managemcnt of IIny
<br />entity,
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<br />YVETTE A. ALEMAN, P.E.
<br />(Printed or Typed Legal Name of Arnant)
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<br />day of ~
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<br />___,2007 by
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<br />Yvette A. Aleman, P,E,
<br />Sandra Miller
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<br />Notary Seal:
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<br />poJ'l" '''\- Sandra MlIlcl
<br />~ "- ; My CommISSIon 00259600
<br />'? Of ".I' Explles Octol.Jer 19 2007
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<br />Notary's Name Printed, Stampcd 0
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<br />Pcrsonally Known: X
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<br />or Produced Identification _Identification Produced
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<br />Pagc 8 of9
<br />RI;Q 07-03-01 Engincering Srvs Bridgc Rcvised (Addcndum./)
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