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<br />SWOJ{N STATEMENT PUI{SUANT TO SECTION 2H7.133(3)(n)
<br />FLORIDA STATUTES. 01\ ('UBLlC ENTITY CRIMES
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<br />THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTl-IEl{
<br />OFHCIAL AUTHORIZED TO ADMrNISTER OATHS,
<br />l. This i,worn statement is submilleu to The City of Sunny Isles Beach
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<br />by Consulting Enginee_ring & Science, Inc.___
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<br />for RF~o. 07-03-01 Professional General Engineering Consultant
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<br />whose busillcss llddress is 8925 S,^-,J 48th Street, Suite 100, Miami, FL ~3176 _
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<br />amI (if applicable) its Fedcrol Empluyer Identification Number (FEIN) is_59 - ~ 095013
<br />(IJ7 thc entity hau no FEIN, include the Social Secllrity Number of the inuividual signing this sworn statcment:
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<br />2. I undcrstand that a "public elltity crimc" as defined in Paragraph 287,133(l)(g). Jilorida Statutcs, rneuns u violation of
<br />any statc or fedeml law by a person with respect to lInd directly related to the transaction of busincss with any public
<br />entity or with an agency or political subdivision of any othcr statc or of the United Statcs. including, but not limited to.
<br />any bid or contract [or goous or serviccs to be provided to any public cntity or an agency or political subdivision of uny
<br />other state or of the lJllited StOles und involving antitrust, froud, theft. bribery, collusion, racketeering. collspiracy, or
<br />lllaterilllm isrepresentation.
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<br />3. I ullderstand that "cOllvicted" or "conviction" as defined in Paragraph 2B7,I3J(I)(b), Flurida Stntutes means a finding
<br />uf guilt or II conviction of a public entity crime, with or without an adjudication of guilt, in any federal ur state trial
<br />court of rcconJ rdating to charges brought by indictmcnt or information ufter July I, I Y89, as a result of a jury verdict.
<br />nnnjury trial. or entry uf a pica of guilty or nolo contenders.
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<br />4. I understand that an "affilialc" as uefined in Palagraph 2B7,133(1)(a), FloI!dll;uatutes, means:
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<br />a. A predecessor or successor uf a person convicted of a publ ic entity crime; or
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<br />b, An entity under the control of uny natural pcrson who is active ill the managcment o[ the entity und who has been
<br />convicted of a public entity come. The term "affiliate" includes those officers, directors, executi ves, partners,
<br />shareholders, cmpluyces, membcrs. and agents who are activc in the managemcnt of an nrriliatc, Thc owncrship
<br />by one persall of shares constitutillg a controlling interest in another person, or a puuling of equipment lJl" IlIcome
<br />among persons when not for fair market value llllder un arm's length ngreement. shall be a prima facic case thaI
<br />olle pcrson controls another persoll. A persoll who kllowingly enters into a joint venture with a person who has
<br />been convicted of a public cntity crime in Florida during the prcceding 36 months shall be cOllsidered un affiliate.
<br />5. lundcrstalld tllllt a "person" as defined in Paragraph 287,133(1)(e), Florida Statutes. means any natural person or entity
<br />organilcd undcr the laws of allY state or of the Uniteu Stlltes Wilh the legal power tu enter illto II binding contract and
<br />which bids or applies to bid on contracts for the provision of goods or services let by 11 public cntity. or which
<br />otherwise t.ransacts or applie.'i to transact business with a public cntity, The term "person" includes those oFficers,
<br />directors, e:{ecutives, partners, shareholders, employees, members. and agents who are activc in munagement of any
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<br />M4 M 1Itf~_ __-Te~~r~J1_~~
<br />7~-(~'-J~E Jilt'1~IA!\T (printed or Typed rJgal NlllllC of Art"tant)
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<br />Stllte of Florida Coulltyof (iJ'lim /- D:--~(e.
<br />Sworn to and subscribed bdore me this -;"1"_ day of _/2en / ,2007 by
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<br />,)e II') II /L/a 1_ c.<< S.' Y;'fl, /;t.t~,Ct< Ili-!-_I-_ C'1'i /76v/lllJ L?!J/L~ I/~ ! J;:t( M/( !tIC.
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<br />lee li;<'(j~h/7h(J~'LU.''-tl J'~
<br />~otary'ls Name Printlta, ~talllpccl or Typed
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<br />l\"otary Seal:
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<br />~,.".,~'jj'".~. RICHARD 8. BOCHNOV1CH
<br />"'W!r ~~ MYCOMMISSION.DD640565
<br />. : : 1 EXPIRES: Marcl1 16,2011
<br />.... _Thru~PItlk:~
<br />n'
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<br />Personally Known: ~_ ur Produccdldclltifil:utiun __Idcntiliclltion Produccd
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<br />Page H of9
<br />RH.) 07 -03-0 I Engineering Srvs Bridge Revised (^ddcnclum.l)
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