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RFP No. 07-04-01 Professional Audit Services
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AC&C, LLP
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Last modified
1/28/2011 11:09:44 AM
Creation date
1/28/2011 11:09:20 AM
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CityClerk-Bids_RFP_RFQ
Project Name
Prof. Audit Services
Bid No. (xx-xx-xx)
07-04-01
Project Type (Bid, RFP, RFQ)
RFP
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<br />I <br />I <br />I <br />I <br />I <br />I <br />'I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Sworn Statement Under S287.133(3)(a), Florida Statutes <br />Public Entity Crimes <br /> <br />(This form must be signed in the presence of a Notary Public or other officer authorized <br />to administer oaths.) <br /> <br />10 This sworn statement is submitted to the City of Sunny Isles Beach, Florida with <br />Bid, Proposal or Contract Name or No. 07-04-01 <br /> <br />2. This sworn statement is submitted by:Alberni Caballero & Castellanos. LLP <br />(name of entity submitting sworn statement) <br /> <br />its business address is: <br /> <br />4649 Ponce de Leon Blvd. Suite 404 <br />Coral Gables. FL 33146 <br /> <br />Federal Identification Number <br />(FEIN) is: 55-0912340 <br />(if applicable) <br /> <br />Social Security Number: <br />(if the entity has no FEIN, include the Social Security Number of the <br />individual signing this sworn statement) <br /> <br />" <br />-'. <br /> <br />My name is: <br /> <br />Nestor Caballero <br />(PRINT NAME of individual signing this document) <br /> <br />and my relationship to the entity is: Partner <br />(President, General Partner, etc. as applicable) <br /> <br />4. I understand that a "public entity crime" as defined in S287.133(l )(g), Florida <br />Statutes means a violation of any state or federal law by a person with respect to <br />and directly related to the transaction of business with any public entity or with an <br />agency or political subdivision of any other state or with the United States, <br />including, but not limited to, any bid or contract for goods or services to be <br />provided to any public entity or an agency or political subdivision of any other <br />state or of the United States and involving antitrust, fraud, theft, bribery, <br />collusion, racketeering, conspiracy, or material misrepresentation. <br /> <br />5. I understand that "convicted" or "conviction" as defined in S287.l33(l)(b), <br />Florida Statutes, means a finding of guilt or a conviction of a public entity crime, <br />with or without an adjudication of guilt, in any federal or state trial court of record <br />relating to charges brought by indictment or information after July 1, 1989, as a <br />result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo <br />contendere (also known as "No Contest"). <br />
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