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<br />SWORN ST A TEMENT PURSUANT TO SECTION 287.133(3)(a)
<br />FLORIDA ST A TUTES. ON PUBLIC ENTITY CRIMES
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<br />THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
<br />OFFICIAL AUTHORlZED TO ADMINISTER OATHS.
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<br />1. This sworn statement is submitted to City of Sunny Isles
<br />Jose L. Estevez, AlA
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<br />by
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<br />for
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<br />MGE Architects, Inc.
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<br />150 Alhambra Circle, Suite 700
<br />Coral Gables, FL 33134
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<br />. , . . . . 59-2229689
<br />and (If npplJcnble) Its Federal Employer Identification Number (FEIN) IS
<br />(IF the entity had no FEIN. include the Social Security Number of the individual signing this sworn statement:
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<br />whose business address is
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<br />2, I understand that a "public entity crime" as defined in Paragraph 287. I 33(1)(g), Florida Statutes, means a violation of
<br />any state or federal law by a person with respect to and directly related to the transaction of business with any public
<br />entity or with an agency or political subdivision of any other state or of the United States, including, but not limited to,
<br />any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any
<br />other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or
<br />material misrepresentation.
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<br />3. I understand that "convicted" or "conviction" as defined in Paragraph 287.] 33(1)(b), Florida Statutes means a finding
<br />of guilt or a conviction of a public entity crime, with or without an adjudication of guill, in any federal or state trial
<br />court of record relating to charges brought by indictment or information after July I, 1989, 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 "affiliate" as defined in Paragraph 287. 133(1)(a), Florida Statutes, means:
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<br />a. A predecessor or successor of a person convicted of a public entity crime; or
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<br />b. An entity under the control of any natural person who is active in the management of the entity and who has been
<br />convicted of a public entity come. The term "affiliate" includes those officers, directors, executives, partners,
<br />shareholders, employees. members, and agents who are active in the management of an affiliate. The ownership
<br />by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income
<br />among persons when not for fair market value under an ann's length agreement, shall be a prima facie case that
<br />one person controls another person. A person who knowingly enters into a joint venture with a person who has
<br />been convicted of a public 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. I 33(1)(e), Florida Statutes, means any natural person or entity
<br />organized under the laws of any state or of the United States with the legal power to enter into a binding contract and
<br />which bids or applies to bid 011 contracts for the provision of goods or services let by a public entity, or which
<br />otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers,
<br />d' rs, execu 'ves, partners, shareholders, employees. members, and agents who are active ill management of any
<br />entity.
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<br />Jose L. Estevez, AlA
<br />(Printed or Typed Legal Name of Affiant)
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<br />SIG A URE OF AFFIAl'jT
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<br />State of J~ County of ""-..td4
<br />Sworn to and subscribed before me this ...7..)- day of
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<br />Notary's Name Printed. Stamped or Typed
<br />/ or Produced Identification
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<br />, 200/ by
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<br />Notary Seal:
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<br />Personally Known:
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<br />Page 60f7
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<br />"c.(I;v1i\~iSSlON #D0404005 /
<br />I:),PIRES: rAM 13, 2009 1
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<br />Identification Produced
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<br />07,04,02 Gm Eng S,vs Herirnge Pk Camge Bid (RflJ)
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