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<br />SWORN STATEMENT l~llRSUANT TO SECTION Z87.133(3)(a)
<br />FLORIDA STATUTt!.&.ON l~llH{JIC ENTITY CRIMES
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<br />THIS FORlv! MUST BE SIGNED AND SWOHN TO [N THE PRESENCE OF A NOTARY PUBLIC OR O'tHER
<br />OFHCIAL AUTHORIZED TO ADMINISTER OATHS
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<br />I, T11i:> sworn sMcmenl: is submitteD to The C.Lty....9..f...~gmw..JJi!~
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<br />by
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<br />RtchUI.'.9...MinJt.::hiello
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<br />ror ~c1~!.LEngiX1e.eJ+i nt;' IHld...Consul.t.ir.tg:-,....lnG-.,
<br />who~e business address is 5845 t.itlY.!,..J~JU.h.Ji1t~t
<br />_...............,..... Mian~LJ~~~~,~'?mg1:?rida 33014
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<br />and (if applicable) its Federal Employer Idcntificntl{)1l Number (FEIN) h ....6.8:::.0..116.8.6.1.................,...................._
<br />OF the entity had no FEIN. iI!(;lude the Sodal Security Number of the individll1il signing ;hi:-; sworn st:::ten1ent:
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<br />2. I understand tl);l.t a ;'public entity crime" ;l.S definc(! in Paragrnph 287. I 33(1)(g), fJ9.rWlJ Sta!llt~<;. !Beans a viokltion of
<br />any stat~ or l'ed~ral illw by :1 per:;on with r~"ipeCl to and direcliy related to the tran:>;u;tion of huslBcss \:'iith uny puhlic
<br />entity or with Ull agency or political subdivisioll of any other state or of the United States, inclllding. but not limited [0,
<br />any bid or contra<:t for goods or service8 to be provideillo any l'H1blic entity or an agcn<:y or poli!i<:ai subdivision of any
<br />other sUIte or qr the United 5tlltes and involving anlltrust. fraud. theft, bribery. collusion, racketeer.ing, con~pinlcy. Or
<br />material misrepre.sent;ltioll,
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<br />3. I understand that "convicted" or "conviction" ;lS defined in PJlJ'agraph 2R7.133{l)(b), fl!~ric;t;; ~Mlli.t.lli mllallS 11 finding
<br />of guilt or a conviction of a public entity crime, with or without an adjudicntion of guilt.. in allY t(~derlll ,)r state ttial
<br />court of record relating to charges brought by indictment Of information after July I, \989, as a re~ult i)r a jury verdict,
<br />nonjury trial, or entry or II plea of guilty or nolo contenders.
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<br />:t. 1 understand that an "atliliale" a1; defined in Paragriiph 287.l33(l)(aj, Horr9.!!.3.!!HlJJG;;5,. means;
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<br />iI. A prede(:es~or OJ' successor of n person G<)nVkled of a public entity crime; or
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<br />b. An entity under the control of any natura! perfiOI1 who it; active in the m:mag~mellt of the entity and who has been
<br />co))vktcd of a public 0ntity come, Tlli; lerm "affill[Hc" includes those oftlcers. dirccton. ex~clltive;;, partner:>,
<br />shareh<~lders. (~mployee;;, memben, ,md agents whD arc active in the mnlUg.ement: irf an affiliate. The ow'tler:;hip
<br />by one perwn d shares constiMiltg It controlling interest in another person. or ;1 pooiing of equipmellt Of income
<br />among pers<1I1S when [lot for fuir market value under an arm's length agreement, shail be a prima facie case that
<br />one person ,;olllmls Ilnother person. A pers<)fI who knowingly enters into II joint venturtl with a person who has
<br />beet! c(l!lvi(:ted of 11 public entity crime in Florida during the preceding 36 months sl1,'3.11 he wnsidcred 3.0 affilinle.
<br />5, I underst,md thaI a ;'person" as defined in Paragrilph 287J33(l)(c}. Florida Statutes, means any niltlll:al per<;oll Or entity
<br />organized under the jaws of Imy state Of of the United States with the legal power to enter into a binding contract and
<br />which bids or iipplies to bid on contracts for the provision of goousor services let by a public '~ntity. Of which
<br />otherwise tr::!nsacts or applies !Cl transact business with a public emity, The. term "person" indudes those officers,
<br />dirccwrs, e.wcutives. p:mncrs. sharel~olders. employees. members. and ag<:uts \:'i;K} ,1(e <lctive in O1,magtlTfltmt of any
<br />'-"'r.titv ( ",,-
<br />(" ,\'" . \ ""'-"T-' ('" ~ f .....
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<br />SiGNATURE OF AFFIANT
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<br />IUchard Miniehiello
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<br />(Printed or Typed Legal Name of Aff1anl)
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<br />Sratc of ,...F:,L..m_County of l--- \ tJJ.f::J. ftYIC:'.
<br />Sworn to and subscribed before m{~ this _.Zd..,.... day of ..... f\n 5.+._..._...,....,......,. 20(>~by
<br />L ';>:'. r. niL...,")
<br />j'" ,l t. -I., ~..".;', i f...lt..{.. iv',;..:' ............................'..m.........
<br />un Y'~::<~"""'"'''''''''''''' ........_- ---- >\
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<br />k'.':;('.:i\(\..(.~.(,.\ i ,\J \(":...::l.}";'-". "~"';'" V,;,,"l";-: ~.~\l')'~
<br />y , . t l"..... , ;:,.~,~'~"l~~<, ' f.'tO):l"r~j/ 'e.a '
<br />N;;t;~y:~.N~;~;~.~~;i:~t;~(S~;~p:d or Typed ____'mm.....~~;} ~:~::'~:~~l~:i~~/~,~,\~~;~~
<br />./ ~/~~"~~~ '~.'\~~v" :~.::,'..~;~.r..:~.~~ ~;':""'.l
<br />P<lrsonally Known: ...:.'::"__ or Produced 1dellliflcatlon __.. ' ^., "..{.... , , I,' . ,'.....
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<br />ldenri lkarion Prnduct~d
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<br />Prlgc 6 of 7
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<br />iJi~i)4w02 (,"-et: E'ug ,.<in's H{:(j;ngf~ Pk Ga1"ag,~ Sid (J~f('i.J
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