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<br />'. <br />I. <br />. <br />. <br />I. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />I. <br />,. <br />,. <br />:. <br />:. <br />I. <br />I. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />() <br /> <br />6. Based on infonnation and belief, the statement which I have marked below is true in a relation to <br />the entity submitting this sworn statement. (Please indicate which one (1) of the following three <br />(3) statements is applicable.) <br /> <br />~ (1) Neither the entity submitting this sworn statement, nor any of its offIcers, directors, <br />executives, partners, shareholders, employees, members, or agents who are active in the management <br />of the entity, or any affIliate of the entity has been charged with and convicted of a public entity <br />crime within the past 36 months. <br /> <br />_(2) The entity submitting this sworn statement, or one or more of its offIcers, directors, <br />executives, partners, shareholders, employees, members, or agents who are active in the management <br />of the entity, or any affIliate of the entity has been charged with and convicted of a public entity <br />crime within the past 36 months. <br /> <br />_(3) The entity submitting this sworn statement, or one or more of its offIcers, directors, <br />executives, partners, shareholders, employees, members, or agents who are active in the management <br />of the entity, or agents who are active in management of the entity, or any affIliate of the entity has <br />been charged with and convicted of a public entity crime within the past 36 months. However, there <br />has been a subsequent proceeding before a Hearing OffIcers of the State of Florida, Division of <br />Administrative Hearings and the Final Order by the Hearing OffIcer determined that it was not in the <br />public interest to place the entity submitting this sworn statement on the convicted vendor list. <br />(Attached is a copy ofthe fInal order.) <br /> <br />I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING <br />OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH I (ONE) ABOVE IS FOR <br />THE PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 <br />OF THE CALENDAR YEAR IN WHICH IT IS FILED AND FOR THE PERIOD OF THE <br />CONTRACT ENTERED INTO , WHICHEVER PERIOD IS LONGER. I ALSO UNDERSTAND <br />THA T I A QUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A <br />CONT T EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, <br />FLO A S A TUTES FOR THE CA TEGOR Y TWO OF ANY CHANGE IN THE <br />RMATI NCONTA DINTHISFORM. <br /> <br /> <br />Joseph M. Corradino, AICP <br />(printed or Typed Legal Name of AffIant) <br /> <br />State of ""F\~,~ cAe- County of t1i ~i -i::>o-d€, <br />Sworn to and subscribe before me this 2-\ S\ day of /.) v ~0 s.,... <br />~ <br /> <br />, 2007 by <br /> <br /> <br />ro.r~ ~. So...-er-, Z- - (v-.rect.c.,S <br />Notary's Name Printed, Stamped or Typed <br /> <br />Notary Seal: <br /> <br />Personally Known: <br /> <br />.,,/ <br /> <br />or Produced IdentifIcation <br /> <br /> <br />IdentifIcation Produced <br />