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C.A.S (2)
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(07-07-01) Prof. General Engineering
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C.A.S (2)
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Last modified
2/18/2011 3:25:20 PM
Creation date
2/18/2011 3:25:20 PM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
p.e.
Bid No. (xx-xx-xx)
07-07-01
Project Type (Bid, RFP, RFQ)
RFQ
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<br />c <br /> <br />SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) <br />FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES <br /> <br />TillS FORM MUST BE SIGNED AND SWORN TO IN TIIE PRESENCE OF A NOTARY PUBLIC <br />OR OTHER OFFICIAL AurnORIZED TO ADMINISTER OArns. <br /> <br />I. This sworn statement is submitted to City of Sunny Isles Beach <br /> <br />by Stephen C. Smith, P.E., Senior Vice Presdient & COO <br /> <br />for Craig A. Smith & Associates, Inc. <br /> <br />whose business address is 1000 West McNab Road, Suite 200 <br /> <br />Pompano Beach, FL 33069 <br /> <br />and (ifappJicable) its Federal Employer Identification Number (FEIN) is 59-2010476 <br />(IF the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: <br /> <br />. <br /> <br />2. 1 understand that a "public entity crime" as defined in Paragraph 287.133(l)(g), Florida Statutes. <br />means a violation of any state or federal law by a person with respect to and directly related to the <br />transaction of business with any public entity or with an agency or political subdivision' of any <br />other state or of the United States, including, but not limited to, any bid or contract for goods or <br />services to be provided to any public entity or an agency or political subdivision of any other state <br />or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, <br />conspiracy, or material misrepresentation. <br /> <br />3. 1 understand that "convicted" or "conviction" as defmed in Paragraph 287.133(l)(b), Florida <br />Statutes means a finding of guilt or a conviction of a public entity crime, with or without an <br />adjudication of guilt, in any federal or state trial court of record relating to charges brought by <br />indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a <br />plea of guilty or nolo contenders. <br /> <br />4. I understand that an "affiliate" as defmed in Paragraph 287.133(1)(a), Florida Statutes. means: <br /> <br />a. A predecessor or successor of a person convicted of a public entity crime; or <br /> <br />b. An entity under the control of any natural person who is active in the management of the entity <br />and who has been convicted of a public entity come. The term "affiliate" includes those <br />officers, directors, executives, partners, shareholders, employees, members, and agents who are <br />active in the management of an affiliate. The ownership by one person of shares constituting a <br />controlling interest in another person, or a pooling of equipment or income among persons <br />when not for fair market value under an arm'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 <br />person who has been convicted of a public entity crime in Florida during the preceding 36 <br />months shall be considered an affiliate. <br /> <br />() <br /> <br />5. I understand that a "person" as defined in Paragraph 287.133(l)(e), Florida Statutes, means any <br />natural person or entity organized under the laws of any state or of the United States with the <br />legal power to enter into a binding contract and which bids or applies to bid on contracts for the <br />provision of goods or services let by a public entity, or which otherwise transacts or applies to <br />transact business with a public entity. The term "person" includes those officers, directors, <br />executives, partners, shareholders, employees, members, and agents who are active in <br />management of any entity. <br />
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