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<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 />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />6. Based on information and belief, the statement which I have marked below is true in relations to the entity <br />submitting this sworn statement. (Indicate which statement applies.) <br /> <br />. Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, <br />shareholders, employees, members, or agents who are active in the management of the entity, nor any <br />affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, <br />1989. <br /> <br />D The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, <br />shareholders, employees, members, or agents who are active in the management of the entity, or an <br />affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July I, <br />1989. <br /> <br />D The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, <br />shareholders, employees, members, or agents who are active in the management of the entity, or an <br />affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, <br />1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of <br />Florida, Division of Administrative Hearings and the final Order entered by the hearing Officer <br />determined that it was not in the public interest to place the entity submitting this sworn statement on the <br />convicted vendor list (attach a copy of the final order). <br /> <br />I UNDERSTAND THAT THE SUBMISSIONOF THIS FORM TO THE CONTRACTING OFFICER FOR THE <br />PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND <br />THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS <br />FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO <br />ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUTN PROVIDED IN SECTION <br />287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION <br />CONTAINED IN THIS FORM <br /> <br />~ ,1-1-4<. <br /> <br />SIGNA TURE OF AFFIANT <br /> <br />Robert B. Deuser, Vice President <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida <br /> <br />County of <br /> <br />Broward <br /> <br />Sworn to and subscribed before me this 20th <br /> <br />day of August <br /> <br />, 2007 by <br /> <br />Robert B. Deuser, Vice President <br /> <br />~'k 1;- ~~ <br />Linda S. Scotece :J. <br />Notary's Name Printe , Stamped or Typed <br /> <br />Notary Seal: <br /> <br />.........~jj;'", <br />lIf:A'!\"~~' <br />~( }:i <br />,:~",,'ll>:~" <br />"',.9f..f':."" <br /> <br />LINDA S. SCOTECE <br />MY COMMISSION' DO 240707 <br />EXPIRES: December 13, 2007 <br />Bonded Thru NOIary PLtlIic Underwrft.rs <br /> <br />Personally Known: X <br />Identification Produced <br /> <br />Or Produced Identification <br />