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<br />SECTION 19 <br />CONFUCT OF INTEREST STATEMENT <br /> <br />STATE OF FLORIDA <br />COUNTY OF DADE <br /> <br />BEFORE ME, the undersigned authority, personally appeared Luisa Alonso <br />was duly sworn, deposes, and states: <br /> <br />. who <br /> <br />19.1. <br /> <br />I <br /> <br />am <br /> <br />the <br /> <br />President <br />with a local office in Miami <br /> <br />of <br />and <br /> <br />Kelly Janitorial systems, Inc. <br />principal office in <br /> <br />19.2. <br />08-06-02 <br /> <br />The above named entity Is submitting a Bid for the City of Sunny Isles Beach, Bid No. <br />described as: Janitorial Maintenance Services. <br /> <br />19.3. The Affiant has made diligent inquiry and provides the information contained in this Affidavit <br />based upon his own knowledge. <br /> <br />19.4. The Affiant states that only one submittal for the above bid is being submitted and that the <br />above named entity has no financial interest in other entities submitting bids for the same project. <br /> <br />19.5. Neither the Affiant nor the above named entity has directly or indirectly entered into any <br />agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive <br />pricing in connection with the entity's submittal for the above bid. This statement restricts the discussion <br />of pricing data until the completion of negotiations if necessary and execution of the Contract for this <br />project. <br /> <br />19.6. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or <br />otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. <br /> <br />19.7. Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict <br />of interest due to any other clients, contracts, or property interests for this project. <br /> <br />19.8. I certify that no member of the entity's ownership or management is presently applying for any <br />employee position or actively seeking an elected position with the City of Sunny Isles Beach. <br /> <br />19.9. I certify that no member of the entity's ownership or management, or staff has a vested interest <br />in any aspect of the City of Sunny Isles Beach. <br /> <br />19.10. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the <br />above named entity, will immediately notify the City of Sunny Isles Beach. <br /> <br />Dated tb/s _ ,day of <br />~~ <br />A~Nt <br /> <br />.2007. <br />L 1/1 S A- A-u>prD <br />Print or Type Name and Title <br />'<"0:--... <br />:.s '--"-----.... <br /> <br />Sworn to and subscribed before me this ~ day of <br />o Personally Known OR <br />2::.--- Produced Identification D \\\\I'I"'i)f~ of Identification ~. f) (. <br />'!\."" ,. JOSE/. 1111...: <br />~ ........... C ~z ..- <br />~:11- ..' :'\ COMMIS"'~ ~ <br />NOT~..pU~~~ y ::;LORIDA ..-;> <br />=~: ,~~:(/)= <br />::O:ic'f #(:h '.. <=>'S' ::: <br />_.....c::.__ v~ ... -m. - <br />~ --0 . ~ & V8,,>: ~ c., : ::- <br />~C: ..~~,x V'8s .. ~ <br />~<?:'.~4-~l1lhl1J .'Jf ~ <br />~ -V .. I.JI}~. . ~ <br />~~, " '. erwotelS ....... *' <br />'/' ul; ....... ~\)'. ~ <br />'/III/rc OF F\..O~ ~\"..... <br />11'11'"111\\\\'" . <br /> <br />.20~. <br /> <br />, ~SL-' S-"2G~, 6 '{S .0 <br /> <br /> <br />PAGE 75 OF 78 <br />