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<br />SI' :TEt4E\'IT pU\t5U"\'IT TO SEcUON 7J>,1.133l3)l')
<br />SVlO~O~D" SI'''TUfES' ON pU6t.1C E\'Ifll'I ClUt4E5
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<br />SlGNED "NO SVlO,," TO IN T"E pl>E5ENcE Of" NOT"It'! pU6t.1C Olt
<br />~:E~:rf1~ :Jr"OlUZED TO ,.ot41NtSfElt O"T"S,
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<br />......IS ,,"orn state",ent is sUb",jtted to 0 of sunn 1sleS \leach . -
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<br />bY ,,,,, """,,," _....., . -.I \ I.- f-O ~ &~ ~
<br />c.. eot\~l~ O'
<br />tprint name 01 entiW submittIng sWom statelTlent)
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<br />""050 bUSineSS addreSS is: 4: \ <s;'\ <S>Q\C' e \ \ OS
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<br />r--rr/1 '-; 'f\...- ?~--[ <6
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<br />. 1d ,jication nu",ber (fElN) IS (.,? -v ~
<br />and (if applicable) lIS federal BnP\O'ler en I I .t'! NU"'''''' of ,"e i~ing ,"IS SWorn
<br />(1f ,"e entit'! had nO fElN, include jj\e SODal sec.un
<br />.)
<br />statement..
<br />. ." d' para raph 287.133(1)(9), florida statuteS,
<br />t understand ,"at a "pub"C entlt'! Cll"'" as define In ;"," reSped to and directly related \ll
<br />11.2. ",eans a ,iolation of anV state or federaliaw ~V a.::;nan 'agenCi or politiC"1 subdi,iSion of any
<br />,"e transaction of buS,neSs wrll> anV publIC en t'! bUt not I1",,,ed to, any Bid or contract for goOdS
<br />o,"er state or wi'" ,"e Un~ed StateS, Including, genCi or political subdWision of any ojj\er
<br />or 5o"'iCeS to be pro,ided to any publ1C entlt'! or a~ a d jj\eft bribe\)' , collu~on, racketeering,
<br />state of ,"e united stateS and in,o""ng antitrUst,. raU , '
<br />conspiraCi, or ",aterial ",isrepresentatlOn.
<br />. " ' .." denned in para. 287.133(1 )(b), florida statutes,
<br />11.3. t understand ,"at "con,,,cted or '~t"~O;: p~~I1C entit'! cri",e, wi'" or wilMut an adjud,catlon of
<br />",eans a f,nding of guilt or a con'" ,on.f d I ting to ctiargeS brought bY indict",ent or
<br />guilt, in anY federal or state triai court 0 "tr re a dict non-ju\)' trial, or entr'/ of a plea of
<br />information after luW 1, 1989, as a reSult 0 a JU\)' ,er ,
<br />gui\ti or no\o contendere.
<br />. 287 133l1)la) f\orida statutes, means:
<br />1 Understand ,"at an "a\fil1are" as defined I" para.' '
<br />11.4.
<br />. cted of a pub\iC enut-f crime; or
<br />a.) predeceSsor or successor of a person con'"
<br />I erSOn who is acti,e in jj\e ",anage",ent of
<br />b.) ""y entit'! under ,"e control of .nV n''':,~i: entit'! cri",e. \he ter'" "affIliate" includeS
<br />jj\e en\XOl and whO haS \)eOn con",,;ted of a P shareoolders, emplOYees, "",,,,bers, and agents
<br />,"ose officers, directors, e#'cutD's, partners'\fi' t The ownershiP bY one person of shareS
<br />wOO are acti,e in ,"e ",anagement of an a Ira e. oO"ng of equiP",ent or incO",e a",ong
<br />constitUting a controlling interest ,n anothe~ person, o~ al:nglh agree",ent shall be a pri",e facie
<br />persons when not for fair ",arket value un ~~ ar; s erson who I<nOWi~9W enters into a joint
<br />case ,"at one person conUofs anoll\er pe .ct d f ~ publ1C en\XOl cri",e in florida dUllng ,"e
<br />,enture wi," a person whO haS been con'" e 0
<br />preceding 36 ",on,"s shall be considered an a\fiirate.
<br />. 287 133(1)(e) florida statuteS, ",eans aM
<br />11.5. 1 understand ,"at a ~person" "eds def'~~;e ~::"; of a~y state"; of ,"e Un~ed states wi'" '"he
<br />natural person or entlt'! or9~nl2 un act and whiCh BidS or applies to 8'rd on contracts for t e
<br />legal power to enter ",to a b",dlng contr , tit'! or which o,"e",i5O transacts or applies to
<br />pro'isiOn of goodS or se",iceS iet bY a pub IC en '
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