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<br />
<br />SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a)
<br />FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
<br />
<br />THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY
<br />PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
<br />
<br />1, This sworn statement is submitted
<br />to City of Sunny Isles Beach, FL
<br />
<br />by Hector M. Ortiz, President
<br />
<br />for Pios and Sons Rnterprises, Tne
<br />
<br />whose business address is
<br />320 Atlantic Avenue
<br />
<br />Sunny Isles, FL 33160
<br />
<br />and (if applicable) its Federal Employer Identification Number (FEIN)
<br />65-0198879
<br />
<br />(If the entity had no FEIN, include the Social Security Number of the individual signing
<br />this sworn statement:
<br />
<br />2. ;tand that a "public entity crime" as defined in Paragraph 287.133(l)(g), Florida
<br />, means a violation of any state or federal law by a person with respect to and
<br />directly related to the transaction of business with any public entity or with an agency or
<br />political subdivision of any other state or of the United States, including, but not limited
<br />to, any bid or contract for goods or services to be provided to any public entity or an
<br />agency or political subdivision of any other state or of the United States and involving
<br />antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material
<br />misrepresentation,
<br />
<br />3, I understand that "convicted" or "conviction" as defined in Paragraph 287. 133(1)(b ),
<br />Florida Statutes means a finding of guilt or a conviction of a public entity crime, with or
<br />without an adjudication of guilt, in any federal or state trial court of record relating to
<br />charges brought by indictment or information after July 1, 1989, as a result of a jury
<br />verdict, nonjury trial, or entry of a plea of guilty or nolo contenders.
<br />
<br />4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes,
<br />means:
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<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
<br />the entity and who has been convicted of a public entity come. The term "affiliate"
<br />includes those officers, directors, executives, partners, shareholders, employees,
<br />members, and agents who are active in the management of an affiliate. The
<br />ownership by one person of shares constituting a controlling interest in another
<br />person, or a pooling of equipment or income among persons when not for fair market
<br />value under an arm's length agreement, shall be a prima facie case that one person
<br />controls another person. A person who knowingly enters into a joint venture with a
<br />
<br />16
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