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<br /> <br />CONFLICT OF INTEREST <br /> <br />0' sutl <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br /> <br />CONFLICT OF INTEREST STATEMENT <br /> <br />The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must <br />disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the <br />City of Sunny Isles Beach or its agencies. <br /> <br />STATE OF FLORIDA Dade <br />COUNTY OF <br /> <br />Bret 1. Brittenum <br />BEFORE ME, the undersigned authority, personally appeared <br />deposes, and states: <br /> <br />, who was duly sworn, <br /> <br />18.1. <br /> <br />am <br /> <br />the <br /> <br />Vice President & General Manager <br /> <br />American Coach lines of Miami, Inc. <br />Dallas Texas <br /> <br />with a local' office in Miami Dade County <br /> <br />of <br />and principal office in <br /> <br />18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 11-05-02 described <br />as: Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this <br />Affidavit based upon his own knowledge. <br /> <br />18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has <br />no financial interest in other entities submitting Bids for the same project. <br /> <br />18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in <br />any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for <br />the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and <br />execution of the Contract for U";s project. <br /> <br />18.5 Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise ineligible from <br />participation in contract letting by any local, State, or Federal Agency. <br /> <br />18.6 Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict of interest due to any <br />other clients, contracts, or property interests for this project. <br /> <br />18.7 I certify that no member of the entity's ownership or management is presently applying for any employee position or <br />actively seeking an elected position with the City of Sunny Isles Beach. <br /> <br />18.81 certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City <br />of Sunny Isles Beach. <br /> <br />18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will <br />immediately notify the City. of Sunny Isles Beach. ,~\ L- <br /> <br />Dated this ().. Q day of I U_f , 2010. <br /> <br /> <br />Bret T. Brittenum Vice President & General Manager <br /> <br />Sworn t <br />cV <br />o <br /> <br />. Print or Type Name and Title <br />~~ . L <br />e this~ day of (!0 Bt-:J ' 201~. <br />OR <br />; Type of Identifi tion........---... <br />'i ffi?CJ~"LC/ <br /> <br />NOTARY PUJiab:,f€RSllA!IB{QJf JflOOlUDARIDA <br />i"""""', Jecic Molina <br />f ~ ~ Commission # DD876615 <br />....",...."l Expires: JULY 07,2013 <br />BONDED THRu hTLMmC BONDING CO., me. <br /> <br /> <br />DECEMBER 28, 2010 <br /> <br />5 of? <br />