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<br /> <br />ANTI-KICKBACK <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 />ANTI-KICKBACK AFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF6CQ\X.Jz1 <br /> <br />) <br />) <br />) <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br />will be paid to any employees of the City of Sunny Isles Beach or/its elected officials as a <br />commission, kickback, reward or gift, directly or indirectly by me ~any member of my firm or <br />by an officer of the corporation. / ,/ / <br />/ / <br />/ <br />/ <br /> <br />,/. ." <br />By: /,' /;> <br />~, e,,)3Of(lT <br /> <br /> <br /> <br />The foregoing <br />'/1 <br />of p son], as <br />flr};/n:J /- n6J1< <br />executed]. <br /> <br />lJL. <br />instrument wa~Wledge~fOre me this ~<( day of <br />~ by ~F~ W" ,Ie; 'Z [name <br />r S/ cfp,J/ [type of authority], for <br />~' ~~(J~t!1e of party on behalf of whom instrument was <br /> <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />rlel'l'AftY ~Lle.s~A'fB elF WR1DA <br />,,"""r.. Mantza Gomez <br />{J1r.t. ~ Commission 11 DD884SS6 <br />......'i/f1/ Expires: APR. 27 J 20~~ <br />......... "'U ":rLANTlC BONDING co.. me. <br />BONDW TI." " <br /> <br />_ Personally Known _ V OR Produced Identification <br />Type of Identltlcat~ <br /> <br />DECEMBER 28, 2010 <br /> <br />7 of 7 <br />