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RFP No. 11-05-01 Bella Vista Bay Park Improvements
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Gecko Group Inc
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Last modified
6/17/2011 2:25:32 PM
Creation date
6/17/2011 2:25:20 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Bella Vista Park Improv
Bid No. (xx-xx-xx)
11-05-01
Project Type (Bid, RFP, RFQ)
RFP
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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 />) <br />COUNTY OF Miami-Dade ) <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 or any member of my firm or <br />by an officer of the corporation. <br /> <br />By: <br /> <br />Jorge Garcia <br /> <br />Title: <br /> <br />President <br /> <br />The foregoing instrument <br />May , 20....1.L-, by <br />of person], as President <br />Gecko Group Inc. <br />executed] . <br /> <br />was acknowledged before me this <br />JorQe Garcia <br /> <br />day of <br />[name <br />[type of authority], for <br />[name of party on behalf of whom instrument was <br /> <br />31 <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />ek <br /> <br /> <br />~ <br /> <br />/rPO ;J j .f} LfI e / Ji 11- <br />Print or Type Commissioned Name <br /> <br /> <br />Personally Known ~R Produced Identification <br />Type of Identification Produced <br /> <br />~,\\~';f..~:~'; <br />/f"~'~ ADONAY ALMEIDA <br />~~. .~J _MY COMMISSION # EE 026616 <br />". ....... '.' eonl:XP/RES: September 16 2014 <br />" . . de<! Thru No/.IV Pub/" U d' . <br />-, "n erwnters <br /> <br />DECEMBER 28, 2010 <br /> <br />7 of 10 <br />
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