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<br /> <br />CONFLICT OF INTEREST <br /> <br />.:; < ~ -'~' <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 I!>!TEREST 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 D~de <br />COUIIoJTY OF a <br /> <br />Bret T. 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 Ivlanager <br /> <br />of <br />and principal office in <br /> <br />American Coach Lines of Miami, Inc. <br />Dallas Texas <br /> <br />with a local office in Miami Dade County <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 tris 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 />18.71 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 />18.8 I 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. <br />'-I . - 1,_1 , <br />Dated this .X '- day of l - ..':.i , 2010. <br /> <br />. .-, <br />AFFIAN~/ . f"7~~7'~ ,_:- Print or Type Name and Title <br />. / /~ '/ ~V <br />Sworn t . and;~bscribed f;re ~this ~ day of v 1.-': ' <br />0/ Personally K.nown OR <br />o Produced Identification ; Type of Identification <br />/' <br />/ . / <br />/ .._:/:::../ J"~ - <br /> <br />Bret T. Brittenum Vice PreSIdent & General Manager <br /> <br />,2010. <br /> <br />----- <br /> <br />~..~../ <br /> <br />h!O T AR Y PUahiQ.;S"PAifSCQff,fjOOR!DARlDA. <br />.,<" ""'" Jecic MoliIla <br />~ ~ g Co~mission # DD876615 <br />-.",.."".-' ExpIres: JULY 07,2013 <br />BONDED '!'El\U A.TLU\'TIC BONDllJG CO., !He <br /> <br />c~ ~.-' <br /> <br />..../ <br /> <br />D=CEM8:R 28.2010 <br /> <br />5 of 7 <br />