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~ ...., CONFLICT OF INTEREST City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach. FL 33160 Telephone: (305) 947-0606 Fa.: (305) 949.3113 CONFLICT OF INTEREST STATEMENT The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the City of Sunny Isles Beach or its agencies. STATE OF FLORIDA COUNTY OF Miami Dade BEFORE ME, the undersigned authority, personally appeared Robert P. Hollander, who was duly sworn, deposes, and states: 18.1. I am the Rrown fir Rrown InsUJ::.al1.C.lliilh a -Baytonn Dcnch-; FL 18,2, The above named entily is submilling a Bid for the City of Sunny Isles Beach, Bid No. I FB 11- 08 - ~kribed as: Landscape Maintenance Services. The Affiant has made diligenl inquiry and provides the information contained in lhis Affidavit based upon his own knowledge, Executive Vice President local office in M; i'lm; T,i'lkp.s. FI. of and principal office in c 18,3 The Affiant states that only one submillal for the above Bid is being submilled and that the above named entity has no financial interest in other entitles submilling Bids for the same project. 18.4 Neither the Affiant nor the above named entily has directly or indirectly entered into any agreement, parlicipaled in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection wllh the entity's submillal for the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and execution of lhe Contract for this project. 18.5 Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise ineligible from participation in conlract lelling by any local, State, or Federal Agency. 1B,6 Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict of interesl due to any other clients, contracts, or properly interests for this project. 1 B, 7 I certify that no member of the entity's ownership or management is presently applying for any employee position or actively seeking an elected position with the City of Sunny Isles Beach. I' I I I 1B.81 certify that no member of the entity's ownership or management, or slaff has a vested interest in any aspect of the City of Sunny Isles Beach. 18.9 In the event thai a conflict of interest is identified in the provision of services, J, on behalf of the above named entity, will immediately notify the City of Sunny Isles Beach. Da)eJllt!)is 18~ pay of .August ,201~_20~1J? -r L~.PGt11" ~&t!;,."w,..~ erA t'r/'vt' (/~ e~ ~h '''~ AFFIANT Print or Type Name and Title Sworn to and subscribed before me this 18 t bay of ex Personally I<nown OR o Produced Identification ; Type of Identilicalion ~ Auqust ,201~ 2011 NOTARY PUBLIC STATE OF FLORIDA ~~. c DECEMBER 28. 2010 NANCYE ELLEN BAilS f~ Notary Public, Stato of Flonda My commo expo Apr. 24, 2013 Camm. No. 001379107 5017 -56-