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<br />........... <br /> <br />...,. <br /> <br />c <br /> <br />c <br /> <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-KICI<BACI( 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 />V.? <br />By: c~ <br /> <br />Title: <br /> <br /> <br />The foregoing instrument was acknowledged before me this 18th day of <br />August , 20~, by Robert P. HOllander [name <br />of person], as Executive Vice President [type of authority], for <br />Brown & Brown of FL- Miami [name of party on behalf of whom instrument was <br />executed] . <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />NANCYE ELLEN BArlBT~ <br />Notary Public, State of Flonda <br />My comm, expo Apr, 24, 2013 <br />Comm. No. I)D879107 <br /> <br />!::::tUb~~~~d~ <br /> <br /> <br />)(4.N'a~E G.U€N .84-77.>1;<} <br />Print or ype Commissioned Name <br /> <br />Personally Known x OR Produced Identification <br />Type of Identification Produced <br /> <br />DeCEl.l8En 28.2010 <br /> <br />I <br /> <br />r <br />! <br />I <br /> <br />7 of 7 <br /> <br />-5g- <br />