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R.J. Behar & Co.
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(11-11-01) Traffic Engineering Services
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R.J. Behar & Co.
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Last modified
6/14/2012 5:25:31 AM
Creation date
1/11/2012 4:19:46 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Traffic Engineering Services
Bid No. (xx-xx-xx)
11-11-01
Project Type (Bid, RFP, RFQ)
RFP
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SUNNY �S�F <br />?. Y <br />V _ I <br />of <br />C" Oi SUN PNQ <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF Broward ) <br />ANTI - KICKBACK <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 />ANTI - KICKBACK AFFIDAVIT <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 />By: <br />Robert J. Behar, PE 3---v a__ <br />Title: <br />President/CEO <br />The foregoing instrument was acknowledged before me this 2nd day of <br />December , 20 11 , by Robert J. Behar, PE [name <br />of person], as President/CEO [type of authority], for <br />R. J. BEHAR & COMPANY, INC. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />LIZANNA KADIR <br />0P!/6 'b <br />€e; ' Ln MY COMMISSION #DD862979 <br />=: EXPIRES: MAY 13, 2013 <br />O ` Bonded through 1st State Insurance <br />Notary Public — State of Florida <br />Lizanna Kadir <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 of 7 <br />
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