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I <br />O" SVp1NY ISC�r�B <br />� - F <br />u` x <br />�r •'99i �° <br />FC, , t'os <br />)y OF ;Ur P <br />STATE OF FLORIDA ) <br />COUNTY OF Miami -Dade ) <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 />'l <br />By; and B. Boc novich, P.E. <br />Title: Senior Vice President <br />The foregoing instrument was acknowledged before me this 2nd day of <br />December 1 2011 , by Richard B. Bochnovich, P.E. [name <br />of person], as Senior Vice President [type of authority], for <br />Consulting Engineering & Science, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />:?W__1 `r °�'c, OMAYRA V. BERG <br />_ Notary Public - State of Florida <br />My Comm. Expires Jun 27, 2014 <br />•` Commission # EE 4280 <br />•FFnFn�`` <br />4v-, k,-, /��? <br />Notary blic — State o lorida <br />Omayra V. Berg <br />Print or Type Commissioned Name <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28,2010 <br />7 of 7 <br />