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O�4VNNY~(� <br />V <br />y 9 <br />FC' T• ptOR kp OS <br />r OP SUN PN <br />STATE OF FLORIDA ) <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: Dennis J. Giordano <br />Title: President <br />� The foregoing instrument was tknowledged before me this � day of <br />2011, by enn� s iorcJlcLv►� [name <br />of person], as Fc f S ,A t&± [type of authority], for <br />C�.Iv�h.G�ord �,snG -TnC. [name of party on behalf of whom instrument was <br />executedl. <br />AFFIX NOTARY STAMP HERE: <br />MARTHA EVANS <br />NOTARY PUBLIC - STATE OF FLORIDA <br />COMMISSION # EE002677 <br />EXPIRES 6/21/2014 <br />'), r - TN R 11 1- 8884N0TARV ti <br />Personally Known <br />Type of Identification Produced <br />DECEMBER 28, 2010 <br />Notary Public — State of Florida <br />Print or Type Commissioned Name <br />OR Produced Identification <br />7 of 7 <br />