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RFQ
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(11-11-02) Civil Engineering Services to Design Street & Drainage Improvements
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Responses
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Last modified
2/9/2012 10:12:46 AM
Creation date
2/9/2012 10:10:02 AM
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CityClerk-Bids_RFP_RFQ
Project Name
Civil Engineering Svcs
Bid No. (xx-xx-xx)
11-11-02
Project Type (Bid, RFP, RFQ)
Bid
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<br />'1 <br />'1 <br /> <br />, 1 <br />I <br /> <br />. ) <br /> <br />, 1 <br />I <br />, <br /> <br />r , <br /> <br />I I <br /> <br />r I <br /> <br />. , <br /> <br />. . I <br /> <br />, . <br /> <br />. , <br /> <br /> <br />STATE OF FLORIDA <br /> <br />) <br />) <br />) <br /> <br />COU NTY OF Miami-Dade <br /> <br />ANTI-KICKBACK <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny I sles Beach, FL 33160 <br />Telephone (305) 947-0606 Fax: (305) 949-3113 <br /> <br />ANTI - KICKBACK AFFIDAVIT <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 />By: <br /> <br /> <br />Title: Founding Principal <br /> <br />_ J)~egOing instrument was acknowledgJ'd before me this !~ day of <br />~ , 20L by Ii -e y-- I c&r 2--0 [name <br />of Rerson], as 1~(1rc. [type of authority], for <br />r:;. 3 'TS [name of party on behalf of whom instrument was <br />executed]. <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />~~ <br /> <br />Notary, ublic - State of Florida <br /> <br />AURORA ELENA RODRIGUEZ ""/:1 <br />MY COMMISSION # EE 074 ' <br />Print 0 ~ml: U~~/Isl~ <br />Hl <br /> <br /> <br />Personally Known ~. OR Produced Identification <br />Type of Identificatian Produced <br /> <br />DECEMBER 28, 2010 <br /> <br />7 of 7 <br /> <br />62 <br />
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