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<br />market value under an arm's length agreement, shall be a prime facie case that one person
<br />controls another person. A person who knowingly enters into a joint venture with a person who
<br />has been convicted of a public entity crime in Florida during the preceding 36 months shall be
<br />considered an affiliate.
<br />
<br />11.5. I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural
<br />person or entity organized under the laws of any state or of the United States with the legal power to
<br />enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or
<br />services let by a public entity, or which otherwise transacts or applies to transact business with a public
<br />entity. The term "persons" includes those officers, directors, executives, partners, shareholders,
<br />employees, members, and agents who are active in management of any entity.
<br />
<br />11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity
<br />submitting this sworn statement. (Indicate which statement applies.)
<br />
<br />X Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners,
<br />shareholders, employees, members, or agents who are active in the management of the entity, nor any
<br />affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br />1989.
<br />
<br />The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
<br />shareholders, employees, members, or agents who are active in the management of the entity, or an
<br />affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br />1989.
<br />
<br />The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
<br />shareholders, employees, members, or agents who are active in the management of the entity, or an
<br />affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
<br />1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of
<br />Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the
<br />State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer
<br />determined that it was not in the public interest to place the entity submitting this sworn statement on the
<br />convicted vendor list. (Attach a copy of the final order.)
<br />
<br />I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE
<br />PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND,
<br />THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I
<br />ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO
<br />A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA
<br />STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
<br />
<br />BY~~.
<br />
<br />.{Signature)
<br />Robert D. Cole, III, P.E., LEED AP, ND
<br />(Printed Name)
<br />Executive Vice President
<br />(Title)
<br />
<br />Sworn to and subscribed before me this 1 st day of December , 20~, by
<br />Robert D. Cole, III, P,E., LE;~\~J ~lIttJ? ~
<br />~"" \>-\). OYCtlll/. ~ b
<br />(AFFIX NOTARY STAMP HE~c.,\oooooooooo ~ "-j J :r.!:.
<br />~~oo ~SS\ON E\'p;;oo ~ - ~4..f><Il'~
<br />~ ,,'<t- 0 ~~ ~3 2o/, '~ . -;.
<br />.:::- " .. 0 c}' I ~ (Jl o. ~ -::.
<br />: :;:: i ~::: Signature: Nota y Public - Sta e of Florida
<br />~ ::2 roA> ~\ : 9~ PA1"R.lC1 A D. ~ o~C-€-
<br />~1c ~o ,"\)'\:/!J~~"i _,$: sl Print or Type Commissio ed Name
<br />~. o~v~~"i..i:.....
<br />/ ~ ~ 000 4'0 Bonde \\\\<>" 00 6<- ,:::
<br />P II K V ~~~tia/}'~~~~~~~. .':tt'lf'lcat'lon
<br />ersona y nown '?<,)17f'pfj~IC:S\\~"~"
<br />"'11/" 1111 111\1'
<br />Type of Identification Produced
<br />
<br />10/1998
<br />
<br />3 of?
<br />
<br />718
<br />
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