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<br />) <br />) <br />) <br />) <br /> <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br />) <br /> <br /> <br />CONFLICT OF INTEREST <br /> <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 /> <br />CONFLICT OF INTEREST STATEMENT <br /> <br />The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes, Proposers must <br />disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the <br />City of Sunny Isles Beach or its agencies, <br /> <br />STATE OF FLORIDA <br />COUNTY OF Miami Dade <br /> <br />BEFORE ME, the undersigned authority, personally appeared <br />deposes, and states: <br /> <br />, who was duly sworn, <br /> <br />18.1. <br /> <br />I ~m the <br />Ardaman & Associates, Inc <br />UrlandO <br /> <br />Vice President <br />with a local office in <br /> <br />Hialeah <br /> <br />of <br />and principal office in <br /> <br />) <br />) <br /> <br />18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No, described <br />as: Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this <br />Affidavit based upon his own knowledge. <br /> <br />18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has <br />no financial interest in other entities submitting Bids for the same project. <br /> <br />18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in <br />any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for <br />the above Bid, This statement restricts the discussion of pricing data until the completion of negotiations if necessary and <br />execution of the Contract for this project. <br /> <br />18.5 Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise ineligible from <br />participation in contract letting by any local, State, or Federal Agency. <br /> <br />18.6 Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict of interest due to any <br />other clients, contracts, or property interests for this project. <br /> <br />18.71 certify that no member of the entity's ownership or management is presently applying for any employee position or <br />actively seeking an elected position with the City of Sunny Isles Beach. <br /> <br />18.81 certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City <br />of Sunny Isles Beach, <br /> <br />18.91n the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will <br />immediately notify the City of Sunny Isles Beach, <br /> <br />Dated this ~? day of AQ-r') \ , 2 O;l<J , Id-- <br />Evelio Ho a t:vello Hona, vice t-'reslaent <br />AFFIANT Print or Type Name and Title <br /> <br />Sworn to and subscribed before me this ~ day of A&'f; \ , 20J.ff, Id.-. <br />JK Personally Known OR <br />o Pcod""'d Iden"'","" ; Type Of~~ r '. ,{Jt/J) <br /> <br /> <br />NOTARY PUBLIC STATE OF FLORIDA --tflJ ~ <br />~()~~~V.~~b<Q MARTA M. CAPOTE <br />*..~ * MY COMMISSION * DD 881097 <br />"'~.. EXPIRES: May 7, 2013 <br />'l:trt O~ fl()~'" Bonded Thru Budget Notary Sel\'ictl <br /> <br />DECEMBER 28, 2010 <br /> <br />5 of 7 <br />