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<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 />o~ ')VH
<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 B d
<br />COUNTY OF rowar
<br />
<br />BEFORE ME, the undersigned authority, personally appeared
<br />deposes, and states:
<br />
<br />18.1. I am the Managing Principal
<br />Manuel SynalQvski Associates, LLC with a local office in Fort Lauderdale
<br />Fort Lauderdale
<br />
<br />, who was duly sworn,
<br />
<br />of
<br />and principal office in
<br />
<br />RFQ 12-04-04-0-2012/mb
<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 />18.7 I 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 />18.8 I 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 />18.9 In 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 />;iitat ~3 day of P\f{\ \. ,2012, (), .. I
<br />~\ 0. V\u e \ 7)'-1 V\ a IO\K:)KL MaV'oVlfJ; \f) c.. \ r \ YlCAfo. \
<br />Print or Type Name a1ld Title 0
<br />
<br />Sw.9ffi to and subscribed before me this \ '3 day of Ps0pr I \ , 2012,
<br />OV' Personally Known OR I
<br />o Produced Identification ; Type of Id~tifiCation V\ I 0\
<br />
<br />cMQ,~W'M~
<br />
<br />NOT ARY PUBLIC STATE OF FLORIDA ~,,'\I'"""'I'III
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<br />
<br />DECEMBER 28,2010
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