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S,,ANY IS�F <br />� s <br />?. Y <br />v, <br />yF i99,_r F40F\'D <br />C'TY Of SU�� P <br />N� <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 acknowledged before me this day of <br />n rI 1. , 20j--Z-, by Qenni s riocdano [name <br />of person], as Pr es. d enk [type of authority], for <br />(11111 IV i Gt✓l ti_A-� ' c[name of party on behalf of whom instrument was <br />executed . <br />AFFIX NOTARY STAMP HERE: <br />MARTHA EVANS <br />NOTARY PUBLIC • STATE OF FLORIDA <br />COMMISSION # EEOM77 <br />EXPIRES 6/21/2014 <br />PONDED THRU 1- 888-NOTARYI <br />Notary ublic — State of Florida <br />?%Gkr:'LO& (5' 110AAS <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 Of 7 <br />