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(12-06-01) Construction Management for Gateway Park
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Last modified
6/18/2012 11:30:19 AM
Creation date
6/18/2012 11:23:38 AM
Metadata
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Construction Management Svcs for Gateway Park
Bid No. (xx-xx-xx)
12-06-01
Project Type (Bid, RFP, RFQ)
RFQ
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® UILD B IN <br />GOOD COMPANY. <br />SUNNY '5< <br />A F <br />� n <br />P <br />FL00.�0 <br />C., o <br />tY 6F SVN n� <br />STATE OF FLORIDA ) <br />) <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 />SECTION 7 // CONTRACT FORMS <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 9� any member of my firm or <br />by an officer of the corporation. / IT <br />a <br />Title: Jim Wells, Vice President <br />The foregoing instrument was acknowledged before me this 11 day of <br />June , 20 12 , by Jim Wells f name <br />of person], as Vice President <br />The Weitz Company [name <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />NOTARY PUBLIC-STATE OF FLORIDA <br />Monica B. Morgan <br />o Commission #DDS99475 <br />Expires: JULY 31, 2013 <br />BONDED MU ATLANTIC BONDING CO., INC. <br />[type of authority], for <br />of party on behalf of whom instrument was <br />Notary Public — State of Florida <br />Print or Type Comm i sio ed Name <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 <br />707 <br />44 <br />THE WEITZ COMPANY // CM SERVICES FOR GATEWAY PARK, RFQ 12 -06 -01 / CITY OF SUNNY ISLES BEACH, FL <br />
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