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<br /> _7 .N3 CONFLICT OF INTEREST
<br /> "` ,,, ) City of Sunny Isles Beach
<br /> `'= 18070 Collins Avenue
<br /> FLOP o r Sunny Isles Beach,FL 33160
<br /> o, s•r,, ' Telephone:(305)947-0606 Fax(305)949-3113
<br /> CONFLICT OF INTEREST STATEMENT
<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 /> STATE OF FLORIDA
<br /> COUNTY OF In ItaUVI t 1m:woe
<br /> BEFORE ME, the undersigned authority, personally appeared a tehata a 0. plat was duly sworn,
<br /> deposes,and states:
<br /> 18.1. I am the *A it ca Pfael StV40. •413 of
<br /> •itrifia fit,+$®esteri‘CMIAII31.a local office in ettealadtstoa IS ti, and principal office In
<br /> 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No.Ira•®R•0 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 /> 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 /> 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 /> 18.5 Neither the entity nor its affiliates, nor any one associated with them,is presently suspended or otherwise Ineligible from
<br /> participation in contract letting by any local,State,or Federal Agency.
<br /> 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any
<br /> other clients,contracts,or property interests for this project.
<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 /> 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 /> 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 tify the City of Sunny Isles Beach.
<br /> ated his da f of AiVA-k4-f 2010y
<br /> ,
<br /> _fop?4,�, c- 64)1 s.. 4)2-4._
<br /> AFFIA Print or Type Name and Title
<br /> Syom to and subscribed before me this 1 day of J -.c1 a n..7 ,2011
<br /> Personally Known OR
<br /> CI Produced Identification ;Type of Identification
<br /> Q
<br /> NOTARY PUBLIC STATE OF FLORIDA GV,.•;;gr:�y••., JOSE ANTONIO ALONSO
<br /> a�•• A;;
<br /> .: i."‘ • = Commission#FF 083252
<br /> %•,:'u' 41 Expires February 22,2018
<br /> t••f.•,AV' 8cnded Ttw Troy Fan!maim,800.38:.7019
<br /> DEcsMaER 28,2010 5 of 10
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