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MIAMI-DADE COUA Y,FLORIDA <br /> • We,the undersigned Proposer will not knowingly disseminate false campaign information or <br /> support those who do. <br /> Pass-through Requirements <br /> • This Code prohibits pass-through payments whereby the prime firm requires that the MBE firm <br /> accepts payments as an MBE and passes through those payments to another entity; <br /> Rental Space, Equipment and S aff Requirements or Flat Overhead Fee Requirements <br /> • This Code prohibits rental space requirements, equipment requirements, staff requirements <br /> and/or flat overhead fee requirements, whereby the prime firm requires the MBE firm to rent <br /> space, equipment and/or staff from the prime firm or charges a flat overhead fee for the use of <br /> space, equipment, secretary, etc; <br /> MBE Staff Utilization <br /> • This Code prohibits the prime firm from requiring the MBE firm to provide more staff than is <br /> necessary and then utilizing the MBE staff for other work to be performed by the prime firm. <br /> This Code also requires that on any contract where MBE participation is purported, the contract shall <br /> specify essential terms including, but not limited to, a specific statement regarding the percent of <br /> participation planned for MBEs, the timing of payments and when the work is to be performed. <br /> By: <br /> (Signature of Affiant) (Date) <br /> SUBSCRIBED AND SWORN TO (or affirmed) before me this day of <br /> 200_ by . He/She <br /> is personally known to me or has presented <br /> (Type of Identification) <br /> as identification. <br /> (Signature of Notary) (Serial Number) <br /> (Print or Stamp of Notary) (Expiration Date) <br /> Page 3 of 3 <br />