Laserfiche WebLink
Attachment E2 <br /> MIAMI-DADE COUNTY DEBARMENT DISCLOSURE AFFIDAVIT <br /> (Ordinance 93-129, Section 1) <br /> I, being duly first sworn, upon oath deposes and says that the bidder of this <br /> contract or his agents, officers, principals, stockholders, subcontractors or theft <br /> affiliates are not debarred by Miami-Dade County. <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 /> Notary Public—Stamp State of Notary Seal <br /> (State) <br /> 5/01 <br />