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•
<br /> •
<br /> • SJNNYis,
<br /> ke CONFLICT OF INTEREST
<br /> O� s
<br /> • - �;-__-....,0;`,n City of Sunny Isles Beach
<br /> ® U ti'..:.,.,:,-,-,..r, = 18070 Collins Avenue
<br /> �"�. Sunny Isles each,FL 33160
<br /> •
<br /> ® if.D''� os;, Telephone:(305)947-0606 Fax:(305)949-3113
<br /> FL coo
<br /> • �, r o`` S'N 'No CONFLICT OF INTEREST STATEMENT
<br /> ® The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers
<br /> • must disclose with their Bids,the name of any officer,director,partner,associate or agent who is also an officer or
<br /> • employee of the City of Sunny Isles Beach or its agencies.
<br /> • STATE OF FLORIDA
<br /> • COUNTY OF MIAMI DADE
<br /> • BEFORE ME,the undersigned authority, personally appeared CHRISTIAN INFANTE
<br /> • who was duly sworn,deposes,and states:
<br /> • 1. I am the PRESIDENT of SFM SERVICES, INC. _ with a local
<br /> • office in HIALEAH GARDENS, FLORIDA and principal office
<br /> in HIALEAH GARDENS, FLORIDA .
<br /> ® 2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. ITB17-05-01
<br /> • described as CITYWIDE LADSCAPE MAINTENANCE SERVICES . The Affiant has made diligent
<br /> • inquiry and provides the information contained in this Affidavit based upon his own knowledge.
<br /> • 3. The Affiant states that only one submittal for the above Bid is being submitted and that the above
<br /> • named entity has no financial interest in other entities submitting Bids for the same project.
<br /> • 4. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement,
<br /> participated in any collusion,or otherwise taken any action in restraints of free competitive pricing in connection
<br /> • with the entity's submittal for the above Bid. This statement restricts the discussion of pricing data until the
<br /> O completion of negotiations if necessary and execution of the Contract for this project.
<br /> • 5. Neither the entity nor its affiliates,nor anyone associated with them,is presently suspended or
<br /> ® otherwise ineligible from participation in contract letting by any local,State,or Federal Agency.
<br /> • 6. Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict
<br /> ® of interest due to any other clients,contracts,or property interests for this project.
<br /> • 7. I certify that no member of the entity's ownership or management is presently applying for any
<br /> employee position or actively seeking an elected position with the City of Sunny Isles Beach.
<br /> ® 8. I certify that no member of the entity's ownership or management,or staff has a vested interest in any
<br /> • aspect of the City of Sunny Isles Beach.
<br /> • 9. In the event that a conflict of interest is identified in the provision of services, I,on behalf of the above
<br /> • named entity,will immediately notify the City of Sunny /L`Isles Beach.
<br /> • Dated this _ 2. •f U U P_ ` .
<br /> ,20 L
<br /> �
<br /> _ / CHIRSTIAN INFANTE - PRESIDENT
<br /> • AFFIAN q Print o`r Type Name and Title
<br /> ® Sworn to n• subscribed before me this , \ day of 1 i.)n. ,20 t
<br /> • II Personally Known,OR
<br /> • ❑ Produced Identification- ..- • •entification
<br /> F t 111111, ' ,
<br /> • NOTARY PUBLIC STATE OF FLOR 6 • ' • •� Ce& `f//� ,14,,i OUIRIS A.vEAER
<br /> ® / 7 / : :,: Notary ruDuc-State of Rolla
<br /> a ..,. Ilii ',, My Comm.Expires Oct 18,2018
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