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SFM Services, Inc.
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(17-05-01) City Wide Landscape Maintenance Services
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SFM Services, Inc.
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Last modified
8/31/2017 2:30:54 PM
Creation date
6/29/2017 3:54:12 PM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
City Wide Landscape Maintenance Services
Bid No. (xx-xx-xx)
17-05-01
Project Type (Bid, RFP, RFQ)
Bid
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OQ s"),NY lS<e„. <br /> F <br /> ANTI - KICKBACK <br /> 7 <br /> u = x <br /> City of Sunny Isles Beach <br /> • 18070 Collins Avenue <br /> ® yF'"?•F i oR' 5` Sunny Isles Beach,FL 33160 <br /> '`o,sup Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> ® STATE OF FLORIDA ) <br /> ® ) <br /> ® COUNTY OF MIAMI DADE ) <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 or any member of my firm or <br /> ® by an officer of the corporation. <br /> ® By: !/ - -CHRISTIAN INFANTE <br /> o <br /> Title: RESIDENT <br /> 0 <br /> ® The foregoing instrument was acknowledged before me this 15TH day of <br /> ® JUNE , 20 17 , by CHRISTIAN INFANTE [name <br /> ® of person], as PRESIDENT [type of authority], for <br /> SFM SERVICES. INC. [name of party on behalf of whom instrument was <br /> ® executed]. <br /> A FIX 11OTARY STAMP HEgE; _ 4,• ' s ""' ' fi./% f^ <br /> :' OZAIRIS A.VEREA <br /> 1 ? _i. ,,L Notary Public-State of Florida• No-ii Public— Stat f Florida <br /> ® My Comm.Expires Oct 18,2018 <br /> Commission#FF 134779 <br /> 'III11111�1 <br /> Prin r Type Commissioned Name <br /> 0 <br /> ® Personally Known _X__ OR Produced Identification <br /> Type of Identification Produced N/A <br /> • <br /> • <br /> • <br /> • <br /> ® 7 of 10 <br /> ® f <br />
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