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(17-05-01) City Wide Landscape Maintenance Services
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Last modified
8/31/2017 1:52:22 PM
Creation date
6/29/2017 4:10:20 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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O�SJNNY,s4e. <br /> ,- �: _F� ANTI - KICKBACK <br /> City of Sunny Isles Beach <br /> A ',D'�a :. 18070 Collins Avenue <br /> ~f 91'F LO0.'0 4" Sunny Isles Beach,FL 33160 <br /> c'T}OF sua '''O Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <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 /> ('ii" <br /> By: Orlando Otero df <br /> Title: President <br /> The foregoing instrument was acknowledged before me this 27 day of <br /> June , 20 17 , by Orlando Otero [name <br /> of person], as President [type of authority], for <br /> Superior Landscaping & Lawn Service, Inc. [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: �.... <br /> akeigiliaA <br /> Nota , Pub is — Stat- :f Florida <br /> 'A ' w. <br /> Print or Type Commissioned Name <br /> Personally Known OR Produced Identificaf ��rr NO�rypsnficstat- - -.i." <br /> Type of Identification Produced =° `' ; Luis Francisco Cruz <br /> My Commission GG 012099 <br /> 'vlo,w° Expires 1010212020 <br /> 7 of 10 <br />
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