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0 <br /> SUNNY is,, <br /> �" IF <br /> ANTI - KICKBACK <br /> z <br /> ' City of Sunny Isles Beach <br /> ', �• 18070 Collins Avenue <br /> 4, 9' ,•` a` <br /> oV's Sunny Isles Beach,FL 33160 <br /> ' <br /> c''''"o,sus ',c Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> 0 <br /> STATE OF FLORIDA ) 0 <br /> Miami-Dade ) <br /> COUNTY OF ) <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: Denise Arencibia <br /> Title: Partner <br /> cGThe foregoing instrument was acknowlec7ed before me this I Z day of <br /> p b-eA— , 20 17 by -0,244,5' ki-pii ;10;4 [name <br /> of person], as -rou'-i- . [type of authority], for <br /> [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: t _ /� <br /> �ty� <br /> 8_z_ctoe,L 0 <br /> .geY.°p°e4, GRISELBERDION Notary Public — State of Florida <br /> * _� * MY COMMISSION#FF 101442 0 <br /> • OH' EXPIRES:April 11,2018 g.„,,set (� <br /> �4,,cF'meg'' Bonded Thru Budget Notary Services 6.4 4),,,,v <br /> Print or Type Commissioned Name <br /> Personally Known ✓ OR Produced Identification <br /> Type of Identification Produced <br /> DECEMBER 28,2010 7 of 1 0 <br /> i <br />