Laserfiche WebLink
SUNNY rs, <br /> ;f<< ANTI - KICKBACK <br /> City of Sunny Isles Beach <br /> •, ,t 18070 Collins Avenue <br /> sF C997•FLo P' ` Sunny Isles Beach,FL 33160 <br /> r`or su' � Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <br /> COUNTY OF Mtckwi 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: DinmS-e I . NtodarSt. <br /> Title: VW Yl'er- <br /> The foregoing instrument was acknowledged before me this bs day of <br /> O cery,b-er , 20 rl , by Gen ks-C I _ Nod arse <br /> owner— ,name <br /> of person], as <br /> Dolphin t n —fov.��n [tYPe of authority], for <br /> p S 1-I D, Inc . [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: 1 , ___ <br /> Notary Public — State of Florida <br /> COCASTRO <br /> CLE ommission #FF 979387 Cote Co.&v'o <br /> hf111,yee My Commission Expires \,`+ �) <br /> , April 06, 2020 Print or Type Commissioned Name <br /> Personally Known OR Produced Identification ✓ <br /> Type of Identification Produced Thy iveiS Licetis-L <br /> 410 <br /> 7 of 7 <br />