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Sports Turf One, Inc.
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RFP No. 12-10-03 Artificial Turf for Senator Gwen Margolis and Pelican Community Parks
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Sports Turf One, Inc.
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Last modified
12/13/2012 3:46:43 PM
Creation date
12/13/2012 3:46:29 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Artificial Turf for Gwen Margolis & Pelican Community Parks
Bid No. (xx-xx-xx)
12-10-03
Project Type (Bid, RFP, RFQ)
RFP
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4VI! Y�Ir I�FJ <br /> s <br /> CONFLICT OF INTEREST <br /> .\ City of Sunny Isles Beach <br /> 18070 Collis Avenue <br /> , .` Sunny Isles Beach,FL 33160 <br /> Telephone:(305)907-0606 Fax(305)949-3113 <br /> CONFLICT OF INTEREST STATEMENT <br /> The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must <br /> disclose with their Bids, the name of any officer,director, partner, associate or agent who is also an officer or employee of the <br /> City of Sunny Isles Beach or its agencies. <br /> STATE OF FLORIDA <br /> couNTYOF Palm Beach '',,11 <br /> • <br /> BEFORE ME, the undersigned authority, personally appeared Olt l I l an'n LI I I I(A,r' , who was duly sworn, <br /> deposes,and states: <br /> 18.1. I am the Vice President of <br /> Sports Turf One, Inc. with a local office in Boynton Beach, FL and principal office in <br /> Boynton beach, hL <br /> 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 12-10-03 described <br /> as: Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this <br /> Affidavit based upon his own knowledge. <br /> 18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has <br /> no financial interest in other entities submitting Bids for the same project. <br /> 18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in <br /> ® any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for <br /> the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and <br /> execution of the Contract for this project. <br /> 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from <br /> participation in contract letting by any local,State,or Federal Agency. <br /> 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any <br /> other clients,contracts,or property interests for this project. <br /> 18.71 certify that no member of the entity's ownership or management is presently applying for any employee position or <br /> actively seeking an elected position with the City of Sunny Isles Beach. <br /> 18.81 certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City <br /> of Sunny Isles Beach. <br /> 18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity,will <br /> immediately notify the City of Sunny Isles Beach. <br /> D. s 41krilts.. 'ecember ,204- <br /> 1i$i /11 lam I an, vice -resident <br /> AFFIANT ' Print or Type Name and Title <br /> ,Swom to and subscribed before me this I f-day of December ,2018.. <br /> Personally Known OR <br /> O Produced Identification ;Type of Identification <br /> /./1/X7V) <br /> NOTARY PUBLIC STATE OF FLORIDA <br /> all y' Notary Public State of Florida <br /> Lauren M Barnes <br /> s My Commission EE 846604 <br /> °iptl Expires 10/25/2016 <br /> DECEMMER 28,2010 5 of 10 <br />
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