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RFP No. 12-10-03 Artificial Turf for Senator Gwen Margolis and Pelican Community Parks
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Recreational Design & Construction Inc.
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Last modified
12/13/2012 4:10:48 PM
Creation date
12/13/2012 4:10:33 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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o°SuNH. rr1Fls <br /> 5G )= CONFLICT OF INTEREST <br /> ® City of Sunny Isles Beach <br /> �• 18070 Collins Avenue <br /> '.c '•r ro•` o 4`� Sunny Isles Beach,FL 33160 <br /> o, sir, Telephone:(305)947-0606 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 /> COUNTY OF Broward <br /> BEFORE ME, the undersigned authority, personally appeared Joseph C. Cerrone, III , who was duly sworn, <br /> deposes, and states: <br /> 18.1. I am the President of <br /> Recreational Design &Construction, Inc. with a local office in and principal office in <br /> 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 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 /> 18.8 I 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 •• of interest is identified in the provision of services, I, on behalf of the above named entity, will <br /> immediately notify the •f Sunny Isles Beach. <br /> Dat • h day of December 2012 / <br /> •tom 1:,�Pr Print or Type Name and Titl> <br /> 2.01 z <br /> .m to and subscribed before me this 5 TA- <br /> ' day of De-c-• <br /> , Personally Known OR <br /> O Produced Identification ; Type of Identifi -; <br /> Aar <br /> NOTARY PUBLIC STATE OF FLORIDA <br /> 411) d <br /> or <br /> Notary Pubic State of Florida Flo <br /> • Scott Greiner <br /> +� s My Commission EE095582 <br /> °ia.,d' Expses 05/20/2015 <br /> 0E0EM3ER 28.2010 5 of 10 <br />
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