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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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SVNNV rlrF <br /> ov 's <br /> G- )= ANTI KICKBACK <br /> ® City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> 'se c r •rioa‘oo+'t Sunny Isles Beach,FL 33160 <br /> o, sum Telephone:(305)947-0606 Fax (305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <br /> COUNTY OF Broward ) <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 b me or any member of my firm or <br /> by an officer of the corporation. <br /> By: <br /> itl-•resident <br /> The foregoing instrument was acknowledged before me this 5th day of <br /> December , 2012 , by Joseph C Cerrone. Ill ) [name <br /> of person], as President /[type of authority], for <br /> Recreational Design & Construction, Inc. [name of party on .:half of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: <br /> otary Public — State of Florida <br /> �Ja!\ Notary Pubtic Slate of Florida <br /> Scott Greiner EMT ♦erne <br /> v w� E yxpirea 05J20/20E5095582 <br /> Print or Type Commissioned Name <br /> Personally Known l OR Produced Identification <br /> Type of Identification Produced <br /> DECEMBER 28.2010 7 of 10 <br />
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