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Perkins & Will
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(17-12-01) Professional Arch Srvcs Interior Remodel Govt Ctr Lobby and Gateway Park Internal Space Build
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Perkins & Will
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Last modified
1/9/2018 4:42:57 PM
Creation date
1/9/2018 4:42:29 PM
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CityClerk-Bids_RFP_RFQ
Project Name
PROFESSIONAL ARCHITECTURAL SERVICES
Bid No. (xx-xx-xx)
17-12-01
Project Type (Bid, RFP, RFQ)
RFQ
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PERKINS -FWILL <br /> NNV I ijf <br /> S�f-`CFJ 4 bti I <br /> t___.4.m ANTI-KICKBACK <br /> City of Sunny Isles Beach IW.': 18070 Collins Avenue <br /> 1 <br /> '"e '? LoP� o. Sunny Isles Beach,FL 33160 <br /> Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT ' . <br /> STATE OF FLORIDA ) <br /> COUNTY OF Miami-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: <br /> Lawrence Kline <br /> Title: Managing Principal <br /> The foregoing instrument was acknowledged before me this 09 day of <br /> January , 20 18 , by Lawrence Kline [name <br /> of person], as Managing Principal [type of authority], for <br /> Perkins+Will Architects, Inc. [name of parry on behalf of whom instrument wasffil <br /> executed]. ,(� <br /> AFFIX NOTARY STAMP HERE: <br /> ary Public State of Florida <br /> •" ayAy Karen Valdes <br /> '.. • .. Commission 1FF932165 n U IdeS <br /> Kane V <br /> Expires:October 29,2019 Print or Type Commissioned Name <br /> `��' ' Bonded thru Aaron Notary <br /> Personally Known /` OR Produced Identification <br /> Type of Identification Produced 1 - 5- n Gi Iii V r O"1 v <br /> El <br /> 7of7 <br /> El <br /> 128 Sunny Isles Government Center Lobby+Gateway Park Build-Out <br />
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