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<br /> market value under an arm's length agreement, shall be 'a prime facie case that one person
<br /> •
<br /> controls another person. A person who knowingly enters into a joint venture with a person who
<br /> has been convicted of a public entity crime in Florida during the preceding 36 months shall be
<br /> considered an affiliate.
<br /> 11.5. I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural
<br /> person or entity organized under the laws of any state or of the United States with the legal power to
<br /> enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or
<br /> services let by a public entity, or which otherwise transacts or applies to transact business with a public
<br /> entity. The term "persons" includes those officers, directors, executives, partners, shareholders, •
<br /> employees, members,and agents who are active in management of any entity.
<br /> •
<br /> 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity II
<br /> submitting this sworn statement. (Indicate which statement applies.)
<br /> V Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners,
<br /> shareholders, employees, members, or agents who are active in the management of the entity, nor any
<br /> .affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, II
<br /> 1989.
<br /> The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
<br /> •
<br /> shareholders, employees, members, or agents who are active in the management of the entity, or an
<br /> affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, •
<br /> 1989.
<br /> •
<br /> The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
<br /> shareholders, employees, members, or agents who are active in the management of the entity, or an
<br /> affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, •
<br /> •
<br />• 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of
<br /> Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the
<br /> State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer •
<br /> determined that it was not in the public interest to place the entity submitting this sworn statement on the
<br /> convicted vendor list. (Attach a copy of the final order.) •
<br /> I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE •
<br /> PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE)ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, •
<br /> THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I
<br /> ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO
<br /> A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA
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<br /> STATUTES, FOR CATEGORY TWO 0 •NY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
<br /> By: 110
<br /> I 44d
<br /> (Signature)
<br /> Denise Arencibia
<br /> (Printed Name) •
<br /> Partner
<br /> (Title)b.
<br /> Sworn to and bscribed before me this )' day of C 'fo 2(,-Y2 , 20 Ii I , by
<br /> lar_2_,,,,..,
<br /> �� " � �-�
<br /> (AFFIX NOTARY STAMP HC ` t GRISELBERDION ��Y
<br /> 0
<br /> t_f * MY COMMISSION t FF 101442 t
<br /> v�'_• EXPIRES:Apn111,2018 Sig tures Notary/'(`PPublic-State of Florida
<br /> X41.0:Fvp Banded Ttw Budget Ne;ry Services CO a.,t SS-C.- U��i/L<D (Sy\ •
<br /> / Print or Type Commissioned Name
<br /> •
<br /> Personally Known r/ OR Produced Identification
<br /> •
<br /> Type of Identification Produced
<br /> 1011998 3 of 10 •
<br /> •
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