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<br />City of Sunny Isles Beach | ITB 18-03-03 Right-of-Ways and Facilities Landscape Maintenance Services 111 <br /> <br />income taxes, advances, accrued salaries, and accrued payroll taxes, <br />e. Other liabilities, i.e., capital, capital stock, authorized and outstanding shares per values, <br />earned surplus, and retained earnings, and <br />f. Name of firm preparing financial statement and date thereof <br /> <br />2. Bankruptcies: <br />a. Has the Contractor, or any of its parents or subsidiaries, ever had a Bankruptcy <br />Petition filed in its name, voluntarily or involuntarily? (If yes, specify date, <br />circumstances, and resolution). <br /> <br /> <br /> <br /> <br /> <br /> b. Has any Majority Shareholder ever had a Bankruptcy Petition filed in his/her <br />name, voluntarily or involuntarily? (If yes, specify date, circumstances, and <br />resolution). <br /> <br /> <br /> <br /> <br /> <br />c. Loans: Is this Contractor in default on any loan agreement or financing <br />agreement with any bank, financial institution, or other entity? (If yes, specify <br />details, circumstances, and prospects for resolution). <br /> <br /> <br /> <br /> <br />H. Declaration <br /> <br />I declare under penalty of perjury that the foregoing information is true and correct. <br /> <br />Executed on (date) <br /> <br />Authorized representative (print): <br /> <br />Authorized representative (signature): <br /> <br /> <br /> <br />