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(18-03-02) Parks and Recreational Facilities Landscape Maintenance Services
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SFM
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Last modified
4/26/2018 10:56:30 AM
Creation date
4/26/2018 10:28:42 AM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Parks and Recreational Facilities Landscape Maintenance Serv
Bid No. (xx-xx-xx)
18-03-02
Project Type (Bid, RFP, RFQ)
Bid
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SUN NY is,e <br /> s� ANTI - KICKBACK <br /> V <br /> City of Sunny Isles Beach <br /> e r 18070 Collins Avenue <br /> sF ➢'•F L O s`7 Sunny Isles Beach,FL 33160 <br /> or suN' 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: Christian Infante C Air • <br /> Title: President <br /> ® The foregoing instrument was acknowledged before me this 17 day of <br /> April , 2018 , by Christian Infante [name <br /> of person], as President [type of authority], for <br /> SFM Services,Inc. [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: 111 <br /> Notary Public State of Florida I1' % ry Public— State of Florida <br /> Vanezza Rivera <br /> '5 l My Commission FF 201617 <br /> 14or AP Expires 03/23/2019 Vanezza Rivera <br /> Print or Type Commissioned Name <br /> Personally Known X OR Produced Identification <br /> Type of Identification Produced N/A <br /> IP <br /> 70110 <br />
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