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�SV,4Ny,s,, CONFLICT OF INTEREST <br /> 1 II ���� City of Sunny Isles Beach <br /> u - i--; = 18070 Collins Avenue <br /> • <br /> ',co..., Sunny Isles each,FL 33160 <br /> l ,D kTelephone:(305)947-0606 Fax:(305)949-3113 <br /> S..\ l�F100. ob <br /> T,'Os suN '� <br /> CONFLICT OF INTEREST STATEMENT <br /> IllThe award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers <br /> must disclose with their Bids,the name of any officer,director,partner,associate or agent who is also an officer or <br /> employee of the City of Sunny Isles Beach or its agencies. <br /> io STATE OF FLORIDA <br /> COUNTY OF Mobile <br /> BEFORE ME,the undersigned authority,personally appeared John Ramsay <br /> who was duly sworn,deposes,and states: <br /> 1 1. I am the President & CEO of CrowderGulf Joint Venture, Inc. with a local <br /> office in and principal office <br /> in Theodore,At.36582 <br /> 1 2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 18-04-02 <br /> described as Disaster Debris Management and Disposal Services . The Affiant has made diligent <br /> inquiry and provides the information contained in this Affidavit based upon his own knowledge. <br /> I3. The Affiant states that only one submittal for the above Bid is being submitted and that the above <br /> named entity has no financial interest in other entities submitting Bids for the same project. <br /> I4. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, <br /> participated in any collusion,or otherwise taken any action in restraints of free competitive pricing in connection <br /> with the entity's submittal for the above Bid. This statement restricts the discussion of pricing data until the <br /> Ucompletion of negotiations if necessary and execution of the Contract for this project. <br /> 5. Neither the entity nor its affiliates, nor anyone associated with them,is presently suspended or <br /> gi otherwise ineligible from participation in contract letting by any local,State,or Federal Agency. <br /> ll6. Neither the entity,nor its affiliates,nor anyone associated with them have any potential conflict <br /> of interest due to any other clients,contracts;or property interests for this project. <br /> ® 7. I certify that no member of the entity's ownership or management is presently applying for any <br /> employee position or actively seeking an elected position with the City of Sunny Isles Beach. <br /> r8. I certify that no member of the entity's ownership or management,or staff has a vested interest in any <br /> aspect of the City of Sunny Isles Beach. <br /> 9. In the event that a conflict of interest is identified in the provision of services, I,on behalf of the above <br /> IIInamed entity,will immediately notify the City of Sunny Isles Beach. <br /> Dated th7th day of May / 2018 <br /> John Ramsay, President & CEO <br /> 'FFIANT -- Print or Type Name and Title <br /> 7th f 18 <br /> 0 Sworn to and subscribed before me this ...__day of y 20_ <br /> B Personally Known,OR <br /> 0 Produced Identification Type of Identification- = n <br /> Alabama ] n J "o <br /> NOTARY PUBLIC STATE OF FLORIDA - KertieA Noti <br /> �. �- Notary Public,Mobile County,AL <br /> _... My Commission Expires Sept 12,2018 <br /> 1 <br />