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SUNNY IS <br />�F <br />s <br />ANTI -KICKBACK <br />n <br />City of Sunny Isles Beach <br />P` 18070 Collins Avenue <br />F L Sunny Isles Beach, FL 33160 <br />oF 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: <br />Title: Principal, Office Manager <br />The foregoing instrument was acknowledged before me this 17th day of <br />November , 20 20, by Hugo E. Soto, P.E. [name <br />of person], as Principal, Office Manager [type of authority], for <br />Terracon Consultants, Inc. [name of parry on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />, SUSANA DELGADO <br />A° State of Florida -Notary Public <br />•E Commission M GG 240244 <br />My Commission Expires <br />August 10, 2022 <br />130> <br />Notary Public — State of Florida <br />Susana Delgado <br />Print or Type Commissioned Name <br />Personally Known ✓ OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 <br />-237- <br />