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(20-10-01) Professional Engineering and Architectural Services for Ped.
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Last modified
11/23/2020 12:15:43 PM
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11/23/2020 12:07:59 PM
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STATE OF FLORIDA <br />COUNTY OF SEMINOLE <br />ANTI -KICKBACK <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />ANTI -KICKBACK AFFIDAVIT <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 />Byc�� <br />Title: Vice President, Structural Engineering <br />The foregoing instrument was acknowledged before me this 18th day of <br />November , 2020 , by _Brenton Daily, P.E. [name <br />of person], as Vice President, Structural Engineering [type of authority], for <br />Bentley Architects + Engineers. Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />1*aY Pua .. CYNTHIA FUOCO <br />?° • ��`: Notary Public -State of Florida <br />®o` Commission +" GG 366689 <br />My Comm. Expires Oct 29, 2023 <br />Bonded through Nationai Notary Assn. <br />No i' ry Public — State of Florida <br />Print dr Type Commissioned Name <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 <br />246- <br />
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