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STATE OF FLORIDA <br />COUNTY OF Orlando <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 />By: Burt Baldo, P.E. <br />Title: Senior Vice President <br />The foregoing instrument was acknowledged before me this 19 day of <br />November , 20 20 , by Burt Blado, P.E. [name <br />of person], as fullly authorized signing authority [type of authority], for <br />Kimley-Horn and Associates, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />SWN Lauren Public State of Fronde <br />Notary Public — State of Florida <br />Ln A Keys <br />a F�pves 01omm1/0 2024 nion GG 944370 �- C lZ ) ceA 1'1 <br />Print or Type Commissioned Name <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 <br />