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Be The Light Decor | RFP 26-04-01 — Citywide Holiday Lighting & Decorating Services Page 43 of 55 Public Entity Crimes Sworn Statement SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 11.1. This sworn statement is submitted to the City of Sunny Isles Beach by: Hunter Estess, Founder [PRINT INDIVIDUAL'S NAME AND TITLE] for Be The Light Decor [NAME OF ENTITY SUBMITTING SWORN STATEMENT] whose business address is: 68672 LA 59, Mandeville, LA 70471 and (if applicable) its Federal Employer Identification Number (FEIN) is: [INSERT FEIN] (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: [INSERT SSN]) 11.2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including any Bid or Contract for goods or services, involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere. 11.4. I understand the definition of "affiliate" as set forth in Paragraph 287.133(1)(a), Florida Statutes. 11.5. I understand the definition of "person" as set forth in Paragraph 287.133(1)(e), Florida Statutes. 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies.) [X] Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989.