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Be The Light Decor | RFP 26-04-01 — Citywide Holiday Lighting & Decorating Services <br />Page 49 of 55 <br />Anti-Kickback Affidavit <br />STATE OF FLORIDA <br />COUNTY OF __________________ <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid will be <br />paid to any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, <br />reward, or gift, directly or indirectly, by me or any member of my firm or by an officer of the <br />corporation. <br /> <br />By: <br />____________________________________________ Signature <br /> <br />Title: Founder <br /> <br />Sworn to and subscribed before me this _____ day of __________________________, 2026. <br /> <br />Personally Known _____ OR Produced Identification _____ <br />Type of Identification Produced: ____________________________________ <br /> <br />____________________________________________ <br />Notary Public — State of Florida <br /> <br />____________________________________________ <br />Print or Stamp of Notary Public <br /> <br />Commission Expiration: ___________________________ <br />(AFFIX NOTARY STAMP HERE) <br />