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1 1.6._r'_market value under an arm's length agreement, shall be a prime facie case that one personcontrols another person. A percon who knowingly enters into a joint venture with a person whohas been convicted of a public entity crime in Florida during the preceding 36 months shall beconsidered an affiliate.11.5. I understand that a "person" as defined in Para. 287.133(1Xe), Florida Statutes, means any naturalperson or entity organized under the laws of any state or of the United States with the legal power toenter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods orservices let by a public entity, or which otherwise lransacts or applies to transact business with a publicentity. The term "persons" includes those officers, directors, executives, partneas, shareholderc,employees, members, and agents who are active in management ofany entity.Based on information and belief, the statement which I have marked below is true in relation to the entitysubmitting this swom statement. (lndicate which statement applies.)Neither the entity submitting this sworn statement, nor any of it's oflicers, directors, executives, partners,shareholders, employees, members, or agents who are active in the management of the entity, nor anyaffiliate of the entity has been charged wilh and convicted of a public entity crime subsequent to July 1,1989.The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,shareholders, employees, members, or agenls who are active in lhe management of lhe entity, or anaffiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,1S89.The entity submitting this swom statement, or one or more of its officers, directors, executives, partners,shareholders, employees, members, or agents who are active in the management of the entity, or anaffiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,'1989. However, there has been a subsequent proceeding before a Hearing Officer of the State ofFlorida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of theState of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officerdetermined that it was not in the public interest to place the entity submitting this swom statement on theconvicted vendor list. (Attach a copy of the final order.)I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTMCTING OFFICER FOR THEPUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTIW ONLY AND,THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. IALSO UNDERSTAND THAT I AI\4 REQUIRED TO INFORM THE PUBLIC ENTIry PRIOR TO ENTERING INTOA CONTMCT IN EXCESS OF THE THRESHOLD AI/OUNT PROVIDED IN SECTION 287.017, FLORIDASTATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM."'fl{ru.*,*(ritre)Swern to and $ubsoribed before me this \5 oav ot-\AA!- ,20-1h , ovR{a^ Advfrr\ +i-(Signature)Rvan Advena(Printed Name)cFo(AFFIX NOTARY STAMP HGlMttARlE GEILERMY COUMISSION # HH 278551POIRES: Ocbber 5,2026Known \a OR Produced ldentiflcation
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