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<br /> <br />00300 - 17/26 <br /> ANTI-KICKBACK AFFIDAVIT <br /> <br /> <br />STATE OF _________________ ) <br /> ) SS: <br />COUNTY OF _______________ ) <br /> <br /> <br /> <br />I, the undersigned hereby duly sworn, depose and say that no portion of the sum herein bid will be paid to <br />any employees of the City of Sunny Isles Beach and 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 corporation. <br /> <br /> <br /> By: <br /> <br /> <br /> <br /> (Title) <br /> <br />Sworn and subscribed before me this <br /> <br /> day of , 20___ <br /> <br /> <br /> <br />NOTARY PUBLIC <br />State of Florida at Large <br /> <br /> <br /> <br />My Commission Expires: <br /> <br /> <br />