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(16-04-02) Landscape Architect Services
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Craven Thompson
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Last modified
5/18/2016 11:53:25 AM
Creation date
5/18/2016 10:45:32 AM
Metadata
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Landscape Architect
Bid No. (xx-xx-xx)
16-04-02
Project Type (Bid, RFP, RFQ)
RFQ
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STATE OF FLORIDA ) <br />) <br />COUNTY OF BROWARD ) <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 />esident Plannin & Landsca e Architecture <br />The foregoing instrument was acknow edged before me this 12th day of <br />May , 20~ by Joseph D. Handley. R.L.A. [name <br />of person], as V .P. Planning & Landscape Architecture [type of authority], for <br />Craven Thompson & Associates, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY ST~~W{JgJ~/~ j'~~.~~ssioN;~~~ ~ .. ·C?~~"23,~o~'" ~ : :~~ ~~ .. ~ =*: ~:*= ::: ..... :! <br />~a.. #FF948437 :~~ ~::::;4 • ItP~ .~;:: ~J9;·~~~;.lo~ ~~~""'~1ib<C~ '11""lijIfWt.,,\\\\,,~ <br />No Public -State of Florida <br />Print or Type Commissioned Name <br />Personally Known X OR Produced Identification ___ _ <br />Type of Identification Produced _____________ _ <br />DECEMBER 28. 20 10 70f7 <br />10 I Page 8
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