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<br />6. Based on information and belief, the statement which I have marked below is true in a relation to <br />the entity submitting this sworn statement. (Please indicate which one (I) of the following three <br />(3) statements is applicable.) <br /> <br />X (l)Neither the entity submitting this sworn statement, nor any of its officers, directors, <br />executives, partners, shareholders, employees, members, or agents who are active in the <br />management of the entity, or any affiliate of the entity has been charged with and convicted of <br />a public entity crime within the past 36 months. <br /> <br />_(2)The entity submitting this sworn statement, or one or more of its officers, directors, <br />executives, partners, shareholders, employees, members, or agents who are active in the <br />management of the entity, or any affiliate of the entity has been charged with and convicted of <br />a public entity crime within the past 36 months. <br /> <br />_(3)The entity submitting this sworn statement, or one or more of its officers, directors, <br />executives, partners, shareholders, employees, members, or agents who are active in the <br />management of the entity, or agents who are active in management of the entity, or any affiliate <br />of the entity has been charged with and convicted of a public entity crime within the past 36 <br />months. However, there has been a subsequent proceeding before a Hearing Officers of the <br />State of Florida, Division of Administrative Hearings and the Final Order by the Hearing <br />Officer determined that it was not in the public interest to place the entity submitting this sworn <br />statement on the convicted vendor list. (Attached is a copy of the final order.) <br /> <br />I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING <br />OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS <br />FOR THE PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH <br />DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED AND FOR THE <br />PERIOD OF THE CONTRACT ENTERED INTO, WHICHEVER PERIOD IS LONGER. I <br />ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY <br />PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD <br />AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR THE <br />CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS <br />FORM. <br /> <br /> <br />Robert Linares, PE <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of :flOc, 1'10 County oM, 0iY\\ ~6e... '. ~ <br />Sworn to and subscribed before me this ~...yhday of j'J\~ <br /> <br /><7o\oe,~ G()~e~ <br /> <br />~'\anO\oCyJp~ <br /> <br />Notary's Name printed,/tam ed or Typed <br /> <br />Personally Known: or Produced Identification <br /> <br />,2010 by <br /> <br />Notary Seal: <br /> <br />......~~.~:'fY',~,,, DlANA TOME' <br />~:lf"tf:;;. ~:= MY COMMISSION # DO 864434 <br />~ ~':~i EXPIRES: March 24. 2013 <br />,.t.i;;F'.-:{t~ Bonded Thru Notary Public UnderMiter.; <br />"'"Il~ <br /> <br />Identification Produced <br />