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CONFLICT OF INTEREST <br />City of Sunny lsles Beach <br />18070 Collins Avenue <br />Sunny lsles Beach, FL 33'160 <br />Telephone: (305) 947-0606 Faxr (305)949-3113 <br />CONFLICT OF INTEREST STATEMENT <br />The award of any contract hereunder is subject to the provisions of Chapter 112, Flo(ida State Statutes. Proposers must <br />disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the <br />City of Sunny lsles Beach or its agencies. <br />STATE OF FLORIDA <br />COUNTY OF <br />BEFORE lVE, the undersigned authority, personally appeared Kara Hoffman Bays who was duly sworn, <br />deposes, and states: <br />18.1. I am <br />HB Hoffman, LLC <br />Presiclent <br />witn a loffi ano orinlioat <br />of <br />office in <br />18.2. The above named entity js submitting a Bid for the City of Sunny lsles Beach, Bid No. 16-09-02 described <br />asr Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this <br />Affidavit based upon his own knowledge. <br />18.3 The Afflant states that only one submittal for the above Bid is being submitted and that the above named entity has <br />no financial interest in other entities submilting Bids for the same project. <br />18.4 Neither the Atfiant nor the above named entity has direcUy or indirectly entered into any agreement, participated in <br />any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for <br />the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and <br />execution of the Contract for this project. <br />18.5 Neither the entily nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from <br />participation in contract letting by any local, State, or Federal Agency. <br />18,6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any <br />other clients, contracts, or property interests for this project, <br />18,7 | certify that no member of the entity's ownership or management is presently applying for any employee position or <br />actively seeking an elected position with the City of Sunny lsles Beach. <br />18.8 | certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City <br />of Sunny lsles Beach. <br />18,9 In the event that a conflict of jnterest is identifled in the provision of services, l, on behalf of the above named entity, will <br />immediately notify the City of Sunny lsles Beach. <br />, zol0.2016 <br />Sllprn to and subscribed before me thisg Personally Known <br />- <br />day of December ,2010, 16 <br />OR <br />Produced ldentification _i Type of ldentificatj <br />NOTARY PUBLIC STATE OF FLORIDA <br />sTEPft l.ilE PoLO <br />MY CoMMtsstoN # GG 002356 <br />EXPIRES: Juty 23, 2020 <br />Eonded Thru Notary pubDc UndorujieE <br />Print or Type Name and Title <br />DECEMBER 28,201O <br />Sle,pLat,z (tb