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RFP No. 08-07-01 Emergency Debris Clearing and Removal
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Downrite Engineering Corp.
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Last modified
3/25/2011 4:20:17 PM
Creation date
3/25/2011 4:20:03 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Emergency Debris
Bid No. (xx-xx-xx)
08-07-01
Project Type (Bid, RFP, RFQ)
RFP
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<br />~ <br /> <br />SECTION 19 <br />CONFLICT OF INTEREST STATEMENT <br /> <br />STATE OF FLORIDA <br />COUNTY OF Miami-Dade <br /> <br />BEFORE ME, the undersigned authority, personally appeared <br />swom, deposes, and states: <br /> <br />Samuel LoBue <br /> <br />, who was duly <br /> <br />19.1. I am the President <br />with a local office in Miami, Florida <br /> <br />Obnwnritp FnCjinpprinCj rnrr <br />and principal office in Miami. Rorida <br /> <br />19.2. The above named entity is submitting a Proposal for the City of Sunny Isles Beach, RFP No. <br />08-07-01 described as: Emergency Debris Clearing and Removal Operations. <br /> <br />19.3. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his <br />own knowledge. <br /> <br />19.4. The Affiant states that only one submittal for the above Proposal is being submitted and that the above <br />named entity has no financial interest in other entities submitting proposals for the same project. <br /> <br />19.5. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, <br />participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with <br />the entity's submittal for the above proposal. This statement restricts the discussion of pricing data until the <br />completion of negotiations if necessary and execution of the Contract for this project. <br /> <br />19.6. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise <br />ineligible from participation in contract letting by any local, State, or Federal Agency. <br /> <br />19.7. Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict of interest <br />due to any other clients, contracts, or property interests for this project. <br /> <br />I <br />19.8. I certify that no member of the entity's ownership or management is presently applying for any employee <br />position or actively seeking an elected position with the City of Sunny Isles Beach. <br /> <br />19.9. I certify that no member of the entity's ownership or management, or staff has a vested interest in any <br />aspect of the City of Sunny Isles Beach. <br /> <br />19.10. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above <br />name ntity, will immediately notify the City of Sunny Isles Beach. <br /> <br /> <br />day of August <br /> <br />,2008. <br /> <br />Samuel Lobue, President <br />Print or Type Name and Title <br />swo~and subscribed before me this _ day of , 2008. <br />ersonally Known OR <br />Produced Identification ; Type 0 Identi c C-~ <br /> <br />~ -~/ ) <br /> <br />NO ARY PUBLIC STATE OF FLORIDA <br /> <br /> <br />76 <br /> <br />o~~~:.:ue("" PAMELA TERAN <br />~..... MY COMMISSION # DD 666725 <br />* 1< EXPIRES: May 3, 2011 <br />"'~, ~o'" Bonded Thru Budget Notary Services <br /><OFf cO <br />
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