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<br />SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) <br />FLORIDA STATUTES, ON PUBUC ENTITY CRIMES <br /> <br />THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBUC OR <br />OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. <br /> <br />11.1. This sworn statement is submitted to Otv ofSunnv Isles Beach <br /> <br />by <br /> <br />HAMID FOULADI / PRESIDENT <br />[print individual's name and title) <br />TENEX ENTERPRISES, INC. <br />[print name of entity SlJbmitting swom statement] <br /> <br />for <br /> <br />whose business address is: <br />850 SW 14th Court <br /> <br />Pompano Beach, FL 33060 <br /> <br />and (if applicable) its. Feder<ll Employer Identification number (FEIN) is 522 069619 <br />(If the entity had no FEIN, indyde the Sodal Security Number of the individual signing this sworn <br />statement: . .) <br /> <br />11.2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(9), Rorida Statutes, <br />means a violation of any state or federal law by a person with respect to and directly related to <br />the transaction of business with any public entity or with an agency or political subdivision of any <br />other stateOf\\rith the United States, induding, but not limited to, any Bid or Contract for goods <br />or services to be provided to any public entity or <'m agency. or political subdivision of any other <br />state of the Urtited States and involving antitrust, fraud; theft, bribery~ collusion, racketeering, <br />conspiraCYl or material misrepresentation. . . <br /> <br />11.3. I understand that "convicted" or "conviction" as defined in Para. 287.133{1){b), Rorida Statutes, <br />means a finding of guilt or a conviction of a public entity crime~ with. or wittiout an adJudication. of <br />guilt, in . any federal or state trial 'court of reCord relating. to cl)arges brought by indictment or <br />information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of <br />guilty or nolo contendere. <br /> <br />11.4. I understand that an "affiliate" as defined in Para. 287.133(l)(a), Florida Statutes1 means: <br /> <br />a.) predecessor or successor of a person convicted of a public entity crime; or <br /> <br />b.) Any entity underthe control of any natural person who is active in the management of <br />the entity. and. who. has been convicted of a. public entity crime. The . term "affiliate" inCludes <br />those officers, directors, exe<:utors, partners~ shareholders, employees1 members1 and agents <br />· who are active in the management of an . affiliate. The ownership by one person of shares <br />constitutinga' COntrolling interest in another person, ora pooling of equipment or income among <br />persons.when not for fair market value under an arm's length agreement,. shall be a prime fade <br />case that one person controls another person. A person .who. knowingly enters into a jOint <br />. venture With. a perSon w~o ha~ been convicted of.a public en.titytrimein Aorida during the <br />preceding 36 months shall be considered an affiliate. .. <br /> <br />11.5. I understand that a "person" as defined in Para. 287.133(l)(e), Florida Statutes, means any <br />natural person or entity organized under the . laws of any state or of the United States with the <br />legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the <br />proviSion of goods or services let by a publiC entityl or which otherwise transacts or applies to <br />. . <br /> <br />PAGE 60 OF 130 <br />BID No. 08-10-01 <br />