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SECTION 20 DISPUTE DISCLOSURE FORM Answer the following questions by placing a "X" after "Yes" or "No". If you answer nyes", pleaSe explain in the space proVided, or on a separate sheet attached to this form. . '. .. . " , 20~1. . Has you firm or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulations or any qther regulatory agency or professional associations within the last five (5) years? . . YES NO . x. . . 20.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services. your firm provides in the regular course of business within the lcist: five (5) years? . YES NO x 20.3. Has your firm had against it or filed any requests for equitable adjustment, contract claims, bid protests1 or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? YES NO . x If yes1 state the nature of the request for equitable adjustment, contract daim1 litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the monetary amounts of extended contract time involved. . I hereby certify. that all statements made are. true and agree and understand that any misstatement or misrepresentation of falsification of facts shall be cause for foifeiture of rights for further consideration. of this bid for the City of Sunny Isles Beach, Bid No. 07-10":04; Landscape Maintenance. Services. ---- TENEx..-EN1'ERPRISES., INC.) \.F"'"C_L ~ Authorized Signature 12.07.08 Date HAMID. FOULADI / PRESIDENT Print or Type Name and Title END OF SECTION . . . . . . . ." .. ... ..u. -"" ..-.-..'.__...____. ~"'_".' ....... ..__.._...._._____~_. _.......... _. "... _".'_hO.. .'M. ..__.... .._.__.......___..____.. ..~ ...._._._.___.__.._............ PAGE 81 0030 BID No. 08-10-01