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<br />) <br /> <br />) <br /> <br />) <br /> <br /> <br />ANTI-KICKBACK <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br /> <br />ANTI-KICKBACK AFFIDAVIT <br /> <br />) <br /> <br />I ( ) <br /> <br />\ <br />, <br /> <br />! <br /> <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF Miami-Dade ) <br /> <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br />will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a <br />commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or <br />by an officer of the corporation. d'U<<- j! <br /> <br /> <br />By: ichard B, Boei::: P.E. <br /> <br /> <br /> <br />Title: Senior Vice President <br /> <br />The foregoing <br />December <br />of person], <br />CD I' <br />executed] . <br /> <br />instrument was acknowledged before me this 1 st day of <br />20~, by Richard B, Bochnovich, P,E, [name <br />, fi [type of authority], for <br />,[name of party on behalf of whom instrument was <br /> <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br /> <br />- <br /> <br />- <br /> <br />- - - <br /> <br />~ ~.t"'V'~""", OMAYRA v, BERG · <br />. !~m:s Notary Public, State 01 Florida <br />!' : My Comm Expires Jun 27. 2014 <br />~~ ..: ' <br />",11); ~".l Commission # EE 4280 <br />"';,clr.r,~\""'" <br /> <br />Omayra V, Berg <br />Print or Type Commissioned Name <br /> <br />--- -- -- <br /> <br />Personally Known x OR Produced Identification <br />Type of Identification Produced <br /> <br />DECEMBER 28, 2010 <br /> <br />7 of 7 <br />