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<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 AFFIDA VIr <br /> <br />STATE OF FLORIDA <br />COUNlY OF J]cu) -{, <br /> <br />) <br />) <br />) <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. <br /> <br />By: <br /> <br />Laura Perez <br /> <br />Title: <br /> <br />President <br /> <br />) <br /> <br />~ The foregoing instrument w s acknowledgfld before me this \ day of <br />----1!J6' ~ , 20~ QY au r jVe r r: [name <br />of per~9\l]' as ,..,r ~ ~( den [type of authority], for <br />L /IY1 t: [name of party on behalf of whom instrument was <br />executed] . <br /> <br />o<.~~y Pll~ Notary Public State of Florida <br />! ': Remigio Garcia <br />~ c. .. i My Commission EE060509 <br />~OF ,,0 Expires 01/31/2015 <br /> <br /> <br />~v <br /> <br />Notary Public - State of Florida <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />Print or Type Commissioned Name <br /> <br /> <br />Personally Known 1 OR Produced Identification <br />Type of Identification Produced <br /> <br />DECEMBER2B.2010 <br /> <br />70f7 <br /> <br />LAURA M. PEREZ AND ASSOCIATES, INC <br /> <br />RFQ #12-04-02 <br /> <br />PAGE 82 <br />